manual on management of drugs

Head of the Institution may add any other items into the above list.
Items so received should be taken into a register and disposed of periodically
with the approval of Head of the Institution.
In the case of dressings, especially in Teaching, Provincial, District
General/Base and Divisional Hospitals , a central distribution system should
be adopted.
17. When authorizing issue of drugs on the register, the Head of the
Institution should ensure that the issues are monitored and controlled to avoid
overstocking at the user level.
18. Drugs should be issued to the respective units weekly according to a roster
prepared in consultation with the units concerned. However drugs shall also
be issued on emergency requests as and when necessary, to avoid shortages.
19. All the normal procedures recommended for indenting, accounting etc. of
drugs should be adhered to, to the extent applicable.
Stock Control Procedures at Out Door Dispensary
20. As drugs are issued to the OPD patients and the clinic patients from the
outdoor dispensary, in addition to the procedures regarding the receipt of
drugs from the drug stores as given in under1-4 paragraphs the following
procedures should be followed.
21. A list of specimen signatures of all authorized prescribing officers
authenticated by the Head of the Institution should be available with the
officers dispensing drugs at the OPD and clinics. These officers should make
sure, before issuing drugs to the patients, that the prescriptions have been
signed by the authorized prescribing officers only. The Chief Pharmacist will
do a random check of about 30 prescriptions fortnightly to verify the
genuineness of the prescriptions.
22. OPD patients shall be issued drugs sufficient for not more than three days
but in the case of antibiotics, the full prescribed course should be issued.
23. If further prescription is given at the next visit of the patient, it should be
elicited from the patient that the drugs dispensed earlier had been fully
consumed.
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