Medicines Management Policy - Dudley Primary Care Trust

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2.8 Prescribing Controlled Drugs- see section 10. 2.9 How to report a suspected ADR i.e. use of the yellow card system. If a patient suffers a suspected adverse reaction to a prescribed, over-thecounter (General Sales List) or herbal medicine, the adverse reaction should be reported via the Yellow Card Scheme. The Yellow Card Scheme is a voluntary scheme through which healthcare professionals notify the Medicines Control Agency (MCA)/Committee on the Safety of Medicines (CSM) of suspected adverse drug reactions (ADR’s). The MCA/CSM encourage the reporting of ADR’s to newly licensed medicines that are under intensive monitoring (identified by a ▼ symbol both on the product information for the drug and in the BNF and MIMS) and all serious or unexpected suspected ADRs to all other established drugs. Serious reactions include those that are fatal, life-threatening, disabling, incapacitating or which result in prolonged hospitalisation and/or are medically significant e.g. teratogenicity. The new electronic Yellow Card provides a simple and fast way to report suspected ADRs. The electronic Yellow Card, together with instructions on how to use it, is available on the MCA website (www.mca.gov.uk). Health professionals are encouraged to report all suspected ADRs using this method, although hard copy Yellow Cards are also acceptable (and can be found bound to the back of the BNF and Drug Tariff. All ADRs must be recorded in the patients Medical Records. The supplementary prescriber should also inform the independent prescriber of any reported ADRs. 14
3. Supply of prescription Pads N.B. The prescription pad and forms are the property of the Primary Care Trust. Prescriptions must only be issued to patients for whom Dudley PCT holds responsibility. It is the responsibility of the prescriber to ensure the security of the pad/form at all times. (For further information see section 4) Please also refer to section 7 and appendix 5 in the Facilities Management Centre (FMC) Procurement and Facilities Department, “Controlled Stationery Procedures Manual.” 3.1 For Non Medical Prescribers employed by Dudley PCT 3.1.1 The NMP is responsible for supplying details of registration status to their line manager. 3.1.2 Prior to commencing prescribing, the line manager or designated member of staff will ensure that the member of staff has access to NMP resource pack http://joint.dudley.nhs.uk/cmsextra/Pharmacy-Prescribing- Medicines/index.aspid=7286 and the NMP lead has been informed so as to update the NMP prescribing database. 3.1.3 The line manager is responsible for ensuring the PPD is notified by completing an Annex Form 1 (version 3) for the notification of newly qualified Non medical Prescribers/Change in circumstances. This can be done by the FMC. For NMPs employed within General Practice, this will be done through the GP system via the Warehouse Manager at the FMC, Pensnett Trading Estate by completing Annex Form 2 (version 3). For details on nurse prescribing forms please see www.ppa.org.uk/ppa/Pct/nurses/pctNurse.htm 3.1.4 Once the NMP is registered with the PPD the line manager will order prescription pads, firstly via telephone to the supplier and confirming this on the proforma for ordering FP10 secure prescription pads. See Appendix 1 to Medicines Management Policy 2.4 dec 08 doc.xls 3.1.5 When the prescription pads arrive the line manager will give out a maximum of 2 pads to each NMP (for nurses employed by General Practitioners, pads will be forwarded to the appropriate surgery via the GP courier system). The line manager will record the first and last serial number of each pad and also the signature of the person issuing and receiving the pad. The Practice Manager will record appropriate details on attached paperwork that should be returned within 72hrs of receipt. A copy must be maintained by the Warehouse Manager 15
Page 1 and 2: Medicines Management Policy Documen
Page 3 and 4: CONTENTS Section Page 1. Introducti
Page 5 and 6: 1. Introduction This policy deals w
Page 7 and 8: 2. Prescribing of medicines 2.1 Int
Page 9 and 10: Nurse and Pharmacist Independent Pr
Page 11 and 12: 2.7.1 Clarity The prescription form
Page 13: 2.7.8 Recognised abbreviations Only
Page 17 and 18: 4.0 Security and Safe Handling of P
Page 19 and 20: 6. Transport of Medicines 6.1 All m
Page 21 and 22: 7.7 All medicines shall be returned
Page 23 and 24: 8. Responsibilities of the person a
Page 25 and 26: vi) vii) viii) ix) The drug is bein
Page 27 and 28: • Insulin injections by District
Page 29 and 30: • Are subject to safe custody req
Page 31 and 32: 10.3 Prescribing Controlled Drugs 1
Page 33 and 34: 10.5.2 Stock held at PCT premises o
Page 35 and 36: 11. Management of errors or inciden
Page 37 and 38: 12. Verbal orders for the Administr
Page 39 and 40: 14 Alcohol 14.1 Patient/client unde
Page 41 and 42: may imply dealing, as breach of con
Page 43 and 44: 17. General Notes on the Handling o
Page 45 and 46: 19. Compliance aids All compliance
Page 47 and 48: 21. Syringe Drivers Please refer to
Page 49 and 50: 23. Prescribing of Oxygen Please re
Page 51 and 52: This policy was produced by Special

Medicines Management Policy - Dudley Primary Care Trust

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