Medicines Management Policy - Dudley Primary Care Trust

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& Practice Manager on a file. Note: For security reasons pads can only be collected in person by the NMP. 3.1.6 Any un-issued prescription pads must be kept in a locked cupboard and treated as controlled stationery. . 3.1.7 Prescription forms will be supplied in pads of 50 forms from an approved supplier. The pads will be ready personalised, with the nurse prescribers details. 3.1.8 Any NMP who is employed by more than one PCT or GP Practice must have separate prescription pads for each organisation. It is the prescriber’s responsibility to ensure that all prescriptions are endorsed with the correct practice code. 3.1.9 All NMPs will be reviewed regularly using the NMP prescribing competency framework to ensure competency. 3.2 Medical Prescribers employed by Dudley PCT Medical prescribers must order prescription pads for the service they are prescribing for via the line manager in charge of the service. 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 line 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 & line manager on a file. Note: For security reasons pads can only be collected in person by the prescriber. 16
4.0 Security and Safe Handling of Prescriptions Thefts and losses over recent years of prescription forms in general have dramatically increased and the security of prescription forms are the responsibility of the prescriber. Stock levels of the forms held should be kept to a minimum. 4.1 General security The prescription form must only be produced when needed and never left unattended. When not in use they must be placed in a locked drawer/secure stationery cupboard. When on patient visits the prescriber must keep the prescription pad on their person. Prescription forms should never be left in a car. If prescription pads are taken off PCT premises, they must be kept safe and secure from other family members and visitors. Under no circumstances should blank prescription forms be pre-signed before use. 4.2 In the event of loss or suspected theft. All prescribers should follow the procedures below: • The prescriber should immediately contact their line manager. For community nurses this will be their line manager and for practice nurses, their practice manager. • The manager will then inform the Personal Assistant to Specialists in Pharmaceutical Public Health, (SiPPH) Dudley Primary Care Trust Direct Line: 01384 366589, Fax: 01384 241115 • The Personal Assistant will then inform the Head of Security, the Counter Fraud Specialist and activate the cascade system by notifying the local community pharmacists through the “Early Warning System”. • A Senior Pharmacist will review the circumstances and decide upon any necessary additional action. • Prescribers will be asked to temporarily write/sign prescriptions in red or green coloured ink. • The incident must be logged on Sentinel. • The police should also be informed by the manager as soon as possible after the loss/theft is confirmed, giving details of the approximate number of prescriptions stolen, their identification numbers, and where and when they were stolen. • A crime reference or loss reference number should be recorded against each incident. 4.3 Recording of prescription numbers It is good practice at regular intervals to note the prescription number issued to a patient in the patient’s notes so that should prescription pad or individual prescription be stolen the prescriber is able to indicate how many forms have been taken. 17
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 and 14: 2.7.8 Recognised abbreviations Only
Page 15: 3. Supply of prescription Pads N.B.
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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