Medicines Management Policy - Dudley Primary Care Trust

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10.6.2 In the event of a patient dying at home In the event of a patient dying the above would also apply, as under the Misuse of Drugs Act possession of CDs cannot pass to another person therefore all must be destroyed. The nurse present should record all CD drugs not used (recording form, strength and quantity) sign and date the record and, if possible, ask a witness to sign that the record is true. A copy of the record should be kept with the drugs for transfer to the community pharmacy for destruction and a copy kept with the patient’s notes. If there is no carer/relative to return drugs to a community pharmacy, all drugs should be destroyed as soon as possible. 10.7 Breakages and Damages If any healthcare professional finds or accidentally causes a supply to be damaged or broken (e.g. ampoules/bottle) this incident shall be reported promptly to the nurse manager. An entry on such incidents will need to be made directly in the patient records detailing the date, time, quantity of stock damaged or broken, the signature of the member of staff who found this and the signature of the member of staff or other person present who witnessed the incident. The staff involved may wish to add additional information if thought necessary. If damaged or broken supply is discovered by a patient or carer then the same procedure should be followed noting who made the discovery. 10.8 Storage All controlled drugs should be stored in a locked cupboard specifically for that purpose, separate to other drugs. CD cupboards must have a daily stock check. Please refer to the Medicines Ethics and Practice booklet (RPSGB) or visit www.rpsgb.org for details. For checking CD stocks held on PCT premises serviced by the Pharmacy Department, Dudley Group of Hospitals please refer to DGoH Medicines Management Policy. It is an audit requirement that there is a pharmacy check once every six months. For further information on CDs legislation and best practice please contact the Medicines Management Team at the PCT or see the controlled drug section on the PCT website. 34
11. Management of errors or incidents associated with medicines. It is recognised that despite careful checking mistakes do happen. Errors in administration can include for example selecting the wrong medication, administering an incorrect dose, using the wrong route, giving the medication to the wrong patient/client, failing to ensure that the patient/client has received it or may involve a dispensing error from the pharmacy. Any error/incident must be reported via the PCT Sentinel reporting systems. Errors or incidents concerning the administration of medicines require investigation under the Serious Untoward Incident Investigation Policy. This does NOT mean that disciplinary action will automatically follow. Each incident will be considered in its particular context. 11.1 Clinical Errors by Staff involving Medicines Dudley PCT operates a ‘fair blame’ policy which to encourage all errors to be reported and investigated as to the cause. Local training course are available in investigation of incidents. Whenever errors in the administration of medicines are found then the healthcare professional administering will:- i) Contact the appropriate prescriber for the patient/client so that if necessary remedial action can be taken to ensure the safety of the patient/client. If the prescriber is not the patient’s GP then they must be informed as to the nature of the error and the steps taken. ii) iii) Report the incident to the senior manager in charge who has the responsibility of investigating the incident. The healthcare professional must also ensure a) The patient/client’s blood pressure and pulse is taken and recorded, if possible, and observe for any signs of shock. b) Follow the incident reporting procedure and inform Clinical Governance. Clinical Governance will inform the Medicines Management Team. c) Enter details of the event in the patient/client’s records including details of any remedial action taken and the individuals informed. It is the responsibility of the nurse in charge to ensure that the patient (and/or relatives, dependent on circumstances) is advised at an early stage. How this 35
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 and 16: 3. Supply of prescription Pads N.B.
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: 10.5.2 Stock held at PCT premises o
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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