2005 Edition Report on Drug Administration Procedure & Practices ...

Operational guidelines7. Operational guidelines on implementation of the programme for individualpsychiatric hospital / psychiatric unit should be in place. The guidelines should be endorsed bylocal hospital Drug Committee and include the followings :7.1 Selective criteria of patients are : Scope of patient selection e.g. patient with history of non compliance Participation of the health care team in patient selection Mode of obtaining consent and its documentation7.2 Supply and storage of the medicationMechanism in place to state Agreement with the Pharmacy of individual hospital/ unit for the drug supplypolicy, provision of the individualized packing of medication, procedures inrequesting / revising / returning of drugs for self-medication etc. Appropriateness of the medication storage place in respect of patients’ safetyand accessibility and local hospital / unit structure Appropriateness of DD storage in respect of the Dangerous Drug Act7.3 Training and monitoring Availability of the training kits and assessment tools e.g. content of eachtraining session Personnel involved in the training and their responsibilities e.g. medical officer,nurse or pharmacist Protocol for stepping up and stepping down the training for individual patient Documentation of patients’ knowledge assessment and suitability for thepractical part after the theory sessions Documentation of patients’ self-medication practice and it should be in linewith the local hospital / unit policy on AOM e.g. to keep patient’s selfadministration form together with the MAR Level of supervision and mechanism in ensuring patients’ medicationcompliance in different stages of self-medication e.g. issuing of medicationreminder card for forgetful patients2