St Gemma'S Hospice Policies And Guidance Page 10
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19St Gemma’s Hospice
4.13
When a sealed CD needs to be used the bag is opened and discarded and the CD is
then counted/measured as per medicines administration policy 2.5.3
5
Policy
5.1
All medication is stored at temperature specified on the label.
5.2
All medication is stored out of direct sunlight.
5.3
RN checks the maximum and minimum temperature of the fridge every 24 hours and a
record is kept of this check on a chart attached to the back cover of the ward controlled
drug book.
5.4
If the fridge temperature is out of the designated range then action is taken as per
instructions on the front of the fridge and in section 4.5.
5.5
All prescription only medicines(POMs), Pharmacy only medicines (P), General Sale
List (GSL) medicines and CDs are stored in locked cupboards complying with the
requirements of the standards and regulations stated in 1.2, under the supervision of a
Registered Nurse (RN), Pharmacist (Ph) or Pharmacy Technician (Tech) carrying out
their duties. The only exception to this are GTN spray and tablets, reliever inhalers and
as required P and GSL creams and ointments that the patient is self administering
which may be left under the direct supervision of the patient at the discretion of the
RN.
5.7
Dispensed medicines are not left unattended.
5.8
Medicines are stored in their dispensed container and not transferred to other
containers.
5.9
The Self-Medication Policy is followed if a patient wishes to take control of his/her own
medication, with the exception of GTN spray and tablets, reliever inhalers and as
required P and GSL creams and ointments that the patient is self administering.
5.10
Two RNs check the balance of all Schedule 2 CDs (excluding CD liquids) and
Schedule 3 CDs (excluding temazepam) and also excluding Oramorph 10mg/5ml
(ensuring sealed bags are present and secure) every 24 hours and a record kept of
this check in the CD book. The RNs add their name, signature and initials to the list at
the beginning of the CD register if not previously recorded for that particular CD
register .
5.11
Two RNs check the balance of CD liquids (excluding temazepam liquid and Oramorph
10mg/5ml) every Sunday (ensuring sealed bags are present and secure) and a record
kept of this check in the CD book. The RNs add their name, signature and initials to the
list at the beginning of the CD register if not previously recorded for that particular CD
register.
CD’s in a sealed bag are checked for evidence of tampering
5.12
5.13
When measuring liquids the measuring cylinder is placed on a flat surface, the bottle
allowed to completely drain into the cylinder and the measurement taken at the bottom
of the meniscus.
5.14
A discrepancy of 5% or greater in the CD liquid balance is reported the following
morning to the Specialist Practitioner Monday – Friday or the Nurse in Charge at a
Page 10 of 19
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business