St Gemma'S Hospice Policies And Guidance Page 12
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19St Gemma’s Hospice
7.2
Cytotoxic and Cytostatic medicines are defined as any medicinal product that has one
or more of the following hazardous properties: Toxic (H6), Carcinogenic (H7),
Mutagenic (H11) or Toxic for Reproduction (H10). Appendix 2 – “Cytotoxic and
Cytostatic medicines”
7.3
The Home Office Authorised Person is contacted by the hospice pharmacist when
needed to destroy stock CDs on site.
8
Policy
8.1
When a patient dies in the hospice all medication from their bedside locker is kept for
seven days after death in case there is a need for a coroner’s inquest. It is stored in the
“drugs for destruction” box in cupboard 3 or if CDs – stored in the CDs for destruction
box in the CD cupboard.
8.2
In the event of death or discharge of a patient with an infection, the drugs that are to be
quarantined at the Hospice must be double bagged and a sticker applied identifying
that the drugs were from an infected patient. This is stored with the other quarantined
drugs on disposal, the sealed bag is put straight into blue lidded bin.
8.3
Labels are available in the drug room.
8.4
When a patient is discharged all medication which was brought in with the patient but
is no longer in use will be disposed of. It is stored in the “drugs for destruction” box in
cupboard 3 or if CDs – stored in the CDs for destruction box in the CD cupboard.
Patients’ own CDs no longer required are denatured on the ward by the Ph and an RN
8.5
every other week alternating between the wards as per the pharmacy timetable.
Stock medicines which are out of date should be placed in the “drugs for destruction”
8.6
box in cupboard 3. Or if they are stock CDs they should be placed in “Stock CDs for
destruction” box in the CD cupboard for destruction by the Home Office Authorised
Person.
9
Procedure
All waste should be disposed as per Appendix 3 – “Disposal of Waste
9.1
Medicines/Sundries in the Hospice”
9.2
The Technician places all unwanted patients own drugs in the Blue Lidded
Pharmaceutical waste bins weekly. The Blue Lidded bins are removed from the ward
area by maintenance and estates staff and then taken from the hospice by GW Butler,
waste contractors.
Cytotoxic and cytostatic waste is placed into the purple/black lidded waste bin by the
Ph or Technician and a note made of the quantity and name of each drug entered into
the duplicate book kept with the bin for that purpose. Cytotoxic waste bins
(purple/black lid) will be accompanied by a consignment note which lists all drugs
contained in the bin.
9.3
Patient own CDs are destroyed via a CDDK kit which is then disposed of in the Blue
Lidded Pharmaceutical waste bins. The drugs are signed out the CD register as
“Destroyed on ward via CDDK” and signed by the Ph and RN.
Page 12 of 19
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