St Gemma'S Hospice Policies And Guidance Page 2
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19St Gemma’s Hospice
Medicines - Ordering and Receipt, Storage and Disposal Policy
Section 1 -Ordering and Receiving Medication
1
Preamble
1.1
This policy is set up in order for a medication to be ordered, stored and disposed of
within a risk management framework.
1.2
All medicines are ordered, received and stored in accordance with the following: -
“The Registered Homes Act” Part 2 1984
“Misuse of Drugs (Safe Custody) Regulations” 1973
“The Care Standards Act” 2002
“Independent (private and voluntary) Healthcare inspection programme 2006/07”
1.3
A ward top-up system is used for the supply of stock medication to the hospice. Urgent
stock items can be ordered direct from Lloyds.
1.4
Any medication not on the stock list (displayed on the wards) is dispensed as a non-
stock i.e. patient specific item.
1.5
Only stock medicines, including stock Controlled Drugs (CDs), are dispensed from
Chapel Allerton Hospital.
1.6
Members of the pharmacy group (Pharmacists, Specialist nurses, Consultants, a
member of the community team and day hospice) review the stock medication list
every six months and changes are negotiated with Lloyds Pharmacy and Chapel
Allerton Hospital.
1.7
All non-stock drugs and discharge prescriptions are ordered by fax and dispensed from
Lloyds pharmacy. Fax number 0113 2888674. Tel number 0113 2686580.
Pharmacy opening hours
Monday to Friday 9am – 6pm
Saturday 9am – 5pm
Sunday 9.30am – 12.30pm
1.8
All orders received by Lloyds pharmacy by 4pm Mon-Sat and before 11.30 am Sunday
will be delivered on the same day. Orders received after this time are delivered the
following day, unless urgent in which case the nurse will make contact with the
pharmacist working at Lloyds. Drugs are supplied in quantities that last up to and
including the next top-up day.
1.9
Stock drugs are ordered by the technician and repeat non-stock items by the
pharmacist (Ph). These top ups are ordered on a Monday or Tuesday and delivered by
the pharmacy service on a Thursday afternoon. If the Ph or technician is not in the
hospice then the RN orders any drugs required as specified below.
Non-stock items - firstly check if patients own are suitable for reuse following
the reuse of patients own drugs policy, if not suitable or not available these are
ordered on a “Patient Non-Stock / Urgent Stock Drug Order” form (blue).
Discharge medication is ordered on a “Discharge Drug Order” form (yellow) or
a “Discharge Drug order for Compliance Aid” form (green) and the date and
time that the medicines are required on the ward must be specified. A seven-
day supply is issued on discharge.
Page 2 of 19
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