St Gemma'S Hospice Policies And Guidance Page 4
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19St Gemma’s Hospice
2.7
For CDs delivered from Lloyds, an authorised person signs a duplicate CD docket
carried by the Lloyds driver to indicate CDs have been delivered to the hospice.
2.8
For all deliveries of stock medicines from Chapel Allerton Hospital, authorised person
signs the driver’s delivery note listing each sealed box or bag to indicate that they have
been received by the hospice.
2.9
RN checks all medicines delivered from Lloyds against the stamped copy of the
original order returned with the drugs and signs and dates the copy to indicate that the
drugs have been received into the hospice.
2.10
Lloyds technician checks the non-CD stock order delivered from Chapel Allerton
Pharmacy against the stock delivery note when putting the drugs away. Lloyds
technician enters the stock CDs into the register with a RN when putting them away.
2.11
For CDs received from Lloyds, two authorised persons record receipt in the CD
register in indelible ink. Errors made when entering the record are not crossed
through, but bracketed and asterisked, a note made at the head or foot of the page
stating that the entry was “Entered in error”. Both the error and correction are signed
and dated by two authorised persons.
2.12
Medicines related paperwork and records is stored and archived in accordance with
appendix 1 – “Storage and Archiving of Medicines Related Paperwork October 2006”
3
Procedure
.
3.1
ENDORSING OF PRESCRIPTIONS
Ph writes “NS” in the pharmacy box on the medication chart against non-stock drugs
“S” against stock drugs and CD in a triangle against CDs. All drugs endorsed as “NS”
indicate that these items are non-stock at the hospice and will require a patient specific
supply or the use of their own medication. “S” indicates that the item is stocked by the
hospice, however patients own medications may be used if the reuse of PODs policy is
complied with. RN or Ph writes “OWN” in the special directions box indicating patients
own medicines have been brought in to the hospice and comply with the PODs.
3. 2
PATIENT NON- STOCK/ URGENT STOCK DRUG ORDER - Blue
ORDERING
RN/Ph/Dr completes blue patient non-stock/urgent stock drug order sheet.
For non-stock items, the ‘official name’ of the patient (i.e. the name that appears on the
St Gemma’s identification sticker) is used. Nicknames or abbreviations are not used.
Names are written in block capitals.
“Ditto” marks are not used when ordering more than one item for the same patient. The
patient’s name must be written in full for each item ordered.
Date of birth for each individual patient is recorded on the order but it is only required
once if ordering multiple items for the same patient.
The word “STOCK” is written in the patient name section when using the form to order
urgent stock drugs form Lloyds. No dose is required.
A blank line is left in between different patient names/stock drug requests, drawing a
line in ink through the blank spaces so that medicines cannot be added at a later time.
All the above will help to minimise drug dispensing errors and allows for an accurate
Patient Medication Record (PMR) at Lloyds.
Page 4 of 19
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