St Gemma'S Hospice Policies And Guidance Page 7
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19St Gemma’s Hospice
The original A5 pink order is left in the clear Perspex tray in the nurses office for
collection by the Lloyds’ driver.
HANDLING AND STORAGE OF DOCUMENTATION AFTER RECEIPT OF CDs
CDs arrive from Lloyds in a locked box.
A record of the CDs delivered will be written in a “docket” book by the Lloyds dispenser,
which is locked in the box.
The RN receiving the CDs will open the box and check the CDs against the list in the
“docket” book. The RN signs the “docket” and tears off the top copy. The book is
returned to the driver with the empty box, unless it has been delivered by taxi at the
weekend in which case the book is left in the delivery box until collected by Lloyds on the
next working day.
The top copy of the docket will be kept in the black box in the drug room for 3 months; it
will then be shredded or put in a green confidential waste bag.
CDs are also delivered with a second copy of the order, which will be signed as
dispensed/checked by Lloyds and stamped with their shop stamp. (This stamped copy is
classed as the “Delivery note”)
RN checks and signs “Delivery note” to say that all of the drugs have been received into
the hospice.
Signed stamped “Delivery note” is filed the in the black box in the drug room where it is
kept for a minimum of 2 weeks and then archived for 2 years.
Any discrepancies are discussed as soon as possible with the Lloyds Pharmacist, nurse
in charge and a drug error/incident form completed if appropriate.
3.6 RESPONSIBILITY OF LLOYDS PHARMACY STAFF
Lloyds Pharmacy Staff collect the original prescriptions and orders from the wards as
required.
Lloyds Pharmacy Staff dispense the non-stock and urgent stock medicines ordered and
endorse the paperwork with relevant signatures and the shop stamp.
Lloyds Pharmacy Staff inform RN on the relevant ward if there will be a delay in
obtaining the medicines. The RN will then inform the Dr who will assess the clinical
implications of the delay in receiving the drug.
Lloyds Pharmacy staff arrange for the dispensed drugs to be delivered to the hospice by
the Lloyds Driver or Taxi Driver and instruct the driver to hand deliver medications to a
RN. The CDs are delivered in a locked box along with all drugs delivered at the
weekend. Other drugs are handed directly to a RN.
The Lloyds Driver is given a delivery “docket” book for the RN to sign when receiving
CDs into the hospice. The Driver gives the top copy to the RN for filing and returns the
book to the shop.
Lloyds send a stamped copy of the faxed order with the drugs as a delivery note. RN
checks medication received in to the hospice against the delivery note and then signs
the delivery note to acknowledge receipt of the drugs. This is filed with the delivery notes
in the drug room.
3.7 ACTION ON RECIEPT OF MEDICINE DELIVERIES
Stock Medicines (excluding schedule 2 and 3 CDs and Oramorph 10mg/5ml)
RN locks stock medication delivered from Lloyds in appropriate cupboard in drug room
or in locked drugs fridge.
Lloyds Technician puts weekly “top-up” stock medicines delivered from Chapel Allerton
Hospital in appropriate cupboards in drug room or in locked drugs fridge.
Page 7 of 19
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