St Gemma'S Hospice Policies And Guidance Page 9
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19St Gemma’s Hospice
CDs register entries for CDs no longer required by the patient are left on the original
page on which they were entered and not transferred to a “CD for destruction” or “CDs no
longer in use” page.
Section 2 - Storage of Medication
4
Preamble
4.1
All medicines are stored as per 1.2
4.2
Medication in routine use by each patient including patients with infections is stored in
a basket in the locked cupboards by their beds. This includes regularly prescribed
stock medications and non-stock medications, drugs for discharge but not prn
medication or Schedule 2 and 3 CDs (including temazepam) and Oramorph 10mg/5ml.
Patients own drugs can be considered for reuse by the named patient in conjunction
with the Reuse of Patients Own Drugs policy.
4.3
Stock and patients own medication for patients with infections will be kept in the locked
cupboard in the patient’s room/wardrobe just as with non-infected patients.
4.4
The team coloured folder which contains the drug chart will be taken into the room of
patients with known infections when medicines are to be administered and will be
wiped with a bacteriocidal wipe when carried from the room.
4.5
Patients own medication and stock medication no longer in use is kept in a sealed bag
in patients locker and marked “patients own medicine not in use”. This is so that we
can comply with keeping the patients medicines for 7 days after their death.
4.6
Schedule 2 and 3 CDs (including temazepam) and Oramorph 10mg/5ml are stored in
the “Patients own CDs for reuse” box in the CD cabinet if deemed suitable for reuse in
conjunction with the Reuse of Patients Own Drugs policy. If not suitable for reuse they
are stored in the “CDs for destruction” box in the CD cabinet.
o
4.7
Fridge temperature should remain between 2-8
C. Temperatures outside of this range
are reported to the nurse in charge and then the hospice pharmacist (during normal
working hours) and the on-call Lloyds technician (out-of hours). They will assess the
drugs stored in the fridge and support remedial action by the nurse in
charge.
o
4.8
Room temperature is between 8 and 25
C
4.9
Keys for all drug cupboards and CD cupboards remain with a RN, Ph or Dr at all times
4.10
Keys for bedside medicine lockers are either kept by RN or locked in CD cupboard
unless patient is self-medicating (stage 3) – refer to “Self-medication policy”
4.11
Spare keys for the drug cupboards and the patients lockers are kept in the key safe on
the Moors ward, this can be accessed via the Manager on call.
4.12
Schedule 2 and 3 CDs (including temazepam) and Oramorph 10mg/5ml not in routine
use are placed in individual plastic bags with a numbered seal, which is indicated on
the appropriate entry in the register. These CD’s are only measured/counted when the
bag seal is broken. During checks the integrity of the seal is checked.
Page 9 of 19
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