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Contemplating Kits……..

Contemplating Kits……. Jenny Tinson Production Pharmacist, Southlands Hospital. Hands up…. Who packs crash kits? Who thinks money could be saved in the process?. Objective of session. Share information Share ideas Improve efficiency of kit process Hand-out – for interactive use!.

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Contemplating Kits……..

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  1. Contemplating Kits…….. Jenny Tinson Production Pharmacist, Southlands Hospital

  2. Hands up….. • Who packs crash kits? • Who thinks money could be saved in the process?

  3. Objective of session Share information Share ideas Improve efficiency of kit process Hand-out – for interactive use!

  4. Western Sussex crash box audit • 2 years of data • 190 kits for 600 bed Trust (W&S only) • 225 recorded uses of kits • 514 kits returned for replenishment (expired) • Average kit shelf life 5.5 months • £4,000 expenditure on ‘used’ PFS • £21,000 expenditure on ‘expired’ PFS

  5. Numbers Used Expired Adrenaline 1:10000 10mL 400 1900 Amiodarone 300mg/10mL 50 500 Atropine 3mg/10mL 120 500 Calcium chloride 10% 10mL 30 350 Sod. Bicarbonate 8.4% 50mL 30 200 That’s £1.8m per year on expired drugs if extrapolated to 170 acute Trusts in England

  6. Wider kit survey • Jim Armstrong asked for similar figures nationally • Response from 11 Trusts inc. WSHT • Huge variety of kit contents • No-one had looked at use/expiry figures

  7. Not to mention Anaphylactic kits, Paediatric Crash Kits.…….

  8. What can we do with this data? • Consider re-use of near-expired drugs? How could this be done? Please fill in your sheets now…..

  9. Re-use of short-dated drugs from within own Trust Pros Cons Does the Trust have a location in which to re-use the drugs? Robust expiry date checks needed, frequently • Can make an assumption about storage temperatures and conditions • Minimal (if any)transit temperature fluctuations • All stock ‘owned’ by Trust • Reasonably easy to keep audit trails of drug purchase and use • Minimises waste for incineration • Saves ££ (QIPP target) What other pros and cons did you have?

  10. Re-use of short-dated drugs from external Trusts Pros Cons Cannot make an assumption about storage temperatures and conditions Transit temperature fluctuations between sites Robust expiry date checks needed, frequently (by them) Managing process – do customers remove drugs they want before returning kits to us? How manage stock finances on JAC? Wholesale dealing rules? • All stock ‘owned’ by Trust • Reasonably easy to keep audit trails of drug purchase and use • Saves ££ (QIPP target) Anything else?

  11. National format for kits Pros Cons Supply problems impact all packing units at same time (2 main PFS suppliers) • Medical staff know what’s in box in emergency Strive to have a nationally agreed adult/paed cardiac arrest and anaphylactic kits? Would any national body e.g. Resuscitation Council take this forwards? Is this worth pursuing?

  12. Thanks for your participationAiming to collate data for a wider audience Kits…don’t we just love them…

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