1 / 69

EO 005.02 Maintaining Undercontrol Medication Inventory (Dari)

EO 005.02 Maintaining Undercontrol Medication Inventory (Dari). 01/09/2013. Importance of Lesson (Dari). Insert Dari.

ginny
Download Presentation

EO 005.02 Maintaining Undercontrol Medication Inventory (Dari)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. EO 005.02 Maintaining Undercontrol Medication Inventory(Dari) 01/09/2013

  2. Importance of Lesson(Dari) • Insert Dari • In the previous lecture you learned that Undercontrol/ Controlled Medications require stringent controls due to the potential for their misuse (e.g. diversion and abuse). • These more stringent controls include increased steps when: • Storing; • Ordering; • Receiving; • Accounting; and • Dispensing. AFAMS

  3. Importance of Lesson(Dari) • Insert Dari • The purpose of this lecture is to teach the processes for the proper management of these medications. AFAMS

  4. Overview EO 005.02(Dari) • Identify the prescription requirements for an under control medication prescription. • Process for performing physical counts under Pharmacist’s supervision • Maintain and update records • Procedure to address under control drug discrepancies • Review • Scenarios (not graded) • Insert Dari AFAMS

  5. Under Control Prescriptions • Inpatient: • Require form 58 prescription • Outpatient: • Outpatient prescription written by physician

  6. Form 58

  7. Form 58 Drug Strength Amount of Drug Required for Each Patient Patient Total of Each Drug Required

  8. Outpatient Prescription ExampleDari • All prescriptions for Under control medications require a pharmacist to review The date should be within 3-7 days of today’s date An exact quantity should be written. Only dispense if you are aware of the prescriber and recognize their signature. If not, call the prescriber.

  9. Signs of Counterfeit PrescriptionsDari • Under control medication prescriptions are commonly counterfeited. Look for: • Use of two colours of ink. This may indicate changes made after it was written. • Unknown prescriber. • Incorrect registration number • Drug names misspelled • Quantity does not match direction requirements • Not written on an official prescription form. • No Sig Code • Quantities changed by crossing out • In all these instances the Pharmacist will have to investigate.

  10. Learning Check • What are some common signs of a counterfeit Under control medication prescription?

  11. Learning Check • What are some common signs of a counterfeit Under control medication prescription? • Use of two colours of ink. This may indicate changes made after it was written. • Unknown prescriber. • Incorrect registration number • Drug names misspelled • Quantity does not match direction requirements • Not written on an official prescription form. • No Sig Code • Quantities changed by crossing out

  12. Authority to Order Controlled DrugsDari OTSG Policy 18

  13. Authority to Order Controlled DrugsDari OTSG Policy 18

  14. Authority to Order Controlled DrugsDari OTSG Policy 18

  15. Uncontrolled Access OTSG Policy 18

  16. Uncontrolled Access • Unaccompanied access to controlled medical substances will be denied until a satisfactory local security check is completed. (Appendix A to OTSG Policy 18) • The Medical Commander reviews the security check and determines if the individual meets the requirements to have unaccompanied access to controlled substances. • Appendix B to OTSG is completed authorizing unaccompanied access to controlled substances • provided to the employee, the immediate supervisor, and the unit Security Officer.

  17. Appendix A

  18. Appendix B

  19. Uncontrolled Access OTSG Policy 18:

  20. Uncontrolled Access OTSG Policy 18:

  21. Uncontrolled Access OTSG Policy 18:

  22. Physical Count RequirementsDari OTSG Policy 18

  23. Physical Count RequirementsDari OTSG Policy 18

  24. Physical Count RequirementsDari Requirement for a perpetual log OTSG Policy 18

  25. Physical Count RequirementsDari ANA 6-81:

  26. Physical Count RequirementsDari OTSG Policy 18:

  27. Pharmacy Depot RequirementsDari Policies and Procedures of Pharmacy Department ANA • Stock cards and MoD Form 1 will be discussed in future lectures

  28. Pharmacy Depot RequirementsDari Policies and Procedures of Pharmacy Department ANA

  29. Pharmacy Dispensary RequirementsDari Policies and Procedures of Pharmacy Department ANA

  30. Pharmacy Dispensary RequirementsDari Policies and Procedures of Pharmacy Department ANA

  31. Pharmacy Dispensary RequirementsDari Policies and Procedures of Pharmacy Department ANA

  32. Pharmacy Dispensary RequirementsDari Policies and Procedures of Pharmacy Department ANA

  33. Perpetual LogDari • Dari Documentation: • Each time a controlled substance is administered, record: • day • hour • patient’s name • initial and last name of the prescriber • signature of the individual administering the medication • amount of the substance administered • new balance recorded

  34. Perpetual LogDari • Dari

  35. Perpetual Log ExampleDari

  36. Perpetual LogDari • Dari Morphine 10mg tablets 100 Previous page qty ------- ------ Behroz Behnam 72 Latifa Ahmad 0950 Mohammad Taj Abdullah 20 Apr 13 28 -----

  37. Ward RequirementsDari Policies and Procedures of Pharmacy Department ANA

  38. Ward RequirementsDari Policies and Procedures of Pharmacy Department ANA

  39. Ward Transfers/ Dari

  40. Updating the Perpetual LogDari

  41. Return from a WardDari

  42. Perpetual LogDari • Dari Morphine 10mg tablets 100 Previous page qty ------- ------ Behroz Behnam 72 Latifa Ahmad 0950 Mohammad Taj Abdullah 20 Apr 13 28 ----- 1230 Pharmacy 20 Apr 13 Behroz Behnam 15 87

  43. Error in RecordingDari

  44. Perpetual LogDari • Dari Morphine 10mg tablets 100 Previous page qty ------- ------ Behroz Behnam 72 Latifa Ahmad 0950 Mohammad Taj Abdullah 20 Apr 13 28 ----- 1230 Pharmacy 20 Apr 13 Behroz Behnam 15 87 signature ------ 102 Mohammad Taj Abdullah 1430 Rm 5430 Behroz Behnam 20 Apr 13 15 ------ Mohammad Taj Abdullah 102 1430 Rm 5415 Behroz Behnam 20 Apr 13 15

  45. Recording Accidental Destruction (Broken, Unserviceable)Dari

  46. OTSG Policy 18

  47. Perpetual LogDari • Dari Morphine 10mg tablets 100 Previous page qty ------- ------ Behroz Behnam 72 Latifa Ahmad 0950 Mohammad Taj Abdullah 20 Apr 13 28 ----- 1230 Pharmacy 20 Apr 13 Behroz Behnam 15 87 signature ------ 102 Mohammad Taj Abdullah 1430 Rm 5430 Behroz Behnam 20 Apr 13 15 ------ Mohammad Taj Abdullah 102 1430 Rm 5415 Behroz Behnam 20 Apr 13 15 ------ Destroyed 87 1030 Pharmacy Behroz Behnam 21 Apr 13 15 Destroyed

  48. Returning Expired to QMDari

  49. Perpetual LogDari • Dari Morphine 10mg tablets 100 Previous page qty ------- ------ Behroz Behnam 72 Latifa Ahmad 0950 Mohammad Taj Abdullah 20 Apr 13 28 ----- 1230 Pharmacy 20 Apr 13 Behroz Behnam 15 87 signature ------ 102 Mohammad Taj Abdullah 1430 Rm 5430 Behroz Behnam 20 Apr 13 15 ------ Mohammad Taj Abdullah 102 1430 Rm 5415 Behroz Behnam 20 Apr 13 15 2x signature ------ Destroyed 87 1030 Pharmacy Behroz Behnam 21 Apr 13 15 Destroyed ------ Expired 77 1130 Quartermaster Behroz Behnam 23 Apr 13 10

  50. Pharmacy Depot RequirementsDari Policies and Procedures of Pharmacy Department ANA MoD Form 1 and Stock Card indicate destruction in QM • Stock cards and MoD Form 1 will be discussed in future lectures

More Related