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Controlled Drug Incidents

Controlled Drug Incidents. Staffordshire and Shropshire Area Team. Incident Reporting. All incidents involving Controlled Drugs must be reported to the CD Accountable Officer of the Area Team ( Brigid Stacey) as soon as the incident is identified. Team to support Brigid in this role;

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Controlled Drug Incidents

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  1. Controlled Drug Incidents Staffordshire and Shropshire Area Team

  2. Incident Reporting • All incidents involving Controlled Drugs must be reported to the CD Accountable Officer of the Area Team (Brigid Stacey) as soon as the incident is identified. • Team to support Brigid in this role; • Helen Pearce (Helen.Pearce2@nhs.net) – Clinical Intelligence Co-ordinator • Eleanor Carnegie (eleanor.carnegie@nhs.net) – CD Support Officer • Alison Boulton (alisonboulton@nhs.net)– CD Support Officer • Andrew Pickard (a.pickard@nhs.net) – Pharmacy Advisor • Incident forms and the flowchart can be requested directly from the Area Team, or downloaded from the CD section of the North Staffs and Stoke LPC website

  3. SSAT CD Incident Data

  4. Pharmacy Specific • 104 incidents community pharmacy related • Of these, 53 involved Methadone/Buprenorphine • Approx 30% involved the issuing of Sugared/S.Free Methadone when prescription for the other preparation • Several incidents where the instalment instructions have not been followed correctly (ie. Two weeks supply given on a single occasion when script requested 7 day supply only) • Issuing without a legally valid prescription – prescription from previous week not put through, and then dispensed against

  5. Quick reminder • Always check the validity of the prescription immediately upon receipt. • Double check instalment intervals, and ensure quantities correlate with total amount requested • Always get a second check both during the dispensing process, and before handing out • Clearly segregate SF and Sugared Methadone in CD cabinet, and highlight label if necessary • Take your time – avoid other distractions

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