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

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Presentation Transcript
importance of lesson dari
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

importance of lesson dari1
Importance of Lesson(Dari)
  • Insert Dari
  • The purpose of this lecture is to teach the processes for the proper management of these medications.

AFAMS

overview eo 005 02 dari
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

under control prescriptions
Under Control Prescriptions
  • Inpatient:
    • Require form 58 prescription
  • Outpatient:
    • Outpatient prescription written by physician
form 581
Form 58

Drug

Strength

Amount of Drug Required for Each Patient

Patient

Total of Each Drug Required

outpatient prescription example dari

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.

signs of counterfeit prescriptions dari
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.
learning check
Learning Check
  • What are some common signs of a counterfeit Under control medication prescription?
learning check1
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
uncontrolled access
Uncontrolled Access

OTSG Policy 18

uncontrolled access1
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.
uncontrolled access2
Uncontrolled Access

OTSG Policy 18:

uncontrolled access3
Uncontrolled Access

OTSG Policy 18:

uncontrolled access4
Uncontrolled Access

OTSG Policy 18:

physical count requirements dari2
Physical Count RequirementsDari

Requirement for a perpetual log

OTSG Policy 18

pharmacy depot requirements dari
Pharmacy Depot RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

  • Stock cards and MoD Form 1 will be discussed in future lectures
pharmacy depot requirements dari1
Pharmacy Depot RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

pharmacy dispensary requirements dari
Pharmacy Dispensary RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

pharmacy dispensary requirements dari1
Pharmacy Dispensary RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

pharmacy dispensary requirements dari2
Pharmacy Dispensary RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

pharmacy dispensary requirements dari3
Pharmacy Dispensary RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

perpetual log dari
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
perpetual log dari2
Perpetual LogDari
  • Dari

Morphine 10mg tablets

100

Previous page qty

-------

------

Behroz Behnam

72

Latifa Ahmad

0950

Mohammad Taj Abdullah

20 Apr 13

28

-----

ward requirements dari
Ward RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

ward requirements dari1
Ward RequirementsDari

Policies and Procedures

of Pharmacy Department ANA

perpetual log dari3
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

perpetual log dari4
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

perpetual log dari5
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

perpetual log dari6
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

pharmacy depot requirements dari2
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
reporting discrepancies
Reporting Discrepancies

OTSG Policy 18:

On Ward:

dispensary responsibility
Dispensary Responsibility

Policies and Procedures

of Pharmacy Department ANA

scenario assessment dari
Scenario (Assessment)Dari
  • Insert Dari

Formative Assessment:

  • Not marked
  • Used to assess the students understanding of lectures material.
  • Instructors will provide a Scenario involving the updating of the Under Control/ Controlled Medications Perpetual Log.
  • Instructor to provide students with blank Perpetual Log sheet.
  • Instructor will provide a debrief at the end of the Scenario.
  • Time estimate (including debrief): 20-30 mins
scenario1
Scenario

You are working in the Dispensary and have just received an order (next slide) from the Quartermaster. The Pharmacist (Dr Behroz) has asked you to record the order in the perpetual log.

  • Instructor to hand out two blank perpetual log sheets to each student.
scenario2
Scenario

Date: 10 September 2013

Time: 1425

The received order is as follows:

  • tramadol 100mg tablets
    • 100 tablets
    • Previous on hand quantity: 75 tablets
  • morphine 10mg tablets
    • 100 tablets
    • Previous on hand quantity: 150 tablets
answer perpetual log dari
Answer: Perpetual LogDari
  • Dari

Tramadol 100mg tablets

75

Previous page qty

-------

------

Behroz Behnam

175

Pharmacy

Quartermaster

1425

10 Sept 13

------

100

When starting a new page always transfer the quantity on hand to the new page.

answer perpetual log dari1
Answer: Perpetual LogDari
  • Dari

Morphine 10mg tablets

150

Previous page qty

-------

------

Behroz Behnam

250

Pharmacy

Quartermaster

1425

10 Sept 13

-------

100

When starting a new page always transfer the quantity on hand to the new page.

scenario3
Scenario

Date: 10 September 2013

Time: 1545

  • You receive an outpatient prescription.
  • You show the pharmacist (Dr Behroz) who tells you to record it in the perpetual log and to dispense the medication.
answer perpetual log dari2
Answer: Perpetual LogDari
  • Dari

Tramadol 100mg tablets

75

Previous page qty

-------

------

Behroz Behnam

175

Pharmacy

Quartermaster

1425

10 Sept 13

-------

100

Behroz Behnam

161

Latifa Ahmad

Dr Abdullah

1545

10 Sept 13

14

-----

scenario4
Scenario

Date: 10 September 2013

Time: 1545

  • You receive an inpatient prescription.
  • Signed by: Dr Hussein
  • You show the pharmacist (Dr Behroz) who tells you to record it in the perpetual log and to dispense the medication.
form 582
Form 58

Tablets

Patient

Total of Each Drug Required

answer perpetual log dari3
Answer: Perpetual LogDari
  • Dari

Morphine 10mg tablets

150

Previous page qty

-------

------

Behroz Behnam

250

Pharmacy

Quartermaster

1425

10 Sept 13

-------

100

Behroz Behnam

220

5845

------

1545

Dr Hussein

10 Sept 13

30

Behroz Behnam

210

5846

------

1545

Dr Hussein

10 Sept 13

10