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SEPT - MANDATORY TRAINING
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SEPT - MANDATORY TRAINING
Medicines Management
Target Audience
The target audience for this course includes:
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Medical Staff;
Qualified Nursing Staff;
Associate Practitioners;
Clinical Support Workers;
Social Care Staff;
all other SEPT staff with any clinical input
If you are working with medicines on a regular basis you
should read Policy CLP13 and Procedural Guideline
CLPG13 as soon as possible.
The remainder of these slides briefly summarise major
points from CLPG13, but they should not replace reading
the original document. You will be expected to know the
guidelines as they relate to your role.
SEPT - MANDATORY TRAINING
Safe & Secure Handling of Medicines - Prescribing
Only official prescriptions can be used when prescribing: SEPT Drug Prescription and Administration Record
(inpatients);
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SEPT Outpatient Prescription & Administration Record for Intramuscular Antipsychotic Depot Injections;
SEPT Outpatient Prescription (for medicines to be dispensed "in-house" by the SEPT Essex Pharmacy
Departments) e.g. clozapine, alprazolam;
FP10 prescriptions (green prescription pad) for medicines to be dispensed by any community pharmacy in
the UK;
Drug and Alcohol FP10 prescriptions for treatment of dependency;
Home Delivery Prescriptions for Risperdal Consta;
In Essex FP10 pads and SEPT Outpatient Prescription pads are available from the Pharmacy Departments at
Rochford Hospital and Basildon Mental Health Unit (Level A). Trainee doctors need to present an introductory
letter from their consultant when collecting a pad.
In Luton and Bedfordshire follow local procedures to obtain prescription pads (not from pharmacy).
SEPT - MANDATORY TRAINING
Safe & Secure Handling of Medicines - Verbal Orders and Written Orders
For a new drug with no current prescription – verbal orders are not allowed;
For a dose change of a currently prescribed drug – verbal orders are allowed in exceptional circumstances (fax
or e-mail may be used);
• If fax / e-mail unavailable, a verbal order may be made by phone, and witnessed by a second nurse;
• In an extreme emergency, if there is no current prescription, and the prescriber is genuinely unable to
attend the ward, nurses must ask for a WRITTEN, FAXED (not emailed) order from the prescriber. This
WRITTEN order, to be signed by the prescriber and faxed to the nurse, must include all the patient's
identification, eg DOB, NHS Number etc., and its indication for use;
• Both verbal and written orders are only valid for one dose or 24 hours, whichever is the shorter, and must
be signed within 24 hours by the prescriber.
Safe & Secure Handling of Medicines - Procurement
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Medicines will be supplied by a hospital or community pharmacy;
No samples may be accepted from drug company representatives;
Patient's own drugs can and should be used if checked and approved for use by pharmacy or medical staff.
Safe & Secure Handling of Medicines - Storage
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All medicines should be locked away;
Keys must be kept safe;
External and internal medicines should be stored separately;
Medicines requiring a fridge should have a dedicated drugs fridge.
SEPT - MANDATORY TRAINING
Safe & Secure Handling of Medicines - Administration
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Medicines may only be administered by a: Qualified Nurse;
• Student Nurse or Student Associate Practitioner, supervised by a qualified nurse;
• Associate Practitioner;
• Doctor;
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Support workers may be delegated the task of medicines administration by the Qualified Nurse in charge.
Social workers may observe patients taking their own medicines, but may not administer them.
The relevant Prescription and Administration Record should be used for all inpatient and community
patients.
The Trust administration procedure should be followed –displayed in all clinical areas.
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Safe & Secure Handling of Medicines - Transport
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Medicines should be transported in sealed containers;
Medicines should follow the patient when moving from one clinical area to another.
Safe & Secure Handling of Medicines - Destruction
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Medicines that cannot be re-used (e.g. spoilt doses, unused half-tablets, refused doses already removed
from their foil-blister) should be disposed of in the appropriate clinical bin - see your local clinical procedure;
Illicit drugs should be kept in the controlled drug cupboard, details recorded in the ward controlled drug
record book, and local procedures followed to dispose of them.
SEPT - MANDATORY TRAINING
Safe & Secure Handling of Medicines Errors
Safe & Secure Handling of Medicines
– Controlled Drugs
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Medicines errors should be reported on a DATIX
Form.
It is the responsibility of the person finding the error
to report it.
Further Training
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Controlled Drug stocks must be checked
weekly;
Leave and discharge prescriptions for Controlled
Drugs must have the total quantity written in
words and figures.
Staff will be asked to attend or complete the following courses:
Trainee Doctors: medicines related training during Thursday teaching sessions (Essex)
Qualified Nurses: One day course on Medicines Management, every 3 years; E-learning Medicines
Calculations and Conversions, every 3 years; Ward or CMHT-based Drug Administration competency
assessment, every 3 years.
Associate Practitioners: One day course on Introduction to Medicines Management for Associate
Practitioners (part of your training); then, one day course on Medicines Management for Associate Practitioners
during your training or first year of qualification; then, one day course on Medicines Management, every 3
years (same course as Qualified Nurses); E-learning Medicines Calculations and Conversions, every 3 years;
Ward or CMHT-based Drug Administration competency assessment, every 3 years.
Support workers, Social Care staff, and any other staff (eg OTs, Psychologists, Counsellors) who handle,
manage or discuss medicines with service users:
Two hour course on Medicines Management, every 3 years;
SEPT - MANDATORY TRAINING
Useful Resources
Additional resources you may find useful are:
• Medicines Management resources on the Intranet (Library/ Medicines Management)
• SEPT Formulary and Prescribing Guidelines, available on the Trust Intranet (Library/ Medicines
Management/ Formulary and Prescribing Guidelines)
• Pharmacy Telephone Numbers (Essex):Basildon - 01268 243576
• Rochford - 01702 538100
Pharmacy Department, Bedford Hospital: 01234 355122 ext 6082
Pharmacy Department, Luton & Dunstable Hospital: 01582 718312
All staff should read the Safe and Secure Management of Medicines policy and procedures CLP13 and
CLPG13.
SEPT - MANDATORY TRAINING
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