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Hardback Controlled Drug Recording Book & HSE Health and Safety Law Poster A3 FWC30/A3: What You Need to Know

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There are general requirements for working with CDs in addition to those in the Veterinary Medicines Regulations (VMR), these requirements are different in Northern Ireland. There is no legal requirement to have the disposal of waste product witnessed.The VMD advises that any medicine left over of an unusable quantity is considered waste. Medicine is also considered ‘waste’ if it has been prepared for administration but not actually used. Frequency of destruction The legislation and professional conduct obligations describe in detail how CDs must be managed in practice and veterinary professionals are expected to be familiar with these. For avoidance of doubt, the Home Office and MHRA see their roles as enablers; they do not wish to prevent or prohibit MROs undertaking their work. Licensing is a legal requirement, and it must be delivered in a robust yet proportionate fashion. The HO/MHRA role is not to determine clinical competence; it is to manage the inherent risks associated with CDs, and their potential for abuse, misuse and diversion. In turn, licensees must satisfy the HO and MHRA that they are competent, as individuals and ‘corporately’ to hold a licence. Disposal of drugs All thefts, losses or near misses should be reported to the Home Office and the police via your team leader and in turn to the MREW medical director. We recognise the practical challenges posed by administering CDs in a ‘field’ environment and a consequential possibility for a loss there, though these are in practice extremely rate. Adverse incidents with CDs

A record of the name of individual carrying the CDs onto the hill must be kept on the incident log – if the possession is transferred then this should be documented. Fentanyl is a Schedule 2 CD. It is therefore subject to safe custody requirements and must be recorded in the CDR. There is only one veterinary authorised fentanyl product, which is a POM-V Schedule 2 CD. It is an injectable solution authorised for use in dogs, for the control of significant post-operative pain and intra-operative analgesia.Ordinarily, licences are issued to individual companies at individual premises (buildings) and valid for a period of 12 months. Before the expiry of that licence an application for a further licence must be made - renewal is not automatic. In a handful of cases, it is appropriate to consider issuing a ‘licence granting a group authority’.

each practice should have clear, written standard operating procedures (SOPs) covering all aspects of CD management that are known, understood and followed by all relevant staff. Be kept at the premises to which they relate and be available for inspection at any time. A separate register must be kept for each set of premises, and for each cabinet within those premises. The responsible servant can be any team member who understands CD obligations and will require photo ID.If a dose is drawn up and not used or partial dose remaining this should be disposed of in a CD denaturing pot and witnessed. This should be recorded in the CD register.

Electronic signatures, or any form of authentication other than a signature in indelible ink is not permitted for prescriptions of Schedules 2 and 3. Reviewed and updated including the interpretation of ‘independent veterinary surgeon’ that can witness the destruction of CDs. The member of staff making the entry should sign and date it. Whenever possible, all entries should also be witnessed by a suitably trained member of care home staff who should also sign the entry.

Care homes with nursing – people's own controlled drugs

Controlled Drugs (Supervision of management and use) Regulations 2013: Information about the Regulations Robust record management is a vital element of providing assurance to the regulatory bodies that a licensee understands and effectively discharges the responsibilities bestowed upon them. It is to be completed by team’s CD responsible servant using the online form. All storage locations should be declared in the annual return. Schedule 2 CDs (and Schedule 3 and 4 CDs that have been prepared extemporaneously for use under the prescribing Cascade) must be destroyed in the presence of, and instructed by, any of the following: Please help them fulfil this role by understanding your responsibilities and the context for the licences held, whether you personally handle CDs within the team or not.

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