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Dispensing of Controlled Drugs: Hospital Control Procedures

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DISPENSING OF CONTROLLED DRUGS

➢ HOSPITAL CONTROL PROCEDURES


1. Responsibility for controlled substance in the hospital.
● The administrative head of the hospital is responsible for the proper
safeguarding and the handling of controlled substances within the
hospital.
2. Ordering ward stock of the controlled substances from the pharmacy.
● A requisition for ward stock controlled substances is completed by
insertion a check mark opposite the name, strength of controlled
substance desired.
● Before any new controlled substances are issued to a ward
3. Doctors orders for administration of controlled drugs.
● The following information must appear on the “Doctor’s controlled
drug order sheet:.
○ Date
Patient’s Full Name
Patient’s Hospital Number
Specific Description of Drug Ordered and Strength
Amount to be Given

➢ PRESCRIPTIONS:
In dispensing of controlled substances, the following requirements should be with
prescriptions:
1. Except when dispensed
2. Drugs may be dispensed on the oral prescription in an emergency
situation.
3. Prescription shall be retained in conformity with the requirements of this
law.
4. No prescription for a controlled substance in Schedule II may be refilled
5. Controlled substances in Schedule III or IV may not be dispensed a
written or oral prescription in conformity.

➢ INFORMATION ON DAILY CONTROLLED DRUG ADMINISTRATION SHEET:


The full information required on the Daily Controlled Drugs Administration Sheet
is as follows:
1. Date.
2. Amount given.
3. Patient’s full name.
4. Patient’s hospital number.
5. Name of doctor ordering.
6. Signature of nurse administering.
7. Frequency and route of administration.
○ SADA
➢ MOST COMMONLY ABUSED Rx DRUGS:
○ Pain relievers (opioids, narcotics)
■ Oxycodone (e.g., OxyContin®, Percocet®)
■ Hydrocodone
■ Codeine
■ Morphine
○ Central nervous system depressants (sedatives, tranquilizers, hypnotics)
■ Barbiturates (e.g., Mebaral®, Nembutal®)
■ Benzodiazepines (e.g., Valium®, Xanax®)
○ Stimulants (used to treat attention deficit disorders, narcolepsy, and weight
loss)
■ Dextroamphetamine (e.g., Dexedrine®)
■ Methylphenidate (e.g., Ritalin®)

➢ DRUG DISTRIBUTION TO OUT-PATIENT:


○ No medication should be issued without the prescription.
○ After the issue has been made the quantities supplied must be recorded.
○ Medicines are given to the out-patients from the pharmacy situated in the
out patient block.

➢ LOCATION OF OUT-PATIENT DISPENSING:


○ It should be located on the ground floor of the building.
○ The out patient dispensing area should be provided with proper seating
arrangement.
○ The pharmacy receives its supplies from the medical stores weekly but
emergency supplies can be obtained at any time.
➢ OUTPATIENT ACTIVITY CHART
REFERENCES:

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