hosp. disp of contr drugs by naga


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controlled drugs

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hosp. disp of contr drugs by naga

  1. 1. By, Naga Raju B
  2. 2.  Regulatory agency: drug control department  Discrepancies: A situation resulting the ‘expected count’ and ‘actual count’ of a controlled substance not being identical. A discrepancy can be identified by physical count when tracking is done manually or can be automatically identified  Unresolved Discrepancy: A situation where a discrepancy has been investigated through reviewof data and interview of employees that had access to the controlled substances in question and no explanation for the discrepancy is identified.  Legally Qualified Health Care Professionals: Doctors, Pharmacists, Nurses  Acts: Concerned to controlled Drugs  Records: Concerned to controlled Drugs  Routinely used Narcotics: Inj. Cod Phos, Tab. Cod Sul, Morphine Sul and Pethidine injections.
  3. 3.  Hospital control Procedures  Responsibility for controlled substances  Ordering ward stock of controlled substances from Pharmacy a)Requisition Book b)Administration forms c)Summary of Daily Report  Ordering Non-ward stock of controlled substances from Pharmacy  Prescribing controlled Drugs in the OP Dept  Dispensing controlled Drugs for home use when Pharmacy is closed
  4. 4.  Procedure in case of waste or Destruction, Contamination etc a)Part of Narcotic solution unused b)Prepared dose refused by Patient c)Prepared dose cancelled by Prescriber d)Accidental destruction and contamination of drugs  Control of Narcotics on the ward by Nurses a) HOC & b) TOC  Narcotics Delivery to the ward  Charges for Narcotics to the Patients
  5. 5.  Protocol for Reporting Drug abuse or Diversion Diversion: Known loss or theft, Discrepancy found in inventory or audit, Tampering, any suspected incident Abuse:  unusual behavior of employee, Incapable of performing normal duties, witness.
  6. 6.  Drugs included in protocol  Persons affected by this protocol  Explanation of outside agencies  Events covered by this protocol which should be reported to outside agencies  Procedure for reporting suspected diversion or abuse within the hospital
  7. 7. Diversion cases: – Physicians selling prescriptions to drug dealers or abusers – Pharmacists who falsify records and subsequently sell the drugs – Employees who steal from inventory – Executives who falsify orders to cover illicit sales – Prescription forgers – Individuals who commit armed robbery of pharmacies and drug distributors
  8. 8.  Largest problem: criminal activity of physicians and pharmacy Personnel, diversion investigators, special agents, chemists, pharmacologists, program analysts, etc.  Investigation of Incidents within the hospital  Procedure for making reports to outside agencies  Grounds for imposing penalty on hospital employees  Educational programmes
  9. 9.  Forwarding controlled substances by post  Tax(duty) free alcohol its procurement ,control and storage New systems
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