SlideShare a Scribd company logo
1 of 45
Safer Management and Use of Controlled Drugs Audrey Thompson Lead Pharmacist, CD Governance NHS Greater Glasgow & Clyde
Aim: to provide an overview of CD legislation ,[object Object],[object Object],[object Object],[object Object]
Why are we here?  ,[object Object],[object Object],[object Object],[object Object]
Why are we really here?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do you judge a GP? ,[object Object],[object Object],[object Object]
Death Disguised ,[object Object],[object Object]
How Shipman Accessed CDs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ā 
Health Act 2006 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Role of the Accountable Officer ,[object Object],[object Object],[object Object]
New Regulations Aim to: ,[object Object],[object Object],[object Object],[object Object]
Misuse of Drugs Act 1971 controls: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Instalments for Controlled Drugs
[object Object],[object Object],[object Object],Instalments for Controlled Drugs
Instalment Scripts: not acceptable ,[object Object],[object Object],[object Object],[object Object]
Instalment Scripts: acceptable Dose Instalment amount
Instalment Scripts: acceptable Dose Instalment amount
Instalment Scripts: not acceptable ,[object Object],[object Object],[object Object],[object Object]
Instalment Scripts: acceptable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Home Office Wording ,[object Object],[object Object],[object Object]
Home Office wording: supervised ,[object Object],[object Object],[object Object]
Home Office wording: unsupervised ,[object Object],[object Object]
Frequently Asked Questions   Controlled Drugs
1.  How long are CD scripts valid for? ,[object Object]
What quantity of CD may be prescribed on a script? ,[object Object],[object Object],[object Object]
Can CD instalment scripts be for longer than 28 days? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Can owings for CDs be issued after 28 days from start date of script? ,[object Object],[object Object],[object Object]
How should CDs be obtained on a private basis? ,[object Object],[object Object],[object Object]
Do patients need to provide identification to collect CD scripts? ,[object Object],[object Object],[object Object],[object Object]
Do healthcare professionals need to provide identification to collect CD scripts? ,[object Object],[object Object]
Can pharmacists dispense CD scripts where the quantity is not in words and figures? ,[object Object],[object Object],[object Object]
Can doctors prescribe CDs for themselves or family members? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Can GPs destroy their own out of date CD stock if witnessed by a nurse? ,[object Object],[object Object],[object Object]
Can patient returned CDs be destroyed only in the presence of an authorised witness? ,[object Object],[object Object],[object Object],[object Object]
What standard operating procedures are required for CD use? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who performs inspections in relation to CD management? ,[object Object],[object Object],[object Object],[object Object]
Should CD registers contain running balances of stock? ,[object Object],[object Object],[object Object],[object Object]
Can CD registers be kept electronically? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
You supply the local GP surgery with all stock order medication. Dr Jones comes in with 2 ampoules of diamorphine which have expired and asks you to destroy them. What can you do? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why canā€™t CDs that are no longer required be returned to patients when they leave hospital? ,[object Object],[object Object],[object Object]
You usually stock Durogesic patches but have recently been supplied with Mezolar. Can you keep the records of the same strengths of different brands together?  ,[object Object],[object Object],[object Object],[object Object]
What are the security requirements for CDs? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who should be notified of an incident involving a CD?  ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAU...
PHARMACIST ROLE IN COMMUNITY PHARMACY ,  OTC GUIDELINES , PRESCRIPTION PRECAU...PHARMACIST ROLE IN COMMUNITY PHARMACY ,  OTC GUIDELINES , PRESCRIPTION PRECAU...
PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAU...VENKATA RAMA RAO NALLANI
Ā 
hospital formulary
hospital formularyhospital formulary
hospital formularyvarshitha Nakka
Ā 
HOSPITAL PHARMACY.pptx
HOSPITAL PHARMACY.pptxHOSPITAL PHARMACY.pptx
HOSPITAL PHARMACY.pptxAmeena Kadar
Ā 
Hospital pharmacy and it's organization
Hospital pharmacy and it's organizationHospital pharmacy and it's organization
Hospital pharmacy and it's organizationsunayanamali
Ā 
Barriers of patient counseling in a community pharmacy and Strategies to over...
Barriers of patient counseling in a community pharmacy and Strategies to over...Barriers of patient counseling in a community pharmacy and Strategies to over...
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Ā 
2 hospital pharmacy organisation and manage ment
2 hospital pharmacy organisation and manage ment2 hospital pharmacy organisation and manage ment
2 hospital pharmacy organisation and manage mentChanukya Vanam . Dr
Ā 
14ab1t0012 dispensing of narcotics and controlled substances
14ab1t0012   dispensing of narcotics and controlled substances14ab1t0012   dispensing of narcotics and controlled substances
14ab1t0012 dispensing of narcotics and controlled substancesRamesh Ganpisetti
Ā 
Pharmaceutical care plan
Pharmaceutical care planPharmaceutical care plan
Pharmaceutical care planMalikRaoof
Ā 
Medication error
Medication errorMedication error
Medication errorSarah Pulackal
Ā 
Dispensing of Prescription Rx & Ethic of Pharmacist with Patients
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDispensing of Prescription Rx & Ethic of Pharmacist with Patients
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDashty Rihany
Ā 
Good Dispensing Practice
Good Dispensing PracticeGood Dispensing Practice
Good Dispensing PracticeJavis Von Onias
Ā 
Outpatients and inpatients pharmacy
Outpatients and inpatients pharmacyOutpatients and inpatients pharmacy
Outpatients and inpatients pharmacyOmar Hesham
Ā 
Good Pharmacy Practice
Good Pharmacy PracticeGood Pharmacy Practice
Good Pharmacy PracticeBikashAdhikari26
Ā 
PHARMACY AND THERAPEUTIC COMMITTEE
PHARMACY AND THERAPEUTIC COMMITTEEPHARMACY AND THERAPEUTIC COMMITTEE
PHARMACY AND THERAPEUTIC COMMITTEERamesh Ganpisetti
Ā 
Medication history Interview
Medication history InterviewMedication history Interview
Medication history InterviewDr. Ramesh Bhandari
Ā 
Patient counselling
Patient counsellingPatient counselling
Patient counsellingJabir Jabir
Ā 
Pharmacy and therapeutic committee(PTC)
Pharmacy and therapeutic committee(PTC)Pharmacy and therapeutic committee(PTC)
Pharmacy and therapeutic committee(PTC)faysalahmed35
Ā 
Introduction to Clinical Pharmacy Practice.pptx
Introduction to Clinical Pharmacy Practice.pptxIntroduction to Clinical Pharmacy Practice.pptx
Introduction to Clinical Pharmacy Practice.pptxSHIVANEE VYAS
Ā 

What's hot (20)

PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAU...
PHARMACIST ROLE IN COMMUNITY PHARMACY ,  OTC GUIDELINES , PRESCRIPTION PRECAU...PHARMACIST ROLE IN COMMUNITY PHARMACY ,  OTC GUIDELINES , PRESCRIPTION PRECAU...
PHARMACIST ROLE IN COMMUNITY PHARMACY , OTC GUIDELINES , PRESCRIPTION PRECAU...
Ā 
staff of hospital pharmacy
staff of hospital pharmacy staff of hospital pharmacy
staff of hospital pharmacy
Ā 
hospital formulary
hospital formularyhospital formulary
hospital formulary
Ā 
HOSPITAL PHARMACY.pptx
HOSPITAL PHARMACY.pptxHOSPITAL PHARMACY.pptx
HOSPITAL PHARMACY.pptx
Ā 
Hospital pharmacy and it's organization
Hospital pharmacy and it's organizationHospital pharmacy and it's organization
Hospital pharmacy and it's organization
Ā 
Barriers of patient counseling in a community pharmacy and Strategies to over...
Barriers of patient counseling in a community pharmacy and Strategies to over...Barriers of patient counseling in a community pharmacy and Strategies to over...
Barriers of patient counseling in a community pharmacy and Strategies to over...
Ā 
2 hospital pharmacy organisation and manage ment
2 hospital pharmacy organisation and manage ment2 hospital pharmacy organisation and manage ment
2 hospital pharmacy organisation and manage ment
Ā 
14ab1t0012 dispensing of narcotics and controlled substances
14ab1t0012   dispensing of narcotics and controlled substances14ab1t0012   dispensing of narcotics and controlled substances
14ab1t0012 dispensing of narcotics and controlled substances
Ā 
Pharmaceutical care plan
Pharmaceutical care planPharmaceutical care plan
Pharmaceutical care plan
Ā 
Medication error
Medication errorMedication error
Medication error
Ā 
Dispensing of Prescription Rx & Ethic of Pharmacist with Patients
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDispensing of Prescription Rx & Ethic of Pharmacist with Patients
Dispensing of Prescription Rx & Ethic of Pharmacist with Patients
Ā 
Good Dispensing Practice
Good Dispensing PracticeGood Dispensing Practice
Good Dispensing Practice
Ā 
Outpatients and inpatients pharmacy
Outpatients and inpatients pharmacyOutpatients and inpatients pharmacy
Outpatients and inpatients pharmacy
Ā 
Good Pharmacy Practice
Good Pharmacy PracticeGood Pharmacy Practice
Good Pharmacy Practice
Ā 
PHARMACY AND THERAPEUTIC COMMITTEE
PHARMACY AND THERAPEUTIC COMMITTEEPHARMACY AND THERAPEUTIC COMMITTEE
PHARMACY AND THERAPEUTIC COMMITTEE
Ā 
Medication history Interview
Medication history InterviewMedication history Interview
Medication history Interview
Ā 
Good Dispensing Practice
Good Dispensing PracticeGood Dispensing Practice
Good Dispensing Practice
Ā 
Patient counselling
Patient counsellingPatient counselling
Patient counselling
Ā 
Pharmacy and therapeutic committee(PTC)
Pharmacy and therapeutic committee(PTC)Pharmacy and therapeutic committee(PTC)
Pharmacy and therapeutic committee(PTC)
Ā 
Introduction to Clinical Pharmacy Practice.pptx
Introduction to Clinical Pharmacy Practice.pptxIntroduction to Clinical Pharmacy Practice.pptx
Introduction to Clinical Pharmacy Practice.pptx
Ā 

Similar to Safer Management and Use of Controlled Drugs

analyzing_prescreption_and_applying_Good_dispensing_practice.pdf
analyzing_prescreption_and_applying_Good_dispensing_practice.pdfanalyzing_prescreption_and_applying_Good_dispensing_practice.pdf
analyzing_prescreption_and_applying_Good_dispensing_practice.pdfYimer15
Ā 
Corresponding Responsibility Of The Pharmacist
Corresponding Responsibility Of The PharmacistCorresponding Responsibility Of The Pharmacist
Corresponding Responsibility Of The PharmacistLindon & Lindon, LLC
Ā 
Ethics of advising medical marijuana practitioners 4.13.18
Ethics of advising medical marijuana practitioners 4.13.18Ethics of advising medical marijuana practitioners 4.13.18
Ethics of advising medical marijuana practitioners 4.13.18Darshan Kulkarni
Ā 
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginley
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginleyRx16 pharma wed_1115_1_ryle_2menkhaus_3mcginley
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginleyOPUNITE
Ā 
Mitigating Risk When Managing High Dose, Chronic Pain Patients
Mitigating Risk When Managing High Dose, Chronic Pain Patients Mitigating Risk When Managing High Dose, Chronic Pain Patients
Mitigating Risk When Managing High Dose, Chronic Pain Patients Polsinelli PC
Ā 
PTC & Hospital Formulary
PTC & Hospital FormularyPTC & Hospital Formulary
PTC & Hospital FormularyPharmacistBhai
Ā 
Rational Use of Antibiotics and Prescription Writing.pptx
Rational Use of Antibiotics and Prescription Writing.pptxRational Use of Antibiotics and Prescription Writing.pptx
Rational Use of Antibiotics and Prescription Writing.pptxLozaGetachew1
Ā 
Physician dispensing services doctor dispensing brp pharmaceuticals
Physician dispensing services  doctor dispensing   brp pharmaceuticalsPhysician dispensing services  doctor dispensing   brp pharmaceuticals
Physician dispensing services doctor dispensing brp pharmaceuticalsPhysician Dispensing
Ā 
Refusal of care.pptx
Refusal of care.pptxRefusal of care.pptx
Refusal of care.pptxKeerthanadurai2
Ā 
Practical Prescribing Guide
Practical Prescribing GuidePractical Prescribing Guide
Practical Prescribing GuideSCGH ED CME
Ā 
INDIVIDUAL PRESCRIPTION METHOD
INDIVIDUAL PRESCRIPTION METHODINDIVIDUAL PRESCRIPTION METHOD
INDIVIDUAL PRESCRIPTION METHODShafiyatabassumTabas
Ā 
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAY
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAYHOW CAN THESE MEDICATIONS BE AT A ZERO COPAY
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAYPam Cook
Ā 
Medication Reconciliation
Medication ReconciliationMedication Reconciliation
Medication ReconciliationPAFP
Ā 
Controlled Substance Prescribing: What to Do?
Controlled Substance Prescribing: What to Do?Controlled Substance Prescribing: What to Do?
Controlled Substance Prescribing: What to Do?RIAPA
Ā 
Chapter 5 prescriptions
Chapter 5 prescriptionsChapter 5 prescriptions
Chapter 5 prescriptionsrr0006
Ā 
Prescription balkar ppt
Prescription balkar pptPrescription balkar ppt
Prescription balkar pptRafi Bhat
Ā 
FINAL_PPT_Assist_with_medication_-New_extended.pptx
FINAL_PPT_Assist_with_medication_-New_extended.pptxFINAL_PPT_Assist_with_medication_-New_extended.pptx
FINAL_PPT_Assist_with_medication_-New_extended.pptxaarti271437
Ā 

Similar to Safer Management and Use of Controlled Drugs (20)

analyzing_prescreption_and_applying_Good_dispensing_practice.pdf
analyzing_prescreption_and_applying_Good_dispensing_practice.pdfanalyzing_prescreption_and_applying_Good_dispensing_practice.pdf
analyzing_prescreption_and_applying_Good_dispensing_practice.pdf
Ā 
Corresponding Responsibility Of The Pharmacist
Corresponding Responsibility Of The PharmacistCorresponding Responsibility Of The Pharmacist
Corresponding Responsibility Of The Pharmacist
Ā 
MEDICATION Rajendra keer
MEDICATION Rajendra keerMEDICATION Rajendra keer
MEDICATION Rajendra keer
Ā 
Medstudy
MedstudyMedstudy
Medstudy
Ā 
Ethics of advising medical marijuana practitioners 4.13.18
Ethics of advising medical marijuana practitioners 4.13.18Ethics of advising medical marijuana practitioners 4.13.18
Ethics of advising medical marijuana practitioners 4.13.18
Ā 
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginley
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginleyRx16 pharma wed_1115_1_ryle_2menkhaus_3mcginley
Rx16 pharma wed_1115_1_ryle_2menkhaus_3mcginley
Ā 
Mitigating Risk When Managing High Dose, Chronic Pain Patients
Mitigating Risk When Managing High Dose, Chronic Pain Patients Mitigating Risk When Managing High Dose, Chronic Pain Patients
Mitigating Risk When Managing High Dose, Chronic Pain Patients
Ā 
PTC & Hospital Formulary
PTC & Hospital FormularyPTC & Hospital Formulary
PTC & Hospital Formulary
Ā 
Medication Errors
Medication ErrorsMedication Errors
Medication Errors
Ā 
Rational Use of Antibiotics and Prescription Writing.pptx
Rational Use of Antibiotics and Prescription Writing.pptxRational Use of Antibiotics and Prescription Writing.pptx
Rational Use of Antibiotics and Prescription Writing.pptx
Ā 
Physician dispensing services doctor dispensing brp pharmaceuticals
Physician dispensing services  doctor dispensing   brp pharmaceuticalsPhysician dispensing services  doctor dispensing   brp pharmaceuticals
Physician dispensing services doctor dispensing brp pharmaceuticals
Ā 
Refusal of care.pptx
Refusal of care.pptxRefusal of care.pptx
Refusal of care.pptx
Ā 
Practical Prescribing Guide
Practical Prescribing GuidePractical Prescribing Guide
Practical Prescribing Guide
Ā 
INDIVIDUAL PRESCRIPTION METHOD
INDIVIDUAL PRESCRIPTION METHODINDIVIDUAL PRESCRIPTION METHOD
INDIVIDUAL PRESCRIPTION METHOD
Ā 
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAY
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAYHOW CAN THESE MEDICATIONS BE AT A ZERO COPAY
HOW CAN THESE MEDICATIONS BE AT A ZERO COPAY
Ā 
Medication Reconciliation
Medication ReconciliationMedication Reconciliation
Medication Reconciliation
Ā 
Controlled Substance Prescribing: What to Do?
Controlled Substance Prescribing: What to Do?Controlled Substance Prescribing: What to Do?
Controlled Substance Prescribing: What to Do?
Ā 
Chapter 5 prescriptions
Chapter 5 prescriptionsChapter 5 prescriptions
Chapter 5 prescriptions
Ā 
Prescription balkar ppt
Prescription balkar pptPrescription balkar ppt
Prescription balkar ppt
Ā 
FINAL_PPT_Assist_with_medication_-New_extended.pptx
FINAL_PPT_Assist_with_medication_-New_extended.pptxFINAL_PPT_Assist_with_medication_-New_extended.pptx
FINAL_PPT_Assist_with_medication_-New_extended.pptx
Ā 

More from NES

Clinical skills booklet 2
Clinical skills booklet 2Clinical skills booklet 2
Clinical skills booklet 2NES
Ā 
Harm reduction for slide share 2
Harm reduction for slide share 2Harm reduction for slide share 2
Harm reduction for slide share 2NES
Ā 
Opiate substance misuse
Opiate substance misuse Opiate substance misuse
Opiate substance misuse NES
Ā 
Alcohol 2011
Alcohol 2011Alcohol 2011
Alcohol 2011NES
Ā 
Pharmacy: Criterion audit
Pharmacy: Criterion auditPharmacy: Criterion audit
Pharmacy: Criterion auditNES
Ā 
Public health pre reg presentation 240211
Public health pre reg presentation 240211Public health pre reg presentation 240211
Public health pre reg presentation 240211NES
Ā 
Equality & Diversity by Kristi Long
Equality & Diversity by Kristi LongEquality & Diversity by Kristi Long
Equality & Diversity by Kristi LongNES
Ā 
Clinical audit may 2011 nes pharmacy
Clinical audit  may 2011 nes pharmacyClinical audit  may 2011 nes pharmacy
Clinical audit may 2011 nes pharmacyNES
Ā 
Vaccination and immunisation jane renton - principal pharmacist - nhs lothian
Vaccination and immunisation   jane renton - principal pharmacist - nhs lothianVaccination and immunisation   jane renton - principal pharmacist - nhs lothian
Vaccination and immunisation jane renton - principal pharmacist - nhs lothianNES
Ā 
Pharmaceutical Care of People with Chronic Pain
Pharmaceutical Care of People with Chronic PainPharmaceutical Care of People with Chronic Pain
Pharmaceutical Care of People with Chronic PainNES
Ā 
Core course lecture - Rheumatoid Arthritis
Core course lecture - Rheumatoid ArthritisCore course lecture - Rheumatoid Arthritis
Core course lecture - Rheumatoid ArthritisNES
Ā 
Stoma stoma patients and their medicines
Stoma   stoma patients and their medicinesStoma   stoma patients and their medicines
Stoma stoma patients and their medicinesNES
Ā 
Stoma modules troubleshooting workshop
Stoma modules   troubleshooting workshopStoma modules   troubleshooting workshop
Stoma modules troubleshooting workshopNES
Ā 
Stoma modules caring for the stoma patient
Stoma modules   caring for the stoma patientStoma modules   caring for the stoma patient
Stoma modules caring for the stoma patientNES
Ā 
A summary of pharmaceutical microbiology part 2 - drugs
A summary of pharmaceutical microbiology   part 2 - drugsA summary of pharmaceutical microbiology   part 2 - drugs
A summary of pharmaceutical microbiology part 2 - drugsNES
Ā 
A summary of pharmaceutical microbiology part 1 - bugs
A summary of pharmaceutical microbiology   part 1 - bugsA summary of pharmaceutical microbiology   part 1 - bugs
A summary of pharmaceutical microbiology part 1 - bugsNES
Ā 
Critical Appriaisal Skills Basic 1 | May 4th 2011
Critical Appriaisal Skills Basic 1 | May 4th 2011Critical Appriaisal Skills Basic 1 | May 4th 2011
Critical Appriaisal Skills Basic 1 | May 4th 2011NES
Ā 
Asthma Module 1 session 2 | 24/03/201 | All
Asthma Module 1 session 2 | 24/03/201 | All Asthma Module 1 session 2 | 24/03/201 | All
Asthma Module 1 session 2 | 24/03/201 | All NES
Ā 
Asthma Module 1 Session 1 | 24/03/2010 | All
Asthma Module 1 Session 1 | 24/03/2010 | AllAsthma Module 1 Session 1 | 24/03/2010 | All
Asthma Module 1 Session 1 | 24/03/2010 | AllNES
Ā 
Pharmaceutical Care of Patients with Infections | 29/03/2010
Pharmaceutical Care of Patients with Infections | 29/03/2010Pharmaceutical Care of Patients with Infections | 29/03/2010
Pharmaceutical Care of Patients with Infections | 29/03/2010NES
Ā 

More from NES (20)

Clinical skills booklet 2
Clinical skills booklet 2Clinical skills booklet 2
Clinical skills booklet 2
Ā 
Harm reduction for slide share 2
Harm reduction for slide share 2Harm reduction for slide share 2
Harm reduction for slide share 2
Ā 
Opiate substance misuse
Opiate substance misuse Opiate substance misuse
Opiate substance misuse
Ā 
Alcohol 2011
Alcohol 2011Alcohol 2011
Alcohol 2011
Ā 
Pharmacy: Criterion audit
Pharmacy: Criterion auditPharmacy: Criterion audit
Pharmacy: Criterion audit
Ā 
Public health pre reg presentation 240211
Public health pre reg presentation 240211Public health pre reg presentation 240211
Public health pre reg presentation 240211
Ā 
Equality & Diversity by Kristi Long
Equality & Diversity by Kristi LongEquality & Diversity by Kristi Long
Equality & Diversity by Kristi Long
Ā 
Clinical audit may 2011 nes pharmacy
Clinical audit  may 2011 nes pharmacyClinical audit  may 2011 nes pharmacy
Clinical audit may 2011 nes pharmacy
Ā 
Vaccination and immunisation jane renton - principal pharmacist - nhs lothian
Vaccination and immunisation   jane renton - principal pharmacist - nhs lothianVaccination and immunisation   jane renton - principal pharmacist - nhs lothian
Vaccination and immunisation jane renton - principal pharmacist - nhs lothian
Ā 
Pharmaceutical Care of People with Chronic Pain
Pharmaceutical Care of People with Chronic PainPharmaceutical Care of People with Chronic Pain
Pharmaceutical Care of People with Chronic Pain
Ā 
Core course lecture - Rheumatoid Arthritis
Core course lecture - Rheumatoid ArthritisCore course lecture - Rheumatoid Arthritis
Core course lecture - Rheumatoid Arthritis
Ā 
Stoma stoma patients and their medicines
Stoma   stoma patients and their medicinesStoma   stoma patients and their medicines
Stoma stoma patients and their medicines
Ā 
Stoma modules troubleshooting workshop
Stoma modules   troubleshooting workshopStoma modules   troubleshooting workshop
Stoma modules troubleshooting workshop
Ā 
Stoma modules caring for the stoma patient
Stoma modules   caring for the stoma patientStoma modules   caring for the stoma patient
Stoma modules caring for the stoma patient
Ā 
A summary of pharmaceutical microbiology part 2 - drugs
A summary of pharmaceutical microbiology   part 2 - drugsA summary of pharmaceutical microbiology   part 2 - drugs
A summary of pharmaceutical microbiology part 2 - drugs
Ā 
A summary of pharmaceutical microbiology part 1 - bugs
A summary of pharmaceutical microbiology   part 1 - bugsA summary of pharmaceutical microbiology   part 1 - bugs
A summary of pharmaceutical microbiology part 1 - bugs
Ā 
Critical Appriaisal Skills Basic 1 | May 4th 2011
Critical Appriaisal Skills Basic 1 | May 4th 2011Critical Appriaisal Skills Basic 1 | May 4th 2011
Critical Appriaisal Skills Basic 1 | May 4th 2011
Ā 
Asthma Module 1 session 2 | 24/03/201 | All
Asthma Module 1 session 2 | 24/03/201 | All Asthma Module 1 session 2 | 24/03/201 | All
Asthma Module 1 session 2 | 24/03/201 | All
Ā 
Asthma Module 1 Session 1 | 24/03/2010 | All
Asthma Module 1 Session 1 | 24/03/2010 | AllAsthma Module 1 Session 1 | 24/03/2010 | All
Asthma Module 1 Session 1 | 24/03/2010 | All
Ā 
Pharmaceutical Care of Patients with Infections | 29/03/2010
Pharmaceutical Care of Patients with Infections | 29/03/2010Pharmaceutical Care of Patients with Infections | 29/03/2010
Pharmaceutical Care of Patients with Infections | 29/03/2010
Ā 

Recently uploaded

Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...CALL GIRLS
Ā 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
Ā 
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...astropune
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safenarwatsonia7
Ā 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
Ā 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
Ā 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patnamakika9823
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...Taniya Sharma
Ā 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
Ā 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
Ā 
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safenarwatsonia7
Ā 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
Ā 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
Ā 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
Ā 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escortsaditipandeya
Ā 

Recently uploaded (20)

Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Ā 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Ā 
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma āŸŸ 8250192130 āŸŸ High Class Call Girl...
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Ā 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Ā 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Ā 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
Ā 
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
Ā 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Ā 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Ā 
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic šŸ“ž 9907093804 High Profile Service 100% Safe
Ā 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
Ā 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Ā 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
Ā 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
Ā 

Safer Management and Use of Controlled Drugs