DISTRIBUTION OF CONTROLLED SUBSTANCES.pptx

DISTRIBUTION OF CONTROLLED SUBSTANCES.pptx

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  DISTRIBUTION OF CONTROLLED SUBSTANCES PRESENTED BY: HAFSAAZAM (D18E32) PRESENTED TO: DR. IMRAN
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  TABLE OF CONTENTS: •Definition • Law of controlled substances • Schedules and categories of controlled drugs • Hospital control procedures • Role and responsibilities of administration • Role of nursing staff • Role of pharmacist
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  CONTROLLED SUBSTANCES: “The drugsthat may have a high potential for abuse, lack of accepted safety for use and the use of which may lead to severe psychological or physical dependence are known as controlled drugs.”
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  OR Substances, products orpreparations, including certain medicines, that are either known to be, or have the potential to be, dangerous or harmful to human health, including being liable to misuse or cause social harm, are subject to control under the Misuse of Drugs Acts 1977 to 2016. They are known as “controlled drugs”.
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  LAW OF CONTROLLED SUBSTANCES: •DEA (The Drug Enforcement Administration) – US Law Enforcement Agency • FDA (The Food and Drug Administration) – federal agency of the United States Department of Health and Human Services • CSA (The Controlled Substances Act) • Misuse of drugs regulations 2017
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  SCHEDULES OF CONTROLLED DRUGS: •Controlled drugs are categorized into 5 schedules by Misuse of Drugs Regulation 2001: • Schedule 1(e.g : marijuana) • Schedule 2(e.g: cocaine) • Schedule 3(e.g: steroids, benzodiazepenes) • Schedule 4 • Part A(e.g: most benzodiazepenes and z drugs ) • Part B (e.g: certain anti-epileptics and MAOIs) • Schedule5(e.g: low strength painkillers)
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  CATEGORIES OF CONTROLLED DRUGS: •Apart from schedules CDs can also be categorized into three classes — A, B and C. • Class A drugs (Schedule – I) are considered most likely to cause harm and carry the most severe punishment for unlawful possession and supply • Class B means Schedule – II and • Class C means Schedule III to V drugs.
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  HOSPITAL CONTROL PROCEDURES: • Assigningresponsibility of control: The check on controlled substances is the joint responsibility of: • Hospital administrator • Pharmacy Department • Nurses
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  ROLE AND RESPONSIBILITIESOF ADMINISTRATION: The responsibilities of hospital administrator include: • Policy making regarding • Ordering • Prescription • Dispensing • Administration and documentation of controlled dugs
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  POLICY MAKING FORORDERING CDS: • Preparation of orders • Doctor’s order and signature • PRN or SOS orders • Telephone orders • Verbal orders • Ordering non ward CDs from pharmacy
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  PRESCRIBING: 1. Prescription forown personal use 2. Refilling 3. Prescribing controlled drugs in outpatient department: prescriptions for controlled drugs maybe dispensed to outpatients from pharmacy.
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  DISPENSING: 1. For homeuse 2. For employees 3. Dispensing for home use during pharmacy-off hours
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  ADMINISTRATION: Administration by nurses: Thenurse should use proper number of tablets or ampules from nursing stock and should also record the number and doses administered. Information necessary on daily controlled drugs administration sheet: The information required is date, amount given, patient’s full name, patient’s hospital number, amount administered, filling out inventory column.
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  DISPOSAL OF CONTROLLED DRUGS: 1.Aliquot part of controlled drug solutions 2. Refusal of prepared dose by the patient or cancellation by doctor 3. Accidental destruction and contamination of drugs
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  DELIVERY OF CONTROLLED SUBSTANCESTO NURSING STATION: The delivery must be done by a reliable person of hospital pharmacy, nursing staff or the messenger staff.
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  DOCUMENTATION: Record keeping ofall activities during the handling of controlled substances must be done. An efficient record must be maintained that can be audited periodically .
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  ROLE AND RESPONSIBILITIESOF PHARMACY DEPARTMENT: 1. System of controlled drug loss report 2. Controlled drug delivery system for nursing station 3. Protocol for drug abuse and diversion 4. Documentation
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  NURSES’ RESPONSIBILITIES: • Auditingof narcotic inventory • Physical count of narcotics • Monitoring on audit record • Forwarding of loss report to pharmacy department
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  USE OF CONTROLLEDDRUGS IN RESEARCH: Notification to pharmacy and therapeutic committee: The person engaged in research regarding the controlled drugs is obligated to notify the institutional pharmacy and therapeutics committee. Documentation : The person doing research is bound to document each and every step of his research .
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  BIBLIOGRAPHY: • Hassan,W.E hospitalpharmacy • Hospital pharmacy by Nadeem Irfan bukhari • www.scribd.com/presentation/286433279/drug. • The pharmaceutical journal vol 265 no 7115p441 September 23,2000 the society • Medical council/pharmaceutical society of Ireland joint guidance • The Advisory Council on the Misuse of Drugs. Misuse of Drugs Act 1971: Chapter 38, Section 2. 1971. Available at: https://www.legislation.gov.uk/ukpga/1971/38/contents (accessed September 2018) • NHS Choices. What is a controlled medicine (drug)? 2015. Available at: https://www.nhs.uk/chq/Pages/1391.aspx?CategoryID=73 (accessed September 2018) • The National Archives. The Shipman Inquiry: Fourth report — the regulation of controlled drugs in the community. 2004. Available at: http://webarchive.nationalarchives.gov.uk/20090808160142/http://www.the- shipman-inquiry.org.uk/fourthreport.asp (accessed September 2018) • National Institute for Health and Care Excellence. Controlled drugs: Safe use and management. NICE guideline [NG46]. 2016. Available at: https://www.nice.org.uk/guidance/ng46 (accessed September 2018)