SAFE AND SECURE HANDLING OF MEDICINES

Section 8.10. Management of Controlled Drugs in Operating Theatres (this section is under review)

8.10.1. Management of Controlled Drugs in operating theatres - Accountability and responsibility

The Registered Nurse or Midwife in charge of an operating theatre or theatre suit is responsible for the safe keeping and management of CDs. Even if the theatre or theatre suit is managed by an Operating Department Practitioner (ODP), the most senior Registered Nurse or Midwife present is responsible for the CDs.

The Registered Nurse or Midwife in charge can delegate key holding to the CD cupboard to a Registered Nurse of an ODP. A nurse or ODP can then remove CDs from the cupboard and/or remove them from the cupboard on the specific authority of either the Registered Nurse or Midwife in charge or doctor. However legal responsibility remains with the Registered Nurse or Midwife in charge.


8.10.2. Management of Controlled Drugs in operating theatres - R
equisitioning of Controlled Drugs

The Registered Nurse or Midwife in charge of an operating theatre or theatre suite is responsible for the requisitioning of Controlled Drugs for use in the theatre. The task of preparing the requisition can be delegated to another Registered Nurse or ODP, however legal responsibility remains with the Registered Nurse or Midwife in charge.

The requisition must comply with the requirements set in out in Section 8.3.


8.10.3. Management of Controlled Drugs in operating theatres -
Receipt of Controlled Drugs

When CDs are delivered to a theatre or theatre suite they should be handed to an appropriate individual. On no account should they be left unattended. At the point of delivery, the contents of the container must be checked immediately by a Registered Nurse or ODP and witnessed by a second Registered Nurse or ODP, Student Nurse, Pharmacist or Doctor. Where possible, the person ordering the medicine should be different to the person receiving the medicine into stock. Any discrepancy must be reported to the Specialist Pharmacy Technician or Senior Pharmacist in the dispensary immediately.

The receipt of CDs must conform to the provisions set out in Section 8.3.


8.10.4. Management of Controlled Drugs in operating theatres -
Storage of Controlled Drugs

The storage requirements for CDs must conform to the requirements detailed for wards and departments in Section 8.2.


8.10.5. Management of Controlled Drugs in operating theatres -
Record keeping

The records for CDs must conform to the requirements in Section 8.3. There must be a separate CD register for each theatre.



8.10.6. Management of Controlled Drugs in operating theatres -
Controlled drug stock checks

Within NHS Tayside all areas possessing stocks of Controlled Drugs must carry out a stock balance reconciliation every 24 hours. This should be recorded. Any discrepancy must be investigated in accordance with Section 8.5.

A check of all CDs stocked within wards and departments, must be completed every 3 months by Pharmacy (either a pharmacist or a senior pharmacy technician).  This includes a check of documentation relating to CDs in the preceding three months and a check of CDs currently stocked in the CD cupboard. The nurse in charge or deputy must also be present for the final stock balance check.  The pharmacy technician may act as a deputy when working with a pharmacist.

The procedure for CD stock checks must conform to the requirements detailed in Section 8.5.


8.10.7. Management of Controlled Drugs in operating theatres -
Prescribing of Controlled Drugs

Where separate charts are used e.g. epidural, anaesthetic or patient-controlled analgesia charts, these should be cross-referenced on the patient’s main prescription chart.

Prescribing of CDs should follow the general provisions set out below and should include:

  • Drug name and form
  • Route
  • Dose and frequency (with time interval stated if prescribed when required, indication for which prescribed and maximum dose)
  • Start date and if appropriate, finish date
  • Signature of authorised prescriber

There requires to be a record kept of:

  • All CDs issued
  • CDs administered to named patients
  • CDs returned to stock

8.10.8. Management of Controlled Drugs in operating theatres -
Administration of Controlled Drugs

The practice of issuing “active stock” to the anaesthetist and then returning the unused portion to stock, recording both issues and returns in the theatre CD register should be avoided. An amount should be issued to the anaesthetist for a specific patient and any surplus drug should be destroyed and witnessed.

The person who administered the CD should make a record of administration on the appropriate chart immediately after administration.  This should include the identity of the person, the dose administered and the time of administration.


8.10.9. Management of Controlled Drugs in operating theatres -
Management of CDs when patients are transferred to/from theatre

There should be documentation in place to ensure records are maintained when patients are transferred with CDs physically attached to them e.g. PCA, epidural. The receiving nurse or doctor and transferring nurse or doctor should check the patient identity, infusion and prescription and annotate the appropriate chart at the point of transfer to document that this check has been made.



8.10.10. Management of Controlled Drugs in operating theatres -
Destruction and disposal

The disposal of CDs in theatre should conform to the general provisions set out in Section 8.8.

Unused part doses should be destroyed promptly and witnessed by a Registered Nurse or registered ODP. The CD to be discarded should be rendered irretrievable by emptying the contents of the ampoule/vial,  into a sharps bin suitable for pharmaceutical waste.

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Updated: 01/12/21

[Note: Previous section 8.9.- now under review]