SAFE AND SECURE HANDLING OF MEDICINES
Section
9:
Ordering of medicines in hospital
9.1 |
Ordering
of medicines in hospital: Ordering Stock Medicines |
Medicines may be ordered for stock using an official requisition only by an authorised person. This may be an authorised nurse or member of Pharmacy Staff i.e. Assistant Technical Officer. The authorised person who generates the order of medicines must not be the same person who receives and reconciles that order. | |
9.1.1 |
A stock list generated by the Pharmacy’s Stock Control System serves as an order form and is the usual method of ordering. Alternative means of recording orders such as use of a hand held data capture receiver are also in use in certain areas. Orders shall be in a permanent
record and any blank requisitions kept in a secure place on the ward. It is the duty of the Nurse with continuing responsibility of the ward/department to ensure that medicines are only ordered by a person authorised to order medicines. It is their responsibility to ensure that medicines requisitioning stationery is tightly controlled and secure. The stock list is maintained by regular review of the contents and stock levels. |
9.1.2 |
Completed signed orders are placed in the pharmacy box, which is locked and sent to the Pharmacy on the designated ordering days. |
9.2 |
Ordering of medicines in hospital: Ordering Non-Stock Medicines |
9.2.1 |
Ordering of medicines in hospital: Wards with a Clinical Pharmacist |
Medicines
may be ordered by a member of pharmacy staff or by the appropriate
member of nursing staff as part of
their duties in meeting the pharmaceutical care needs of the patient.
Medicines not included on the agreed stock list will be ordered
in this way.
Only in exceptional circumstances will the dispensary issue a non-stock medicine without authorisation from the appropriate Clinical Pharmacist. In the absence of the clinical
pharmacist during normal working hours or at the weekend and out of
Pharmacy hours, the dispensary will only issue non-stock medication
after the dispensary/on call pharmacist has verified the request.
In hospitals without a pharmacy department local arrangements for
managing stocks will apply. |
|
9.2.2 |
Ordering of medicines in hospital: Wards without daily access to a Clinical Pharmacist |
As above, the dispensary will normally only issue non-stock medication on production of the patient’s medicine chart. In hospitals without a pharmacy department local arrangements for managing ward stocks will apply. | |
9.3 |
Ordering of medicines in hospital: Telephoned and faxed orders from Hospitals without a Pharmacy |
It will not normally be necessary to telephone or fax orders but it may be necessary in some circumstances according to local policy. It is the responsibility of the Senior Nurse in charge and the Pharmacist to define a local policy. Please refer to the NHS Tayside Policy on Faxing. | |
9.4 |
Ordering of medicines in hospital: Samples and Clinical Trial Materials |
No
medicinal or wound management product samples are to be left in clinical
areas or pharmacy departments or with staff. |