Hardback Controlled Drug Recording Book & HSE Health and Safety Law Poster A3 FWC30/A3: What You Need to Know

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Discrepancies are inevitable when using multi-dose CDs due to needle-hub and syringe deadspace. Multi-dose vials of CDs increase the potential for abuse, and running balances are difficult to keep due to deadspace volumes. One way of accounting for deadspace volume is to add this to each dose dispensed, although the volume is likely to vary, depending on the manufacturer of the needle and syringe, and the size of the syringe used. Be kept at the premises to which they relate and be available for inspection at any time. A separate register must be kept for each set of premises, and for each cabinet within those premises. However, it is preferable for the denaturing process to be witnessed by another member of staff familiar with CDs Keys to the CD cabinet should not be kept with keys to other parts of the building. The key should not be left in a ‘secret’ place where there is free access to it and the use of combination key boxes is recommended (see below).

if it is a dispensing practice, then there should also be a record of who the controlled drug has been supplied to when the prescription is collected. Some other Schedule 3 drugs do not need to be stored in the controlled drugs cupboard. Examples include: The responsible servant must submit the annual CD audit data in a timely fashion. Theft, loss and discrepancies

The operation of the group authorities depends on a significant element of consistency between teams. There are standards that need to be followed, as conditions of the licence, which have been outlined above. How teams deliver or comply with those standards may vary slightly. Any special conditions applied to the licence have been done so with a full understanding of the work of teams, and on the principle of enabling mountain rescue activities, not seeking to prohibit or constrain beyond what is necessary to ensure regulatory compliance. Team obligations Where the witness is an independent veterinary surgeon, they should record their RCVS number and confirm their independence in writing in the CDR, and for all destruction and disposal, the following further information should also be recorded and signed by the witness: The Medipost Recording Book Bundle – Set of 6 consists of 6 of our best selling Recording Books. Ideally designed for the Care and Nursing Home sectors, Hospitals, Hospices and other Health, Medical and Social Care environments. The Safe Custody Regulationsdescribe the requirements for CD cabinets, safes and rooms, and the standards to which they must be manufactured and/or built. Location of the cabinet Some services may choose to store other schedule controlled drugs in the controlled drugs cupboard and record them in the controlled drugs register. You should always follow your service’s medicines policy. Schedule 3

This guide is intended to support teams in ensuring they comply with the law and regulatory expectations set out by the Home Office. Every team must have the following: Repeat prescriptions for Schedule 4 and 5 CDs are permitted. The repeats must be dispensed within the period of validity of the prescription (28 days or six months).There are general requirements for working with CDs in addition to those in the Veterinary Medicines Regulations (VMR), these requirements are different in Northern Ireland. Within the cupboard / safe, it is good practice to separate low strength preparations from high strength ones to minimise the risk of incorrect selection.

Veterinary nurses may be asked to administer CDs out of hours when there is no veterinary surgeon on the premises. In these cases, veterinary surgeons must prescribe the drug to an animal under their care and decide on the dose. They may also wish to draw up the correct dose, labelling it, and leaving it with instructions as to what time it is to be given to a particular patient before going off duty. A veterinary nurse cannot decide to give a CD or change the dose (i.e., make prescribing decisions) and may only act under the direction of a veterinary surgeon in this regard. CDs for euthanasia in practice

Schedule 3 includes buprenorphine, diethylpropion, midazolam, pentazocine, phentermine, temazepam, and tramadol. They are subject to the special prescription requirements and some (temazepam and buprenorphine but not tramadol) are required to be stored in a CD cupboard. A register does not need to be kept. CDs in Schedules 1 to 4 have a prescription validity of up to 28 days. Prescriptions for Schedule 5 CDs (and all other prescription medicines) have a validity of up to 6 months. A prescription for a CD in Schedule 2 or 3 once can only be dispensed against once and that must be within the 28 days of the validity of the prescription. Drugs should be removed when a vehicle goes for service or is left unattended. Drugs should not be routinely carried in personal vehicles. In no circumstances should a personal vehicle safe be used as a storage location for drugs outside of a deployment. Please help them fulfil this role by understanding your responsibilities and the context for the licences held, whether you personally handle CDs within the team or not. A statement of events is required for any theft/loss/discrepancy submitted to the team medical officer.

Controlled drugs can be supplied to teams by organisations holding Home Office licences for possession and supply e.g., pharmacies.Drugs in certain schedules must be stored in accordance with the Misuse of Drugs Safe Custody Regulations 1973. In practice, the requirements set out in the SCRs 1973 are regarded as an absolute minimum standard for all controlled drugs, regardless of quantity or schedule. This determines how drugs should be stored in base safes, and, where storage on a team vehicle is appropriate, in vehicle safes. Veterinary medicines include CDs in Schedules 2, 3, 4 and 5. Legal possession and supply of Schedule 1 CDs requires a Home Office license. This means that veterinary surgeons have authority to supply all but Schedule 1 CDs. CDs in Schedules 2-5 are categorised as follows: Detecting and reporting any adverse incidents is important so we can learn as an organisation to protect our casualties and team members.