Standard Operating Procedure Dispensing ... - Pharmacy SOP

Purpose:
Standard Operating Procedure
Dispensing Controlled Drugs
To ensure the safe and accurate dispensing of controlled drug prescriptions.
Scope:
This SOP covers the procedure for receiving, dispensing and supervising
controlled drug prescriptions.
Responsibility:
It is the responsibility of pharmacists, pharmacy technicians and dispensing
assistants to ensure accurate dispensing.
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Standard
Operating
Procedure
Standard Operating Procedure
Dispensing Controlled Drugs
Responsibility: Pharmacist [P], Technician [T], Assistant [A].
Process Steps Key Points
1. CD Prescription received.
Check all legal requirements and stamp the
prescription stating when the prescription
was received.
2. Create labels of prescription(s).
A double check should always be performed
on controlled drugs this should be a
pharmacist and a trained dispenser such as
a technician.
The checking boxes should be signed by
both checking parties.
3. Dispense the item.
When the item is given out check again
whether the patient has supervised
administration of not, then check patient
details and give out the medication.
4. Supervised administration.
If the doctor has requested “supervised
administration” take the patient to a
secluded part of the pharmacy and give the
patient their medication.
5. Enter dispensed item into register.
Enter the dispensed item into the
appropriate CD register. Every time an entry
is made into the CD register the balance
should be checked and sign by the
pharmacist.
Check prescriber details, date the
prescription was written, whether the
quantity is written in words and figures,
prescribed signature.
Remember if the prescription is an MDA
to mark the last instalment as last on the
label so that the pharmacist giving it out
knows to tell the patient they need a
new prescription.
Its is sometimes best to check two
patient parameters at this stage such as
date of birth and address.
If it is the last part of an instalment
inform the patient of this.
If the drug is methadone offer the
patient a drink of water at the end so
that they verbally say yes or no – this is
to check that the liquid has been
swallowed.
If the tablet is sublingual like
buprenorphrine it take approximately 5
minutes for the drug to dissolve.
If the patient was supervised make the
necessary entry so the reimbursement
is claimed.
[P]
[T]
[A]
[P]
[T]
[P]
[T]
[P]
[P]
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Known risks:
Additional notes:
Review procedure:
This SOP is dynamic, and should be constantly updated when and where necessary. The
above box can be filled concerning new staff, adverse incidents or any new circumstance
which arise after the publication of this first version. If no errors, incidences or RPSGB
recommendations occur a review will be carried out every six months starting from the
creation date*. This review will update the SOP content and format with the goal to
enable better dispensing of controlled drugs.
I have signed to say that I have read and understood the instructions overleaf.
Name Signature Date
If there are any further
enquiries or problems that
arise during carrying out
this SOP consult the
pharmacist on duty.
Creation Date*: Review Date:
Version: Accountable Signature:
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