RESP - B. SUPPLY OF MEDICINES FROM HOSPITALS-COVERED

Question 1

what is the procurement of medicines

Answer 1

the process of purchasing supplies

Question 2

storage of medicines in hospitals

Answer 2

1. pharmacy stores: underground
2. dispensaries: 1 dispensary for 1 trust
3. wards: ie antihypertensives and dementia meds on geriatrics wards
   (if want other meds, need a written order)
4. CD rooms - controlled drugs
5. clinics: specialist medicines
6. clinical trials: supplied by Pharma companies

Question 3

supplying medicines to the wards - ‘topping up’

Answer 3

• ATOs (assistant technical officers)
  take stock list
  order all meds for the wards
  keep ward topped up

Question 4

storage of medicines in wards

Answer 4

• CD cupboard: keys kept by nurse in charge of ward
• POD lockers: kept at bedside by patient (P med, leave out)
• drugs trolley: lock, if not in use left in clinic room or chained somewhere

Question 5

exceptions to storage

Answer 5

• meds in emergency kits ie - anaphylaxis meds
• IV fluids and irrigation solutions
• meds appropriate for patients to administer under supervision of registered nurse:
  inhalers
  GTN spray
  creams

Question 6

supplying medication

Answer 6

• to inpatients staying on ward
  (written orders: not prescriptions, if no directions, can’t go home with it)
• to outpatients attending clinics in hospital ie: chemotherapy
• to inpatients being discharged (TTO - checked by pharmacist)
• to members of public - FP10
  (has to be dispensed from that hospital pharmacy, rarely seen in hospitals)

Question 7

supplying meds out-of-hours (after 5pm)

Answer 7

• on-call pharmacist
• prioritise how critical supply is
• can refuse
• emergency drugs cupboard?
• supply or direct ward to another ward’s stock
• no supply made