dangerous drug registers

Re: dangerous drug registers

bob lehner — Thu, 19 Jan 2012 11:10:29 GMT

[quote user="CatherineBoden"]By our regional director. (yes, I work in a corporate practice)[/quote]

Well I'm sure bosses can decide whatever they want recorded - and many practices do record far more than the Sch 2 CDs and ketamine which are specified by the VMD and RCVS respectively.

Re: dangerous drug registers

Hannah Wynne Richards — Thu, 19 Jan 2012 10:53:39 GMT

I remember another veterinary surgeon (practice owner ) telling me about a problem he had with an ex assistant

There were 2 flats above the surgery The assistant lived in 1 and the practice owners adult son in the other

One Saturday night the son heard an appalling row downstairs so investigated,and found the assistant and a friend had been sniffing a mixture of iso and nitrous oxide, and the assistant was unconcious and not breathing

Luckily,the son's hobby was scuba diving, so he was trained in resuscitation techniques and brought her round (to be sacked )

Wynne

Re: dangerous drug registers

Rob Loxley — Wed, 18 Jan 2012 21:01:27 GMT

I'd love to see the isoflurane register; do you drain the vaporiser after every patient and measure the volume?!

I can see that if you've identified issues with tramadol/xanax/diazepam/etc. growing legs than you probably do need to tighten up controls.

Re: dangerous drug registers

Julian Earl — Wed, 18 Jan 2012 20:37:56 GMT

[quote user="Bob Russell"]

Most medicines are dangerous so registers are a bit pointless. One of the most potentially dangerous drugs we have sits under the sink in the office. It is Paracetomol!

[/quote]

I seem to recall we were told by H&S advisors that we weren't allowed to keep aspirin or paracetamol around for staff to use! So of course we don't, of course not.

Re: dangerous drug registers

Laurence Webb — Wed, 18 Jan 2012 19:30:10 GMT

[quote user="Evelyn Barbour-Hill"]the practice with one vet and one nurse that has one bottle that's rarely disturbed needs hardly any record[/quote] Except to demonstrate that they've safely disposed of the remaining 9.5mls left in the bottle after it's been open for 28 days, of course

Re: dangerous drug registers

Evelyn Barbour-Hill — Wed, 18 Jan 2012 18:51:45 GMT

[quote user="bob lehner"]

Only Sch 2 CDs and ketamine need to be recorded in a register.

Refer to the BVA 'Good Practice Guide on Veterinary Medicines' (available to BVA members on the website) for full details. BSAVA website also has good guidance notes.

[/quote]

Only Sch 2 CDs need to be recorded in a register, legally.

RCVS GtoPC says you "should" keep ketamine locked up and "should" keep an informal register. VMD do not enforce this. Belgravia House have no power to make new laws. Having said that, obviously you should keep it locked up when not in use, and keep some sort of record (the form of which is up to you and can be according to circumstance: the practice with one vet and one nurse that has one bottle that's rarely disturbed needs hardly any record).

Re: dangerous drug registers

CatherineThomas — Wed, 18 Jan 2012 15:50:29 GMT

[quote user="bob lehner"]

[quote user="CatherineBoden"]We've been told to start recording tramadol and epiphen recently[/quote]

By whom ?????

[/quote]

By our regional director. (yes, I work in a corporate practice)

Re: dangerous drug registers

James Laidlaw — Wed, 18 Jan 2012 15:48:50 GMT

[quote user="Mark Holmes"]

If I have to start recording tramadol as well I think I will just stop stocking the stuff. They'll be wanting a register of Nescafe supplies before long.

[/quote]

I go out for my caffeine now, thereby delegating the responsibility of the recording of it's dispensing to someone else.

Re: dangerous drug registers

Bob Russell — Wed, 18 Jan 2012 15:43:29 GMT

[quote user="Mark Holmes"]

[quote user="CatherineBoden"]

We've been told to start recording tramadol and epiphen recently. Apparently other practices have had serious problems with the misuse of these drugs and that's why they are asking us to keep better records. It's a big headache for our head nurse, she checks the book every week and it's rare that it's been done correctly so then she has to work out where it's gone wrong. For something like tramadol it's a pain to remember to fill in the book every time you prescribe a few capsules, particularly when you have to search around for a pen.

[/quote]

If I have to start recording tramadol as well I think I will just stop stocking the stuff. They'll be wanting a register of Nescafe supplies before long.

[/quote]

Yup! to make sure there is no tax liability for staff members that are getting coffee as a benefit! We are grand here and have a Nespresso machine providing wonderful coffee that anyone can make! Must buy a note book to act as a drinks register

Re: dangerous drug registers

Mark Holmes — Wed, 18 Jan 2012 15:38:47 GMT

[quote user="CatherineBoden"]

[/quote]

If I have to start recording tramadol as well I think I will just stop stocking the stuff. They'll be wanting a register of Nescafe supplies before long.

Re: dangerous drug registers

bob lehner — Wed, 18 Jan 2012 15:38:01 GMT

[quote user="CatherineBoden"]We've been told to start recording tramadol and epiphen recently[/quote]

By whom ?????

Re: dangerous drug registers

Hannah Wynne Richards — Wed, 18 Jan 2012 15:37:14 GMT

Legally an overkill, but looking at it from a practice owner's viewpoint, I'm wondering if they have had problems in the past with an addict veterinary surgeon/nurse/receptionist,so have made sure the stable door is well and truly bolted

Wynne

Re: dangerous drug registers

CatherineThomas — Wed, 18 Jan 2012 15:35:46 GMT

Re: dangerous drug registers

Martin Atkinson — Wed, 18 Jan 2012 15:21:15 GMT

[quote user="Bob Russell"]

Outside the 'normal' scheduled 'dangerous drugs' we keep a pretty pointless record of ketamine use. We also keep an informal register for phenobarbitone arrival and dispensing.

Ketamine is because we are told to by the RCVS but we cannot account accurately for that drop that gets left in the syringe so overall not a great benefit to public safety. Phenobarb because it seemed a good idea at the time.

Most medicines are dangerous so registers are a bit pointless. One of the most potentially dangerous drugs we have sits under the sink in the office. It is Paracetomol!

[/quote] Ditto!

Re: dangerous drug registers

bob lehner — Wed, 18 Jan 2012 15:19:23 GMT

Only Sch 2 CDs and ketamine need to be recorded in a register.

Refer to the BVA 'Good Practice Guide on Veterinary Medicines' (available to BVA members on the website) for full details. BSAVA website also has good guidance notes.

Re: dangerous drug registers

Bob Russell — Wed, 18 Jan 2012 15:11:39 GMT

Outside the 'normal' scheduled 'dangerous drugs' we keep a pretty pointless record of ketamine use. We also keep an informal register for phenobarbitone arrival and dispensing.

Most medicines are dangerous so registers are a bit pointless. One of the most potentially dangerous drugs we have sits under the sink in the office. It is Paracetomol!