CD Cabinet in consulting rooms

RE: CD Cabinet in consulting rooms

bob lehner — Wed, 06 Jul 2016 22:13:09 GMT

Only Sch 2 CDs have to be recorded in the register - i.e. morphine, pethidine, methadone, ketamine, fentanyl, Somulose.

(Quite a lot of practices do also record Sch 3 and even Sch 4 CDs - bit OTT in my opinion).

RE: CD Cabinet in consulting rooms

Michael Woodhouse — Tue, 05 Jul 2016 21:22:30 GMT

[quote user="Gillian Mostyn"]Same here.[/quote]

Phew - thanks Gillian. At worst we can keep each other company in prison.....

RE: CD Cabinet in consulting rooms

Gillian Mostyn — Tue, 05 Jul 2016 21:12:08 GMT

[quote user="Michael Woodhouse"]We keep invoices as a record of purchase, but don't record pentobarbitone or phenobarb in the CD register.[/quote]

Same here.

RE: CD Cabinet in consulting rooms

Michael Woodhouse — Tue, 05 Jul 2016 21:04:41 GMT

[quote user="Martin Atkinson"]Nothing to add to the original question but do you not keep a record of Pentobarbital you obtain and use? I thought this was a requirement.[/quote]

The BVA medicine guidance says:

Schedule 3
Schedule 3 includes buprenorphine,
butobarbital (butobarbitone),
pentazocine, pentobarbital
(pentobarbitone), phenobarbital
(phenobarbitone) and some minor
stimulant drugs.These drugs are subject
to prescription (see Schedule 2 above)
and requisition requirements, but
transactions do not have to be recorded
in a Controlled Drugs Register

We keep invoices as a record of purchase, but don't record pentobarbitone or phenobarb in the CD register. Does anyone else? (obviously locked up).

All we record is methadone and ketamine.

RE: CD Cabinet in consulting rooms

Anthony Todd — Tue, 05 Jul 2016 15:33:57 GMT

All this talk about "stress", burnout etc and I thought someone was worried about where to store their Compact Discs.....

RE: CD Cabinet in consulting rooms

Martin Atkinson — Tue, 05 Jul 2016 14:21:55 GMT

[quote user="Michael Woodhouse"].....for Pentoject, possibly bupronorphine but nothing requiring a register. [/quote]Nothing to add to the original question but do you not keep a record of Pentobarbital you obtain and use? I thought this was a requirement.

RE: CD Cabinet in consulting rooms

Nicola Cole — Mon, 04 Jul 2016 21:39:30 GMT

Another for best kept out of public view, and I also never draw up pentobarb in front of small animal owners and I don't bring the bottle into the room.

RE: CD Cabinet in consulting rooms

Michael Woodhouse — Mon, 04 Jul 2016 21:37:22 GMT

Cheers guys. Knocked that on the head for me. I had a feeling there was a reason.

I have perfected my comedy "Mwaa Haaa Haaa Haaa" evil laugh. I have to fight the temptation to use some kind of film line when I shoot things......

RE: CD Cabinet in consulting rooms

bob lehner — Mon, 04 Jul 2016 21:30:42 GMT

The vmd Guidance notes on storage of CDs says:

''The room housing this container should be lockable and tidy to avoid drugs being misplaced. Its keys should not be kept with keys to other parts of the building. The room should not normally be accessible to clients.

However, if clients do have to enter the area, you should consider continuously supervising them until they leave the area.''

Personally I would say a consulting room is not an appropriate place for a CD cabinet.

(Whatever you do - don't stick a sign on the outside of the cabinet saying 'Controlled drugs kept in here' or similar - which is sometimes seen...!!).

RE: CD Cabinet in consulting rooms

Joyce Whitehead — Mon, 04 Jul 2016 21:19:04 GMT

I don't think it would fulfill PSS standards of you go for that Michael. Just found this which suggests that CD cabinets should be out of public areas or clients never left alone in the areA, which wouldn't always be possible in cons rooms I would think.

RE: CD Cabinet in consulting rooms

Iain Richards — Mon, 04 Jul 2016 20:51:53 GMT

It's probably better out of public view and I don't feel comfortable filling a syringe with pentobarb in front of the owner. It could be distressing for the owner and the picture it conjures up creates a comedy "Mwaa Haaa Haaa Haaa" evil laugh.