Supervision of Doses General Issues Sample Clauses

Supervision of Doses General Issues. Supervision should take place in a designated area offering suitable privacy for the client, other customers and the general public. Supervision must never take place in the dispensary. • The identity of patients must be confirmed. If regular staff are not available at all times, then some form of patient registration card is recommended. In all cases patients should be asked for proof of identification on first attendance. • Following consumption, labels should be removed from containers before disposal to preserve confidentiality. • All necessary paperwork should be completed following supervision of a client in accordance with Medicines Act/Misuse of Drugs Act/and the Supervised Consumption Scheme. • Supervision will normally continue for 3 months. Pharmacists may contact the key worker for confirmation where this is not the case. Specific Methadone Supervision Issues • Other than in exceptional circumstances, only Methadone Mixture 1mg/ml should be used (standard or sugar free as prescribed). • Prescribing and dispensing of an alternative strength should only take place following express prior agreement between the pharmacist and treatment provider. • When a patient attends the pharmacy, the daily dose can be offered from the prepared dose container or the patient may pour the dose into a disposable cup if preferred. • The patient must be observed whilst taking the dose. • Client should be given a drink of water and requested to drink it whilst being observed again. BEWARE- Spit Methadone!!!! Some patients may say that they prefer to use a can of soft drink to wash down their methadone. However, what they may be doing is discharging the dose of methadone INTO the can for sale later as "spit-methadone". It is preferable to encourage the patient to rinse the mouth with water. This will, at least, wash some of the acidic mixture out of the mouth and away from teeth. • The pharmacist should discreetly check that the dose is not retained in the mouth by engaging in some conversation. • The disposable cup should be discarded after single use. • The container should be retained in the pharmacy rinsed out and all labels removed before discarding. BEWARE- Cuffing!!!! Some patients used slight of hand to hide their dose of medication up the sleeve or in their clothing. They swop the new bottle for the bottle from a previous supply and give the impression of taking the supervised dose. Vigilance is required when supervising doses to ensure they are being taken an...
Sample 1
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Supervision of Doses General Issues. Supervision should take place in a designated area offering suitable privacy for the client, other customers and the general public. Supervision must never take place in the dispensary. • The identity of clients must be confirmed. If regular staff are not available at all times then some form of patient registration card is recommended. In all cases clients should be asked for proof of identification on first attendance. (extra care should be taken for ‘one’ off supervisions) • Following consumption, labels should be removed from containers before disposal to preserve confidentiality. • All necessary paperwork should be completed following supervision of a client in accordance with Medicines Act/Misuse of Drugs Act, updated CD regulations and the Supervised Consumption Scheme. • Supervision will normally continue for 3 months. Pharmacists may contact the key worker for confirmation where this is not the case. • Controlled drug waste should be dealt with in an appropriate manner. Methadone Supervision Issues • Other than in exceptional circumstances, only Methadone Mixture 1mg/ml should be used. Prescribing and dispensing of an alternative strength should only take place following express prior agreement between the pharmacist and treatment provider. • When a client attends the pharmacy the daily dose can be offered from the bottle or the clients may pour the dose into a disposable cup if preferred. • The client must be observed whilst taking the dose. • The client should be given a drink of water and requested to drink it whilst being observed again.
Sample 1

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