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Hardback Controlled Drug Recording Book & HSE Health and Safety Law Poster A3 FWC30/A3: What You Need to Know

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CD cabinets must only be accessed by a veterinary surgeon or a nominated responsible person at the practice who has been authorised by the veterinary surgeon. Personally discuss this treatment with the client and be satisfied that the client is able to administer the medication responsibly. An Inspector appointed under the VMRs (this includes a VMD inspector or RCVS Practice Standards Scheme Assessor) Certain drugs are ‘controlled’ under UK law on account of the potential harm they pose to people consuming them, and the risk of them being diverted for illicit use.

It has been produced in association with the governing organisations for GB Mountain Rescue Teams, the Drug and Firearms Licensing Unit (DFLU) at the Home Office and the Medicines and Healthcare Regulatory Products Agency (MHRA). Cannabis-based products for medicinal use (CBPMs) are controlled drugs. This means they can only be prescribed by a specialist doctor. They must have specialist knowledge and expertise and they must be on the specialist register of the General Medical Council. Veterinary nurses may draw up and administer CDs provided that a veterinary surgeon has prescribed them to a specific animal, decided on the dose, has authorised that it be drawn up, and is confident that the veterinary nurse is competent to draw up and administer the prescribed dose. Whether or not to delegate the drawing up and administration to a veterinary nurse should be considered on a case-by-case basis. CDs in Schedules 1 to 4 have a prescription validity of up to 28 days. Prescriptions for Schedule 5 CDs (and all other prescription medicines) have a validity of up to 6 months. A prescription for a CD in Schedule 2 or 3 once can only be dispensed against once and that must be within the 28 days of the validity of the prescription.The member of staff making the entry should sign and date it. Whenever possible, all entries should also be witnessed by a suitably trained member of care home staff who should also sign the entry. Pharmaceutical companies try to ensure that every bottle of medicine is precisely filled but some small variability may occur. This may result in discrepancies regarding the amount of CD used when taking into consideration the volume remaining in the container. must record very clearly what you have, where it is, how/when/ where it has been obtained/administered, losses/destructions and who has taken what action The team must have a responsible servant for CDs – this is often the team doctor or medical officer but does not need to be a healthcare professional if the team does not have one as part of their membership. The responsible servant should understand these regulations and return the annual audit data. This person must hold a Casualty Care certificate or be a healthcare professional. You must not use the controlled drugs cupboard to store other medicines or items such as jewellery or money.

If the prescription is not repeatable, veterinary surgeons should consider stating this on the prescription to avoid prescription misuse. If the prescription has a section that states number of repeats, veterinary surgeons should consider writing ‘no repeats’ or crossing this out if the prescription is not to be repeated. Quantity CDs should be rendered irretrievable before disposal, for example, by using a denaturing kit. These are plastic boxes containing absorbent material which can then be passed on to an authorised waste contractor. Alternatively, an injectable solution may be placed into sawdust or appropriately absorbent cat litter and tablets may be crushed and mixed with soapy water. If someone from the practice goes to collect the CDs from the pharmacy, they must take a note with them which states that they have authority to be in possession of the CD.The balances in the CDR should always tally with the amounts of CDs in the cabinet. If they do not, the discrepancy must be reported to the appointed senior veterinary surgeon, and steps taken to investigate and resolve the matter.

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