| Safekeeping/Controlling access |
CDs (including those owned by patients) stored separately from other medications, in a cabinet or metal safe, kept locked when not in use. Access to CD cabinets’ keys strictly controlled. Access to CDs restricted to staff members authorised to administer them. Accesses witnessed by a staff member. Expired, unusable or unwanted CDs stored in the safe pending destruction.
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| Documenting transactions |
Records kept of CD transactions in a drug register. Records of transactions signed by two staff members present during the activity (eg, nurse and witness). Transactions recorded in the CD register included: removal and replacing of CDs from the storage unit; discarding any unused portion of the CD and destruction of CDs.
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| Monitoring |
Audits of CDs in stock performed to confirm records are meeting policy requirements and to detect any possible misappropriation. The recorded CDs balance checked daily against the physical balance in the cabinet and safe, by a registered nurse/midwife with a witness and documented in the register. Expired, unusable or unwanted CDs, pending destruction, are included in the routine stock checks.
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| Reporting and investigating |
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