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

Product Information

Schedule 2 includes diamorphine (heroin), morphine and pethidine. All schedule 2 CDs are subject to the full controlled drug requirements relating to prescriptions and safe custody and the need to keep registers. 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. There are no rules about which members of staff can hold controlled drugs keys in a care home. Providers should carry out a risk assessment to decide this. This should also be included in your controlled drugs policy. If people bring in food grade cannabis products for their own (or a relative's) use, the service must do its own risk assessment. Supply of medicines for end of life care

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. 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. a person legally authorised to witness the destruction of CDs such as a Police CD Liaison Officer (CDLO)NB: This book replaces the old CDBKN and CDBKB models – It is identical to the CDBKB however the difference between this and the CDBKN is that the ‘Proof of signature column’ is now a time column therefore making this column more applicable to the majority of our customers. It is recognised that sometimes a locum may need to have access to the key if they are in sole charge. A key holder who is not a veterinary surgeon should only remove CDs from the cabinet and/or return them to the cabinet on the specific authority of a veterinary surgeon. While the task itself can be delegated, the legal and professional responsibility will remain with the veterinary surgeon. Inspectors from the VMD or Royal College of Veterinary Surgeons (RCVS) who inspect veterinary premises are aware that some wastage will be unavoidable even after all steps are taken to minimise this. The recording of small discrepancies that can be explained by wastage due to dead space is not considered a breach of the legislation; provided that inspectors are satisfied appropriate measures are in place to comply with the requirements of the Misuse of Drugs Regulations. Example CD register You do not need to record schedule 3 drugs in the controlled drugs register. However, you must store certain Schedule 3 drugs in the controlled drugs cupboard. This includes, for example, buprenorphine and temazepam. The CDR must also record the following information for all Schedule 2 CDs supplied (including by way of administration):

Schedule 4 CDs are divided into 2 parts. Part 1 contains most of the benzodiazepines and Part 2 contains the anabolic and androgenic steroids. There are no additional special controls for Schedule 4 CDs. A separate record book should be maintained for the CDs held within the bag and the GP is responsible for the receipt and supply of CDs from their bag. Drugs in certain schedules must be stored in accordance with the Misuse of Drugs Safe Custody Regulations 1973. In practice, the requirements set out in the SCRs 1973 are regarded as an absolute minimum standard for all controlled drugs, regardless of quantity or schedule. This determines how drugs should be stored in base safes, and, where storage on a team vehicle is appropriate, in vehicle safes.Licensees have several obligations which they must comply with as conditions of their licence. These relate to various elements of the CD handling process and every team member should be aware of and understand these obligations. 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 Single prescriptions with multiple dispenses (i.e., repeat prescriptions) are not allowed for CDs in Schedules 2 and 3, however an instalment prescription can be used if required (see below). the use of a separate, larger bore needle to withdraw the product from the vial before changing to a smaller needle to administer the product

There is no legal requirement to have the disposal of waste product witnessed.The VMD advises that any medicine left over of an unusable quantity is considered waste. Medicine is also considered ‘waste’ if it has been prepared for administration but not actually used. Frequency of destruction If there are concerns that a veterinary surgeon or veterinary nurse is involved in suspected theft, consideration should be given about whether or not to report it to the police.

Holding stocks of controlled drugs

An incident can be reported anonymously. We will work together to determine whether anything more could or should reasonably be done and share any learning through the medical subcommittee. Please do not withhold information - a learning point in one team may be a lifesaver for another. Annual return