Electronic CD Register Garry McCrea Senior Pharmacist Patient Services Gloucestershire Royal Hospital
Dec 16, 2015
Electronic CD RegisterGarry McCrea
Senior Pharmacist Patient ServicesGloucestershire Royal Hospital
Drivers Toward using an e-Register
• Personal experience of time taken to fill out the registers
• 2 processes for receiving CD’s into stock– Receipting good in against order– Writing 2 entries per item into CD Register
• 2 processes for dispensing– Booking out of computer– Booking out of register
• Changes to legislation
Requirements for e-CD Register
• Attributable– All computer access/issues using personal log-ins– All transactions are attributable to who is logged
in– Only those authorised can receive or issue CD on
the computer– Stock Balances adjustments limited by password
• Auditable– All transactions are recorded in the register
Stock Balance reconciled
Ward requisitions
Discharge Prescription (TTO)
Discharge Prescription Cont.
A Patient xxxxx
B Patient xxxx
C Patient yyyyy
D Patient zzzz
E Patient wwyy
List of CD’s awaiting collection
Collection of Controlled Drugs – cont.
A Patient xxxxx
CD Registers
• Part of the Pharmacy system• Saved and backed up along with all Pharmacy
data• Printable • Not changeable
Item Details
MORPHINE SULPHATE
INJECTION 10mg in 1ml
Location SU
Unit of Issue
1 AMP OF 1ML (ex 10)
Date Time Transaction Person or department supplied Authority of person Issue Supplied Balance Qty New Reference Stock
Type Name | Address supplied to be in Point by Balance Balance
Possession Checked
01-Sep-10 12:30 WARD ISSUE A ARAM ANAESTHETICS, THEATRE RGN SERIAL NO 097 THANA TLH 310 -10 300 01SEP661 Yes
01-Sep-10 12:44 WARD ISSUE E PHELPS GRH DAY SURGICAL UNIT RGN SERIAL NO 021 DSUS TLH 300 -20 280 01SEP738 Yes
STOCK
02-Sep-10 11:57 WARD ISSUE TINA VALE ANAESTHETICS, THEATRE RGN NO 100 THANA LM 280 -10 270 02SEP914 Yes
02-Sep-10 12:48 WARD ISSUE K EAKERS ANAESTHETICS, THEATRE RGN NO19 THANA LM 270 -20 250 02SEP433 Yes
02-Sep-10 14:18 WARD ISSUE S FODER ACCIDENT & EMERGENCY RGN NO56 AUS LM 250 -10 240 02SEP221 Yes
STOCK
02-Sep-10 14:56 WARD ISSUE L HAUGHTON ANAESTHETICS, THEATRE RGN SERIAL NO 70 THANA TW 240 -20 220 02SEP662 Yes
02-Sep-10 15:57 WARD ISSUE J ABRAHAM WARD 7A (MEDICAL:-RGN SERIAL NO
040 7A TW 220 -10 210 02SEP293 Yes
GASTRO/ENDOCRINE)
03-Sep-10 09:50 PURCHASE Pharmacy Staff: HAM
EGAND 210 800 1010 OrdNo11938 Yes
03-Sep-10 11:32 WARD ISSUE S LEACH ACCIDENT & EMERGENCY RGN NO57 AUS LM 1010 -10 1000 03SEP300 Yes
STOCK
Advantages
• Readable• Space saver• Time saver
– Takes 52 second on average per item issued– 808 issue in Aug11 = 11.7hrs for issues– Receipting drug, 79 items @ 90 secs = 2hrs
• 13.7hrs a month
• Using Robot to store CD’s??
Disadvantages
• To easy to ctrl K to mark that you have checked stock balance when you haven’t!!
• Feeling of loss of control when you didn’t have a big record book.
• Conclusion–Well worth it.