The practice dispensary

image of The practice dispensary
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All veterinary practices that dispense veterinary drugs and medicinal products need an area where drugs are stored and prescriptions dispensed. This chapter examines legislation and regulation, dispensary design, stock control, dispensing medicines, health and safety considerations, and waste disposal.

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15.1 A clean and tidy dispensary will reduce the risk of dispensing errors.
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15.3 Example of the content required for a prescription notice.
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15.8 Staff should be made aware of the online reporting system for adverse reactions to veterinary medicines.
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15.11 The Controlled Drugs cupboard should be securely fixed to the wall and large enough to store the entire CD stock.
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15.13 A dispensary running behind consulting rooms is very convenient, though it can be an extremely busy area. Note the stock trolleys stowed under the bench on the left and bulk orders stored visibly on top shelves. Safe steps are required to access these.
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15.14 A label printer should be available within the dispensary.
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15.15 Angled shelves that pull out make stock rotation easier.
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15.16 A pharmacy fridge with the temperature clearly shown on the outside is helpful for monitoring drug storage. These fridges also have a built-in alarm should the temperature go outside the pre-set range.
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15.17 This electronic thermometer is showing the ambient temperature in the dispensary and in the refrigerator (via a wireless remote probe). The unit will hold maximum and minimum temperature recordings for up to four areas, and the clear display is easy to read.
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15.18 Data loggers can be convenient to use but should be downloaded regularly and have an audible or visible alarm to indicate temperatures out of the desired range.
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15.19 Multi-use injectables should be marked with the date of broaching and must be discarded according to data sheet recommendations. Small labels attached to bottles on arrival can help remind staff to comply. Adhesive labels can be useful for labelling syringes into which medicines have been dispensed for use within the practice.
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15.20 In this simple stock ordering system, the small scanner reads the pre-prepared barcodes and the operator clicks the number of items needed to get the stock level up to the maximum level indicated. The order is then downloaded on to the PMS.
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15.21 A flatbed trolley that orders can be delivered on to is ideal and helps with moving stock to its destination. Checking off each item in the drug delivery against the delivery note or invoice is an important part of accurate stock control. Where space is limited, care should be taken that incoming orders do not block passageways and circulation areas. Smaller drug items are usually delivered in re-usable plastic crates.
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15.23 Repeat medicines awaiting collection. Staff must ensure that clients understand how to use the dispensed medicines.
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15.25 SOPs can be kept in a folder in the dispensary, ready for use.
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15.26 Handling cytotoxic drugs. Special equipment and suitable protective clothing, gowns, aprons, gloves and eye protection must be available. A clear sign on the procedure room door, warning other staff of chemotherapy in progress, is helpful to reduce risk from interruptions. Spillage kits must be available.
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15.27 A denaturing kit used for Controlled Drugs.


Example of an SOP

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