1. Both practitioners check Ward Controlled Drug Record Book to reconcile stock balance of prescribed medicine against amount in the controlled drug cupboard prior to patient entering the room.
2. HCSW (or appropriate other i.e. student nurse or registered nurse) to escort patient to the treatment room as delegated by the registered nurses.
3. Ensure the environment where administration is to take place is clean, tidy and free from interruptions.
4. Confirm the identity of patient following process described in the Policy & Procedures for the Safe Identification of Patients
5. Confirm the patient’s allergy status
6. Both practitioners must accurately confirm the Controlled Drug(s) to be administered to patient from the HEPMA system.
7. Unlock and open drug cupboard and controlled drug cupboard door.
8. Both practitioners check the prescription medicine label i.e. medicine name, form, dose and expiry date.
9. Dispense medicine into appropriate receptacle.
10. Ensure both the witness and the administrator witness the patient ingesting the prescribed medicine.
11. Offer water as required.
12. Ensure Ward Controlled Drug Record Book is updated and signed immediately according to who administered and who witnessed the administration.
13. The administrating practitioner then makes a HEPMA system entry to confirm administration of prescribed medicine.
14. If prescribed medicine refused or not given for any reason this must be documented on recording sheet and the responsible doctor informed, if necessary.
15. Ensure area is left clean and tidy.