Standard Operating Procedure for the Ordering, Receipt ...



NHS GRAMPIAN

STANDARD OPERATING PROCEDURE

Template

|Pharmacy Medicines Unit |Supplying Insulin and Associated Devices |

| |SOP No. | |Version |

| |Superceded Version No & Date | |

| |Author |Liz Kemp |Approved by | |

|Revision Chronology |

|Version No |Effective Date |Reason for Change |

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1. PURPOSE

The purpose of this SOP is to ensure that all staff understand and follow the process for the supply of insulin and associated equipment and that it is carried out in a safe, efficient way

2. SCOPE

The SOP is for all members of staff and covers the supply of insulin and associated injecting equipment in community pharmacy. It covers receipt of prescription, pharmaceutical assessment, assembly and labelling, accuracy checking and transfer to patient

3. RESPONSIBLE PERSON

4. PROCEDURE

This information is a suggested format only and you should adapt and expand in line with your own processes and staff training

1. Prescription receipt

a. Check that all details on the prescription are correct (patient name, date of birth, GP practice date, etc)

b. Check if the patient has had the insulin products before (they may have a medication chart or patient passport(England & Wales))

c. Ask if the patient has had a diabetes review recently which resulted in change or adjustment of insulin

2. Pharmaceutical Assessment

a. Check the patient’s PMR for confirmation or change of brand/dose/frequency/injection device

b. Check for changes to/introduction of other medication which might have an impact on insulin dose

c. Check with GP surgery if there are discrepancies and record outcomes

d. Record any changes in the PMR /PCR

3. Selection, Assembly & Labelling

a. Select the correct insulin(s) and injecting products as required being aware that many insulin product names sound and look very similar

b. Check the strength (most insulin products prescribed in the UK have a strength of 100 units/1ml however there are some at 500units/1ml)

c. Label according to the prescribers instructions

d. Ensure injecting equipment is compatible with the insulin provided and where possible consider different colours for different products

e. Always label with the full word Unit and be aware that U should not be used as an abbreviation for units as it can sometimes be read as O and result in a 10x overdose of insulin. Confirm the correct types of insulin and compatible injecting equipment have been labelled

4. Final check

a. Final check should be done by a different member of staff from the one that assembled and labelled the item, or where this is not possible, the pharmacist should take steps to ensure a ‘mental break’ between dispensing and checking.

b. Check that the correct label is on the correct insulin product (transposed labels are a common drug error)

c. Once final checked ensure products are stored appropriately until supplied to the patient (fridge) (see sop for ensuring fridge items are supplied at the same time as other medicines)

5. Supply to patient

a. Check that the correct medication is being given to the correct patient

b. Check if the patient has any questions about their insulin

c. Check that the patient knows the correct dose/frequency of their insulin and how to use the injecting equipment to administer it

d. Check that the patient understands about when to check their blood glucose and what the results mean

e. Check that the patient knows and understands the storage instructions for their insulin

f. Where it is not the patient themselves collecting the prescription, ask them to ensure they check when they deliver the medication to the patient

g. Where a patient has a medication chart or insulin passport, update it according to the supplies made

6. In addition when and wherever necessary

a. Counsel the patient on signs and symptoms of hypo/hyperglycaemia and what should be done if they experience them

b. Counsel the patient on the need to consult a pharmacist or GP if they require other medicines to ensure there is no interaction

c. Counsel the patient on lifestyle, weight management and smoking cessation help available

d. Where supply is made via a care home or to care staff, ensure that the staff know and understand all of the above on behalf of the patient

5. REFERENCE GUIDES/SOPS

6. APPENDICES

7. AUTHORS

Liz Kemp

8. CONTACT LIST

Training record of Insulin Supply SOP

All staff should read the SOP and any associated training materials provided. They should record the date they completed the process and should have the record and their understanding checked as required.

|Name of staff member |Date SOP read |Checked by supervisor/manager(name/date) |

|EXAMPLE: Joe Bloggs |30/09/2016 |Betty Boo/ 1/10/16 |

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