Pharmacy-security-measures

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This page is a free sample showing what a hospital policy should look like. It can work at your place, you might need to modify it a little. The hospital here is HOSPITAL X. You might need to change that to your own institution name.

HOSPITAL X

PHARMACY DEPARTMENT POLICY AND PROCEDURES

Code / Policy No:

OPP/-

Edition No:

3

Title: 

PHARMACY SECURITY MEASURES

Replaces:

OPP-PHARM-00

Date reviewed:

Feb 2020

Approved date:

Feb 2020

Effective date:

Feb 2020

Due for review:

Feb 2022

Applies to:

PHARMACY DEPARTMENT

Nature:

DEPARTMENT SPECIFIC

PHARMACY SECURITY MEASURES

Policy definition

This policy describes the security measures applied to all HOSPITAL X pharmacies.

Policy purpose

To insure that pharmacy is operating under strict security measures.

Policy

  • Limited access to outpatient/inpatient pharmacies and security measures are in place.
  • Identification of whom OPD pharmacy staff has keys to OPD pharmacy.
  • Narcotic and controlled room‘s key is restricted to narcotic and controlled in-charge.

PROCEDURE & RESPONSIBILITIES

Procedure

Responsible Person/s

  • Not more than two (2) keys shall be available in outpatient pharmacy.
  • The outpatient pharmacy supervisor and the senior pharmacy clerk are the only pharmacy staff shall have the key.
  • The outpatient pharmacy shall be opened by the pharmacist supervisor or his/her designee.
  • The outpatient pharmacy shall be closed by the pharmacy senior clerk or his/her designee.
  • In case of emergency may happened in outpatient pharmacy out of duty hours, a copy of outpatient pharmacy keys will be available in inpatient pharmacy, safety staff, security man and pharmacist on duty (if possible) will be able to take the key and open the pharmacy to do the necessary action and they should return back the keys directly after solving the problem.
  • A form of (receiving the keys during emergency) will be filled by concern people.Inpatient pharmacies are opened 24 hours and the access shall be limited only to authorized personnel.
  • All medications that transferred from pharmacy to (unit/ward) or vice versa, should be only through locked medication trolleys or/and closed medication boxes.
  • For narcotics and controlled room one key is available with the narcotic & controlled in-charge and another backup kept with pharmacy supervisor.
  • Narcotics & controlled medications are stored in secured steel lockers inside a room with double door as per legal regulations.
  • All wards/units that have medications floor stock should be kept in locked cabinet inside secured medication room, narcotic and controlled medications should kept in a duple door cabinet, crash cart must kept locked.
  • Inventory for HOSPITAL X pharmacies for their stocks (medicines, paramedical items, cosmetics) is done annually and whenever it is necessary.

Outpatient pharmacy supervisor and senior pharmacy clerk

policy DISTRIBUTION:

CEO & Medical Director
Pharmacy Board
Quality Management Department
Signed original is maintained in Manual & Indexing Office

Recommended

inpatient Pharmacy Supervisor

outpatient Pharmacy Supervisor
HOSPITAL X

Approved

Chief Executive Officer (CEO)
HOSPITAL X


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