1. Electronic CD Register Garry McCrea Senior Pharmacist Patient Services Gloucestershire Royal Hospital

6. 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

9. 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

13. Stock Balance reconciled Ward requisitions

14. Discharge Prescription (TTO)

15. Discharge Prescription Cont.

16. A Patient xxxxx B Patient xxxx C Patient yyyyy D Patient zzzz E Patient wwyy List of CD’s awaiting collection

17. Collection of Controlled Drugs – cont. A Patientxxxxx

18. CD Registers Part of the Pharmacy system Saved and backed up along with all Pharmacy data Printable Not changeable

19. Item DetailsMORPHINE SULPHATEINJECTION 10mg in 1ml LocationSU Unit of Issue1 AMP OF 1ML (ex 10) DateTimeTransactionPerson or department suppliedAuthority of personIssueSuppliedBalanceQtyNewReferenceStock TypeName| Addresssupplied to be inPointby Balance Possession Checked 01-Sep-1012:30WARD ISSUEA ARAMANAESTHETICS, THEATRERGN SERIAL NO 097THANATLH310-1030001SEP661Yes 01-Sep-1012:44WARD ISSUEE PHELPSGRH DAY SURGICAL UNITRGN SERIAL NO 021DSUSTLH300-2028001SEP738Yes STOCK 02-Sep-1011:57WARD ISSUETINA VALEANAESTHETICS, THEATRERGN NO 100THANALM280-1027002SEP914Yes 02-Sep-1012:48WARD ISSUEK EAKERSANAESTHETICS, THEATRERGN NO19THANALM270-2025002SEP433Yes 02-Sep-1014:18WARD ISSUES FODERACCIDENT & EMERGENCYRGN NO56AUSLM250-1024002SEP221Yes STOCK 02-Sep-1014:56WARD ISSUEL HAUGHTONANAESTHETICS, THEATRERGN SERIAL NO 70THANATW240-2022002SEP662Yes 02-Sep-1015:57WARD ISSUEJ ABRAHAMWARD 7A (MEDICAL:-RGN SERIAL NO 0407ATW220-1021002SEP293Yes GASTRO/ENDOCRINE) 03-Sep-1009:50PURCHASE Pharmacy Staff: HAM EGAND 2108001010OrdNo11938 Yes 03-Sep-1011:32WARD ISSUES LEACHACCIDENT & EMERGENCYRGN NO57AUSLM1010-10100003SEP300Yes STOCK

20. 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??

21. 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.