Has anyone done any SOP work on this scenario please? I have asked the Society for legal advice, but would welcome any comments on experience of this as well:
On admission to a care home from hospital, if a patient arrives with no TTOs or just a few, there are delays while transcribing or prescribing occurs and medication is delivered from a pharmacy. In such cases if a relative brings in medication purporting to be what the patient had prior to hospital admission, but this medication is not in the original container, and no label is attached, care home staff will refuse to use it and advise the relative to take it home. If this medication is allegedly a controlled drug, and the relative insists on leaving it in the home, the following questions apply:
1) Should this drug be stored in the CD cabinet?
2) Should an entry be made in the CD Register?
3) Should the drug be destroyed according to the home SOP for CD Destruction, along with prescribed CDs excess to requirement?
4) Should the drug be returned to the patient on discharge from the home?
5) Should a significant event form be completed if the reason for no labelling on the controlled drug is because the pharmacy labelled a carton of e.g. Oramorph 10mg/5ml, but did not label the actual bottle as well?