< April 2019

Local hospitals - guidance on medications when patients are admitted

The Pharmacy Department at the Norfolk and Norwich University Hospital Trust (NNUH), the James Paget University Hospital (JPUH), and the Queen Elizabeth Hospital King’s Lynn (QEH) would like to clarify the requirements around medicines when patients are admitted to hospital.

This is to ensure that all necessary information regarding a patient’s current drug therapy is available to the hospital, that patients are prescribed and receive their usual medication where suitable and to help avoid wastage of medicines.

Patients admitted to hospitals from care homes often have their medications dispensed in to Multidose Systems (MDS) otherwise known as blister packs, dossette boxes, compliance aids etc. Hospital policy is that ward staff should not administer medications from these as it may be difficult to identify individual medications.

To reduce wastage, all oral medications (tablets/ capsules and liquids) should remain at the care home as they may be reused once the patient is discharged depending on the changes made to medication in hospital. This includes any medication in MDS as described above.

For the purposes of medicines reconciliation, a copy of the current Medicines Administration Record (MAR) chart and a copy of the current repeat prescription MUST be sent in to hospital with the patient.

Non oral medications such as inhalers, eye drops, creams and sprays or those that require administration without delay such as insulin should also be sent in to hospital with the patient.

A full explanatory letter and flow chart from the hospitals is available at the following links:

NNUH / JPUH: https://www.southnorfolkccg.nhs.uk/sites/default/files/NNUH and JPUH info for ambulance 2016.pdf

QEH: https://www.southnorfolkccg.nhs.uk/sites/default/files/WNCCG QEH statement to EEAST re. medicines on admission.pdf

 

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