P. 1
DDA

DDA

|Views: 1,587|Likes:
Published by Sapiah Raman

More info:

Published by: Sapiah Raman on Jan 04, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PPTX, PDF, TXT or read online from Scribd
See more
See less

01/03/2016

pdf

text

original

1 1

Care of the controlled Care of the controlled
substances substances

earning Outcome earning Outcome
Define controlled substance and the Define controlled substance and the
Dangerous Drug Act Dangerous Drug Act
Explain the responsibility of the nurse in Explain the responsibility of the nurse in
handling and administration of DD handling and administration of DD

!oison !oison
Substance which on ingestion, Substance which on ingestion,
inhalation, absorption, application, inhalation, absorption, application,
injection or development within the injection or development within the
body, relatively small amount, may body, relatively small amount, may
cause structural damage or functional cause structural damage or functional
disturbance disturbance
ecomes poisonous to the body if not ecomes poisonous to the body if not
given according to the prescription given according to the prescription

Drug Drug
Any substance that when taken into living Any substance that when taken into living
organism may modify one or more of its organism may modify one or more of its
function function
All dangerous drugs are categorized as All dangerous drugs are categorized as
poison but not all poisons are dangerous poison but not all poisons are dangerous
drug drug

Controlled substances Controlled substances
Ìncludes opium and its active Ìncludes opium and its active
components and derivatives, such as components and derivatives, such as
heroin and morphine; coca leaf and its heroin and morphine; coca leaf and its
derivatives, principally cocaine; derivatives, principally cocaine;
hallucinogenic drugs, lysergic acid hallucinogenic drugs, lysergic acid
diethylamide (SD) and other diethylamide (SD) and other
substances producing similar effects; substances producing similar effects;
whether natural or synthetic, with the whether natural or synthetic, with the
physiological effects of a narcotic drug. physiological effects of a narcotic drug.

Controlled substances Controlled substances
These drugs must be safeguarded from an These drugs must be safeguarded from an
unauthorized person. unauthorized person.
Delivered to nursing units in stock supply Delivered to nursing units in stock supply
Nurses are responsible for an accurate Nurses are responsible for an accurate
accounting of their use accounting of their use

Two ordinance that control Two ordinance that control
!oisons and Dangerous !oisons and Dangerous
Drugs Drugs
1. !oison Ordinance 19 1. !oison Ordinance 19
. Dangerous Drug Act 19 . Dangerous Drug Act 19

!oison Ordinance !oison Ordinance
aw that controls all types of drugs aw that controls all types of drugs
for internal and external use for internal and external use
9 9
Dangerous Drug Act 19 Dangerous Drug Act 19
An Act to make further and better An Act to make further and better
provision for the provision for the regulating regulating of of importation importation, ,
exportation, manufacture, sale, exportation, manufacture, sale, and and use use of of
opium and of certain other dangerous opium and of certain other dangerous
drugs and substances to make special drugs and substances to make special
provision relating to the jurisdiction of provision relating to the jurisdiction of
courts in respect of offences thereunder courts in respect of offences thereunder
and their trial, and the purposes connected and their trial, and the purposes connected
therewith. therewith.
10 10
Dangerous Drug Act (DDA) Dangerous Drug Act (DDA)
Ordinance that controls any abuse and Ordinance that controls any abuse and
selling of drugs, which may caused selling of drugs, which may caused
addiction addiction
Control the distribution and use of all Control the distribution and use of all
depressant and stimulant drugs of abuse depressant and stimulant drugs of abuse
or potential abuse or potential abuse
11 11
MOH has the authority to control MOH has the authority to control
poisonous drugs or dangerous drugs poisonous drugs or dangerous drugs
from the following aspects: from the following aspects:
1. 1. Manufacture Manufacture
. . Supply Supply
. . Distribution Distribution
. . Dispensing Dispensing
. Storage . Storage
. Sale . Sale
1 1
Methadone Methadone
Cocaine Cocaine
Cannabis Cannabis
Medications listed under Medications listed under
controlled substances controlled substances
Opium Opium
Morphine Morphine
Heroin Heroin
!ethidine !ethidine
1 1
Handling controlled substances Handling controlled substances
1. 1. To provide a To provide a controlled controlled method for method for
acquisition acquisition and and dispensing dispensing of of
controlled substances controlled substances
1 1
Handling controlled substances Handling controlled substances
. To maintain appropriate proof of use . To maintain appropriate proof of use
documentation documentation in a in a retrievable retrievable manner. manner.
1 1
Handling controlled substances Handling controlled substances
. To maintain a high level of . To maintain a high level of security security in the in the
storage storage of controlled substances of controlled substances
1 1
#ecap #ecap
1 1
Nursing Nursing
responsibilities in responsibilities in
handling controlled handling controlled
substances substances
1 1
Storage of controlled Storage of controlled
substances substances
Dispensed to the ward using the stock Dispensed to the ward using the stock
supply or floor stock. supply or floor stock.
Controlled substances must be stored Controlled substances must be stored
under a under a double lock system double lock system. .
19 19
The nurse in The nurse in- -charge of medication during charge of medication during
the shift is responsible to keep the key and the shift is responsible to keep the key and
to hand over the key to the next nurse on to hand over the key to the next nurse on
duty at the end of her shift duty at the end of her shift
The nurse on duty must ensure that the The nurse on duty must ensure that the
cupboard cupboard is is locked at all times locked at all times
Storage of controlled Storage of controlled
substances substances
0 0
The nurse must The nurse must check check narcotic supplies narcotic supplies
at the at the change of shifts change of shifts
The nurse completing the shift does The nurse completing the shift does
the narcotic count with the nurse the narcotic count with the nurse
beginning the next shift beginning the next shift
oth nurses sign the book oth nurses sign the book to to
indicate that the count is correct. indicate that the count is correct.
Documentation of controlled Documentation of controlled
substances substances
1 1
A special inventory record is used each A special inventory record is used each
time a narcotic is dispensed and provides time a narcotic is dispensed and provides
an accurate ongoing count of drugs used an accurate ongoing count of drugs used
and remaining. and remaining.
Documentation of controlled Documentation of controlled
substances substances

Documentation of controlled Documentation of controlled
substances substances
All usage of controlled substances will be All usage of controlled substances will be
documented appropriately on the documented appropriately on the
controlled substances documentation controlled substances documentation
sheet or Dangerous Drug Act book (DDA sheet or Dangerous Drug Act book (DDA
ook) ook)

Documentation of controlled Documentation of controlled
substances substances
DDA book consists of these following DDA book consists of these following
information: information:
1. Date 1. Date
. Name of client and #N number . Name of client and #N number
. Name of Dr ordering the controlled . Name of Dr ordering the controlled
substances substances

Documentation of controlled Documentation of controlled
substances substances
. Signature of the nurse administering . Signature of the nurse administering
medication medication
. Name of drug dosage form . Name of drug dosage form
. Amount given . Amount given
. alance on hand . alance on hand

Ìnaccurate count? Ìnaccurate count?
#eport immediately #eport immediately
#emain on duty and search for missing #emain on duty and search for missing
narcotics. narcotics.
Sign list as incorrect Sign list as incorrect
Fill out incident report and sign with one Fill out incident report and sign with one
witness witness

Documentation of controlled Documentation of controlled
substances substances
These special precautions are used to These special precautions are used to
help control drug abuse help control drug abuse
Drug abuse: inappropriate intake of a Drug abuse: inappropriate intake of a
substance either periodically or substance either periodically or
continually. continually.

Documentation of controlled Documentation of controlled
substances substances
Ìf only one part of pre Ìf only one part of pre- -measured dose of measured dose of
drug is given, a second nurse drug is given, a second nurse itnesses itnesses
disposal of the unused portion disposal of the unused portion and and
documents documents such on the DDA book such on the DDA book

Documentation of controlled Documentation of controlled
substances substances
Ìn the event of Ìn the event of astage astage or or breakage breakage of of
controlled substances, it must be controlled substances, it must be
documented documented in the DDA book. in the DDA book.
9 9
The nurse must state: The nurse must state:
1. The date of event 1. The date of event
. #eason for waste eg accidentally broken, . #eason for waste eg accidentally broken,
expired or return to pharmacy expired or return to pharmacy
. Amount wasted . Amount wasted
. Signature of the nurse wasting controlled . Signature of the nurse wasting controlled
substances substances
. Signature of witness . Signature of witness
Documentation of controlled Documentation of controlled
substances substances
0 0
Example of a page from the DD Example of a page from the DD
ook ook
Name of Substance and Dosage: Name of Substance and Dosage:
Date Date
and and
time time
Client' Client'
s s
Name Name
M#N M#N Name Name
of of
Doctor Doctor
Dose Dose
Order Order
ed ed
alan alan
ce ce
Given Given
by by
Witne Witne
ss ss
#emar #emar
ks ks
1 1
Questions? Questions?
1. Define controlled substance and
dangerous drugs act
. Explain the responsibility of the
nurse in handling and
administration of DD

End of Session End of Session

0,733 :9.420 
0130.439740/8:-89,3.0,3/90 ,3074:87:.9 5,3907085438-941903:7803 ,3/3,3/,/23897,94341 

!4843
$:-89,3.0.43308943  3,,943 ,-8475943 ,55.,943  30.94347/0;04520399390 -4/ 70,9;082,,24:39 2, .,:80897:.9:7,/,2,0471:3.943, /89:7-,3.0 0.4208548434:89490-4/1349 ;03,..47/394905708.75943 

3822.7: 38:-89.548438.70.8 54843-:9349.943 /.03394.90470/.3074:8 /7:  .09.3 47.9039.70/.3.3074:8/7:8..24/14304724704198 1:3.

1.9.70110.49./ /09.439740/8:-89.9...0 ..98 09073..2/0 $ .4.425430398..9841..9.8 0743.4783909.:/0845:2.3/4907 8:-89..3/98 /07../7:  .3/98.5./7:8 807.3403..:.9:7.3/247530.3.0110.3//07.08 3..3.08 573.30 .382.7.4.08574/:. 990 5844.3.08 8:.0.

3 :3..439740/8:-89.8:55 :7808.08 %080/7:82:89-08.3...7/0/1742..:9470/507843  0.90 .:7.3.070/943:783:3983894.10:.707085438-0147.4:39341907:80  .

9.3.9  .3.3074:87:.3074:8 7:8  !4843 7/3.0  .%447/3.43974 !48438.09.3/.

0 .9.:80  .!4843 7/3.439748.3.9.3/09073..950841/7:8 14739073.

3074:87:.3/905:754808.93 4125479.4330.34907/.8431479070:.9 3.3.84370.3074:8 /7:8.0850.93 4125479.079.943  05479.3/-09907 574.01:7907.089070:3/07 .8431479070:.94141103..3/:8041 .939490:78/.3/:8041 45:2.08942.9942..90/ 90709  .3/41.4:798370850.9:70 8.94341 .943 2.3:1..3/90797. .0 . 574.943 574.3/8:-89.

-:80 47549039.09.3. /057088.9..-:80.39/7:841..3/ 80341/7:8 .943 4397490/897-:943.2.9  7/3.439748...//.39.3/:8041.3/892:.:80/ .3.3074:87:.-:80  .

:947994..0  $.43974 548434:8/7:847/.98  .850.890. .9:70  $:55  897-:943  850383  $947.0  .3074:8/7:8 1742901443.3:1.

439740/8:-89.33.9438890/:3/07 .08 5:2 47530 0743 !09/30 09...3.-8  ./430 4.0/.30 .

08  .3.439740/8:-89.3...3//850383 .439740/ 2094/147 %4574..439740/ .3/3.6:8943 .08  %4574.439740/8:-89..3//850383 41 ./0./0.

70970..-0  .3.3307 3.439740/8:-89.557457.3/3..:2039.905744141:80 /4.08  %42..3.-0 2.39.70970.943 3.

3.39..439740/8:-89.:79390 8947.3/3.0.0.439740/8:-89.3.04180.3.0 41.3.:79390  %42.39.08  .04180.08  %42.

.#0.5  .

:783 7085438-9083 .3/3.3.439740/ 8:-89.08  .

041.08 850380/9490./4:-04.88902   .$947.082:89-089470/ :3/07.3.7/:8390894.88902  :3/07. 439740/8:-89.3. 8:55471447894./4:-04.439740/ 8:-89.

.$947.3.704120/.9208 84.943/:73 9081987085438-094005900.439740/ 8:-89.9.990 .0/.:5-4..3/4.08 %03:7803 %03:7803 .99003/4107819 %03:78043/:92:89038:709.9.9208  .041.0790094903093:78043 /:9.7/ 84.0/.3/ 94.

42509390819/408 903.990.4770.4.:2039.7.8:5508 .08 %03:7802:89.7.439740/ 8:-89.49.94341.30418198 %03:780.49.4:399903:780 -033390309819 493:78088390-44 94 3/.909.990.30418198 .4:398...0..0. %03:7802:89.3..990.9  . 3.

94341.3. 920.:7.4:3941/7:8:80/ .:2039.904343.33  ...0394770.7.3/574./08 .08 850.3.4.3..3.3/702.439740/ 8:-89.49..47/8:80/0.8/850380/.

4.3074:87:.:2039.3.904390 .041.3.08-0 /4.439740/ 8:-89.557457.94341.439740/8:-89.08 :8.:2039.943 800947.9-44  44  .08/4.439740/8:-89.3.:20390/.

3.439740/ 8:-89.2041.039.943  .2041747/07390.439740/ 8:-89.4388984190801443 31472.4.08 -44.3.94341.:2039.90  .3/#3:2-07  .08  .

08  $3.3..9:7041903:780./2389073 20/.01472  24:39.03  ..2041/7:/48.3/  .439740/ 8:-89.:2039.94341.3.043.4.943  .

49.9 4:93..1472883 3./039705479.3/80.90 #02.7.4770.343/:9.4:39 #05479220/.8  $389.3/839430 93088  .3.:7..83.7.90.

3.94341..70:80/94 05.-:80 7:.3.:9438.9039.43974/7:.-:803.47 .  .570.08 %080850.4. 8:-89...439740/ 8:-89.009075074/.:2039.557457.041.4393:.

80.:2039.4390-44  .3/ /4.43/3:7809308808 /8548.8:70//48041 /7:8.439740/ 8:-89.:20398 8:.80.08 1434305.43/3:7809308808 .4190:3:80/547943 .7941570 20.94341.4.03 .3.7941570 1434305.

.3.03941.4.08 3900..03941.89.94341.439740/ 8:-89.0 41 .:2039.08 92:89-0 /4.0 3900.3.0 47-70.0 47-70.89.439740/8:-89.:20390/ 390-44  .

.439740/ 8:-89.90  %0/./039.72.890/  $3.94341.90410.439740/ 8:-89..-7403  0570/47709:73945.843147.9:7041903:780.9:704193088  .08 %03:7802:8989.039  #0.8900.  24:39.08  $3.:2039..3.4.3.893.

03 930 - 88 #02.90 .25041.20 480 41 7/07 4.947 0/ .0 .0174290 44 .0 .20 # .3.5..3 .2041$:-89.7 8  ..3/ 920 039 8 .0.3/48.

3.":089438  0130.9  5.0..3/ .3/ /.3/3./23897.94341  .3907085438-94190 3:7803.439740/8:-89.3074:8/7:8.

3/41$08843  .

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->