AFAMS EO 009.02 Managing Unserviceable Medications (Dari)
01/09/2013
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AFAMS Importance of Lesson (Dari) As previously discussed,
unserviceable medications like expired medications can have
negative impacts on patient care. Especially, for Intravenous
medications unserviceable medications, in addition to loss of
potency, can harm the patient and even cause death. This lesson
will review how to detect, handle and account for unserviceable
medications. AFAMS Insert Dari
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AFAMS Overview EO 009.02 (Dari) Identifying unserviceable
medications Segregating unserviceable medications Accounting and
disposal Lesson Review Quiz AFAMS Insert Dari
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AFAMS Defining Unserviceability Dari Pharmaceuticals that are
deemed to be: of poor quality require refrigeration but did not
have proper cold chain management and were exposed to temperatures
outside of specified parameters required to be frozen but thawed
and cant be used according to the manufactures recommendation,
and/or items directed by the proper authority to be destroyed (MMQC
message) Remember: that the stability of a medication is based on
its storage conditions. the expiry date is based on the stability
of the medication while being stored under the manufacturers
recommended conditions. AFAMS. ) ( ) ( . NHS
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AFAMS Stability Review Dari Stability of a pharmaceutical
product is defined by USP-NF as the: extent to which a product
retains, within specified limits and throughout its period of
storage and its use (i.e., its shelf life), the same properties and
characteristics that it possessed at the time of manufacture. Five
types of stability: chemical, physical, microbiological,
therapeutic and toxicological. Stability is based on the medication
being stored under the manufacturers recommended conditions.
Pharmacy Tech News
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AFAMS Stability Review Dari Chemical stability: the chemical
structure of the active ingredient remains intact and that the
potency is acceptable. (retains 90% potency) Physical stability:
the way the product appears (e.g., discoloration), tastes and
smells, and if the product remains a solution or suspension.
Microbiological stability: the sterility of the product (remains
free of bacterial or fungal growth. Therapeutic stability: the
product is able to exert the same actions in the body, leading to
its effects against the disease it is intended to treat.
Toxicological stability: an increase in toxicity does not occur as
time passes. Pharmacy Tech News
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AFAMS Simple Stability Tests Pharmacy Tech News
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AFAMS When to Medication Serviceability Dari Receipt of an
order Shipping an order Dispensing medication to: Patient Nurse
Ward Providing Ward stock Whenever in doubt
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AFAMS Segregating Unserviceable Drugs Dari Unserviceable
medications must be separated from other pharmaceuticals. The
location must be marked Do Not Use; Expired Medications in order to
prevent accidental distribution or dispensing. NMH Pharmacy SOP
Insert Dari
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AFAMS Ward Stock NMH Pharmacy SOP
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AFAMS MMQC Messages for Quality Control Dari These messages can
be used to direct batches/ lots of medications be deemed
unserviceable. Poor manufacture Stored improperly Contamination
Safety etc. The MMQC message will direct how to dispose of the
medications. Insert Dari
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AFAMS . ( ). . . (MMQC) . : MMQC messages contain information
of system-wide interest. This includes: Suspension of medical
materiel. Extension of storage time periods (potency expiration
dates). Disposition instructions. Other significant QC
information.
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AFAMS . Activities under a manual system must maintain a
register in numerical sequence (MMQC) : Key Info you need from a
MMQC message 1) ... 2) ....... 3) . 4) ... 5) ......... 6)
.......... Unit Responsibility 1)Date received. 2)Message number.
3)National Stock Number. 4)Nomenclature. 5)Action required.
6)Remarks.
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AFAMS Drug Recalls Dari NMH Pharmacy SOP
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AFAMS Drug Recalls Dari NMH Pharmacy SOP
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AFAMS Under Control/ Controlled Drugs Dari Similar to other
medications unserviceable Under Control medications must be
segregated but, must also be kept secure. Destruction of Under
Control medications must be accounted for in the Perpetual Log. At
minimum: Segregate unserviceable medications Once destroyed
indicate destruction in the log with the signatures of witnesses.
OTSG Expired Medications Policy Insert Dari
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AFAMS Destruction Procedures Dari Unserviceable medications, in
accordance with MEDCOM and NMH policies, are to be accounted for
and destroyed in the same manner as expired medications. Three
witnesses are required. Insert Dari
