When should packs be scanned - pharmacists?

Discussion about FMD implementation and working practice
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controller
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When should packs be scanned - pharmacists?

Post by controller » Thu Oct 04, 2018 10:01 am

At the point of dispensing. If a packet is broken up into multiple prescriptions it should be scanned when the tamper-proof seal is broken. Unused elements within the pack can be used for other prescriptions as long as they reamin within the expiry date.
There are 2 key reasons to scan, verify and decommission. Decommission will usually be for dispensing but other actions are possible including destroying a packet and tagging it as a sample.
The verification act does not change the pack state. The pack should read as ACTIVE indicating that it can be dispensed. If the pack is INACTIVE or the tamper proof seal is broken it should not be dispensed. Decommissioning changes the pack state, if the pack is dispensed the action can be undone by the same NMVS account holder within 10 days. A destroyed setting cannot be undone.
If a pack is not ACTIVE or an impossible state change is attempted then decomnissioning will fail. The act of decommissioning in itself includes verifying the pack. Verification on it own is not strictly necessary. A possible problem is that a prescription is being prepared and the decommission fails because the pack in INACTIVE. It is possible that any other packs of the same drug would also be INACTIVE and at the point of dispensing there may not enough time to acquire new stock. At the other extreme all packs could be verified as they arrive, then scanned again as they are dispensed in the safe knowledge that those packs will be ACTIVE. It would not be wise to decommission all packs as they come in due to the 10 day undo window. After 10 days those packs will always be INACTIVE and no reputable source will take them or accept their return.

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