The organization of the reception and storage of medicines. Storage of flammable drugs

Date: 03.04.2019

MEMORYapproved by Order of the Ministry of Health of the RSFSR of September 17, 1976 N 471

1. The procedure for obtaining drugs from pharmacies

1.1. Medicines intended for the treatment of patients in inpatient conditions are dispensed by pharmacies to the duty nurse or nurse only in the original factory or pharmacy packaging.

1.2. The representative of the department, receiving the medicine, is obliged to verify its compliance with the words in the request.

2. Rules for storing drugs in the departments

2.1. Responsibility for storage and consumption of medicines, as well as for the order at the places of storage, compliance with the rules for issuing and prescribing medicines is the head of the department (cabinet). The direct executor of the organization of storage and consumption of medicines is the senior nurse.

2.2. Storage of medicines in offices (cabinets) should be organized in lockers. The division into groups "External", "Internal", "Injection", "Eye drops" is obligatory. In addition, in each compartment of the cabinet, for example, "Internal", there should be a division into powders, mixtures, ampoules, which are placed separately, and powders are usually stored on the upper shelf, and the solutions on the bottom.

2.3. Odorous and coloring matter should be separated into a separate cabinet.

2.4. Storage of drugs in the operating room, dressing room, procedural is organized in the instrumental glazed cabinets or on the surgical table. Each bottle, can, shtanglaz containing medications must have a label.

2.5. Toxic drugs should be stored in a separate cabinet under lock and key.

Narcotic drugs should be stored in vaults or in iron cabinets. On the inner side of the cabinet door (safe) there must be an “A” letter and a list of poisonous substances with indication of the highest single and daily doses.

Stocks of poisonous and narcotic drugs should not exceed 5-day need for them.

2.6. Potent drugs (list B) should be stored in a separate (wooden) cabinet under lock and key.

Stocks of potent funds should not exceed 10-day requirements.

2.7. The keys to cabinets "A" and "B" are stored only with persons designated by order at a medical institution, who are responsible for storing and issuing poisonous and potent agents, and at night these keys are transferred to the doctor on duty, about which a corresponding entry is made in a special journal and put signatures of the person who transferred and accepted the keys and the indicated medicinal products.

2.8. In the places of storage and at the posts of doctors on duty and nurses there should be tables of the highest single and daily doses of poisonous, narcotic and potent drugs, as well as tables of antidotes for poisoning.

2.9. In the departments (cabinets) of institutions, the following material values are subject to subject-quantitative accounting:

a) poisonous medicinal products in accordance with the rules approved by the Order of the Ministry of Health of the USSR of 03.07.68 N 523;

b) narcotic drugs in accordance with the rules approved by the Order of the Ministry of Health of the USSR of 30.12.82 N 1311;

c) ethyl alcohol (Order of the Ministry of Health of the USSR of 30.08.91 N 245);

d) new products for clinical trials and research in accordance with the current guidelines of the Ministry of Health;

e) scarce and expensive medicines and dressing facilities in accordance with the list approved by the order of the head of health care facilities.

Subject-quantitative accounting of the above material values is maintained in the form approved by Order of the Ministry of Health of the USSR of 03.07.68 N 523, with the exception of narcotic drugs, which are recorded in the book of narcotic drugs in departments and cabinets in form 60-AP, approved by Order of the Ministry of Health of the USSR dated 12.30.82 N 1311. Pages of books should be strung together, numbered, books should be certified by the signature of the head of the institution.

The form of accounting material values listed in subparagraphs a, c, d, d.

Name of the funds _________________________________________

Drug accounting book funds in offices and cabinets

Name of the funds __________________________________________

Unit of measurement______________________________________________

2.10. In the places of storage of medical products should be observed temperature and light. Infusions, decoctions, emulsions, penicillin, serums, vaccines, organ preparations, solutions containing glucose, etc. should be stored only in refrigerators (temperature 2-10 degrees C).

3. It is prohibited:

3.1. Drugs, solutions for technical purposes (treatment of hands, tools, furniture, linen, etc.) should be stored together with medical preparations intended for the treatment of patients.

3.2. Packing, hanging, pouring, transferring medicines from one package to another, replacing labels in offices and posts.

3.3. Issue drugs without a doctor's prescription, replace one with another.

3.4. To prescribe, arrange and store medicines under conditional, abbreviated names not approved by the Pharmacopoeia Committee (for example, cough syrup, solution for disinfecting hands, "triple solution", etc.).

4. Delivery to the patient of drugs containing poisonous and narcotic drugs should be made only separately from other medicines.

5. To avoid an error, before opening the ampoule, the packaging should be read out loud the name of the drug, the dosage, check with the appointment and then release the patient.

6. Duration of storage of drugs manufactured in a pharmacy is limited to certain periods. To determine the expiration date, you need to know the release date. Drugs factory, factory production have a digital designation of the series, where the last two digits indicate the year, and the two preceding them - the month of release.

In accordance with the Order of the Ministry of Health of the USSR of 10/29/68 N 768 for drugs manufactured in a pharmacy, the following storage periods are established:

6.1. For aqueous solutions containing benzylpenicillin, glucose - 1 day.

6.2. For injection solutions - 2 days, for solutions of sodium chloride 0.9%, novocaine 0.25%, 0.5% in vials, corked without running in, - 7 days. Once opened, used immediately.

6.3. For eye drops - 2 days.

6.4. For infusions, decoctions, mucus - 2 days.

6.5. For emulsions, suspensions - 3 days.

6.6. For other drugs - 10 days.

7. The head of the department (office) is obliged at least once a month to personally check the storage, accounting and consumption of medicines, expiration dates, paying particular attention to the list "A" medicines.

8. A pharmacy is responsible for the quality of the product manufactured and delivered to the drug department and the exact compliance with its prescription (requirements), provided that the integrity of the package is preserved (in an unopened state) and the drug is kept under conditions specified by the storage rules. After opening the package and the first use of the medicine in the department, the staff headed by the manager is further responsible for its quality.

The organization of storage of medicinal products must provide separate storage of medicinal products grouped according to the following classification criteria: toxicological group, pharmacological group,

Classification characteristics of drug groups for separate storage

type of application, physical state, physico-chemical properties, shelf life, dosage form.

Thus, depending on the toxicological group, drugs should be stored separately, relating to:

List A (poisonous and narcotic substances);

List B (potent);

General list.

Lists A and B are lists of drugs allowed for medical use by the Pharmacological State Committee, registered by the Ministry of Health of the Russian Federation and requiring special measures of safety and control during storage, manufacture and use of these drugs due to high pharmacological and toxicological risk.

Taking into account the pharmacological group, vitamins, antibiotics, heart, sulfa drugs, etc. should be stored separately.

The sign "use" causes the separate storage of drugs for external and internal use.

Angro medicinal substances are stored according to their state of aggregation: liquid, bulk, gaseous, etc.

In accordance with the physico-chemical properties and the influence of various environmental factors, there are groups of drugs:

Requiring protection from light;

From moisture;

From volatilization and drying;

From exposure to elevated temperature;

From the effects of low temperature;

Exposure to environmental gases;

Odorous and coloring;

Disinfectants.

When organizing the separate storage of medicines, it is also necessary to take into account the shelf life, especially if it is relatively short, for example, 6 months, 1 year, 3 years.

An important feature that should be taken into account during separate storage is the type of dosage form: solid, liquid, soft, gaseous, etc.

To have a number of drugs, consonant with the names;

To place a number of drugs for internal use, having very different highest single doses, and also to arrange them in alphabetical order.

Failure to comply with the above-described rules for the separate storage of a drug can lead not only to a deterioration or loss of consumer properties of the drug, but also to an error by pharmaceutical personnel when releasing a quality, but not that drug and, as a result, a threat to the patient’s life or health.

During storage, continuous visual monitoring of the state of the container, external changes in drugs and medical products is carried out at least once a month. In the case of changes in drugs, their quality should be monitored in accordance with NTD and GF.

For the treatment of many diseases, people every day buy a lot of medicines, herbs, decoctions, etc. A thousand pills, capsules, tablets and solutions help a person feel healthy on the most critical days.

But the effect of the pills occurs only when the drugs are stored correctly, and the timing of their implementation.

When purchasing unfamiliar medicines, people often do not know how to keep them properly. To read the regulatory guidelines and find out the answers to questions regarding storage and sale, it suffices to open an order from the Ministry of Healthcare and Social Development of the Russian Federation, which sets out the general requirements for premises for organizing storage of medicines that are different in composition. You can also find basic information about the rules for storing drugs at home, about temperature conditions, etc.

Drugs (psychotropic, explosive, volatile, narcotic, caustic) should be stored separately from other drugs. For them, a special place should be allocated, protected from light, moisture, etc. As a rule, such preparations are either dispensed with a prescription or contain instructions. For the storage of this particular group of drugs, it is necessary to ensure the temperature and humidity conditions in accordance with the requirements of the pharmacopoeial monograph.

Places where drugs are stored should be regulated with a thermometer. Note that the temperature in the refrigerator is different. As a rule, on the upper shelves of the refrigerator the temperature is lower than on the lower shelves.

Temperature conditions

Not all drugs should be stored in boxes, boxes, many drugs should be stored only in the refrigerator. Often consumers do not know how to provide a dry place to store medicines. The temperature regimes for medicines currently have a standardized look. It is necessary to highlight several ranges of temperature regimes:

room temperature (usually + 20- + 22 degrees Celsius);
cold storage space (cold storage + 5 ° C);
a cool place to store medicines at a temperature of + 8- + 11 C;
room temperature for storage of drugs + 18- + 21 C;
warm mode + 35- + 40 C;
hot mode + 75- + 80 C.

Do not leave drugs in the bathroom, as excessive moisture can change their composition and make tablets unsuitable for further use.

A dry place for storing medicines should be equipped with air conditioning or ventilation hoods. Preparations with evaporation properties should not be placed next to flammable substances. Essential medicines should be located nearby or separately from other medicines.

Humidity in the room is regulated by a psychrometer. Each preparation needs its own level of air humidity.

Forming a home first aid kit

It is not surprising that the first-aid kit should be formed not only on the basis of the characteristics of your body, but also on the basis of the season of the year. In the summertime, it is necessary to keep the burns and cooling ointments, bandages, plaits, iodine, brilliant green water, hydrogen peroxide, painkillers, etc., close. Antibiotics, antiviral and warming drugs are suitable for the autumn and winter periods.

Do not overfill the first-aid kit with unnecessary drugs.. This will only take up a lot of space and increase the search for the right drugs. In order in case of an emergency not to look for what is necessary among a pile of preparations, it is necessary to fold them compactly.

Store all recommended in different containers.. You can select several sealed boxes and separate medications depending on their composition. Pills can be placed in one container, gels, ointments, anti-burn agents, etc. can be placed in another container. Instructions can be put in a separate file, tablets can be placed in another place, and the packaging from tablets should be discarded so that it does not take up much space.

If you suddenly needed to leave for a long time, and you need to take medicine every day, then a cooler bag will come to the rescue, which will ensure the safety of all medicines. Anything can be put in the bag: from bandages, scissors, iodine, harnesses to medicines that are sensitive to temperature changes. For storage of tablets, you can purchase a special box with a timer, which is divided into 4 parts: morning, afternoon, evening, night. Such containers are very convenient and compact.

Thus, proper storage and use of medicines will ensure safety in taking the drugs, as well as relieve negative consequences for the body.

Attention, only TODAY!

1. These Rules establish the requirements for premises for storage of medicines for medical use (hereinafter referred to as “medicines”), regulate the conditions of storage of the indicated medicines and apply to manufacturers of medicines, wholesale trade organizations of medicines, pharmacy organizations, medical and other organizations that carry out activity in the circulation of medicines, individual entrepreneurs licensed to pharmaceutical activity spine or a license for medical activities (hereinafter respectively - organizations, individual entrepreneurs).

Judicial practice and legislation - Order of the Ministry of Health and Social Development of the Russian Federation of August 23, 2010 N 706n (ed. December 28, 2010) On approval of the Rules for storage of medicines

Storage of medicines is carried out in accordance with the Rules of storage of medicines, approved by order of the Ministry of Health and Social Development of the Russian Federation dated August 23, 2010 N 706n (hereinafter - the Order).

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The organization of the reception and storage of medicines. Storage of flammable drugs

Temperature conditions

Forming a home first aid kit

Judicial practice and legislation - Order of the Ministry of Health and Social Development of the Russian Federation of August 23, 2010 N 706n (ed. December 28, 2010) On approval of the Rules for storage of medicines

Send your good work in the knowledge base is simple. Use the form below.

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