Cosmetic Medicines Ordering, Storage, Supply and Incident Reporting

This article gives an overview of the systems and processes that must be followed by cosmetic clinics when supplying prescription medicines.

A prescription medicine or drug legally requires a qualified doctor, dentist, nurse or pharmacist to write a prescription for a named patient. The list of drugs and prescribing qualifications may vary in different countries.

A cosmetic clinic must ensure that all medicines are ordered, stored and supplied within the legislative and other relevant pharmaceutical guidelines available.

Therefore ordering, storage and supply of medicines for use within the practice must be undertaken according to appropriate procedures and guidelines to ensure all relevant legislation and pharmaceutical information is adhered to.

Any medicines stored within a typical cosmetic clinic are those used for aesthetic purposes, this includes drugs such as Botox ® and Hyaluronidase. These must be stored according to manufacturer’s guidelines in a locked refrigerator or locked cabinet as appropriate. The temperature of the refrigerator should be monitored and documented daily. If the temperature is found to be outside the recommended range the pharmacy supplier must be informed as soon as possible and if necessary the medicines are returned to the supplier and a new supply obtained.

Supply of Medicines and Maintaining Patient Records for Cosmetic Clinics

The Medical Practitioner is responsible for maintaining a record of medicines obtained from the supplier for use during treatment. A copy of the prescription is retained in the patient’s notes and the following information is noted in the Medicines IN register. The Medical practitioner must include the following details:

– the name of the medicine (generic)

– the dose provided by the pharmacy

– the amount provided by the pharmacy

– the format of the medicine (oral I IM etc)

– the batch numbers and expiry dates

The Medical Practitioner is responsible for ensuring that details of the medicines administered are recorded in the patient notes, including:

– the name of the medicine (generic)

– the dose provided

– the route of administration

– the batch number and expiry date of the medicine

– the date and time of administration

The Medical Practitioner must also document in the Medicines OUT register the name of the patient the medicine was administered to and the date and time of administration. This will ensure an audit trail is available for each practitioner.

All medicines not used or expired must be returned to the pharmacy.

In conclusion only a medical professional should be accepted on a cosmetic training course. This will ensure all practitioners have experience with the use of prescription only medicines and record keeping. The medical practitioner who facilitates a cosmetic intervention should be a qualified doctor, dentist, nurse or pharmacist. These specialists have the prerequisite medical experience plus understand their legal and ethical requirements in prescribing, dispensing and administration of such drugs.

Any errors with the medication must be recorded and reported.

Reporting a Medication Incident

A cosmetic clinic must ensure that all medication incidents follow local legislative and other guidelines for your country of practice. The following is based on the UK CQC guidelines.

All practitioners involved with medication prescribing, dispensing or administration must be aware of the procedures to be followed in the event of a medication error or near miss.

Medication errors or near misses will occur despite having risk procedures in place, and all personnel involved in medication prescribing, dispensing or administration are at risk of being involved an error or a near miss. Because of this, comprehensive reporting of all medication incidents is crucial to enable the organisation to learn from mistakes and improve practice wherever possible.

All incidents involving medication prescribing, dispensing or administration, ‘near misses’ and serious drug reactions must be documented on the Incident Report Form. A medication error is a preventable incident or omission that results in an increase in the risk of patient harm. A ‘near miss’ is a medication error that is discovered before it reaches the patient, thus preventing harm to the patient.

What to Report

The following are some of the issues that require an incident report:

– incorrect dose administered (both over and under dosing)

– incorrect route of administration

– incorrect rate of administration

– incorrect drug administered

– administration to the wrong patient

– failure to document administration in the patient’s medical notes

– administration of an expired drug

– prescribing errors

– incorrect labels

– allergies not recorded

– serious adverse effects including allergic reactions

Near Misses will also be recorded on the Incident Report form.

How to Report Medication errors

Medication errors involving administration to a patient will be documented in the patient’s notes. The Medical Practitioner should inform the patient.

The incident should be documented fully before the end of the day. This report form must be completed by the Medical Practitioner and given to the Practice Manager without delay.

Follow Up Procedures for Medication Errors

A follow-up is undertaken by the Medical Practitioner to ensure the safety of the patient. If necessary the patient must be referred to the nearest Emergency department for further review. The Practice Manager must undertake an investigation into the event ensuring a statement is taken from those involved.

The incident must be discussed at the next Clinical Governance meeting and an action plan developed to aim to prevent recurrence; this may include further training for the personnel involved.

Any severe medication incident must be reported to the within 24 hours of it occurring.

I hope you enjoyed the article. For more information about medicines and their regulations you can check with the Department of Health and MRHA in the UK. In the USA please refer to The Food and Drug Administration (FDA).

Reviews on Acai Berry – How to Lose Your Extra Pounds With Acai Berry

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Reviews on Acai berry are very positive and helps other people to take the initiative as well. The product increases the energy levels and enhances the immune system so that you become healthier and lose all the extra fats in your body. The product also helps in curbing your hunger and reduces your appetite with the high availability of fiber and good calories. These pills are extremely effective and being used by people with great confidence all over the globe.

The main ingredient in Acai berry is called anthocyanin which is also available in red wine. It makes you stronger and helps you to reduce weight without putting in the effort. Reviews on Acai berry also claims that it slows down the aging process and relives join pain. Another great feature of this fruit supplements is that it not only makes you lose weight but also makes sure that your body is in good shape. You don’t get this surety with other medicines which you use to lose weight. Although they make you lose weight but internally you tend to lose all your body power and immune system.

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Concierge Medicine Review – Shared Doctor Appointments

Sharing a doctor to increase productivity? Sharing a doctor’s appointment to bond with other patients suffering from the same chronic condition? It is the kind of thing that concierge doctors are concerned over. Imagine paying full price, or your full co-payment, and going to a shared doctor’s appointment with 30 other patients who might be experiencing the same chronic condition that you are. Does this sound like a good idea, or a recipe for disaster?

“Shared medical appointments improve patient access, enhance patient and physician satisfaction, and increase practice productivity, all without adding more hours to a physician’s work week. There is even evidence that they promote better outcomes and lower overall costs of care.” That’s according to ManagedCareMag.com.

Lets add some insight into the previous image; imagine paying full price for a doctor’s visit, visiting with that doctor in a room full of other patients, or ‘observers,’ who are able to ‘sit-in’ on your doctor’s appointment, share ideas, discuss symptoms, and listen to every word that you are telling your doctor. Not much room for privacy, huh?

And when it comes to privacy, there are two different thoughts on the matter. One patient told NBC that his experience with the shared doctor’s appointment was not all it was cracked up to be; “One on one I can talk to the doctor and ask personal things, not that I can’t do that here but I don’t want to take up the time.”

And yet a physician told another media out let the exact opposite; “The biggest surprise was patient confidentiality,” says Rajan Bhandari, MD, chief of neurology at the Kaiser Permanente Santa Theresa Medical Center in San Jose. “They reveal more about themselves than I would ever have known about them otherwise. They seem to really blossom when they’re in a warm, empathic environment where they feel nurtured, supported, and not alone.”

While the money spent is exactly the same, the confidentiality seems to be lacking, and the overall medical treatment might be deficient, physicians say the “real benefit is that instead of pretending that patients who have been living with chronic medical conditions don’t know anything about them, you actually involve them in the care-giving process.”

According to ManagedCareMag.com, a two-year study funded by the Robert Wood Johnson Foundation showed that patients participating in the cooperative-clinic model stayed independent longer and were more satisfied with their physicians and with their understanding of their medical conditions. Physician satisfaction also increased, while hospitalization and ER use decreased by 12 and 18 percent, respectively. Cooperative-clinic participants were 2.5 times as likely to stay with their physician and with Kaiser.

This method of medicine becomes not so much about the chronic condition itself, but about the person living with the chronic condition. This bonding between patients with like conditions and the ability to help one-another out in these shared doctor appointments seems to offer an “installation of hope.” In shared doctor appointments, patients no longer feel like they’re the only ones dealing with the chronic condition. They can see others living with the condition as well, whether in a greater way or a less fortunate way.

Another aspect of shared doctor appointments is the time spent with the doctor, though it might be ‘shared’ time. A general appointment with the family physician will run from between 8 to 10 minutes, while in a shared appointment that time is extended to 90 minutes, a benefit that makes patients feel as if their getting their money’s worth.

While it might be a little different, and may take some getting used to, it is creating a buzz in the medical community and it is getting people excited about more possibilities for healthcare. Shared doctor appointments are bringing more attention to the fact that patients are frustrated with the system, with the way they are treated in their 8 minute doctor appointments, and that they are looking for alternatives to general medicine.