Management of management agencies and personnel………………………………………………………………01

Narcotic drugs, first-class psychotropic drugs Management system for purchasing "Seal Card"……………………01

Purchasing system for narcotic drugs and psychotropic drugs………………………………………………02

Acceptance system for narcotic drugs and first-category psychotropic drugs………………………………02

Storage system for narcotic drugs and first-category psychotropic drugs ……………………………………………03

Narcotic drugs and Class I psychotropic drugs distribution system………………………………03

Management system for the use of narcotic drugs and first-class psychotropic drugs………………………………03

Safety management system for narcotic drugs and first-class psychotropic drugs …………………………………………05

Loss reporting and destruction system for narcotic drugs and Class I psychotropic drugs………………………………05

Prescription Management System for Narcotic Drugs and Class I Psychotropic Drugs………………05

Duty Inspection Management System for Narcotic Drugs and Class I Psychotropic Drugs… ………………………06

Ward storage management system for narcotic drugs and first-class psychotropic drugs………………………………06

Anesthesia Special inspection system for drugs and first-category psychotropic drugs……………………07

Training and assessment work on the use of narcotic drugs and first-category psychotropic drugs………… …………07

Medical Record Management System for Narcotic Drugs and Class I Psychotropic Drugs………………………………08

Narcotic Drugs and Class I Psychotropic Drugs Responsibilities of the Psychotropic Drug Management Agency……………………09

Responsibilities of the person in charge of the clinical department (nursing department)……………………………… …10

Responsibilities of the person in charge of the security department for narcotic drugs and first-category psychotropic drugs………………10

Position responsibilities of security on-duty inspectors………… ……………………………………10

Responsibilities of the Director of the Pharmacy Department…………………………………………………… …11

Responsibilities of drug purchasers……………………………………………………11

Responsibilities of drug warehouse custodians… ……………………………………………………12

Responsibilities of personnel responsible for the adjustment department……………………………… ………………12

Responsibilities of transfer personnel………………………………………………………………12

Responsibilities of prescribers………………………………………………………………13

Management of management agencies and personnel

1 , Management agency

1. Medical institutions should establish (and issue documents) an anesthetic and psychotropic drug management agency that is headed by the person in charge and participated by medical management, pharmacy, nursing, security and other departments.

2. All departments (pharmaceutical depots, pharmacies, wards, operating rooms) that have reserves of narcotic drugs and Class I psychotropic drugs should designate full-time personnel to be responsible for the daily storage of narcotic drugs and Class I psychotropic drugs. management work.

3. The management of narcotic drugs and Class I psychotropic drugs should be included in the annual target responsibility system assessment of the unit.

4. The pharmaceutical department is responsible for daily management work.

5. Establish a special inspection system for the use of narcotic drugs and Class I psychotropic drugs, organize regular inspections (and stipulate the period of regular inspections), keep inspection records, and promptly correct existing problems and hidden dangers.

6. Responsibilities of establishing anesthesia and psychotropic drug management agencies.

2. Management of prescription rights and dispensing rights

1. Practicing physicians and pharmacists shall obtain narcotic drugs and psychotropic drugs respectively after passing the training and assessment on the use of narcotic drugs and psychotropic drugs. Prescription qualifications and dispensing qualifications for Class I psychotropic drugs (hospitals at level 2 and above can organize training and assessment on narcotic drugs and psychotropic drugs on their own, and other medical institutions are organized by county-level health administration departments on relevant knowledge training and assessment).

2. The list of practicing physicians qualified to prescribe narcotic drugs and Class I psychotropic drugs and their changes shall be reported to the health administrative department at the county level (or above) for record every year.

3. The list and signature samples of practicing physicians who are qualified to prescribe narcotic drugs and Class I psychotropic drugs should be filed in pharmacies that dispense narcotic drugs and Class I psychotropic drugs.

"Seal Card" Management System for the Purchase of Narcotic Drugs and Class I Psychotropic Drugs

1. The "Seal Card" shall be kept by a designated person from the medical institution or pharmacy department.

2. Drug purchasing personnel must obtain approval and use the "Seal Card" to purchase narcotic drugs and first-class psychotropic drugs from provincial and municipal designated wholesale enterprises

3. "Seal Card" 》It is valid for three years. Three months before the validity of the "Seal Card" expires, a new application should be submitted to the municipal health administrative department.

4. When the name, address, person in charge of the medical institution, person in charge of the medical management department, person in charge of the pharmacy department, purchasing personnel and other items in the "Seal Card" are changed, the medical institution should change the Go to the municipal health administrative department to go through the change procedures within 3 days from the date of occurrence.

Purchasing System for Narcotic Drugs and Psychotropic Drugs

1. The custodian of the drug store shall prepare a purchase form (in duplicate) based on the medical needs of the unit, and the purchaser and the person in charge of the pharmacy department shall Review the signature and seal with the person in charge of the medical institution, and stamp it with the official seal of the medical institution. Each signature and seal should be consistent with the seal on the seal card.

2. After approval, drug purchasers can purchase narcotic drugs and first-category psychotropic drugs from provincial and municipal designated wholesale enterprises with their seal cards; purchase second-category psychotropic drugs from provincial and municipal designated wholesale enterprises. , do not buy at will.

3. The purchase of narcotic drugs and Class I psychotropic drugs should be sent to the drug warehouse by the drug operating enterprise, and purchasing and storage personnel are not allowed to pick up the goods by themselves. Payment for the purchase of narcotic drugs and first-category psychotropic drugs must be made by bank transfer, and cash purchases are strictly prohibited. Narcotic drugs and Class I psychotropic drugs purchased by the hospital are limited to clinical use within the institution.

4. When a hospital urgently needs narcotic drugs or first-class psychotropic drugs to rescue patients but the pharmacy department cannot provide them, it can borrow them urgently from other medical institutions or designated wholesale enterprises. After the rescue work is completed, the borrowing situation should be reported to the municipal drug regulatory department and the health department for record in a timely manner.

Acceptance system for narcotic drugs and first-category psychotropic drugs

1. Double-person acceptance of narcotic drugs and first-category psychotropic drugs will be implemented when entering the warehouse.

2. The acceptance of narcotic drugs and first-category psychotropic drugs must be inspected upon arrival. Two people will unpack and inspect the goods, count and accept the smallest packaging, and the acceptance record must be signed by both people.

3. Warehousing acceptance should be recorded in a special book, including: date, voucher number, product name, dosage form, specification, unit, quantity, batch number, validity period, production unit, supplier unit, quality status, acceptance Conclusion, acceptance and signature of the custodian, etc.

4. Narcotic drugs and first-category psychotropic drugs that are found to be missing or defective during the acceptance inspection must be checked and registered by two persons, reported to the department director and the dean in charge for approval, and stamped with the official seal before the drug purchaser submits them to the supplier. Query and process cargo units.

5. The storage period of the special account book for warehousing acceptance shall be no less than 5 years from the expiration date of the drug.

Storage system for narcotic drugs and first-category psychotropic drugs

1. Drug depots, pharmacies, wards, and operating rooms must be equipped with safes to store narcotic drugs and first-category psychotropic drugs . The doors and windows of drug warehouses are equipped with anti-theft facilities, and the narcotic drugs and first-category psychotropic drugs warehouses of medical institutions where conditions permit should also be equipped with alarm devices. The pharmacy dispensing window, each ward, and operating room should be equipped with necessary anti-theft facilities for storing narcotic drugs and Class I psychotropic drugs.

2. Special personnel should be designated to be responsible for all aspects of the storage of narcotic drugs and Class I psychotropic drugs (drug warehouse, pharmacy, ward, operating room), and responsibilities should be clearly defined.

3. Narcotic drugs and first-class psychotropic drugs stored in drug warehouses should be kept in reasonable inventory and kept in double-person and double-locked condition; narcotic drugs and first-class psychotropic drugs stored in pharmacies and wards should be fixed according to dosage regulations Base, establish a shift handover system, and keep records of handovers.

4. Drug warehouses and pharmacies should establish special account books for the entry and exit of narcotic drugs and Class I psychotropic drugs to ensure that the accounts and materials are consistent. Special account books should be kept for no less than 2 years after the drug expires.

Narcotic drugs and first-category psychotropic drugs distribution system

1. Get the prescriptions and empty ampoules (waste stickers) of narcotic drugs and first-category psychotropic drugs from the pharmacy at the drug store Narcotic drugs, first class psychotropic substances. Prescriptions for narcotic drugs, Class I psychotropic drugs, and empty ampoules (waste patches) are kept in a centralized manner by the drug warehouse. The quantity of narcotic drugs and Class I psychotropic drugs after receipt shall not exceed a fixed base amount.

2. The shipment of narcotic drugs and first-class psychotropic drugs from the warehouse should be reviewed by two people, and signed by the person who issued the drug and the person who reviewed it.

3. The narcotic drugs and Class I psychotropic drugs that leave the warehouse should be recorded one by one, including: date, voucher number, receiving department, product name, dosage form, specification, unit, quantity, batch number, Validity date, production unit, dispenser, reviewer and recipient signature.

Management system for the use of narcotic drugs and first-category psychotropic drugs

1. The competent departments of medical institutions should regulate the use of narcotic drugs and first-category psychotropic drugs in pharmacies, wards, and operating rooms. The fixed base number shall be stipulated and filed in the Pharmacy Department. When the fixed base needs to be changed, it must be approved by the competent authority.

2. Outpatient pharmacies should have a fixed drug dispensing window with obvious signs, and have a dedicated person responsible for the dispensing of narcotic drugs and first-category psychotropic drugs.

3. Issue special prescriptions for the use of narcotic drugs and psychotropic drugs. The prescription format and dosage are in accordance with the "Prescription Management Measures".

4. Prescription dispensers and checkers should carefully check prescriptions for narcotic drugs and psychotropic drugs, and refuse to issue prescriptions for narcotic drugs and psychotropic drugs that do not meet the regulations. After the dispenser and checker complete the prescription preparation, they shall sign or stamp the prescription with their special signatures respectively.

5. Prescriptions for narcotic drugs and psychotropic drugs (Category I and II) shall be registered in a special book. The registration content shall include the date of dispensing, patient name, product name, specifications, and quantity of medication. The special book registration retention period is 3 years.

6. If outpatient (emergency) cancer pain patients and patients with moderate or severe chronic pain require long-term use of narcotics and first-category psychotropic drugs, the first-diagnosing physician shall personally examine the patient and establish corresponding medical records. , requiring them to sign the "Informed Consent Form".

Copies of the following materials should be retained in the medical record:

1. Diagnosis certificate issued by a second-level or above hospital;

2. Patient’s household registration book, ID card or Other relevant valid identity documents;

3. Identity documents for the patient’s agent.

4. "Informed Consent" (original)

The dosage is in accordance with the provisions of Article 24 of the "Prescription Management Measures". Outpatient (emergency) cancer pain patients and patients with moderate and severe chronic pain who require long-term use of narcotic drugs and Class I psychotropic drug injections can be taken out of medical institutions for use (except pethidine).

7. For outpatient (emergency) cancer pain patients and patients with moderate and severe chronic pain who are not long-term users of narcotic drugs and Class I psychotropic drugs, narcotic drug injections are limited to use in medical institutions.

8. For narcotic drugs that require special strengthening of control, the prescription of dihydroetorphine hydrochloride is for one-time use and is limited to use in Grade II or above hospitals; the prescription of pethidine hydrochloride is for one-time use and is limited to use in hospitals For use in medical institutions.

9. If a patient uses narcotic drugs, Class I psychotropic drug injections or patches, and when they are re-dispensed, the patient should be asked to return the empty ampoules or used patches of the original batch number, and the withdrawal should be recorded The number of empty ampoules or waste stickers.

10. When the patient no longer uses narcotic drugs and first-category psychotropic drugs, the medical institution shall require the patient to return the remaining narcotic drugs and first-category psychotropic drugs to the medical institution free of charge, and the medical institution shall follow regulations. Destruction; remaining narcotic drugs and first-category psychotropic drugs in each ward should be returned to the warehouse.

11. Each pharmacy should compile serial numbers for prescriptions of narcotic drugs and first-category psychotropic drugs by year, month and day.

12. The retention period of prescriptions for narcotic drugs and Class I psychotropic drugs is 3 years, and the retention period for prescriptions of Class II psychotropic drugs is 2 years.

Safety management system for narcotic drugs and first-category psychotropic drugs

1. Medical institutions should uniformly number and count prescriptions for narcotic drugs and first-category psychotropic drugs, and establish the custody of prescriptions , collection, use, return and destruction management system.

2. The purchase, distribution, deployment and use of narcotic drugs and Class I psychotropic drugs shall be managed and tracked by batch numbers, so that they can be searched or recovered in time when necessary.

3. If narcotic drugs or first-category psychotropic substances are lost, stolen or robbed during the storage and custody process, or if narcotic drugs or first-category psychotropic substances are found to have been obtained fraudulently or falsely, the narcotic drugs or first-category psychotropic substances shall be reported immediately. Report to the local health administrative department, public security agency, and drug regulatory department.

4. Medical institutions should establish duty inspection and other systems.

Loss reporting and destruction system for narcotic drugs and first-category psychotropic drugs

1. Destruction of expired, damaged and returned narcotic drugs and first-category psychotropic drugs by outpatients , an application should be submitted to the local health administrative department, destroyed under the supervision of the health administrative department, and the destruction should be registered.

2. The recycled empty ampoules (waste stickers) of narcotic drugs and Class I psychotropic drug injections should be destroyed by the drug depot after regular approval by the competent department of the medical institution. When destroying, the competent department of the medical institution should send personnel to supervise and register the destruction. The method of destruction should be specified.

Prescription Management System for Narcotic Drugs and Class I Psychotropic Drugs

1. Implement a unified format, unified printing, and unified numbering of special prescriptions for narcotic drugs and Class I psychotropic drugs. Unified counting management.

2. Prescriptions for narcotic drugs and Class I psychotropic drugs shall be managed by relevant departments designated by the hospital’s narcotic drugs and psychotropic drug management agencies, with dedicated personnel, special counters, and dedicated management. Establish an account book for the special prescriptions for narcotic drugs and Class I psychotropic drugs that come in and out, and record the issuance of prescriptions one by one. The record content includes: date, prescription number, department of receipt, quantity, signature of custodian and recipient, and The items received match.

3. The department using special prescriptions shall have designated personnel to collect and keep them. When a physician with prescribing authority receives the prescription, he or she should keep records, including the time of receipt, prescription category, quantity, prescription number, and signatures of the recipient and custodian.

4. When special prescriptions for narcotic drugs and Class I psychotropic drugs are stolen, they should be quickly reported to the security department of the hospital and the starting and ending numbers of the stolen prescriptions should be reported to the pharmacy department, which will monitor the flow of prescriptions. Stolen prescriptions become invalid from the time of theft and a notice will be posted in the hospital.

Duty inspection management system for narcotic drugs and first-category psychotropic drugs

1. During daily on-duty inspections of the hospital, the western medicines that store narcotic drugs and first-category psychotropic drugs shall be kept. The safety of warehouses and pharmacy storage points will be the focus of inspections, and duty inspection records will be carefully filled in; any problems discovered will be reported to the security department in a timely manner.

2. The security department implements a 24-hour duty system and a daily on-site inspection handover system. It is responsible for supervising and inspecting security duty inspections, and reporting and handling problems found in a timely manner.

3. When security personnel are on duty and inspecting, they must adhere to the "prevention first" policy, be proactive, conscientious and responsible, observe closely, and promptly discover, stop and solve unsafe problems discovered.

Ward storage management system for narcotic drugs and Class I psychotropic drugs

1. Managers of narcotic drugs and Class I psychotropic drugs in clinical departments should master the information related to anesthesia and psychotropic drugs Be familiar with laws, regulations and regulations, and be familiar with the use and safety management of narcotic drugs and Class I psychotropic drugs.

2. Clinical departments should be equipped with professional and technical personnel with strong sense of responsibility and familiarity with the business to be responsible for the receipt, storage, storage and management of narcotic drugs and Class I psychotropic drugs. The personnel should remain relatively stable.

3. Each ward and operating room should be equipped with safes for storing narcotic drugs and Class I psychotropic drugs.

4. Clinical departments can collect narcotic drugs and first-category psychotropic drugs from the pharmacy with prescriptions and empty ampoules (waste stickers). The quantity after receipt shall not exceed the fixed base of the undergraduate department.

5. Clinical departments should establish a shift handover system for narcotic drugs and Class I psychotropic drugs, implement shift handover of narcotic drugs and Class I psychotropic drugs, and fill out a shift registration form.

6. When clinical departments use narcotic drugs and Class I psychotropic drug injections, the outpatient injection room should have usage registration.

7. When using narcotic drugs and Class I psychotropic drug injections in clinical departments, the unused remaining pharmaceutical solutions in the smallest packages should be destroyed. Two people should be present during the destruction, and destruction records should be kept.

8. Each clinical department shall immediately report to the hospital’s drug supervision and administration department if it discovers the following situations:

1. The occurrence of narcotic drugs and Class I psychotropic drugs during the storage and custody process Lost, stolen or robbed;

2. Found to have obtained narcotic drugs or first-category psychotropic drugs fraudulently or falsely.

9. Persons responsible for the management of narcotic drugs and Class I psychotropic drugs in clinical departments: department heads and full-time managers.

Special inspection system for narcotic drugs and first-category psychotropic drugs

1. Management agencies for narcotic drugs and psychotropic drugs in medical institutions, regularly every year (medical institutions should stipulate the specific number of inspections each year) , organize special inspections.

2. The inspection contents include:

1. Whether the prescription of narcotic drugs and psychotropic drugs complies with the regulations;

2. Medicine warehouse, pharmacy, ward and Whether the management of narcotic drugs and first-class psychotropic drugs stored in the operating room is standardized;

3. The accounts of narcotic drugs and first-class psychotropic drugs are consistent;

4. Narcotic drugs, first-class psychotropic drugs Various recording specifications for Class I psychotropic drugs;

5. Safety management of narcotic drugs and Class I psychotropic drugs.

3. The results of regular self-examination of the management of narcotic drugs and first-class psychotropic drugs in medicine warehouses, pharmacies, wards and operating rooms.

4. Problems discovered during the inspection should be reported to the person in charge of the narcotic drugs and psychotropic drugs management agency of the medical institution and required to be rectified within a time limit.

Training and assessment on the use of narcotic drugs and first-category psychotropic drugs

First- and second-level hospitals shall organize training and assessment on narcotic drugs and psychotropic drugs on their own, while other medical institutions shall organize The county-level health administration department organizes relevant knowledge training and assessment

2. The training and assessment targets are practicing physicians and pharmaceutical professional and technical personnel in medical institutions.

3. Training and assessment contents include:

1. "Drug Administration Law", "Practicing Physician Law", "Regulations on the Administration of Narcotic Drugs and Psychotropic Drugs", "Prescription Management Measures" ", "Regulations on the Management of Seal Cards for the Purchase of Narcotic Drugs and Class I Psychotropic Drugs", "Regulations on the Management of Prescriptions of Narcotic Drugs and Psychotropic Drugs" (informed consent) and "Regulations on the Management of Narcotic Drugs and Class I Psychotropic Drugs in Medical Institutions" and other relevant laws, regulations, and provisions;

2. The use and management system of narcotic drugs and psychotropic drugs in medical institutions;

3. Guiding principles for the clinical application of narcotic drugs and psychotropic drugs;< /p>

4. Standardized treatment of cancer pain, acute pain and severe chronic pain

5. Prevention and reporting of iatrogenic drug dependence;

6. Narcotic drugs and the prevention and treatment of adverse reactions to Class I psychotropic drugs.

4. The training method adopts centralized teaching method.

5. After the training, the training unit shall assess the practicing physicians, pharmacy, and technical personnel in the form of examinations. Only those who pass the test will be granted the qualifications to prescribe and dispense narcotic drugs and Class I psychotropic drugs respectively.

6. When the training unit is a second-level hospital or above, the hospital shall report the teaching content, teaching time, teaching teachers, student list, etc. to the local health administrative department at or above the districted municipal level, and will obtain narcotic drugs and The list of practicing physicians qualified to prescribe Class I psychotropic drugs shall be reported to the district-level municipal health administration department.

7. Medical institutions or local health administrative departments should regularly organize knowledge training and assessment on narcotic drugs and psychotropic drugs

Management system for medical records of narcotic drugs and first-class psychotropic drugs

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1. For outpatient (emergency) cancer pain patients and patients with moderate and severe chronic pain who require long-term use of narcotic drugs and first-class psychotropic drugs due to their diseases, the "Special Medical Records for Narcotic Drugs and First-Class Psychotropic Drugs" will be activated. .

2. Patients applying for special medical records must provide the following materials:

1. Diagnosis certificate issued by a second-level or above hospital;

2. Patient household registration book, ID card or other relevant valid identity documents;

3. Identity documents for the patient’s agent;

4. Informed consent form.

Keep copies of the above certification materials in the special medical record

3. The first page of the special medical record must be personally examined by the first-visiting physician with the authority to prescribe anesthesia and Class I psychotropic drugs. Then fill it out and ask them to sign the "Informed Consent Form". After the home page and the informed consent form are completed, stamp the words "Medical Record for Anesthesia and Preparative Drugs" and it can be activated.

4. For the convenience of patients, special medical records are kept in the registration room in principle.

5. The patient will bring a special medical record to the relevant department and a doctor with the authority to prescribe narcotic drugs and first-class psychotropic drugs will issue a prescription.

6. During the follow-up visit, the patient should go to the medical record storage office with his or her ID card to collect the special medical record.

7. The patient (or agent) needs to go to the pharmacy to pick up the medicine with the special medical record for narcotic drugs, ID card and anesthetic prescription. After taking the medicine, it will be taken back by the pharmacy, and the pharmacy will return the special medical record to the registration room within 24 hours.

Responsibilities of the management agency for narcotic drugs and first-class psychotropic drugs

1. In order to strengthen and standardize the procurement, use and safety management of narcotic drugs and first-class psychotropic drugs in hospitals, the agency is established The hospital's narcotic drugs and psychotropic drugs management organization is under the responsibility of the in-charge dean and is composed of the heads of the Medical Department, Pharmacy Department, Nursing Department, and Security Department.

2. According to the "Drug Administration Law", "Regulations on the Administration of Narcotic Drugs and Psychotropic Drugs", "Regulations on the Administration of Narcotic Drugs and Class I Psychotropic Drugs in Medical Institutions", "Prescription Management Measures" and other relevant laws and regulations , combined with the actual situation of the hospital, formulate various systems for the management of narcotic drugs and psychotropic drugs.

3. From time to time, organize relevant personnel training on relevant laws and regulations and knowledge on the management and use of narcotic drugs and psychotropic drugs, and evaluate the training effectiveness.

4. Regularly organize special inspections on the use and management of narcotic drugs and psychotropic drugs, and promptly correct existing problems and hidden dangers.

5. According to relevant national requirements, formulate and print special prescription formats for narcotic drugs and first-class psychotropic drugs.

6. Organize training on the use knowledge and standardized management of narcotic drugs and psychotropic drugs for practicing physicians and pharmaceutical professional technicians (pharmacists for short) (medical institutions at level 2 and above), and those who pass the assessment will be awarded anesthesia certificates respectively. Prescription rights and dispensing qualifications for drugs and Class I psychotropic drugs, and signatures will be retained for record.

Responsibilities of persons responsible for clinical departments (nursing departments)

1. Each clinical department should designate persons responsible for narcotic drugs and Class I psychotropic drugs.

2. Narcotic drugs and Class I psychotropic drugs in each clinical department shall be subject to base management, and the fixed base shall be subject to approval by the relevant departments of the medical institution.

3. Each clinical department implements a shift handover system for narcotic drugs and Class I psychotropic drugs. Each shift must be handed over and counted. The handover shift should be recorded and signed by the handover person.

4. Used empty ampoules of narcotic drugs, Class I psychotropic drug injections, and waste patches should be properly preserved and returned to the pharmacy.

5. When using narcotic drugs and Class I psychotropic drug injections in clinical departments, the unused remaining pharmaceutical solutions in the smallest packages should be destroyed. Two people should be present during the destruction, and destruction records should be kept.

6. Narcotic drugs and Class I psychotropic drugs in various clinical departments can only be used by inpatients according to medical instructions. Borrowing and private use are strictly prohibited.

7. When any clinical department loses, steals, robs, defrauds or is falsely claimed during the storage of narcotic drugs or Class I psychotropic drugs, it should immediately report to the security department of the medical institution. And report to the health administrative department as required.

Responsibilities of the person in charge of the security department for narcotic drugs and Class I psychotropic drugs

1. Responsible for supervising and inspecting the implementation of safety and security measures for narcotic drugs and psychotropic drugs.

2. Responsible for arranging security personnel to supervise on-site supervision of the Pharmacy Department to regularly destroy empty ampoules and used patches of narcotic drug injections (recommendation).

3. When reporting safety accidents or cases, be responsible for immediately notifying the security personnel on duty to protect the scene, prevent the situation from expanding, and handle it properly. At the same time, the above situation shall be reported to the dean in charge and the superior department in accordance with regulations, or suggestions for rectification shall be put forward.

Position Responsibilities of Security Duty Inspection Personnel

1. The security guard shall be on duty and inspect the narcotic drugs and psychotropic drugs of the security department according to the daily inspection system of the emergency department and the storage and storage of narcotic drugs and the The safety of storage points used in pharmacies and warehouses of Class I psychotropic drugs is a key inspection.

2. Inspect whether the anti-theft doors of pharmacies and warehouses are locked, whether the exterior walls are damaged, and whether there are any other abnormalities;

Three. If any safety accidents or cases are found, report them immediately to the security guard. Report to the department and protect the scene at the same time to prevent the situation from expanding.

4. Keep inspection records in a timely manner. Inspection records should be written neatly, indicating the inspection personnel, time, whether there are safety problems, disposal methods, processing result reporting time and the signature of the report recipient.

Responsibilities of the Director of the Pharmacy Department

1. Under the leadership of the hospital's narcotic drugs and first-category psychotropic drugs management team, be responsible for the daily management of narcotic drugs and psychotropic drugs.

2. Responsible for regular inspections and supervision of the hospital’s procurement, acceptance, storage, safekeeping, use, loss reporting, and destruction of narcotic drugs and psychotropic drugs, and report the inspection results to the competent hospital Long report.

3. Responsible for the review of the procurement of narcotic drugs and psychotropic drugs, the review of warehousing acceptance, the review and approval of the destruction of empty ampoules, and the review of the destruction of expired narcotic drugs and first-class psychotropic drugs.

4. Responsible for the promotion of reasonable, safe and effective use of narcotic drugs and first-class psychotropic drugs.

6. Responsible for reporting problems that arise in the management of narcotic drugs and first-category psychotropic drugs to the director in charge or the drug supervision department.

Responsibilities of drug purchasing personnel

1. Responsible for handling (can also be handled by designated personnel of medical institutions):

1. Purchase of narcotic drugs and first-class psychotropic drugs Use the "Seal Card"

2. Submit a new application when the "Seal Card" expires

3. Go through the procedures for changing the "Seal Card"

2. Follow the medicine The treasury custodian shall handle the purchase plan of narcotic drugs and first-category psychotropic drugs proposed by the treasury custodian to the health administrative department.

3. Responsible for the purchase of narcotic drugs and first-category psychotropic drugs. Psychotropic drugs.

Responsibilities of drug warehouse custodians

1. Responsible for the warehouse acceptance of purchased narcotic drugs and first-class psychotropic drugs, and carefully prepare the warehouse acceptance records

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2. Responsible for issuing narcotic drugs and Class I psychotropic drugs out of the warehouse (when issuing narcotic drugs and Class I psychotropic drugs, the same number of prescriptions and empty ampoules of narcotic drugs and Class I psychotropic drugs should be recovered. Used patches), and record them one by one; establish a special account book for narcotics and first-class psychotropic drugs entering and leaving the special warehouse, and record each entry and exit of narcotic drugs and first-class psychotropic drugs in the drug warehouse. Safety management of psychotropic drugs.

Four. Responsible for the destruction of empty ampoules and waste patches and keeping records.

Five. Responsible for reporting losses and destroying narcotic drugs in the hospital. First. Specific work and records of psychotropic drugs.

Responsibilities of the responsible personnel of the dispensing department

1. Responsible for the base management of narcotic drugs and first-class psychotropic drugs in this department, when the fixed base needs to be changed. It must be approved by the competent department.

2. Responsible for establishing a special account book for narcotics and first-class psychotropic drugs entering and exiting the pharmacy, and recording them one by one to ensure that the accounts are consistent.

< p>3. Check whether the prescriptions of narcotic drugs comply with the regulations, and check whether the records filled in by the department’s pharmaceutical personnel are correct and complete.

Four. Responsible for the compilation of narcotic drugs and first-class psychotropic drugs by year. Prepare sequence numbers on a monthly basis.

5. Responsible for the storage, collection and timely return of recovered medicines, empty ampoules and waste patches to the drug warehouse for unified destruction.

6. Safety management of narcotic drugs and first-class psychotropic drugs in the department

7. Timely report to the department director any problems that arise in the management of narcotic drugs and first-class psychotropic drugs. >Responsibilities of dispensing personnel

1. The dispenser and checker of the prescription should carefully check the prescription of narcotic drugs and the signature; carefully review whether the prescription complies with the regulations. For prescriptions that do not meet the regulations, the dispenser and checker should Refusal to distribute drugs.

2. Responsible for filling out the "Registration for the Use of Narcotic Drugs and Class I Psychotropic Substances"

3. Distribution of narcotic drugs and Class I psychotropic drugs injections or patches. When required, the number of empty ampoules or used patches equal to the prescription should be recovered and the "Recycling Record of Empty Ampoules or Used Patches of Narcotic Drugs and Category I Psychotropic Drugs" should be filled in.

4. Recycle the patient's remaining anesthesia. When purchasing drugs and Class I psychotropic drugs, the "Narcotic Drugs and Class I Psychotropic Drugs Recycling Record" should be filled in in detail and signed by both parties. At the same time, they should be responsible for delivering the recovered drugs to the department head.

5. In all transfer departments where there is a shift handover, the personnel on duty are responsible for counting the quantity of narcotic drugs and Class I psychotropic drugs, and filling in the "Handover Record of Narcotic Drugs and Class I Psychotropic Drugs".

6. Problems arising from the distribution of narcotic drugs and Class I psychotropic drugs should be reported to the department head or the director of the pharmacy department in a timely manner.

Responsibilities of prescribers

1. Prescribe special prescriptions for narcotic drugs and first-class psychotropic drugs.

2. Physicians should, based on medical needs, follow the "Guiding Principles for Clinical Application of Narcotic Drugs and Psychotropic Drugs" and the drug indications, pharmacological effects, usage, dosage, contraindications, adverse reactions and precautions in the drug instructions. Waiting for a prescription. Prescription writing and dosage should comply with the provisions of the "Regulations on Prescription Management".

3. When a physician prescribes narcotic drugs and Class I psychotropic drugs, he shall record them in the medical record. Doctors are not allowed to prescribe non-compliant prescriptions for others or prescribe narcotic drugs or first-category psychotropic drugs for themselves.

4. If outpatient (emergency) cancer pain patients and patients with moderate or severe chronic pain require long-term use of narcotics and first-class psychotropic drugs, the first-diagnosing physician shall personally examine the patient and establish corresponding medical records. , requiring them to sign the "Informed Consent Form". Copies of the following materials should be retained in the medical record:

1. Diagnosis certificate issued by a second-level or above hospital;

2. Patient household registration book, ID card or other relevant valid identity documents;

3. Provide identification documents for the patient’s agent.

5. Except for outpatient (emergency) cancer pain patients and patients with moderate and severe chronic pain who require long-term use of narcotic drugs and Class I psychotropic drugs, narcotic drug injections are limited to use in medical institutions.

6. Prescriptions for narcotic drugs and Class I psychotropic drugs for inpatients should be issued on a daily basis.

7. Prescriptions issued for patients using non-injection narcotic drugs and psychotropic drugs outside the hospital shall not be dispensed in emergency pharmacies.

8. For narcotic drugs that need to be specially strengthened, the prescription of dihydroetorphine hydrochloride is a common dosage for one time, and is limited to use in Grade II or above hospitals; the prescription of pethidine hydrochloride is a common dosage for one time, only Restricted to use within medical institutions.

9. Outpatient (emergency) cancer patients and patients with moderate or severe chronic pain who have long-term use of narcotic drugs and Class I psychotropic drugs should be required to undergo re-examination or follow-up every three months.

10. Except for treatment needs, doctors are not allowed to prescribe narcotic drugs and psychotropic drugs.

11. Physicians who are not qualified to prescribe narcotic drugs and Class I psychotropic drugs prescribe narcotic drugs and Class I psychotropic drugs without authorization, and doctors who are qualified to prescribe narcotic drugs and Class I psychotropic drugs fail to comply with the prescribed regulations. It stipulates that any prescription of narcotic drugs and first-category psychotropic drugs, or the use of narcotic drugs and first-category psychotropic drugs in a manner that does not comply with the clinical application guidelines of narcotic drugs and psychotropic drugs formulated by the Ministry of Health, shall be handled by the health administrative department at or above the county level in accordance with the "Narcotic Drugs" and Article 73 of the Regulations on the Administration of Psychotropic Drugs.

12. Properly keep the special prescriptions for narcotic drugs and first-class psychotropic drugs received, and be responsible for the loss of prescriptions within the collection number range.