NARCOTICS DOCUMENTATION

1. PURPOSE

1.1 To comply with the Narcotic Drugs and Dangerous Psychotropic Substance (NDDPS) drugs
act in accordance with the Qatar Narcotic and Controlled Substance Laws and Regulations (Law
No. 19/1993 and 9/1987).

1.2 To ensure accountability for all narcotics.

1.3 To monitor narcotic administration and documentation.

2. POLICY

2.12 All narcotics will be ordered as per the policy “Handling of Narcotic and Dangerous
Psychotropic Medications” Document no. 3396

2.13 All entries on the Narcotic Administration Record will be in blue and black only.

2.14 All NDDPS ampoules/vials whether empty or partially used must be returned to
pharmacy except empty prefilled oral narcotics syringes.

2.15 Discrepancies/errors identified on the Narcotic Administration Record, at the time of

count or at any other time, will be resolved by the staff counting.

Note: Staff responsible for narcotic administration will not leave their shift until the narcotic
count is reconciled.

2.16 Narcotics wasted will be witnessed and co-signed by two CNs or CN with CNL.

3. PROCEDURES

3.1 Narcotic Administration Documentation

3.1.1 Check the Narcotics folder file stored in the medication room for the prescription of the
narcotic drug.

3.1.2 Check the correct details:

Patient details (Complete name, MRN number and Date of Birth)
Drug dose, route and frequency
Ordering Physician’s name and stamp
Note: The form is only valid for (3) three days or 72 HOURS.
 3.1.3 The Original copy should be sent to the pharmacy during the first wastage of the
medication. And a copy should be kept in the Active Copy file for 3(three) days.

3.1.4 Once the prescription expired after 3 (three days), it should be kept in the Inactive
Original (Original copies of the prescription), or to Inactive Copy (Photocopy of the prescription)
for 1 month.

3.1.5 MOPH narcotic or psychotropic administration sheet

 Pink copy – Nurse signs as receipt and kept at the pharmacy

 Blue copy –Record/copy for the unit (4B Oncology),
-Kept in the INACTIVE folder and stored for Five (5) years as
official reference for pharmacy and MOPH.
 White & yellow copies – Returned to pharmacy with used syringes

3.1.5 Complete the information as indicated in the form:

 Date (Date, Month, Year,)

 Patient name, MRN of the patient.
 Time
 Ordering Physician’s name
 Dose
 Nurse’s Signature
 Nurse Witness’s Signature
 Amount/Dose wasted
 Updated count in appropriate column

Note: Except Morphine IV Infusion MOPH form. MUST leave the amount given and
amount wasted empty during the initial filling up of the form.
Complete the details upon returning the empty or partially used syringe to accurately
indicate the dose given and wasted and return to the pharmacy together with the white
and yellow copies of the MOPH form.
3.1.4 If a revision or correction is necessary, draw a single line through the original entry, write
“error”, initial and makes a second entry if applicable.

MOPH narcotic or psychotropic administration sheet

Pink copy – nurse signs for receipt, returns to pharmacy
Blue copy – patient record
White & yellow copies – returned to pharmacy with used ampules