Al-Waseet Medical Complex

Medication safe dispensing guideline .

Al-Waseet Medical Complex

Medication safe dispensing
guideline and standing order
(According to Saudi FDA
drug formula)
Al-Waseet Medical Complex
Medication safe dispensing guideline .

Contents

1. Definition 1

2. Purpose 1

3. Scope 1

4. Storage of drugs 2

5. Dispensing precaution 2

6. Labeling of dispensed medicines 3

7. Records 3

8. Dispensing errors and near misses 3

 Al-Waseet Medical Complex
Medication safe dispensing guideline .

1. Definition
Administer: means the direct application of a drug to the body of a patient by injection inhalation,
ingestion or other means.

Dispense: means preparing and packaging a prescription drug or device in a container and labeling
the container with required information. Filling or refilling drug containers with prescription drugs
for subsequent use by a patient is "dispensing." Providing quantities of unit dose prescription drugs
for subsequent administration is "dispensing."

Nonprescription Drug: (Also known as Over-the-Counter Drug) means drugs, not requiring
prescriptions, which are recognized among experts to be safe and effective for use.

Prescription drug: means a drug that under MOH law that must be dispensed only if the person
has an approved medical prescription from his physician.

2. Purpose
These guidelines are developed to provide guidance to HCPs in remote clinics. In addition to
complying with these guidelines, HCPs are encouraged to maintain an awareness of the standards
published by the profession, and relevant to their area of practice and category of registration as
per Saudi MOH.
All HCPs shall comply with these guidelines.

3. Scope
The scope of this guideline is to ensure the patient safety and to maintain the highest standard of
practice in dispensing drugs in remote areas.

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Medication safe dispensing guideline .

4. Storage of drugs
Clinics are supplied with three categories of drugs:
Category 1: Nonprescription Drug.
Category 2: Prescription drug.
Category 3: Controlled drugs
 Category 2 and 3 must be stored in secured cabinet with a lock and can be accessed only by
the healthcare provider.
 The HCP shall run a daily inventory for category 3 drugs. Any abuse or missing drugs from
category 2 and 3 must be reported to WIRACU CNO

The HCP shall label all drugs in the clinic with expiry date using a thick marker. Drugs shall be stored
according to their expiry date.

5. Dispensing precaution
The HCP must take the necessary precaution to ensure that the dispensing medications are in
accordance with the prescription of topside Doctor for category 2 and 3. If the HCP has a minimum
doubt then he must contact the topside doctor and get the detailed confirmation about the
prescription.
In conforming to the above principle, dose, frequency and route of administration, duration of
treatment, the presence or absence of other medicines, the patient’s illness, medication history,
and other relevant circumstances need to be taken into account.

Chronic disease drugs will be prescribed only for short period and the patient shall purchase his
necessary drugs from town or get it through his treating doctor in hospitals under medical insurance
coverage. The reason behind this is to keep always enough quantities to support people on shortage
until they get their supply from town

WIRACU clinic will provide drugs for illnesses diagnosed on the site and those suffering from chronic
illnesses they are obliged to purchase their drugs from town and their supply is not the scope of
WIRACU clinics

Category 1 drugs can be prescribed by HCPs without referring to the topside Doctor a condition that
they must always consider past medical history, allergies and current medications and health status
of the employee.
One of the tasks of the HCP is to educate the patient about his treatment how to use it, when to use
and when he should stop it and when he must return immediately to the clinic if an adverse effect
appears.
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Medication safe dispensing guideline .

6. Labeling of dispensed medicines

HCPs must label the drugs and explain to the patient the way of using it and the timing and what
could go wrong.

The label should contain:

Name of the patient:

Daily dose:
Rout of administration:
Time of taking the dose:
Duration of treatment:

7. Records
HCP must record:
 Patient full name:
 Company:
 Room Number:
 Past and current medical history:
 Test results that were carried out:
 Diagnosis:
 Drugs name(s):
 Dose:
 Frequency:
 Rout of administration:
 Duration of treatment:
 Name of the prescriber:

8. Dispensing errors and near misses

All reasonable steps need to be taken to minimize the occurrence of errors. Good practice dictates
that there should be a systematic approach in dealing with errors and near misses so that lessons
can be learned from them and corrective action taken. All errors must be reported to the CNO and
an investigation must be carried out to find the roots of the errors to remediate and learn from
them.

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Medication safe dispensing guideline .

9. Drug formulary instruction (ACCORDING TO SAUDI FDA DRUG FORMULA)

Minimum
Quantity Required Minimum Type of Order
Class Generic and Presentation Stock Level SO or PO
per Class
Panadol tab 500mg 5 packets SO
Panadol Extra tab 5 packets SO
Analgesic/Antipyretic Panadol actifast tab 2 packets SO
Tablets 2 Panadol cold & flu tab 2 packets SO
Panadol night tab 2 packets SO
Jusprine tab 2 packets SO

Brufen 600 5 packets PO

Cataflam 50mg tab 2 packets PO
Reparil tab 1 packet PO
Brufen 400 5 packets SO
Relaxon cap 5 packets PO
Myogesic tab 2 packets SO
Analgesic/Anti-
2 Proxen 500mg tab 2 packets SO
inflammatory Tablets
Votrex 50 tab 3 packets PO
Olfen 50mg tab 2 packets PO
Voltarene 50 tab 2 packets PO
Olfen 75mg amp 2 amps PO
Analgesic/Anti- Xifo vial 2 vials PO
inflammatory Injection 2 Voltaren amp 2 amps PO
Lornoxicam vial 2 vials PO
Corticosteroids Diprofos amp 2 amps PO
Injection 2 Dexamethasone amp 2 amps PO
Azimac 500mg cap 2 packets PO
klavox 625mg tab 2 packets PO
Zinnat 500mg tab 2 packets PO
Amoxil 500mg cap 2 packets PO
Flagyl 500 tab 2 packets PO
Augmentin 625 tab 2 packets PO
Amoclan 1g tab 2 bottles PO
Erythrodar forte 400 tab 2 packets PO
Ciproxen 500 tab 2 packets PO
Antibiotic Tablets 2 Anazol 500 tab 1 packet PO
Furazol tab 3 packets PO
Flazol 500 tab 1 packet PO

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Fucidine cream 3 tubes PO

Antibiotic Fusibact cream 2 tubes PO
2 Tobrex eye ointment 1 tube PO
Ointment/Cream
Maxitrol eye ointment 1 tube PO
Riachole eye ointment 2 tubes PO
Antibiotic Ointment/ Flamazine cream 3 tubes SO
2
Cream for Burns Mebo cream 2 tubes SO
Klacid 500 tab 2 packets PO
Antacid Tablets 2
Moxal chewable tab 5 packets SO
Anatacid Suspension 2 Epicogel suspension 3 bottles SO
Dompy tab 5 packets PO
Anti-emetic Tablets 2 Primperan 10mg tab 2 packets PO
Motilium tab 2 packets PO
Anti-flatulent Tablets Disflatyl chewable tab 2 packets SO
Bronchodilator
(Nebulizer) 2 Atrovent Nebule 1 box PO
Bronchodilator
1
(Inhaler) Ventolin Evohaler 2 actuations PO
Bronchodilator
(Tablets) 2 Butalin 2mg tab 2 packets PO
Savlon solution 2 bottles SO
Antiseptic Solution 2
Povidone Iodine solution 2 bottles SO
Antiseptic Swab 1 Alcohol swabs 2 boxes SO
Voltaren gel 2 tubes SO
Radian massage cream 2 tubes SO
Analgesic
2 Rofenac gel 2 tubes SO
Cream/Ointment
Olfen gel 2 tubes SO
Deep Heat Rub cream 5 tubes SO
Analgesic Spray 1 Deep Heat spray 2 bottles SO
Anesthetic Rectal 1 Neo Healar supp 2 packets PO
Tenormin 50 tab 2 packet PO
Anti-Hypertensive 2
Tab Capoten 25 tab 2 packets PO
Hypoten 50mg tab 2 packets PO

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Medication safe dispensing guideline .

Mucosolvan syp 5 bottles SO

Mentex syp 5 bottles PO
Mucolyte syp 5 bottles SO
Exylin syp 2 bottles SO
Cough Medication,
2 Tussipan syp 2 bottles SO
Syrup
Kafosed syp 2 bottles SO
Prospan syp 2 bottles SO
Bronchicum syp 2 bottles SO
Cough Medication,
Tablet 2 Mucosolvan 30mg tab 2 packets SO
Kenacomb cream 5 tubes SO
Corticosteroid Cream 1 Elica ointment 1 tube PO
Dermovate cream 2 tube PO
Dulcolaxl tab 2 packets SO
Laxative Tablets 1
Neo Carbon cap 1 packet SO
Laxative Syrup 2 Ezilax Syp 2 bottles SO
Antipruritic 2 Calamine lotion 4 bottles SO
Ear Calm drops 2 bottles PO
Dewax drops 1 bottle PO
Artiz tab 5 packets SO
Antihistamine
2 Clara tab 5 packets SO
Tablet/Capsules
Clarinase tab 2 packets SO
Antihistamine Injection 2 Dipenhydramine 50mg/ml Inj 5 ampules PO
Antiseptic
Cleanser/Scrub 2 Dettole solution 2 bottles SO
Riazolin eye drops 2 bottles PO
Apillerg eye drops 2 bottles SO
Riachole eye drops 2 bottles PO
Opthalmic Drops, Oxacin eye drops 2 bottles PO
Antibiotic, Cleanser, 2 Oflox eye drops 2 bottles PO
Antihistamine
Optiflox solution 2 bottles PO
Refresh eye drops 1 boxe SO

FML eye drops 2 bottles PO

Kenazole cream 5 tubes SO
Antifungal Cream
2 Daktarin oral gel 2 tubes SO
Nizoral cream 2 tubes PO
Nasal Decongestant Rinofed tab 2 packet SO
2
Tablets Rinofed tab plus 5 packets SO
Nasal Decongestant 2 Otrivine Nasal spray 2 bottles SO

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Medication safe dispensing guideline .

Spray, Antihistamine Nasonex Nasal spray 4 bottles PO

Gastric - H2 Blocker 2 Fixit 150mg tab 2 packets PO
Diuretic Tablet 2 Lasix 40mg tab 2 packet PO
Antiemetics Injection 2 Primperan amp 2 amps PO
Buscopan 10mg tab 5 packets SO
Antispasmodic Tablets 2
Spasmonal cap 2 packets SO
Antispasmodic
Injection 2 Scopinal amp 2 amps PO
Antidiabetic -
Miscellaneous 1 Oral Glucose powder 1 bottle SO
Hyperglycemic Agent 1 Mixtard HM 30 Insulin 1 vial PO
Gasec 20 cap 2 bottles PO
Proton Pump Inhibitor 2
Peptazol 30 mg cap 4 packets PO
Strepsils lozanges 6 packets SO
Miscellaneous 1 3
Orofar lozanges 3 packets SO
Pyralvex mouth paint 2 bottles SO
Miscellaneous 2 2 Corsodyl mouthwash 2 bottle SO
Orasept mothwash 2 bottles SO
Anti-diarrhea 2 Loperamide HCL 4 packets SO
cap(Imodium Cap)
Redoxon effervescent 2 packets SO
Neurobion tab 4 packets SO
Vitamins/Supplements 2 Centrum tab 3 bottles SO
Stress tabs 2 packets SO
Vit c tab 2 packets SO
Dextrose 5% Water 500ml 1 bottle PO
Dextrose 10% Water 500ml 1 bottle PO
Dextrose 5% Lactated Ringers
IV Fluids 2
500ml 1 bottles PO
Normal Saline 500ml 2 bottles PO
Lactated Ringer's 500 ml 1 bottle PO
Antiurolithic 1 Rowanix cap 2 packets SO
Antibiotic Injection 1 Zinacef 750mg vial 2 vials PO
Coli Urinal effervescent 2 bottles PO
Antibiotic
1 Baneocin powder 2 bottles PO
Miscellaneous
Derma T-solution 1 bottle PO
Supplement Injection 2 Neurobion amp 2 amps PO
Rehydration Agent 1 ORS sachets 1 box SO
Antigout 1 No - Uric tab 300mg 1 packets PO
Decongestant
Miscellaneous 1 Vicks Vapor rub 1 bottle SO

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Medication safe dispensing guideline .

Tetanus Toxoid .5ml dose for

Tetanus Toxoid 1 IM 1 vial PO
Anti-Inflammatory
Misc. 1 Daflon 500 tab 1 packet PO
Lidocaine HCL 1% solution 20
Anesthetic Local ml multi-dose vial 1 vial PO
1
Injection Lidocaine HCL 2% solution 20
ml multi-dose vial 1 vial PO
Anesthetic Local, Other 1 Lidocaine 2% jelly 20gm tube 1 tube PO