What is the most convenient way to distribute various medicines at the nurse's post? Where to store them, given that some decompose in the light, others lose their properties at room temperature, others evaporate, etc.?
First of all, the drugs are divided into groups depending on the route of administration. All sterile solutions in ampoules and vials (on vials with preparations made in
Fig. 9-1. Storage medicines in treatment room
pharmacy, there should be a blue label) stored in the treatment room in a glass cabinet (Fig. 9-1). Antibiotics and their solvents are placed on one of the shelves, on the other (lower) - bottles for drip infusion of liquids with a capacity of 200 and 500 ml, on the other shelves - boxes with ampoules that are not on list A (poisonous) or list B (potent), those. solutions of vitamins, dibazole, papaverine, magnesium sulfate, etc.
Medicines included in lists A and B are stored separately in special cabinets (in a safe). It is allowed to store medicines of list A (narcotic analgesics, atropine, etc.) and list B (chlorpromazine, etc.) in one safe, but in different, separately locked departments. In the safe store, scarce and expensive funds are also stored.
On the safe compartment where toxic drugs are stored, the inscription “Venena” (list A) should be on the outside,
Fig. 9-2.Storage of medicines of list A and B
and on the inside of the safe door of this compartment is a list of medicines indicating the maximum single and daily doses. The safe compartment with potent drugs is labeled “Heroica” (List B). Inside each department, drugs are divided into groups: “external”, “internal”, “ eye drops”,“ Injectable ”(Fig. 9-2).
The shelf life of sterile solutions manufactured in a pharmacy is three days. If during this time they are not implemented, they should be returned to the senior nurse. Medicines manufactured in a pharmacy for external use have a yellow label, and for the internal - white. Medicines for outdoor
Fig. 9-3. Storage of medicines of list A and B
and internal use should be stored at the nurse's post in a locked cabinet on various shelves, respectively labeled: “external”, “internal”, “eye drops”. Hard, liquid and soft should be placed separately on the shelf. dosage forms (Fig. 9-3).
To quickly find the right drug, medicines are systematized as prescribed and placed in separate containers. For example, all packages with antibiotics (ampicillin, oxacillin, etc.) are put into one container and they sign “Antibiotics”; drugs that lower blood pressure (clonidine, papazol, etc.) are placed in another container labeled “Antihypertensive drugs”, etc.
Nursing staff may not:
1) change the form of medicines and their packaging;
2) combine the same drugs from different packages into one;
3) replace and correct the labels on the drug label;
4) store medicines without labels. Drugs that decompose in the light are released into
dark bottles and stored in a dark place. Strong smelling medicines are stored separately. Perishable medicines (infusions, decoctions, potions), as well as ointments, are placed in the refrigerator intended for storage medicines. In the refrigerator at a certain temperature (from +2 to +10 ° С) vaccines, serums, insulin, protein preparations are also stored. Note that on different shelves of the refrigerator, the temperature ranges from +2 ° C (on the upper shelf) to +10 ° C (on the lower shelf). The product may become unusable if it is placed on the wrong shelf of the refrigerator.
The temperature at which the drug should be stored is indicated on the package. The shelf life of infusions and potions in the refrigerator is no more than three days. Signs of the unsuitability of such drugs are turbidity, discoloration, the appearance of an unpleasant odor. Alcohol tinctures, solutions, and extracts become more concentrated over time due to the evaporation of alcohol; therefore, these dosage forms should be stored in vials with tightly capped caps or well-screwed caps. Unsuitable for consumption are also powders and tablets that have changed their color.
Attention! The refrigerator and cabinet with medicines must be locked. The keys to the safe with narcotic drugs are located at the responsible person, determined by order of the chief physician of the medical institution.
At home, a separate place should be allocated for the storage of medicines, inaccessible to children and people with impaired cognitive abilities. However, drugs that a person takes with suffocation, heart pain, should be available at any time.
In the department at the checkpoint, medicines are stored in a special cabinet (locked) on separate marked shelves, depending on the route of administration (internal, external, for injection). Highly flammable substances are stored separately - alcohol, ether, dressings, instruments, strongly smelling medicines (iodoform, lysol), disinfectants.
Vaccines, serums, antibiotics, water infusions and decoctions should be stored in a refrigerator specially allocated for this at a temperature of + 2 ... + 14 0 С.
Poisonous and narcotic drugs (mercuric chloride, strychnine, arsenic, morphine, promedol, etc.) are stored in metal cabinets or safes attached to the floor (wall), which must be locked with a key. The inscription “A” and the list of toxic and narcotic drugs with the indication of the highest single and daily doses should be on the inside of the doors of the safe or cabinet.
After the end of the working day, metal cabinets or safes are sealed or sealed. Keys and a seal are kept by persons authorized to do so by order of a health care institution, in conditions ensuring their complete safety. At night, the keys are handed over to the doctor on duty or to the nurse on duty, about which an entry is made in a special journal and signatures are put on of the persons who transmitted and accepted the keys and supplies of the indicated medicines.
Stocks of narcotic drugs in the departments should not exceed 3-day need for them, poisonous - 5-day.
Medicines containing narcotic substances, as well as drugs that have a stupefying effect, are subject to quantitative registration in a special book, numbered, laced, sealed with the signature of the head physician and the seal of the medical institution in accordance with Decree No. 51 of 12.28.2004.
Narcotic drugs are used as prescribed by the doctor with a note on their introduction in the medical history. If part of the dose is administered, a mark is made about the time of administration and destruction of the remaining amount in the medical prescription sheet and in the patient’s medical record. Entries are confirmed by the nurse's signature. A similar record is made in the book of subject-quantitative accounting of the department (table. 1).
Used ampoules for narcotic drugs shall be reported on the same day, with the exception of weekends and holidays, to a person authorized by order of the head physician at the institution.
The fact of the delivery by the nurses of empty ampoules for narcotic drugs is recorded in a special book, numbered, laced, sealed and signed by the head of the institution (Table 2).
External route of administration of drugs
The introduction of drugs into the respiratory tract by inhalation is called inhalation. The drug is in the inhaler vial as an aerosol. Inhalers are stationary, portable, pocket. Using an inhaler, the drug is administered through the mouth or nose.
Rules for using a pocket inhaler (spray):
1. Remove the protective cap from the can by turning the can upside down.
2. Shake the spray can well.
3. take a deep breath.
4. Grasp the mouthpiece of the spray can with your lips, tilt your head back slightly.
5. Take a deep breath and at the same time firmly press the bottom of the spray can: at this moment a dose of aerosol is given out.
6. hold your breath for 5-10 seconds, then remove the mouthpiece of the spray can from your mouth and exhale slowly.
7. After inhalation, put on the cap.
Note:inhalations are divided into:
Heat moist,
Steam
Wet
Inhalation of anesthetics,
Therapeutic dose 2 breaths
The number of doses of aerosol is determined by the doctor.
Questions for self-control
1. To obtain medicines from a pharmacy, it is necessary to draw up ……….
2. Who makes the requirements for the pharmacy?
3. Who should be signed the requirement?
4. The selection of assignments is made by the guard m / s from ........ .
5. Who receives medication on duty m / s?
6. To receive medicines from the pharmacy, the senior m / s draws up the requirements in ....... copies.
7. When receiving medicines from a pharmacy, attention should be paid to ............
8. What are the main groups of drugs distributed in the closet?
9. Is it possible to store other medicines in the cabinet together with strong smelling?
10 Indicate the storage conditions of medicines and tinctures.
11. List the external methods of drug administration.
12. Parenteral administration of drugs is ....... ..?
SAMPLE.
Waybill (requirement) for obtaining medicines from a pharmacy.
Figure number 1.
____________________ I affirm:
PHARMACY № 123 Ivanova I.I.
___________________ ______________________
Branch, warehouse, pharmacy Signature of the head of the institution
COMMISSION (REQUIREMENT) No._27 _____ "1" __ 11____2007
Base (target) For drug therapy Through whom Senior m / s
Gavrilova T.Yu.
To ________ 64 City Clinical Hospital 1 ter department___
No. and name of department (service)
| Name, grade, size, packaging, dosage. | unit of measurement | Nomenclature No. | Quantity Required | The number is released | Price | the amount |
| Analgin in tab. 0.5 g №10 | Packaging. | 10 | ||||
| Trental in tab. 400 mg No. 30 | Packaging. | 20 | ||||
| Diphenhydramine solution 1% -1.0 ml in ampoule No. 10 | Packaging. | 10 | ||||
| Cavinton tab. 10 mg.№30 | Packaging. | 15 | ||||
| Glucose solution 0.5% - 500 ml | Bottle. | 30 | ||||
| Rr vit. "C" 1% -2ml in ampoule No. 10 | Bottle. | 20 | ||||
| Imodium caps. 2 mg №20 | Packaging. | 20 | ||||
| Sodium Chloride 0.9% - 5.0 ml No. 10 | Packaging | 40 | ||||
| 5 gauze each | Packaging. | 50 | ||||
| Bandage 7/14 | Pieces. | 50 | ||||
| Corvalol 20 ml | Bottle. | 15 |
Signature branches: Petrov I.M.Date: November 1, 2007
EPHEDRINE For external use
HYDROCHLORIDE (yellow label)
OUTDOOR 12.11.2007
Signature: Petrova
EleutherococcusFor internal use
50.0 ml(white label)
Signature: Petrova
For sterile solutions in
SODIUM CHLORIDEampoules and vials
ISOTONIC 0.9% -500.0 ml(blue label)
Signature: Petrova
The medicines received from the pharmacy are stored in a special cabinet, distributed among the shelves: external, internal, injectable at the head nurse, and perishable ones are stored in the refrigerator at a temperature of +2 to +10 degrees of the vaccine, serum, insulin, heparin, protein preparations. Sterile solutions for injection and infusion are also stored in the treatment room in a glass cabinet on the upper shelves, antibiotics, solvents, solutions of vitamins, papaverine, dibazole, magnesium sulfate, etc. are located on other shelves (See fig. No. 4).
Medicines included in the list “A” and “B” are kept separately in special safes. It is allowed to store medicines of list “A” and list “B” in one safe, but in different lockable compartments. Severely deficient and expensive funds are also stored in the safe.
On the safe compartment where toxic drugs are stored, Venena “A” should be on the outside, and a list of medicines with the maximum, single and daily doses should be indicated on the inside of the safe door of this compartment. The safe compartment with potent drugs is labeled Heroica “B” (see inside the compartment, medicines are divided into groups: external, internal, eye drops, injection.
The shelf life of sterile solutions manufactured in a pharmacy is 3 days. If they are not implemented during this time, they should be returned to the head nurse. Medicines for external and internal use are stored at the nurse's post in a locked cabinet on various shelves, respectively labeled (see figure No. 3). Hard, liquid and soft dosage forms should be separately placed on the shelf. Dosage forms made in a pharmacy for external use have a yellow label, and for the internal one they have a white label (see Fig. 2).
- Remember!
Nursing staff may not:
1. Change the form of medicines and their packaging.
2. Combine identical drugs from different packages into one.
3. Replace and correct the labels on the drug label.
4. Store medicines without labels.
Medicines that decompose in the light are released in dark bottles and stored in a dark place. Strong-smelling medicines are stored separately.
Perishable medicines (infusions, decoctions, potions), as well as ointments are placed in the refrigerator. The shelf life of infusions and potions in the refrigerator is no more than 3 days. Signs of unsuitability are turbidity, discoloration, the appearance of an unpleasant odor.
Tinctures, solutions, extracts prepared on alcohol, over time, become more concentrated due to the evaporation of alcohol, therefore, these dosage forms should be stored in bottles with tightly ground stoppers.
REMEMBER:
The refrigerator and cabinet must be locked. The keys to the safe with narcotic drugs must be located at the responsible person, determined by order of the head physician of the health facility.
At home, a specific place should be allocated for the storage of drugs, not accessible to children and persons with cognitive impairment. But the medicines that a person takes for heart pain, asphyxiation should be available to him at any time.
"On approval of the rules for storage of medicines"
Published October 13, 2010. Effective October 24, 2010. Registered with the Ministry of Justice of the Russian Federation on October 4, 2010. Registration No. 18608Rules for the storage of medicines
I. General Provisions
1. These Rules establish the requirements for storage facilities for medicines for medical use (hereinafter - medicines), regulate the storage conditions of these medicines and apply to- drug manufacturers
- organization of wholesale trade in medicines,
- pharmacy organizations
- medical and other organizations engaged in the circulation of medicines,
- individual entrepreneurs having a license for pharmaceutical activity or a license for medical activity (hereinafter referred to as organizations, individual entrepreneurs).
II. General requirements for the design and operation of drug storage facilities
2. The device, composition, size of the area (for organizations wholesale trade in medicines), the operation and equipment of premises for the storage of medicines should provide them safety.3. The storage facilities for medicines must support certain temperature and air humidity, allowing to ensure the storage of medicines in accordance with the requirements of the manufacturers of medicines indicated on the primary and secondary (consumer) packaging.
4. Storage facilities for medicines should be equipped air conditioning and other equipment that allows for the storage of medicines in accordance with the requirements of the manufacturers of medicines indicated on the primary and secondary (consumer) packaging, or it is recommended that the premises be equipped with windows, transoms, second lattice doors.
5. Storage facilities for medicines must be provided shelving, cabinets, pallets, merchandise.
6. Finishing of premises for storage of medicines (internal surfaces of walls, ceilings) should be smooth and allow for wet cleaning.
III. General requirements for storage facilities for medicines and storage arrangements
7. Storage facilities for medicines should be equipped with devices for recording air parameters (thermometers, hygrometers (electronic hygrometers) or psychrometers). The measuring parts of these devices should be placed at a distance of at least 3 m from doors, windows and heating appliances. Devices and (or) parts of devices from which visual readings are made should be located in a place accessible to personnel at a height of 1.5-1.7 m from the floor.The readings of these devices should be recorded daily in a special magazine (map) registration on paper or in electronic form with archiving (for electronic hygrometers), which is maintained by the responsible person. The registration journal (card) is kept for one year, not counting the current one. Monitoring devices must be certified, calibrated and verified in the prescribed manner.
8. In storage rooms, medicines shall be placed in accordance with the requirements of regulatory documents indicated on the packaging of the medicinal product, taking into account:
- physico-chemical properties of drugs;
- pharmacological groups (for pharmacy and medical organizations);
- method of application (internal, external);
- state of aggregation of pharmaceutical substances (liquid, granular, gaseous).
9. Separately, in technically fortified premises that meet the requirements of the Federal Law of January 8, 1998 N 3-FZ "On narcotic drugs and psychotropic substances"(Meeting of the legislation of the Russian Federation, 1998, N 2, Art. 219; 2002, N 30, Art. 3033, 2003, N 2, Art. 167, N 27 (Part I), Art. 2700; 2005, N 19, Art. 1752; 2006, N 43, Art. 4412; 2007, N 30, Art. 3748, N 31, Art. 4011; 2008, N 52 (part 1), Art. 6233; 2009, N 29, Art. 3614; 2010, N 21, Art. 2525, N 31, Art. 4192) are stored:
- narcotic and psychotropic drugs;
- potent and toxic drugs that are controlled in accordance with international legal standards.
Racks, cabinets, shelves designed for storing medicines should be numbered.
Stored drugs must also be identified using rack cardcontaining information about the stored drug (name, release form and dosage, batch number, expiration date, manufacturer of the drug). When using computer technology, identification using codes and electronic devices is allowed.
11. In organizations and individual entrepreneurs it is necessary to conduct limited shelf life metering on paper or in electronic form with archiving. Monitoring the timely sale of medicines with a limited shelf life should be carried out using computer technology, shelving cards indicating the name of the drug, series, shelf life or shelf life logs. The accounting procedure for these medicines is established by the head of the organization or individual entrepreneur.
12. When identifying drugs with expired they should be kept separately from other groups of drugs in a specially allocated and designated (quarantine) zone.
IV. Requirements for premises for the storage of flammable and explosive medicines and the organization of their storage
13. Storage facilities flammable and explosive medicines must fully comply with applicable regulations.14. In order to ensure the storage of flammable and explosive medicines according to the principle of homogeneity in accordance with their physicochemical, fire hazard properties and the nature of the packaging, storage rooms for wholesale drug companies and pharmaceutical manufacturers (hereinafter referred to as storage facilities) are divided into separate rooms (compartments) with fire resistance building structures for at least 1 hour.
15. Necessary for packaging and manufacturing of medicinal products for medical use on one shift the amount of flammable medicines is allowed to be kept in industrial and other premises. The remaining amount of flammable drugs at the end of work at the end of the shift is transferred to the next shift or returned to the place of main storage.
16. The floors of storage facilities and unloading areas should have hard, even coating. It is forbidden to use boards and iron sheets for leveling floors. The floors should provide convenient and safe movement of people, goods and vehicles, have sufficient strength and withstand the loads from the stored materials, ensure the simplicity and ease of cleaning the warehouse.
17. Warehouses for the storage of flammable and explosive medicines must be equipped fireproof and resistant racks and pallets designed for the appropriate load. The racks are installed at a distance of 0.25 m from the floor and walls, the width of the racks should not exceed 1 m and have, in the case of storage of pharmaceutical substances, a flange of at least 0.25 m. The longitudinal passages between the racks should be at least 1.35 m.
18. For storage of flammable and explosive medicines in pharmacy organizations and individual entrepreneurs allocated isolated roomsequipped with automatic fire protection and alarm systems (hereinafter referred to as storage facilities for flammable and explosive medicines).
19. Pharmacy organizations and individual entrepreneurs are allowed to store pharmaceutical substances possessing flammable and combustible, in a volume of up to 10 kg outdoors for storage of flammable and explosive medicines in the built-in fireproof cabinets. Cabinets should be removed from heat-conducting surfaces and walkways, with doors at least 0.7 m wide and at least 1.2 m high. They should be freely accessible.
It is allowed to store explosive medicinal products for medical use (in secondary (consumer) packaging) for use on one shift in metal cabinets outdoors for storage of flammable and explosive medicines.
20. The quantity of flammable medicines allowed for storage in rooms for storing flammable and explosive medicines located in buildings for other purposes should not exceed 100 kg in bulk.
Storage rooms for flammable and explosive medicines used for the storage of flammable pharmaceutical substances in quantities of over 100 kg must be in detached building, and the storage itself should be carried out in glass or metal containers isolated from the premises for storage of flammable medicines of other groups.
21. It is forbidden to enter the premises for storing flammable and explosive medicines open sources of fire.
V. Features of the organization of storage of medicines in warehouses
22. Medicines stored in warehouses should be placed on shelving or at the merchants (pallets). Do not place drugs on the floor without a pallet.Pallets can be placed on the floor in one row or on racks in several tiers, depending on the height of the rack. It is not allowed to place pallets with medicines in several rows in height without using racks.
23. With the manual method of loading and unloading, the height of the laying of medicines should not exceed 1,5 m.
When using mechanized devices for unloading and loading operations, medicines must be stored in several tiers. At the same time, the total height of the placement of medicines on the racks should not exceed the capabilities of mechanized loading and unloading means (lifts, autocars, hoists).
VI. Features of storage of certain groups of drugs depending on the physical and physico-chemical properties, exposure to various environmental factors
Storage of medicines requiring protection from light
24. Medicines requiring protection from the effects of light are stored in rooms or specially equipped places that provide protection against natural and artificial lighting.25. Pharmaceutical substances requiring protection against the effects of light should be stored in containers of lightproof materials (glass containers of orange glass, metal containers, packaging of aluminum foil or polymeric materials painted in black, brown or orange), in a dark room or cabinets.
To store pharmaceutical substances that are especially sensitive to light (silver nitrate, proserin), glass containers are glued over with black lightproof paper.
26. Medicinal products for medical use that require protection against the effects of light, packaged in primary and secondary (consumer) packaging, should be stored in cabinets or racks, subject to measures to hit prevention for these drugs direct sunlight or other bright directional light (use of reflective film, blinds, peaks, etc.).
Storage of drugs requiring protection against moisture
27. Pharmaceutical substances requiring protection against moisture exposureshould be stored in a cool place at temperatures up to + 15 deg. FROM (hereinafter referred to as a cool place), in tightly sealed containers made of materials impervious to water vapor (glass, metal, aluminum foil, thick-walled plastic containers) or in the manufacturer’s primary and secondary (consumer) packaging.28. Pharmaceutical substances with pronounced hygroscopic properties should be stored in glass container with hermetic capping, paraffin-waxed on top.
29. In order to avoid damage and loss of quality, the storage of medicines should be organized in accordance with the requirements in the form of warning labels on the secondary (consumer) packaging of the medicinal product.
Storage of medicines requiring protection against volatilization and drying
30. Pharmaceutical substances requiring protection against volatilization and drying out:- volatile drugs themselves;
- volatile solvent preparations
- alcohol tinctures,
- liquid alcohol concentrates,
- thick extracts;
- solutions and mixtures of volatile substances
- essential oils,
- ammonia solutions
- formaldehyde solutions
- hydrogen chloride solutions over 13%,
- carbolic acid solutions
- ethanol of various concentrations, etc .;
- medicinal plant materials containing essential oils;
- medicines containing crystallization water - crystalline hydrates;
- volatile products decomposing drugs
- iodoform,
- hydrogen peroxide,
- sodium bicarbonate;
- drugs with a certain lower limit of moisture content
- magnesium sulfate,
- sodium paraaminosalicylate,
- sodium sulfate,
31. Pharmaceutical substances - crystalline hydrates should be stored in hermetically sealed glass, metal and thick-walled plastic containers or in the manufacturer’s primary and secondary (consumer) packaging under conditions that meet the requirements of regulatory documents for these drugs.
Storage of medicines requiring protection from exposure to elevated temperatures
32. Storage of medicines requiring protection against exposure elevated temperature (thermolabile drugs), organizations and individual entrepreneurs should implement in accordance with the temperature regime indicated on the primary and secondary (consumer) packaging of the drug in accordance with the requirements of regulatory documents.Storage of medicines requiring protection against exposure to cold
33. Storage of medicines requiring exposure protection low temperature (medicines whose physical and chemical state changes after freezing and, after subsequent warming to room temperature, does not recover (40% formaldehyde solution, insulin solutions), organizations and individual entrepreneurs should carry out in accordance with the temperature regime indicated on the primary and secondary (consumer) drug packaging in accordance with the requirements of regulatory documentation.34. Freezing drugs insulin not allowed.
Storage of medicines requiring protection against the effects of gases contained in the environment
35. Pharmaceutical substances requiring protection against exposure to gases- substances reacting with air oxygen:
- various compounds of the aliphatic series with unsaturated intercarbon bonds,
- cyclic with aliphatic lateral groups with unsaturated carbon bonds,
- phenolic and polyphenolic,
- morphine and its derivatives with unsubstituted hydroxyl groups;
- sulfur-containing heterogeneous and heterocyclic compounds,
- enzymes and organ preparations;
- substances reacting with carbon dioxide air:
- salts of alkali metals and weak organic acids (barbital sodium, hexenal),
- medicines containing polyatomic amines (aminophylline), magnesium oxide and peroxide, sodium hydroxide, potassium hydroxide,
Storage of odorous and coloring medicines
36. Odorous medicines (pharmaceutical substances both volatile and practically non-volatile, but possessing strong smell ) should be stored in hermetically sealed containers, impermeable to smell.37. Coloring medicines (pharmaceutical substances that leave a stained trace that cannot be washed off by normal sanitary treatment on containers, closures, equipment and implements:
- diamond green
- methylene blue
- indigo carmine
38. For work with coloring drugs for each item must be allocated special scales, mortar, putty knife and other necessary equipment.
Disinfectant Medicine Storage
39. Disinfectants medicines should be stored in hermetically sealed containers in an isolated room away from the storage rooms of plastic, rubber and metal products and distilled water production facilities.Medical drug storage
40. Storage of medicines for medical use is carried out in accordance with the requirements state Pharmacopoeiaand normative documentationas well as properties substances in their composition.41. When stored in cabinets, on racks or shelves, medicines for medical use in secondary (consumer) packaging must be placed the label (marked) out.
42. Organizations and individual entrepreneurs should store medicines for medical use in accordance with storage requirementsindicated on the secondary (consumer) packaging of the specified medicinal product.
Storage of medicinal plant materials
43. Bulk medicinal plant material should be stored in dry (not more than 50% humidity), in a well-ventilated room in a tightly closed container.44. Bulk medicinal plant material containing essential oils, is stored in isolation in a well-sealed container.
45. Bulk medicinal plant materials should be periodically monitored in accordance with the requirements of the State Pharmacopoeia. Grass, roots, rhizomes, seeds, fruits, which have lost their normal color, smell and the required amount of active substances, as well as those affected by mold, barn pests, reject.
46. \u200b\u200bStorage of medicinal plant materials containing cardiac glycosides, is carried out in compliance with the requirements of the state pharmacopeia, in particular, the requirements for re-monitoring of biological activity.
47. Bulk medicinal plant materials included in the lists potent and poisonous substances approved by the Decree of the Government of the Russian Federation of December 29, 2007 N 964 "On approval of lists of potent and toxic substances for the purposes of Article 234 and other articles of the Criminal Code of the Russian Federation, as well as the large size of potent substances for the purposes of Article 234 of the Criminal Code of the Russian Federation" (Meeting of the legislation of the Russian Federation, 2008, N 2, Art. 89; 2010, N 28, Art. 3703), is stored in a separate room or in a separate cabinet under lock and key.
48. Pre-packaged medicinal plant material is stored on shelves or in cabinets.
Storage of medical leeches
49. Storage of medical leeches is carried out in a bright room without the smell of drugs, for which a constant temperature regime is established.50. The maintenance of leeches is carried out in the prescribed manner.
Flammable Medicines Storage
51. Storage of flammable drugs- medicines with flammable properties
- alcohol and alcohol solutions,
- alcohol and essential tinctures,
- alcohol and ether extracts,
- ether,
- turpentine,
- lactic acid,
- chloroethyl
- collodion,
- cleol
- novikov liquid
- organic oils
- medicines possessing flammable properties
- sulfur,
- glycerol,
- vegetable oils,
- medicinal plant material)
52. Flammable drugs are stored in tightly sealed, durable glass or metal containers to prevent evaporation liquids from vessels.
53. Bottles, cylinders and other large containers with flammable and combustible medicines should be stored on shelves. in one row in height. It is forbidden to store them in several rows in height using various cushioning materials.
Storage of these medicines with heating appliances. The distance from the rack or stack to the heating element must be at least 1 m.
54. Storage of bottles with flammable and easily combustible pharmaceutical substances should be carried out in a container that protects against shock, or in balloon tippers in a row.
55. At the workplaces of industrial premises allocated by pharmacy organizations and individual entrepreneurs, flammable and combustible medicines may be stored in quantities not exceeding interchangeable need. At the same time, the containers in which they are stored must be tightly closed.
56. It is not allowed to store flammable and combustible medicines in a fully filled container. The degree of filling should be no more 90% of the volume. Alcohols in large quantities are stored in metal containers filled not more than 75% of the volume.
57. The joint storage of flammable drugs with
- mineral acids (especially sulfuric and nitric acids),
- compressed and liquefied gases
- easily combustible substances (vegetable oils, sulfur, dressings),
- alkalis
- as well as with inorganic salts giving explosive mixtures with organic substances
- potassium chlorate,
- potassium permanganate,
- potassium chromate, etc.
Explosive drug storage
59. During storage explosivemedicines (medicines with explosive properties (nitroglycerin); medicines with explosive properties (potassium permanganate, silver nitrate), measures should be taken against dust pollution.60. Tanks with explosive medicinal products (boom boxes, tin drums, flasks, etc.) are necessary close tight in order to avoid vapors of these products in the air.
61. Storage of bulk potassium permanganate allowed in a special compartment of the warehouse (where it is stored in tin drums), in bars with ground corks separately from other organic substances - in pharmacy organizations and individual entrepreneurs.
62. Bulk solution nitro glycerin stored in small, well-corked bottles or metal containers in a cool, dark place, observing fire precautions. To move the dishes with nitroglycerin and weigh this drug should be in conditions that exclude the spillage and evaporation of nitroglycerin, as well as its contact with the skin.
63. When working with diethyl ether Shaking, impacts, friction are not allowed.
64. It is forbidden to store explosive medicines with acids and alkalis.
Storage of narcotic and psychotropic drugs
65. Narcotic and psychotropic medicines are stored in organizations in isolated rooms specially equipped with engineering and technical security equipment, and in temporary storage places, subject to requirements in accordance with the Rules for the Storage of Narcotic Drugs and Psychotropic Substances established by Decree of the Government of the Russian Federation of December 31, 2009 N 1148 (Collection of Legislation Russian Federation, 2010, N 4, Article 394; N 25, Article 3178).Storage of potent and toxic drugs, drugs subject to quantitative registration
66. In accordance with the Decree of the Government of the Russian Federation of December 29, 2007 N 964 "On approval of the lists of potent and toxic substances for the purposes of Article 234 and other articles of the Criminal Code of the Russian Federation, as well as the large size of potent substances for the purposes of Article 234 of the Criminal Code of the Russian Federation Federation "potent and toxic drugs include medicines containing potent and toxic substances, included in the lists of potent substances and toxic substances.67. Storage of potent and toxic drugs controlled under international legal standards (hereinafter referred to as potent and poisonous medicines under international control) is carried out in rooms equipped with engineering and technical protection equipment similar to those provided for the storage of narcotic and psychotropic drugs.
68. It is allowed to store in one technically fortified room strong and toxic drugs under international control, and narcotic and psychotropic drugs.
At the same time, storage of potent and toxic drugs should be carried out (depending on the volume of stocks) on different shelves of the safe (metal cabinet) or in different safes (metal cabinets).
69. Storage of potent and toxic drugs that are not under international control is carried out in metal cabinetssealed or sealed at the end of the working day.
70. Medicines subject to quantitative accounting in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of December 14, 2005 N 785 "On the procedure for dispensing medicines" (registered with the Ministry of Justice of the Russian Federation on January 16, 2006 N 7353), with the exception of narcotic, psychotropic, potent and poisonous medicines are stored in metal or wooden cabinets, sealed or sealed at the end of the working day.
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