1 104628 MDS BOOKLET 1/20/06 9:30 AM Page 1. Trust Monitored Dosage System 0115 949 5421. email: 104628 12/05. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 2. Boots Monitored Dosage Service Group home service offer Trust 104628 MDS BOOKLET 1/20/06 9:30 AM Page 3. contents Summary of offer 3. Monitored Dosage System 5. The Boots service 6. Provision of the MDS system 7. Distribution 8. Storage 9. Training requirements 10. Pharmacist advice 12. Communication and support 13. Agreement review process 14. Policies and procedures 15. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 4. summary of offer Unrivalled nationwide coverage of the Recognised system the MDS is the An unrivalled market leading training UK Boots The Chemists has over system of choice for over 50% of all package fulfiling the training need 370 stores able to provide a specialised care homes. We own and operate the at every stage. service to care homes. Each of these Manrex system, which we also sell to - Comprehensive systems training, separate units operates with its own independent pharmacies and other including certification and a dedicated pharmacy team ensuring multiple pharmacies nationwide.
2 Competency assessment tool for a local, personal service tailored to The system is approved by the Royal the home manager. the individual requirements of each Pharmaceutical Society of Great care home. Britain, and meets the requirements - On-going and refresher training of CSCI and the NMC, giving your for new and existing staff, Our experience we were the first staff confidence. ensuring continuity. major pharmacy chain in the UK to provide the Monitored Dosage System - In-house topical training folder to care homes and ours is widely for carers self development. accepted as the standard system. We currently service over 30% of the - Accredited (to national minimum total care home market. We have an standards), care of Medicines excellent internal structure of store, area, training, helping you to meet regional and national staff to support the standard business, giving you peace of mind. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 5. 4. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 6. MDS Boots Monitored Dosage System The Boots Monitored Dosage The Boots MDS System is a unit dose system, which means that The MDS system reduces the time taken in drug rounds as we do not mix medication, making identification of medicines medication is specifically packed for the relevant time of day, in System is a compliance aid system easier at the time of offering.
3 The system also incorporates the order you require them. We also provide each home with a the five rights of medication offering, right person, right full set of computer-generated Medication Administration Records introduced in 1989 to help care medication offering, ie. right person, right medication, right dose, (MARR sheets) every 28 days. homes better manage service right time and right route. It is organised on a regular 28-day cycle The MARR sheets facilitate a robust auditing procedure for making it easier to plan for the re-ordering of new drugs, without users' medication. the worry that you might run out. record keeping, ordering and receiving repeat prescriptions and stock control. In addition our Regional Dispensing Services Advisors provide support to our new and existing homes and oversee the The system follows the current operating procedures within our MDS stores to ensure a high guidelines set by the Royal quality service is maintained. The Dispensing Service Advisor would also be involved in any issues that the MDS store and the Pharmaceutical Society of Great home were unable to resolve.
4 Britain (RPSGB) and the National Association of Health Authorities and Trusts. The National care Standards Commission (CSCI). also approve the system. 5. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 7. the Boots service The Boots service was introduced The Boots Monitored Dosage System is available nationally through approximately 370 of our stores. Each store has a in 1989. We offer a high quality, member of the pharmacy team known as a Key Contact who is dedicated to ensuring all of their homes receive the best service professional service that our and attention at all times. customers compliment us on, In most cases the service that we offer can be adapted to and the fully trained teams in each suit each individual home. Every effort will be made to produce a tailor made package to incorporate the preferences of the of our MDS stores are always Home Manager (this would be done at a local level) at the time of implementation. ready to provide help and advice. Our Regional Dispensing Service Advisors provide support to both our new and existing homes and oversee the operating procedures within our MDS stores to ensure a high - quality service is maintained.
5 6. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 8. provision of the Boots Monitored Dosage System (MDS). Boots will provide each home Pharmafiles, with pillpacks already racked in the order required MARR sheet folders. by the home, making it easy to work in a logical order. MARR sheet divider cards. with the following equipment Pillpacks in the appropriate colour for the time of day: Security system for deliveries of medication to the home and to ensure the system runs pink (morning), yellow (lunchtime), orange (teatime), blue returns from the home to the pharmacy. (bedtime) and white for PRN medication, so you only effectively and efficiently. need to pick the relevant file/s for that medication round. Returned/disposed medication book for recording of refused medication. Medtime cards to identify the correct pharmafile for that time of day and incorporating any extra details such as unit number Returned/disposed medication bags. or name. Fridge line labels to identify items that need to be stored in Divider cards to identify the correct person and reduce the risk the refrigerator.
6 Of error. Controlled drug delivery book. These items need to be checked Reminder cards for non-blistered items, incorporating all at the time of delivery and a signature obtained. medications into the system. MDS procedures manual, for on-going reference and Alert strips which give you greater flexibility within the training purposes. drug round. Quick reference guide, acting as a prompt for staff unfamiliar Computer-generated MARR sheets to record drug with the system. administration. The MARR sheets also provide an audit trail and Spare equipment. a Review and Request of the next supply cycle, making sure all Wall planner, which acts as an aid for drug re-ordering. aspects of legislation are complied with. 7. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 9. distribution of the MDS system In accordance with the guidelines Once the prescriptions have been generated and received by the The Pharmafiles will be delivered to each home in the order home, they should be checked and signed ready for collection by requested, making the drug round as smooth as possible.
7 Set by the Royal Pharmaceutical Boots no later than 10 days prior to the next start date. This The MARR sheets will also be in the same order, to facilitate procedure ensures that the home has full control of its own the checking in process. Society of Great Britain (RPSGB), ordering process and demonstrates compliance to best practices. Collection of empty files all prescriptions should be ordered Boots will deliver the next 28-day supply of medication in the On a monthly basis, Boots will arrange with each home a by the home from the surgery. MDS system to the home no later than 3 days before the next mutually convenient time to collect the empty files. This would cycle is due to commence. This gives the person checking the usually happen a few days after the start of the new cycle, medication in enough time to intervene should it be necessary to giving the home time to complete the audit trail for the previous do so, and gives the home flexibility for staff planning. 28 day cycle.
8 The monthly medication will be supplied in security sealed bags Returns and disposal of medicines will be made available for and a representative at the home will be required to sign for each care Homes to return to the Pharmacy (Residential Homes only). bag and hand a portion of the tag back to the driver as proof of or Pharmaceutical Waste Carrier for Homes with Nursing. delivery. Mid Cycle Prescriptions All controlled drugs will need to be checked and signed for separately upon receipt. Boots provides each home with its Any prescriptions for interim medication should be faxed to own controlled drug delivery book to make this process quick Boots by an agreed cut-off time, for delivery the same day. and easy. The original prescription must be handed over upon receipt of the medication, so that the faxed copy can be checked against All fridge lines will be clearly marked so that they can be easily the hard copy, to ensure that the item/s are correct. A separate identified by the home staff and quickly checked and stored away MARR sheet for the new item/s will be issued, for ease of in the refrigerator.
9 Record keeping. 8. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 10. storage of the MDS system Boots will undertake an initial If the home has a suitable trolley that could be adapted to hold the MDS system, Boots may be able to provide the equipment for assessment of the storage doing this. The home would need to carry out the fitting of the adapting panel. available in the home. In the event of a home having no storage of their own, Boots may be able to provide a trolley/s on loan to accommodate the MDS. system whilst the home continues to receive their medication supply from us. An equipment agreement would need to be signed at this time by the home, and it would remain the responsibility of the home to ensure that any medication trolleys on loan from Boots were maintained and fit for their purpose. 9. 104628 MDS BOOKLET 1/20/06 9:30 AM Page 11. training requirements Boots is able to offer a unique Tier 1 Initial set-up system training Tier 2 On-going training Training will be provided to all relevant home staff prior to starting For the purpose of refresher training or new members of staff, the 6 tier training system to homes the Monitored Dosage System.
10 Training package provides comprehensive instructions on how to using our MDS service. This training covers all aspects of operating the system accurately use the MDS system effectively. In addition, Boots can provide each home with a copy of our training video. within the home and in accordance with current legislation. There is a workbook to complete after viewing the video, The trainer, usually the Dispensing Services Advisor, will provide consisting of a question and answer type document. There is a certificate of attendance for each member of staff who has also a competency assessment sheet for homes to use. participated in the session. As further back up each home will each receive a manual to use The session normally takes about 1 hour to complete and as an on-going source of reference, and a quick reference guide comprises of safe administration of medication and accurate inserted into the front of the MARR sheet folder, which acts as and meaningful record keeping. Audit trails, including receipt a prompt when adjusting to using the MDS system.