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Mitomycin-C 10mg Powder for Solution for Injection (Kyowa): Company led drug alert

The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a company led drug recall, to be actioned, for certain batches of: Mitomycin-C Kyowa 10mg Powder for Solution for Injection. Date issued: 12th November 2018 CLDA number: (18) A/09 MDR number: MDR 06-11/18 Batch number: 6058517 The above batch is being recalled because an out of specification result...

8 hours ago

FMD webinar now on-demand

Community pharmacy contractors can now access an online recording of PSNC’s recent webinar about the Falsified Medicines Directive (FMD). More than 1,000 people registered for yesterday’s webinar hosted by Alastair Buxton, PSNC’s Director of NHS Services. Alastair used the event to explain how the introduction of FMD will affect the day-to-day working of community pharmacy teams and what they...

4 days ago

PSNC October Meeting: summary for contractors now available

PSNC’s October meeting was held on the 9th and 10th of the month in Swindon, and key agenda items included: Analysis of the 2018/19 funding offer; Revision of PSNC’s service development proposals; The first meeting of PSNC’s Brexit Forum; and Consideration of the pilot to integrate pharmacy and medicines optimisation into new care models. Download...

5 days ago

Medicines Safety 

Our aim is to promote and support safer practice by highlighting to pharmacy teams medication incidents that have occurred both locally and nationally. 

We hope you will feed in to this newsletter by letting us know about any significant medicines related incidents that have occurred in your workplace. By working together and sharing your learning from these incidents we can help prevent the same or similar incidents from happening again which in turn helps to protect our patients from harm.  Our Share & Learn Report Template can be found below:-  

Share & Learn Reporting Template

 

Medicines Safety Newsletters

Please see our Medicines Safety Newsletters below.  We will be sending these newsletters out quarterly so if you wish to receive them, click here to sign up to our mailing list. 

Medicines Safety Newsletter: Issue 1 - October 2017

Medicines Safety Newsletter: Issue 2 - February 2018

Medicines Safety Newsletter: Issue 3 - June 2018

 

 

Community Pharmacy Patient Safety Group 

The Community Pharmacy Patient Safety Group provides a forum for community pharmacy organisations to openly share and learn from each other when things go wrong, as well as from other sectors and industries and it is their Report, Learn, Act, Review principles which we at Community Pharmacy West Yorkshire actively promote.  


The group, which was originally hosted by Pharmacy Voice, aims to consider how learning from patient safety incidents can be applied across the pharmacy network and wider NHS,    and then create the opportunities and resources to do just that. Their website is an excellent resource for community pharmacy teams and has some really good information which many pharmacy teams will find useful (see the "resource hub" tab).  You can access their website here: https://pharmacysafety.org/

 

A recent focus for the group was on examining the potential safety risks associated with pharmacy delivery services. To inform the work, two members of the Patient Safety Group shadowed their delivery drivers for a day to gain a better understanding of the potential risks that can arise, to patients, their families and to delivery drivers themselves, when delivering medicines to people’s homes. The Group have used the insights gathered through this shadowing exercise to create tools which delivery drivers and pharmacy teams can use to evaluate the safety of their medicines delivery services. Read more here.

There is also a free CPD module that the group developed around patient safety in community pharmacy and the value of reporting and involving the whole team. See here.

 

 

Fire Risk with Paraffin - Containing Products 


Patients treated with skin products containing paraffin (emollients) must be made aware of the potential fire risks associated with these products.  This includes ALL paraffin-based skin products (regardless of strength) including products used for washing and showering.  Patients who smoke or use a naked flame may cause clothing, bedding or bandages to catch fire as dressings and clothing soaked with the emollient can be easily ignited.  Community pharmacy teams have an essential role to play in advising patients not to smoke; use naked flames (or be near people who are smoking or using naked flames); or go near anything that may cause a fire while emollients are in contact with their medical dressings or clothing.

 

When dispensing/selling any paraffin-based product all patients should be advised of the:

  • Risk of fire when using paraffin- based emollients
  • Patients should be told to keep away from open or gas fires or hobs and naked flames, including candles etc. and not to smoke when using these paraffin containing preparations.
  • Bedding and clothing should be washed regularly (preferably daily) to minimise the build-up of impregnated paraffin although it may not be completely removed. (London Fire Brigade says on the BBC Health website that “even regular washing of night clothes and bed line might not eliminate the danger, unless it is washed at a high temperature as paraffin is invisible and can accumulate over time”).

Please also take care to ensure that any flammability warnings on the product are not covered up.

Patients should be given both verbal and written information on the potential fire risks. It is recommended that a record of information provided is kept on the PMR and communicated on regular occasions.

West Yorkshire Fire Service are currently developing resources for use by pharmacy teams which will be distributed over the next few months. In the interim there is a patient safety leaflet available on the South West Yorkshire Area Prescribing Committee website (link below) which teams may find helpful.

 

Further Resources

 
  • West Yorkshire Fire Service have circulated a letter that includes important information about paraffin-based skin products, which can be viewed below: 

WY Fire Service Letter - Important Info: Paraffin-Based Skin Products

Pharmacist Information - Paraffin Based Skin Products

Paraffin Warning Postcard