Management of Drugs at Health Centre Level - Training Manual: 4. Drug procurement: 4.10 Drug storage: 4.10.2 Storage Environment

Management of Drugs at Health Centre Level - Training Manual
(2004; 84 pages)

Table of Contents

Foreword
Acknowledgements
Objectives
1. Introduction
2. Management of drugs
	2.1 What is a drug?
	2.2 What is management?
	2.3 Why manage drugs?
	2.4 Drug management cycle
3. Selection of drugs
	3.1 Criteria for selection of drugs
	3.2 Basis for drug selection
	3.3 Generic names
4. Drug procurement
	4.1 Estimation of drug requirements
	4.2 Determining drug types and quantities required
	4.3 Delivery (lead) time
	4.4 Monthly consumption
	4.5 Request indicator (re-order)
	4.6 Quantity to be requested
	4.7 Price of drugs
	4.8 Requisition, supply and receipt of drugs
		4.8.1 Drug request
		4.8.2 Completing stores requisition/delivery (issue) form
	4.9 Supply of drugs from medical stores
		4.9.1 Stores requisition/delivery (issue) form
		4.9.2 Receipt of drugs at dispensary
		4.9.3 Discrepancies when receiving drugs
		4.9.4 Transfer voucher or internal drug return (IDR) form
		4.9.5 Procedure for supplying drugs to health centre store
		4.9.6 Drug donations
	4.10 Drug storage
		4.10.1 Proper drug storage
		4.10.2 Storage Environment
		4.10.3 Arrangement of drugs on shelves
		4.10.4 The storeroom
		4.10.5 The dispensary
5. Drug distribution
	5.1 Rational prescribing
	5.2 Content of a prescription
	5.3 Abbreviations commonly used in prescriptions
	5.4 Dispensing drugs to patients
		5.4.1 Correct drug dispensing
		5.4.2 Dispensing procedure
		5.4.3 Dispensing prescriptions on part-payment
		5.4.4 Guiding principles in dispensing on cash basis
	5.5 Packaging of drugs for patients
		5.5.1 Tablets and capsules
		5.5.2 Liquid preparations
		5.5.3 Labeling
6. Use of drugs
	6.1 Rational drug use
	6.2 Information to the patient
7. Drug stock management support tools
	7.1 Consumption records to be kept at the store
	7.2 Entries to be made in stock (bin) card
	7.3 Consumption records at the dispensary level
	7.4 Discrepancies
	7.5 Receipts for drugs dispensed
	7.6 Daily use/cash record
	7.7 Financial record book
	7.8 Summary of daily data flow
	7.9 Custody of cash
	7.10 Current capital situation card (CCSC)
	7.11 Monthly return form
	7.12 Inventory form
	7.13 Storage of documents
	7.14 Security measures in the dispensary
		7.14.1 Doors, windows, roofs and ceilings
		7.14.2 Safe and keys
		7.14.3 Watchman
	7.15 Handing over the dispensary
	7.16 What to do in case of burglary
	7.17 Supervision/inspection
		7.17.1 Role of supervision/inspection
		7.17.2 Role of health committee
8. Definitions
9. References
10. Annexes
	Annex 1 Sample pre-test questions
	Annex 2 Sample post-test questions
	Annex 3 Proposed Training Outline
	Annex 4 Field visit checklist
	Annex 5 Course Evaluation
Back cover

4.10.2 Storage Environment

The storage environment should possess the following:

• Adequate temperature,
• Sufficient lighting,
• Clean conditions,
• Humidity control,
• Cold storage facilities,
• Adequate shelving to ensure integrity of the stored drugs.