De-Tox
This year StreetScene has started a tail-end detox programme, this is because so many clients find the end of a detox a difficult time and that coupled with arriving in treatment as soon as the detox is finished can add considerably to the stress of cleaning up.
What can now happen is that a client can complete their detox in treatment. For this, a client generally starts their detox where they live, but is admitted to treatment before the detox has finished.
In order to do this we have set up a new protocol, which has been agreed by the Commission for Social Care Inspection.
The pieces of legislation we are complying with are.
- The Medicines Act 1968
- Data Protection Act 1998
- The Care Standards Act 2000
- Misuse Of Drugs Regulation 2001
- All controlled drugs medication is locked in a safe, which is locked inside the medication cabinet and is in the Project Office. This means behind 3 locks.
- The keys are held by the responsible person on duty.
- Only trained members of staff are allowed to dispense medication.
- All staff are trained by Boots the chemist in dispensing of medication and using the boots MDS system. This system also incorporates the five rights of medication offering, i.e. right person, right medication, right dose, right time and right route. This system follows the current guidelines set by the Royal Pharmaceutical Society of Great Britain (RPSGB) and the National Association of Health Authorities and Trusts. Commission For Social Care Inspection (CSCI) also approve this system.
- All staff are trained in:
- Receipt Of Medication.
- Administration of Medication/Record Keeping.
- Refusal of Medication.
- Disposal Of Medication.
- Ordering Of Medication.
- Each service user will have a generated Medication Administration Record (MAR chart) this is a working document, which is signed to record administration of medication by 2 members of staff.
- All service users on medication will also have photographic identity as a fail safe.
- All medication that has been prescribed by the GP needs to be clearly written for the length of the detox regime, all prescriptions for a methadone detox have to be prescribed daily, written on separate prescriptions for daily use but the GP must endorse only 1 collection day per week.
- All prescriptions need to be forwarded to Boots the chemist in Bournemouth along with details of the reduction.
- A Member of Staff on a weekly basis will pick up the prescriptions.
EXAMPLE PLAN FOR METHADONE DETOX SCHEDULE
WEEK 1 (Total to dispense 158mls) |
|
WEEK 2 (Total to dispense 90mls) |
|
WEEK 3(Total to dispense 42mls) |
|
Day |
mls |
Day |
mls |
Day |
mls |
Monday |
27 |
Monday |
18 |
Monday |
9 |
Tuesday |
25 |
Tuesday |
16 |
Tuesday |
8 |
Wednesday |
23 |
Wednesday |
14 |
Wednesday |
7 |
Thursday |
22 |
Thursday |
12 |
Thursday |
6 |
Friday |
21 |
Friday |
10 |
Friday |
5 |
Saturday |
20 |
Saturday |
10 |
Saturday |
4 |
Sunday |
20 |
Sunday |
10 |
Sunday |
3 |
SUGGESTED PLAN FOR DIAZEPAM REDUCTION SCHEDULE
| WEEK 1 | ||
| Diazepam 5mg | One Tablet Three Times A Day | Total 21 Tablets (105mg) |
| WEEK 2 | ||
| Diazepam 5mg | One Tablet Twice A Day | Total 14 Tablets (70mg) |
| WEEK 3 | ||
| Diazepam 2mg | One Tablet Four Times A Day | Total 28 Tablets (56mg) |
| WEEK 4 | ||
| Diazepam 2mg | One Tablet Three Times A Day | Total 21 Tablets (42mg) |
| WEEK 5 | ||
| Diazepam 2mg | One Tablet Twice A Day | Total 14 Tablets (28mg) |
| WEEK 2 | ||
| Diazepam 2mg | One Tablet Once A Day | Total 7 Tablets (14mg) |
