Strengthen the management of narcotic drugs and psychotic drugs in medical institutions

13th Of the 2020 National HealthProvincial, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Health Committee:In order to strengthen the management of medical institutions narcotic drugs and the first class of psycho-drugs (hereinafter referred to as hemp essence drugs), to ensure reasonable clinical needs, strictly prevent the flow of illegal channels, the following work requirements are put forward: 1, attach great importance to the management of hemp essence drugs Hemp essence drugs have obvious two sides, on the one hand, there is a strong role of analgesic sedation, is essential for clinical diagnosis and treatment of drugs, on the other hand, the non-standard continuous use of dependence, addiction, if into illegal channels will cause serious social harm and even illegal crimes. Health administrative departments and medical institutions at all levels should attach great importance to the management of the clinical application of hemp essence drugs, carefully comb through the existing hidden loopholes, formulate and improve the management of hemp essence drugs, and at the same time meet the clinical needs, prevent the flow of hemp essence drugs from medical institutions into illegal channels.Second, improve the management system of hemp essence medicine in medical institutionsmedical institutions are the main body of responsibility for the clinical application management of hemp essence drugs. The principal person in charge of a medical institution shall perform the duties of the person in charge of the management of hisxymp drugs in this institution. The relevant personnel for the management and use of hemp essence drugs should earnestly study and implement the Regulations of the People's Republic of China on drug administration, the Regulations on the Administration of Narcotic Drugs and Psychotic Drugs, the Prescription Management Measures, the Regulations on the Administration of Narcotic Drugs in Medical Institutions, the Regulations on the Administration of Narcotic Drugs and the Administration of the Printing Card for the Purchase of Psychotic Drugs in the first category, and so on. For the anesthesiology department, operating room and other hemp medicine use, the use of management links more departments, to focus on strengthening management, the establishment of the department head as the first responsible person's special working group to strengthen the daily management of hemp essence drugs. Through a variety of measures, the formation of the system to standardize the link management, responsibility to promote the implementation of the system management model.Third, strengthen the management of all aspects of the whole process of hemp essence drugs Health and health administrative departments at all levels should strengthen the management of the prescribing and use of hemp essence drugs, encourage conditional areas to achieve regional prescription information networking, focusing on the amount of prescriptions and frequency of prescriptions of hemp essence drugs, to avoid the same patient in multiple medical institutions, outpatient and hospital in the same medical institutions repeated access to hemp essence drugs. Medical institutions should fully implement the requirements of the management of hemp essence drugs, and further strengthen the management of all aspects of the process. According to the needs of clinical diagnosis and treatment, the procurement of suitable packaging, specifications of hemp essence drugs, reduce the production of residual liquid. Door emergency pharmacies, inpatient pharmacies, wards, operating rooms, endoscopy rooms and other key departments equipped with the base of hemp essence drugs, to use double-lock safes or hemp medicine intelligent deployment cabinet storage, storage area with anti-theft facilities and security monitoring system. Strengthen the safety of drugs in the operating room, install video surveillance devices to monitor the collection of drugs and recovery of drugs and other behavior. The relevant surveillance video shall, in principle, be kept for a period of not less than 180 days. The use and recycling management of hemp essence drugs should be done at the end of the day and in line with the accounts. For patients with chronic diseases such as cancer pain that require long-term outpatient use of leprosy drugs, the assessment and prescription of each drug should be recorded in detail through informationization or the establishment of outpatient medical records.Fourth, regulate the prescription authority and use of hemp medicine managementphysicians, pharmacists shall, in accordance with the relevant provisions, after the medical institutions organized by the knowledge of the use of hemp essence drugs and standardized management of training and assessment of qualified, in order to obtain the corresponding prescription rights of hexa sperm drugs or hemp essence drug deployment qualifications. Medical institutions should further refine and improve the specific operating procedures and specification requirements for the whole process of the use of hemp essence drugs. Especially for key departments, to strictly implement the whole two-person operation system, change the current situation of single operation of hemp essence drugs by an anesthesiologist, the prescription, use and management of hemp essence drugs may not be implemented by the same person. Anesthesiologists are not involved in the management of leprosy in principle. Pharmacists are encouraged to gradually integrate into the management team of hemp essence drugs in wards, operating rooms and other key departments, carry out the review of prescription medicine prescriptions, prescription reviews, and participate in the management of hemp essence drugs, the use of the link of the check and double sign work. Participants in the double sign should avoid permanently being a permanent member. Medical institutions shall formulate a two-person rotation management method and clarify the rotation cycle. For the remaining fluids from unused injections and analgesic pumps, they are disposed of by a physician, pharmacist, or nurse under video surveillance, and recorded on a case-by-case basis.V. To meet the clinically reasonable demand for hemp essence drugsmedical institutions shall purchase hexa sperm drugs in accordance with the clinical drug needs of the institution and maintain reasonable stocks in accordance with the provisions. Physicians with the right to prescribe hemp medicines should make reasonable use of hemp medicines in accordance with clinical norms, guidelines for the clinical application of narcotic drugs and psychotic drugs, drug instructions, etc. Before prescribing hemp medicine for pain patients, the patient should be evaluated for pain and the appropriate drug should be selected according to the principle of three-step analgesic treatment. Strengthen the standardized treatment of cancer pain, acute pain and moderate and severe pain, rational use of hemp medicine, improve the quality of life of patients, avoid excessive control of leprosy drugs affect patients' reasonable drug needs. Medical institutions should organize special reviews of prescriptions and inpatient instructions for hemp essence drugs, and intervene in a timely and effective manner according to the results of the reviews. The pharmaceutical department shall monitor the use of the agency's ephedrology drugs, and if the use of the drug is abnormally high, it shall immediately report to the agency's ephedrology drug administration agency, analyze the reasons and make management recommendations.Sixth, improve the level of information management of hemp essence drugsmedical institutions to add the investment of hemp essence drug management hardware and software, relying on the modern hospital logistics system and information platform, strengthen the whole process management of hemp essence drugs, to achieve the source can be traced, to traceable, responsibility can be traceable management of the whole process. Areas that have implemented the management of electronic seal cards should continue to do a good job in the relevant work, and those regions that have not yet implemented should speed up the construction of information technology and realize the information management of printing cards as soon as possible. Conditional areas or medical institutions should actively explore the use of intelligent storage cabinets, electronic medicine cabinets and other intelligent equipment, combined with the actual development of hemp essence drug intelligent management system, and gradually achieve fine management, improve work efficiency and error prevention capabilities.7. Strengthen supervision and guidance and accountabilityHealth and health administrative departments at all levels should establish a long-term working mechanism, regularly carry out on-site guidance and inspection of hemp essence drugs in medical institutions, and take the management of hemp essence drugs as an important part of the work of medical institutions grade assessment and rational drug use assessment. Medical institutions should strengthen the relevant laws and regulations of medical personnel, reasonable drug use knowledge training, formulate and improve specific management systems, at least every six months to carry out special self-examination work, timely detection of problems and rectification and implementation. In the event of theft, loss, deception, fraudulent adoption or other illegal channels of hemp essence drugs in a medical institution, control measures shall be taken immediately, and immediately report to the local county-level public security organs, drug supervision and administration departments and health administrative departments. If the implementation of the relevant policies is not in place, there are major security risks or the illegal flow of hemp essence drugs due to neglect of management, the relevant administrative departments, medical institutions and related personnel shall be seriously investigated for their responsibilities in accordance with the law;The General Office of theHealth Commission ()(
) on 11 September 2020