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Psychotropic substances in a clinic

A clinic that holds Third Schedule psychotropic substances must be able to show that receipts, supplies, disposals and the quantity on the shelf reconcile, and a disposal must be witnessed by a Drug Enforcement Officer, not by a colleague.

Psychotropic substances in a clinic
Klinira · Klinik Sihat Sdn BhdINTERNETON

Psychotropic register. Diazepam 5mg

Running balance
DateMovementReferenceInOutBalance
01/08Opening balance–––120
04/08Received from supplierINV-8821460–180
09/08Supplied to patientSerial 04821–10170
09/08Disposal, expiredWitnessed by Drug Enforcement Officer · name recordedDSP-0114–12158
09/08Physical countCounted by Nurul · difference −2–––156
The difference of 2 is recorded and stays recorded. Klinira does not adjust the balance to make it disappear. An unexplained gap that was quietly corrected is worse than one that was written down.
The Klinira interface. Patient details shown are invented.

What an officer actually asks for

Not a list of what you dispensed, that is the Prescription Book. What is asked for is the arithmetic: what came in, what went out, what was destroyed, and whether the remainder is what is on the shelf right now. An unexplained gap is a serious problem even when nothing was in fact lost.

The witness rule

Disposal of psychotropic stock must be witnessed by a Drug Enforcement Officer. A colleague, a second doctor or a pharmacist employed by the clinic is not a valid witness. This is the single most common mistake we found in how clinics handle expired psychotropic stock.

Which medicines this covers in a typical clinic

More clinics are affected than realise it. Diazepam brings an ordinary GP into scope. Phentermine brings in almost every weight management clinic. Klinira ships classification for 14 Third Schedule medicines, so the question is answered by the system rather than by recollection.

Keep it separate

The psychotropic register is kept and printed separately from the Prescription Book, because that is the form an officer expects to be handed. Merging them makes both harder to read at exactly the wrong moment.

Take a place in the first installs

Klinira is being built now. Leave your details and you will hear what is finished, be asked what your clinic actually needs, and get the first install dates when it is ready.