Training declaration forms related to Medicines Management internal training can be found on YourSpace.
The following forms can be found in the MMP04 Covert and Overt Administration of Medicines in Food / Drink (Inpatients) procedure
- Covert Medication Flow Chart
- Covert Medication Care Pathway (Initial) Form
- Covert Medication - Medication Review
- Covert Medication Care Pathway (Review) Form
NB - Electronic versions of these forms are available on RiO under Case Record Menu > Medications > Covert Medication > Covert Medication Care Pathway (Initial)
Electonic versions must also be used where available
The following form can be found in the MMP07 Medicine Reconciliation (Inpatients) procedure:
The following forms can be found in the MMP08 Administration of Medicines procedure. These are to be used for the self-administration of specified medicines only.
They are not to be used for patients under the Self-Administration of Medicines (SAM) Scheme - see MMP05 Self-Administration of Medicines (SAM) Scheme procedure for these forms.
Missing, Lost & Stolen NHS Prescription(s) Notification Form & Flow Chart - guidance and form to be followed in the instance of a missing, lost or stolen NHS prescription
Record of Delivery (single patient use form) - to be used when delivering medication / FP10s directly to a patient (i.e. not to a Trust site) or a community pharmacy to provide an accurate audit trail of receipt of the medication / FP10. This should be uploaded to the patient's electronic record.
View Outpatient Depot Prescription
This is a printable PDF version only
The modifiable template can be found on the G: drive at the location below:
G:\11. Medical\11.4 Medicines Operational\11.4.15 Community OP depot prescription
All MMT staff working across Halton, Warrington, St.Helens & Knowsley have access to this folder.
If you require access to this folder, please request this through the IT Self Service Portal.