NPSA alerts

There are lots of NPSA alerts relating to pharmacy. We have a choice of Opioid, Warfarin, Lithium, Methotrexate, Insulin and Paraffin based emollients.

I would be interested to know if pharmacists do any, all or none and why?


9 thoughts on “NPSA alerts

  1. In hospital we have to comply with all of them, so yes Ive been involved with many.

    How many community pharmacists have ever seen a yellow book, though . . .

    1. ive worked in the north west n north the north east,.i was so surprised to see someone been on warfarin for yrs n yrs, n there was no record of their INR…each time i gt a warfarin, checking the PMR…theres nothing written abt the INR…now i make sure i check their yellow book, n i explain why i need to see it!…on the other hand, north west is spot on with it!

  2. It depends how organised your local people are with Warfarin. Our city is near perfectly compliant (because our hospital does them all), the city next door is rubbish because half the clinics/GPs don’t comply with best practice – which is the point of NPSA alerts of course.

    One problem I have with NPSA alerts is that there’s so many of them, it’s difficult to keep track of what you should be doing. I was asked whether we’re compliant with one about vaccines from before I moved to hospital, so I’d never seen it before.

  3. I comply with most of these npsa alerts however i dont have many patients on lithium just the one infact and he’s well informed. I work in the north east and worked in various different pharmacies and companies. most have sops for them, its just a question of how well they are incorporated by the employees.

  4. When in community I always ask to see the books /give advice on compliance etc… same as when in hospital… am based on the north east and agree very few patients have their books or other pharmacists do anything about it. I always carry a good supply of warfarin/lithium books, steroid cards etc just in case!

  5. Out of every pharmacy I have worked in throughout the West, Central Belt and Lothian areas of Scotland I have encountered one that asks for patients’ INRs when dispensing warfarin. Even during my pre-reg year I learnt literally nothing about any of the topics covered by these alerts from my tutor. Not even mentioned. Had to learn it all myself. (although I did also have to teach him that Clenil and Qvar aren’t equivalent and what a coccyx is). Considering that in many places the first I see of any eMAS patient is when I’m given the dispensed item to check, I get the idea that the pharmacists in these places aren’t then checking INRs.

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