I confirm that the practice undertakes Adverse Incident reporting as required by the HSCB processes. PRACTICE PRINCIPAL/ LEAD DENTIST SIGNATURE: _________________________ For further information on when, why and how to report an adverse incident please use the following link or contact your local Integrated Care office. 4. Controlled Drugs Self Assurance for General Dental Practitioners Practice Return for 1 April 2016 to 31 March 2017 I confirm that in the course of my work as a dental practitioner I have written standard operating procedures (SOPs) or policies in place that are appropriate to the activities carried out in my practice covering the complete area of handling and management* of controlled drugs (CDs) as required by the Accountable Officer regulations. Yes No Please Note: this applies to buccal midazolam stored in emergency drug kits and the requirement for an SOP is applicable irrespective of whether you carry out sedation. I confirm that I adhere to these SOPs in the course of my normal practice. Yes No I confirm that there is initial and continuing training and development of all staff who are involved in the prescribing, handling, supply, storage, administration and disposal of controlled drugs. *This includes the following areas, Access to Controlled Drugs Storage Security Disposal and destruction Who should be alerted if complications arise Record keeping Identifying, dealing with and learning from adverse incidents involving controlled drugs Yes No I declare that to the best of my knowledge and belief that the handling, management and
I confirm that the practice undertakes Adverse Incident reporting as required by the HSCB processes. PRACTICE PRINCIPAL/ LEAD DENTIST SIGNATURE: _________________________ For further information on when, why and how to report an adverse incident please use the following link or contact your local Integrated Care office. 4. Controlled Drugs Self Assurance for General Dental Practitioners Practice Return for 1 April 2016 to 31 March 2017 I confirm that in the course of my work as a dental practitioner I have written standard operating procedures (SOPs) or policies in place that are appropriate to the activities carried out in my practice covering the complete area of handling and management* of controlled drugs (CDs) as required by the Accountable Officer regulations. Yes No Please Note: this applies to buccal midazolam stored in emergency drug kits and the requirement for an SOP is applicable irrespective of whether you carry out sedation. I confirm that I adhere to these SOPs in the course of my normal practice. Yes No I confirm that there is initial and continuing training and development of all staff who are involved in the prescribing, handling, supply, storage, administration and disposal of controlled drugs. *This includes the following areas, Access to Controlled Drugs Storage Security Disposal and destruction Who should be alerted if complications arise Record keeping Identifying, dealing with and learning from adverse incidents involving controlled drugs Yes No I declare that to the best of my knowledge and belief that the handling, management and
QA_Returns_16-17.docx