Content Status
Type
Linked Node
Overview : Return and Reconstitution
Learning ObjectivesDefinition, and rationale, When return/reconstitution happens- mention the situation,
H5Content
Content
Return
- Return is the process of returning the drug to the parent/ issuing store. This is generally followed whenever there are situations like lost to follow-up, transfer out, death, etc.
- Ni-kshay Aushadhi is being used to record and report the process.
- At present, the return of drugs from the patient/ treatment supporters is taking place in Ni-kshay (in Drug Dispensation Module)
- All the unconsumed drugs should be brought back by the treatment supporter to the Peripheral Health Institute (PHI)---->Tuberculosis Units (TU)---->District TB Centre (DTC) within the shortest possible time in order to ensure that they can be re-used in the future.
- Return of Bedaquiline (Bdq): Partially used Bdq bottle should be sent back to State Drug Stores (SDS) wherein it will be accounted for.
- Return of Delamanid (Dlm): Leftover Dlm tablets should be returned back to the District Drug Stores (DDS).
Reconstitution
- Reconstitution is defined as the process of re-packaging the returned anti-TB drugs in the event of loss to follow-up/ death/ discontinuation for any reason, back into a full treatment course for issuing to other patients.
- If the expiry of the remaining drugs is less than six months, the same may be issued at the Nodal Drug-resistant TB Centre (NDR-TBC) for patients while they are admitted and later adjusted from the long expiry bottle that is issued on discharge.
- The reconstitution exercise is carried out only for the Bedaquiline drug and is done at the SDS.
- First Expiry First Out (FEFO) principle should be strictly followed while issuing re-constituted drugs to the patients and also be cautious about the reconstituted drugs belonging to the different expiry batches.
- The reconstituted drugs should be accounted for and reported in Ni-kshay Aushadhi through the Box-preparation module under the Packaging/ Re-packaging service.
Resources
- Standard Operating Procedure Manual Procurement & Supply Chain Management, CTD, MoHFW, India, 2018.
- Return from Patient, Ni-kshay Aushadhi User Manual, CTD, MoHFW, India.
- Packaging and Repackaging, Ni-kshay Aushadhi User Manual, CTD, MoHFW, India.
Assessment
Question |
Answer 1 |
Answer 2 |
Answer 3 |
Answer 4 |
Correct answer |
Correct explanation |
Page id |
Part of Pre-test |
Part of Post-test |
Where is the reconstitution of Bdq drugs carried out? |
District Drug Store |
State Drug Store |
Tuberculosis Unit |
Peripheral Health Institute |
2 |
The reconstitution of Bdq drugs should be carried out only at the State Drug Store. |
|
Yes |
Yes |
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