{"presentation":{"slides":[{"elements":[{"x":5.167958656330749,"y":5.115089514066496,"width":92.89405684754522,"height":20.460358056265985,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Storage norms<\/strong><\/span><\/span><\/p>\n\n

To preserve the quality of medicines, good storage practices should be in place at all levels, which requires that staff are appropriately trained and storage conditions adequate.<\/span><\/p>\n\n

<\/p>\n\n

<\/p>\n"},"subContentId":"0972a7b0-7cc6-4fd0-b905-d2d314d37011","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":25.839793281653748,"y":44.24552429667519,"width":72.35142118863048,"height":51.15089514066496,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

\n\t
Stock rotation follows a First-expiry, First-out (FEFO) approach.<\/span><\/li>\n\t
The cleanliness of the area is ensured.<\/span><\/li>\n\t
The environment of the warehouse protects medicines from factors that could inhibit their effectiveness or use, such as sunlight, heat, cold, moisture, pests and theft.<\/span><\/li>\n\t
The stock area is divided into zones for easy location of different products.<\/span><\/li>\n\t
There is a designated area for second-line TB medicines.<\/span><\/li>\n<\/ol>\n"},"subContentId":"24d47401-9250-486e-87bf-dde8e72d6499","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.875968992248062,"y":43.42634271099744,"width":21.963824289405686,"height":46.03580562659847,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641814a7be93a.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"b55eface-3614-4ca7-8f1c-174053b1024d","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.167958656330749,"y":28.101023017902815,"width":91.7312661498708,"height":17.902813299232736,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
General Guidelines on Storage of Drugs<\/strong><\/span><\/p>\n\n
Mechanisms to improve TB stock management in central or peripheral drug stores are:<\/span><\/p>\n"},"subContentId":"1ddaeb87-0a24-4709-a3c5-a0c1b19a925f","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.5839793281653747,"y":7.672634271099744,"width":94.83204134366925,"height":28.132992327365727,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Storage Guidelines under the National TB Elimination Programme (NTEP)<\/strong><\/span><\/p>\n\n
Under NTEP, space requirements change at the state, district and peripheral levels according to the NTEP stocking norms<\/strong><\/span>, but all other requirements remain the same as shown in the table below. The State TB Officer (STO)\/ District TB Officer (DTO) must ensure that the pharmacist\/ storekeeper adheres to the following guidelines on the proper storage of drugs.<\/span><\/p>\n"},"subContentId":"70636f2f-2bc9-42f0-a545-6e8880dd8bd3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":19.379844961240313,"y":38.31918158567775,"width":77.51937984496124,"height":58.8235294117647,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Space Requirements at the State Drog Store (SDS)<\/strong><\/span><\/p>\n\n
\n\t
For every ten lakh population, provision should be made for the storage of about 45 cartons (of 20 boxes each), of Patient-wise Boxes (PWBs) for new cases (PC-1) and PWBs for retreatment cases (PC-2) taken together.<\/span><\/li>\n\t
This is approximately equivalent to 6 months requirement of drugs. For this volume of drugs, the minimum space requirement may be approximated as 50 cubic feet.<\/span><\/li>\n\t
For loose drugs, space provision would be 10% of space allocated to PC-1 and PC-2 PWB cartons. These could alternatively be stored in cupboards\/ almirahs where volumes are low and should be kept under lock and key. Do not stack drug cartons on the floor or on top of one another.<\/strong><\/span><\/span><\/li>\n<\/ul>\n"},"subContentId":"01a7c3c3-cc43-4539-91cb-e1f9d5faf56d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":43.196544276457885,"width":17.538126361655774,"height":34.557235421166304,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6418168a8a441.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Space requirements","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"e1c6a979-8b5d-46a0-8ecd-45c1c2707e80","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":18.08785529715762,"y":23.017902813299234,"width":78.81136950904393,"height":51.15089514066496,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Room Requirements<\/strong><\/span><\/p>\n\n
\n\t
The store should preferably comprise one large room. Where multiple rooms exist, these should be contiguous or proximate to each other.<\/span><\/li>\n\t
The ceiling must have a height of at least 5 metres.<\/span><\/li>\n\t
There should be a lockable door and at least one window with a grill and wire meshing.<\/span><\/li>\n\t
Properly lit with extra light points for plugging in the required office equipment.<\/span><\/li>\n\t
An even-level, \u2018pukka\u2019 floor.<\/span><\/li>\n<\/ul>\n"},"subContentId":"14cf7292-6aba-4b2f-afb0-fe5dd57ffb10","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.5839793281653747,"y":5.115089514066496,"width":14.161220043572985,"height":28.077753779697623,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641817d904c35.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"84def65e-50ae-4e90-a9a6-584133ec79bc","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":15.503875968992247,"y":20.460358056265985,"width":81.69934640522877,"height":77.7537796976242,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Stacking Requirements<\/strong><\/span><\/p>\n\n
\n\t
Ensure that different drug\/ consumable items are clearly segregated and stacked on separate racks.<\/span><\/li>\n\t
Different batches of drugs\/consumables with different dates of manufacture and expiry are stored separately to facilitate FEFO<\/span><\/strong> principles (batches with the most recent expiry are issued first<\/strong>)<\/span><\/span><\/li>\n\t
Mark \u2018Expiry Dates\u2019 in Bold Letters 3\u201d to 4\u201d in size, on the drug\/supply cartons<\/span> <\/strong>with a marker pen, for easy identification and control of drugs immediately on their arrival.<\/span><\/li>\n\t
Separate and dispose of damaged or expired products without delay<\/span> <\/strong>as soon as approval of the same has been received, according to the biomedical waste guidelines.<\/span><\/li>\n<\/ul>\n"},"subContentId":"e2fb5220-f00a-478b-8b2c-1a372ea4cac7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.5839793281653747,"y":7.672634271099744,"width":10.893246187363834,"height":21.598272138228943,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641818f215cc5.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Stack","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"5523949e-24db-498f-9a99-6ae7bf60b6ba","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.5839793281653747,"y":4.859335038363171,"width":96.12403100775194,"height":94.8849104859335,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Temperature and Humidity Control<\/strong><\/span><\/span><\/p>\n\n
\n\t
To keep humidity levels below the maximum 60% recommended for storage of drugs ensure appropriate ventilation and air circulation, and do not open cartons\/ drug boxes unless necessary.<\/span><\/li>\n\t
Hydro thermometers are to be installed up to TB Unit (TU) drug store levels to monitor humidity and temperature regularly.<\/span><\/li>\n\t
Overhead exhaust fan required.<\/span><\/li>\n\t
Plastered walls and ceiling with whitewash without any kind of seepage in the room.<\/span><\/li>\n\t
The store should be clean, dry and well-ventilated.<\/span><\/li>\n\t
Ceiling and sidewalls should preferably be insulated, ensuring that the ambient temperature during peak summer does not result in damage to anti-TB drugs. The ambient temperature may be taken as 15-25\u00b0C or depending on climatic conditions, up to 30\u00b0C.<\/span><\/li>\n\t
PWBs\/ cartons should be placed on shelves ensuring that there is sufficient space between shelves and walls of the storeroom.<\/span><\/li>\n\t
A regular power supply should be available for air conditioning.<\/span><\/li>\n<\/ul>\n"},"subContentId":"af244e64-1de6-4993-b2ec-50ed3ed22997","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":15.503875968992247,"y":17.902813299232736,"width":78.81136950904393,"height":81.84143222506394,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
Shade the windows or use curtains if they are in direct sunlight.<\/span><\/li>\n<\/ul>\n\n
<\/p>\n\n
\n\t
Keep products in cartons\/ drug boxes.<\/span><\/li>\n<\/ul>\n\n
<\/p>\n\n
\n\t
Do not store or pack products in sunlight.<\/span><\/li>\n<\/ul>\n\n
<\/p>\n\n
\n\t
Maintain trees around the premises of the drug store to help provide shade and cooling. Check their condition regularly to prevent any untoward incidents.<\/span><\/li>\n<\/ul>\n\n
<\/span><\/p>\n"},"subContentId":"b7b7e026-e628-4eb3-a926-1a67bc4a431c","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":6.459948320413437,"y":32.22506393861892,"width":7.751937984496124,"height":15.345268542199488,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64181ac1cd332.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Carton","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"0641831d-62e2-4993-9d42-e5cef4380bd1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":6.459948320413437,"y":49.87212276214834,"width":7.751937984496124,"height":15.345268542199488,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64181b1542050.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Sunlight","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"888ae529-5dff-42c5-8463-8fc4f647bf12","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":6.459948320413437,"y":15.345268542199488,"width":7.751937984496124,"height":15.345268542199488,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64181b48c6a62.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Curtains","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"3cf66ccd-8c7e-4668-954b-55f2645dc7ca","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":6.459948320413436,"y":68.97391304347826,"width":7.751937984496124,"height":15.345268542199488,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64181babccdac.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"b5569eb4-13bd-489b-bd05-e17f5a851313","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":7.751937984496124,"y":5.115089514066496,"width":40.0516795865633,"height":6.138107416879795,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Protection from Sunlight<\/strong><\/span><\/p>\n"},"subContentId":"2e8e175a-96ac-47e6-a633-24d787415e23","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":21.963824289405686,"y":15.345268542199488,"width":75.16339869281046,"height":69.11447084233261,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Fire Safety<\/strong><\/span><\/p>\n\n
Ensure that the fire safety equipment is available and accessible, and that personnel are trained to use it.<\/span><\/p>\n\n
<\/p>\n\n
Others<\/strong><\/span><\/p>\n\n
\n\t
Store medical supplies separately, away from rodents, insecticides, chemicals, old files, office supplies and other materials.<\/span><\/li>\n\t
Stores should not have any odour or indications of contamination and should be sanitised periodically including pest control measures.<\/span><\/li>\n<\/ul>\n"},"subContentId":"44a62463-eaca-442e-836c-6c626d39572c","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.356434108527131,"y":10.783657289002557,"width":15.503875968992247,"height":34.0153452685422,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64181cbe905d9.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512},"alt":"Fire and safety","expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"88e8381b-fc66-4299-9047-6acb36ecb419","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":true,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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DR-TB Coordinator: Stocking Norms

Storage norms

Paper-based Format: Stock Register