Announcement

Collapse
No announcement yet.

Methadone balance...

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Methadone balance...

    sorry everyone if this sounds stupid... but I'm having trouble with my methadone balance...I don't know how it happens but I seem to run into 'negative' quantity of methadone balance... even though I'm sure I've entered everything correctly (having corrected a few 'normal' and 'SF' mix ups, etc)

    I know it's my fault I haven't been calculated the balance everytime I enter the register (due to lack of time, calculator, etc)... so I couldn't recall when I've went wrong! I've kept most of the methadone invoices copy from Sep 07 (some I have lost... ), I've re-checked them again but I seem to have entered all that has to be entered! Can anyone give me any advice? Thanks!
    Onion Bunny

  • #2
    Re: Methadone balance...

    I usually find an overage.
    The company I locumed for today said that a -/+ 6% was acceptable.

    If you have ever "lined up" a row of unopened 500ml bottles you will soon see the differences in the levels.

    When you get to a convenient stock ie 2 full and a dreg then "balance" your register ie 1003ml. Write in overage added 60ml or whatever and carry on.
    Methadone will never balance as the bottles are not filled very accurately, just record what you have and do a regular balance check.

    Comment


    • #3
      Re: Methadone balance...

      Originally posted by Web Ferret View Post
      I usually find an overage.
      The company I locumed for today said that a -/+ 6% was acceptable.

      If you have ever "lined up" a row of unopened 500ml bottles you will soon see the differences in the levels.

      When you get to a convenient stock ie 2 full and a dreg then "balance" your register ie 1003ml. Write in overage added 60ml or whatever and carry on.
      Methadone will never balance as the bottles are not filled very accurately, just record what you have and do a regular balance check.
      Probably this won't make a lot of difference if you are way out but here goes.
      Don't round up to the neareast millilitre, round down.
      If you round up you are saying that you have got more than you have, albeit a fraction.
      Dispensing measures are for measuring an known amount, not an unkown amount, as are dispensing weighing balances.
      47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
      2018 AD : Modern Man : I shopped, I clicked, I collected.
      How times change.

      If you find you have read something that has upset or offended you an anyway please unread it at once.

      Comment


      • #4
        Re: Methadone balance...

        It has got so bad that in some pharmacies I check balance and have it witnessed before and after opening hours.
        johnep

        Comment


        • #5
          Re: Methadone balance...

          Thanks for the tips! I actually got loads more than the register says so... I always pre-pack a day or so in advance. You think it'll still be OK if I just measure out and write a new balance even though I've not put down the balance for pages?
          Onion Bunny

          Comment


          • #6
            Re: Methadone balance...

            At the moment running balances are still just good practice.

            If you've got a discrepancy I'd start again from scratch. Mark it something like "Balance reconciled" and initial.

            If the balance is out by litres then it would be best to try to find it. Re the invoices you can always contact your wholesaler as they must keep a record of all their CD supplies to you.

            Remember the discrepancy can depend on the amount of Methadone you use. If you have two addicts then the overage isn't going to account for much.

            Our two shops have around 50 addicts between them and get through about 6 litres of Meth a week. That's 12 bottles so if each is out by 10ml thats 120ml a week.

            Plus that many addicts amount to 30 or so measurements a day if you're only out by 1ml that could add up to 150ml a week!

            In that context discrepancies can build up quickly
            Linnear MRPharmS

            Foetal Alcohol Spectrum Disorder: The biggest cause of brain damage and 100% preventable.

            In pregnancy: 1 fag is not safe, 1 x-ray is not safe and 1 drink is not safe.



            For handy pharmacy links try
            pharmacistance.co.uk

            If you like my posts or letters in the journal try my books!
            eloquent-e-tales

            Comment


            • #7
              Re: Methadone balance...

              Originally posted by Linnear View Post
              At the moment running balances are still just good practice.

              If you've got a discrepancy I'd start again from scratch. Mark it something like "Balance reconciled" and initial.

              If the balance is out by litres then it would be best to try to find it. Re the invoices you can always contact your wholesaler as they must keep a record of all their CD supplies to you.

              Remember the discrepancy can depend on the amount of Methadone you use. If you have two addicts then the overage isn't going to account for much.

              Our two shops have around 50 addicts between them and get through about 6 litres of Meth a week. That's 12 bottles so if each is out by 10ml thats 120ml a week.

              Plus that many addicts amount to 30 or so measurements a day if you're only out by 1ml that could add up to 150ml a week!

              In that context discrepancies can build up quickly
              Wonder if it is worth noting amounts for reconciliation just as you go to open a new container, and reconcile from that point?
              47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
              2018 AD : Modern Man : I shopped, I clicked, I collected.
              How times change.

              If you find you have read something that has upset or offended you an anyway please unread it at once.

              Comment


              • #8
                Re: Methadone balance...

                I use 500ml methadone bottles which are always over. Are you drinking it your self?

                Comment


                • #9
                  Re: Methadone balance...

                  Originally posted by paco View Post
                  I use 500ml methadone bottles which are always over. Are you drinking it your self?

                  No just saving having to measure the best part of a 500ml bottle.
                  400ml Plus of methadone in a measure is just asking to be knocked over.
                  47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                  2018 AD : Modern Man : I shopped, I clicked, I collected.
                  How times change.

                  If you find you have read something that has upset or offended you an anyway please unread it at once.

                  Comment


                  • #10
                    Re: Methadone balance...

                    I prefer the Nekem cylinders for measuring liquids.
                    johnep

                    Comment


                    • #11
                      Re: Methadone balance...

                      Originally posted by johnep View Post
                      I prefer the Nekem cylinders for measuring liquids.
                      johnep
                      Agree with you there.
                      Dispensing measures are good for measuring a known amount.
                      Cylinder types are better for an unknown amount.
                      47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                      2018 AD : Modern Man : I shopped, I clicked, I collected.
                      How times change.

                      If you find you have read something that has upset or offended you an anyway please unread it at once.

                      Comment


                      • #12
                        Re: Methadone balance...

                        I cant see why the balances would be down, from what ive experoiienced so far the are more likely to be up, the reason for this: well each bottle of methadone 500ml actually contains something like 510-515ml extra, dont know why, but its a fact. check it for yourselfs
                        We are the music makers, We are the dreamers of dreams and God damn we are that good

                        Comment


                        • #13
                          Re: Methadone balance...

                          Originally posted by SolomonQ View Post
                          I cant see why the balances would be down, from what ive experoiienced so far the are more likely to be up, the reason for this: well each bottle of methadone 500ml actually contains something like 510-515ml extra, dont know why, but its a fact. check it for yourselfs
                          I'm wondering if this amount would be lost in the bit that is left over in the measures, and the drips when pouring as the bottles in use now do not have a pouring lip.

                          Anyone here using a methadone pump?
                          Wondering how that affects the balances.
                          Do you also lose some during the pumpl cleaning routine?
                          47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                          2018 AD : Modern Man : I shopped, I clicked, I collected.
                          How times change.

                          If you find you have read something that has upset or offended you an anyway please unread it at once.

                          Comment


                          • #14
                            Re: Methadone balance...

                            Thats the most probable reason for it being more i think, but amount lost depends on pouring techniques and if a pharmacy had 15 addicts on the same methadone type e.g. s/f then most likely all will be prepared in one go in the morning meaning only one rinse of the measuring aparatus is needed minimising wastage and the 20-15ml on top i mentioned above was actually an under-estimate its more like >20ml, and because of the need to keep a running balance the dispenser of methadine would try their hardest to minimize wastage e.g. trying more hard to increase the accuracy of the measurement and to pour out the last drop of methadone back in the bottle before rinsing.

                            PS running balances are still good practice not obligatory
                            We are the music makers, We are the dreamers of dreams and God damn we are that good

                            Comment


                            • #15
                              Re: Methadone balance...

                              Originally posted by SolomonQ View Post
                              Thats the most probable reason for it being more i think, but amount lost depends on pouring techniques and if a pharmacy had 15 addicts on the same methadone type e.g. s/f then most likely all will be prepared in one go in the morning meaning only one rinse of the measuring aparatus is needed minimising wastage and the 20-15ml on top i mentioned above was actually an under-estimate its more like >20ml, and because of the need to keep a running balance the dispenser of methadine would try their hardest to minimize wastage e.g. trying more hard to increase the accuracy of the measurement and to pour out the last drop of methadone back in the bottle before rinsing.

                              PS running balances are still good practice not obligatory
                              As undergrads we were trained never to pour back into a stock container.
                              Doesn't apply to Methadone!
                              47 BC : Julius Cesar : Veni Vidi Vici : I came, I saw I conquered.
                              2018 AD : Modern Man : I shopped, I clicked, I collected.
                              How times change.

                              If you find you have read something that has upset or offended you an anyway please unread it at once.

                              Comment

                              Working...
                              X