Learn about the revisions to the Patient’s Own Medications policy.

What’s happening? 

The Student Practice team would like to inform all students and faculty instructors about revisions to a corporate policy, which may impact their practice areas. The revisions are as follows:


Patient’s own medications policy - effective immediately

  • Patient’s own medications policy

  • Revisions

    • Revised focus statement to add clarity that patient’s own medications not required during their admission are secured elsewhere.
    • Revised definition of Non Formulary drugs to match the British Columbia Health Authorities’ (BCHA) definition.
    • Revised statement regarding assessing integrity of patient’s own medications, rather than assuring integrity.
    • Revised statement to expand “examples” of where patient’s own medications may be used.
    • Revised example in statement regarding oral chemotherapy medications.
    • New statement with examples of where patient’s own medications should not be used.
    • New statement facilitating review, identification, and ensuring integrity of medication by nursing staff if there is risk of harm due to delayed therapy (when Pharmacy Services not available).
    • New statement facilitating identification and review of integrity of medications by nursing staff at remote sites (where Pharmacy service is provided off site).
    • New statement to re-iterate that patient’s own medications are not intended for self-administration.
    • Deletion of procedure section and relocation to a Pharmacy Services policy.
    • Revised Appendix A to include Pharmacy Technicians.


  • Impacted programs, professions, networks

    Pharmacy, quality and safety

Why is this important?

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, Clinical Decision Support Tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.

How will this impact students and faculty instructors? 

Students and faculty instructors who are completing student placements in Fraser Health are expected to apply any necessary changes in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access this policy via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.


Please contact the Student Practice Team.

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