Verify the patient’s identity before administering midazolam.
Record in the patient’s clinical record that midazolam has been administered and include the date, time, strength, presentation and form of administration, dose, and the name and position of the dental team member who administered the drug.
- Due to supply and shelf life issues, the injection formulation of midazolam replaced Midazolam Oromucosal Solution in emergency dental kits in Scotland [1]. A training video to enable dental teams to familiarise themselves with the buccal administration of the injection solution has been developed by NHS Education for Scotland (NES).
Return used or expired Emergency Dental Boxes to NHS Scotland Pharmaceutical ‘Specials’ Services who will ensure appropriate denaturing, disposal and replacement of the contents.
Midazolam stock that is expired or no longer required must be denatured (rendered irretrievable) using a controlled drug denaturing kit, available from community pharmacies or waste management companies [2,3].
Dispose of the denatured midazolam by placing it in an appropriate waste container for destruction by incineration. Sharps are not disposed of by incineration; therefore use of sharps boxes is not appropriate.
Community NHS dentists obtaining midazolam from their local hospital pharmacy service may return expired or surplus midazolam stock to this pharmacy for disposal following their local procedure.