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Transport and distribution of blood and blood components at all stages of the transfusion chain must be kept under conditions that maintain the integrity of the product.¹⁵²

Facilities to allow access to online information, such as electronic patient records, local guidelines and clinical decision aids in the theatre suite should be considered.¹⁵³

Appropriate facilities for rest breaks should be provided according to defined norms.^{116,154,155,156}

Facilities for medication storage should be located and designed in such a way that allows timely access when required for patient care, while maintaining integrity of the medicines and aiding organisations to comply with safe and secure storage requirements.^157,158,159

Access to theatres and associated clinical areas should be appropriately restricted.¹¹⁷

All staff involved in the prescribing, dispensing, preparing, administering and monitoring of medicines must be appropriately trained.^160,161

All theatre staff involved in any aspects of the use of medicines should have access to up to date resources on safe preparation and administration of medicines, and access to a pharmacy service for advice. ^127,140

There must be a system for ordering, storage, recording and auditing of controlled medicines in all areas where they are used, in accordance with legislation.^{161,162,163,164}

All drugs required for safe delivery of anaesthesia including emergency drugs, should be available. Some drugs such as dantrolene or intralipid may be held centrally rather than immediately to hand.

Robust systems should be in place to ensure reliable medicines management, including accurate medication history taking and documentation on admission, medication storage facilities, stock review and management, supply, expiry checks, and access to appropriately trained pharmacy staff to manage any medicine shortages.¹⁶⁰