Medicines Management Policy - Dudley Primary Care Trust

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prescribers, but only where there is a patient need and the doctor has agreed in a patient’s CMP. More detailed information on supplementary prescribing can be found on the Department’s web site: www.dh.gov.uk/supplementaryprescribing. 2.5 Patient Group Directions A Patient Group Direction (PGD) is defined as a written instruction for the supply or administration of medicines to a group of patients who may not be individually identified before presentation for treatment. It is not a form of prescribing. Further guidance on the use of PGDs can be found in the Trust Policy document ‘Patient Group Directions General Policy for the Supply and Administration of Medicinal Products by Approved Practitioners (Non- Medical)’. 2.6 Clinical Awareness and Competence of person writing prescription 2.6.1 The healthcare professional must be aware of, and able to demonstrate knowledge of, the action of the prescribed item, the usual dosage, the common side effects, interactions, local prescribing guidelines, current evidence and how these relate to the treatment of the individual patient/client overall. They should be familiar with sources of information about medication such as the BNF. Whenever possible, prescribers should have access to the patient’s current medical record. 2.6.2 As part of their continuing professional development standard as laid down by their professional body. The healthcare professional must make every reasonable effort to maintain and develop knowledge of the common medications used in his/her area of practice. This knowledge should include awareness of; a) The signs of adverse drug reactions (ADR) to medication and the actions to be taken should this occur. b) Reactions that may occur when different medicines are combined. c) Contra-indications 2.7 Writing Prescriptions Prescriptions written by doctors or other authorised prescribers employed by Dudley Primary Care Trust must conform to the following guidelines. 10
2.7.1 Clarity The prescription form or medication record card must clearly state the required patient/client’s details i.e. Name Age & Date of birth (N.B. legal requirement for Prescription Only Medicine (POM) if under 12) Address NHS number Each item must be clearly written in blue or black indelible ink, preferably using block capitals. Prescriptions must be computer generated where possible. 2.7.2 Generic Prescribing Medicines should be prescribed using approved (generic) name where possible. Where bioavailability is important the patient/client should continue to receive the same brand: in such cases, the manufacturer’s brand name should be stated. Examples are listed in the BNF e.g. anticonvulsants, lithium, theophyllines. 2.7.3 Requirements for Prescription Pricing Division (PPD) prescriptions e.g. FP10 Each item must include the following; • name of drug (approved name) • metric dosage • frequency • form and strength • route to be used • clear directions as to any site of application of treatment must be present. • be signed and dated by the prescriber – NB name of prescriber should be printed beside signature. • PCT and practice code • PCT practice address • contact telephone number • prescriber code for non-medical prescriber 11
Page 1 and 2: Medicines Management Policy Documen
Page 3 and 4: CONTENTS Section Page 1. Introducti
Page 5 and 6: 1. Introduction This policy deals w
Page 7 and 8: 2. Prescribing of medicines 2.1 Int
Page 9: Nurse and Pharmacist Independent Pr
Page 13 and 14: 2.7.8 Recognised abbreviations Only
Page 15 and 16: 3. Supply of prescription Pads N.B.
Page 17 and 18: 4.0 Security and Safe Handling of P
Page 19 and 20: 6. Transport of Medicines 6.1 All m
Page 21 and 22: 7.7 All medicines shall be returned
Page 23 and 24: 8. Responsibilities of the person a
Page 25 and 26: vi) vii) viii) ix) The drug is bein
Page 27 and 28: • Insulin injections by District
Page 29 and 30: • Are subject to safe custody req
Page 31 and 32: 10.3 Prescribing Controlled Drugs 1
Page 33 and 34: 10.5.2 Stock held at PCT premises o
Page 35 and 36: 11. Management of errors or inciden
Page 37 and 38: 12. Verbal orders for the Administr
Page 39 and 40: 14 Alcohol 14.1 Patient/client unde
Page 41 and 42: may imply dealing, as breach of con
Page 43 and 44: 17. General Notes on the Handling o
Page 45 and 46: 19. Compliance aids All compliance
Page 47 and 48: 21. Syringe Drivers Please refer to
Page 49 and 50: 23. Prescribing of Oxygen Please re
Page 51 and 52: This policy was produced by Special

Medicines Management Policy - Dudley Primary Care Trust

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