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Medicines Management Policy - Dudley Primary Care Trust

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2.7.4 Requirements for in-patient treatment cards<br />

• name of drug (approved name)<br />

• metric dosage<br />

• frequency<br />

• form and strength<br />

• route to be used<br />

• clear directions as to any site of application of treatment must be present.<br />

• be signed and dated by the prescriber<br />

• time of administration (in 24 hour clock)<br />

• PCT Unit (e.g. ward, house etc)<br />

• unit number<br />

• consultant<br />

• drug sensitivities (including writing ‘none’ if none known)<br />

2.7.5 Documentation of Allergies/Hypersensitivities<br />

All treatment cards must specify whether or not the patient has any drug<br />

allergies/hypersensitivities. It is the responsibility of the admitting medical/dental<br />

officer to record these on the prescription sheet as well as in the medical notes.<br />

Medical officers, pharmacists and nurses may also document any that become<br />

apparent during the in-patient stay.<br />

2.7.6 Errors<br />

When an error is made in writing a prescription, the incorrect information must<br />

be struck out with a single line, signed by the prescriber and the correct<br />

information written in a new section.<br />

2.7.7 The following points should be noted when prescribing strengths and<br />

quantities<br />

i) unnecessary use of decimal points should be avoided, e.g. 3mg, not 3.0mg<br />

ii) quantities less than 1 gram should be written in milligrams, e.g.500mg, not<br />

0.5g<br />

iii) quantities less than 1mg should be written in micrograms,<br />

e.g.100micrograms, not 0.1mg.<br />

iv) a zero should be written in front of a decimal point where there is no other<br />

figure, e.g. 0.5ml, not .5ml<br />

v) 'micrograms', 'nanograms' and 'units' should not be abbreviated<br />

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