Medicines Management Policy - Dudley Primary Care Trust

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2.7.4 Requirements for in-patient treatment cards • 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 • time of administration (in 24 hour clock) • PCT Unit (e.g. ward, house etc) • unit number • consultant • drug sensitivities (including writing ‘none’ if none known) 2.7.5 Documentation of Allergies/Hypersensitivities All treatment cards must specify whether or not the patient has any drug allergies/hypersensitivities. It is the responsibility of the admitting medical/dental officer to record these on the prescription sheet as well as in the medical notes. Medical officers, pharmacists and nurses may also document any that become apparent during the in-patient stay. 2.7.6 Errors When an error is made in writing a prescription, the incorrect information must be struck out with a single line, signed by the prescriber and the correct information written in a new section. 2.7.7 The following points should be noted when prescribing strengths and quantities i) unnecessary use of decimal points should be avoided, e.g. 3mg, not 3.0mg ii) quantities less than 1 gram should be written in milligrams, e.g.500mg, not 0.5g iii) quantities less than 1mg should be written in micrograms, e.g.100micrograms, not 0.1mg. iv) a zero should be written in front of a decimal point where there is no other figure, e.g. 0.5ml, not .5ml v) 'micrograms', 'nanograms' and 'units' should not be abbreviated 12
2.7.8 Recognised abbreviations Only the following abbreviations are recognised within the health economy. All other regimens must be written out in full or followed according to an agreed protocol. Dose OD Once daily OM Each morning ON Each night BD Twice daily TDS Three times daily QDS Four times daily Mane Morning Nocte At night For patient records Route Ext IM Inh IV O PO NG Neb PR PV SC S/L Top PEG External use Intramuscular Inhalation Intravenous By mouth By mouth Nasogastric tube Nebulisation Per rectum Per vagina Subcutaneous Sublingual Topical PEG feed Depot injections should be prescribed with the interval expressed using the term “every” (e.g. ‘every 3 weeks’ rather than ‘3 weekly’, which can be misinterpreted. This can be abbreviated as every 3/52) In the case of “when required medicines” the prescription should state the circumstances when it is to be used/taken, the maximum number of doses to be given and specify a time interval e.g. 4 hourly and where appropriate the maximum dose in 24 hours. The criteria where a doctor must be contacted should also be noted if appropriate. Errors have occurred in both the dispensing and administration of unclear prescriptions and for that reason the use of abbreviations such as mdu and prn must not be used and clear directions written as above. 13
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 and 10: Nurse and Pharmacist Independent Pr
Page 11: 2.7.1 Clarity The prescription form
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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