Prescription Documentation Flashcards
Which 2 dose units can be abbreviated?
ONLY grams (g) and milligrams (mg)
What are the 4 additional legal requirements of a controlled drug prescription?
Dose stated
State the form (capsules, tablets, etc)
Strength - unless only one available
Total quantity in words and figures
what legislation is there surrounding the authorisation of medicines for human use?
Human Medicines Regulations
what is the name of the prescription form issued by a GP?
FP10(NC/HNC/SS)
GREEN
what colour are FP10s issued by dentits?
yellow
what colour are FP10s issued by supplementary prescribers and nurse independents?
purple
what is prescribed on blue FP10s?
drugs of misuse to manage opioid dependence
what are pink FP10s for?
private practice for controlled section 2/3 drugs
what are patient specific directions?
written instruction from an independant prescriber for a medicine to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis
when are patient specific directions (PSDs) seen?
in hospital setting on inpatient drug charts
what are 4 purposes of medicines policies?
risk management
auditable drug trail
make people aware of role and responsibilities
outline principles of prescribing
how long is the usual minimum for a TTO prescription length?
14 days
are F1s allowed to prescribe on FP10s?
NO! - not seen as supervised as can be dispensed from any pharmacy
Before what age is it a legal requirement for an age/DOB to be present on a prescription?
<12 years
What are the 6 legal requirements of a prescription?
Patient Details - Name and address required,
NHS and Hospital number if available
Age/DOB - if <12 years
Dated
Prescriber’s signature
Prescriber identifier - Must include name and address - can also include GMC or equivalent number
Legibility
what are 2 parliamentary acts about controlled drugs?
the misuse of drugs act 1971
misuse of drugs regulations 2001
How long does a controlled drug prescription last?
28 days
How long does a prescription last?
6 months
How long should the quantity of schedule 2,3 and 4 CDs be for?
<30 days
what are 4 things you should consider according to the NG when prescribing CDs?
benefits and risks
patients full medical history
whether they are opioid naive
evidence base
what is an unlicensed medication?
medication without uk marketing authorisations
what is off-label prescribing?
use of a medicine with marketing authorisation outside the terms of its license - this can be different dose, indication or patient group as outlines in the summary of product characteristics
what is good practice in prescribing unlicenced or off label medicines?
no suitable alternatives
sufficient evidence for use
prepared to take responsibility for prescribing and monitoring
Document decision and reasoning
what are cases which may require non-generic prescribing?
biological medicines - insulin, MABs, biosimilars
Anti-epileptics
immunosupressants
some modified release preparations
what should be included in PRN prescriptions?
max dose
minimal dose interval
indication
what mneumonic can be used for asking about medications necessary to surgery?
CASES
Contraception - Pregnancy, risk of VTE
Anticoagulation
Steroids
Ethanol
Smoking - lung disease
what mneumonic can be used for a drug history?
DRUGS
Doctors - what is prescribed
Recreational
User - OTC, herbal
Gynaecological - contraceptive, HRT
Sensitivities + allergies
