PPM - Dispensing Notes

what is the lifecycle of a prescription 1. receipt of prescription at the pharmacy 2. legal and clinical checks 3. selection of product 4. labelling 5. endorsement 6. record keeping 7. technical/accuracy check 8. provide medication and advice to the patient what must a prescription include to be legally valid - signature of prescriber - address of appropriate practitioner - date - type of appropriate practitioner - patient name and address - patient age (if they are under 12) what must a prescription include to be complete - drug name - form - strength - quantity explain what happens in a clinical/professional check of a prescription is the ... appropriate - drug - dose - strength - form - quantity - patient what is the drug tariff - provides info on what will be paid to contractors for NHS services including: - cost of drugs and appliances supplied against an NHS Rx (reimbursement) - professional fees/allowances (remuneration) - part XVIIIA: prescribers can't prescribe any meds which appear in this part - The items included on the list may only what is the selected list scheme (SLS) be prescribed for the patient groups and (Part XVIIIB) for the purpose listed in the Tariff 1/5 - in specified circumstances and specific patient groups what is the borderline substances (ACBS) (Part XV) - nutritional or dermatological products that have been specially formulated to manage medical conditions - doctors are permitted to prescribe ACBS items; however, they should not need to prescribe any items on the ACBS list - FP10SS, FP10NC, FP10HNC - GP - community practitioner nurse prescriber explain the green prescription and who - nurse independent/supplementary precan prescribe them scriber - independent prescribers - supplementary prescribers - hospital units - green - FP10D - for dentists - yellow explain the yellow prescription and who can prescribe them - FP10PN, FP10SP, FP10P-REC - community practitioner nurse preexplain the lilac prescription and who can scriber prescribe it - nurse independent or supplementary prescriber - OOH centre prescriber explain the blue prescription and who can prescribe it - FP10MDA-SS, FP10MDS-S, FP10MDA-SP, FP10HMDA SECONDARY CARE - GP - nurse independent/supplementary prescriber - independent prescribers - supplementary prescribers - hospital unit 2/5 explain the pink prescription and who can prescribe it - FP10PCD-SS, FP10PCD-NC Instalment dispensing prescription for drug addicts. - prescribers of Sch2 and 3 CDs prescribed privately where prescriptions are dispensed by community pharmacy - not legally valid explain the legalities of faxed prescrip- - as not written in indelible ink tions - as not been signed in ink by an appropriate practitioner administration abbreviations PO, PR, PV, BNO, BEY, LE/RE, A J - PO: orally - PR: anally/rectally - PV: vaginally - BNO: both nostrils - BEY: both eyes - LE/RE: left eye/right - A: ear treatment length abbreviations 1/7, 7/7, 1/12, 3/12 - 1/7: 1 day - 7/7: 7 days - 1/12: 1 month - 3/12: 3 months dose form abbreviations t/tab. c/cap, mist, susp, cr, ung/oint, g/guttae, oc/oculentum, au/aurist, no - t/tab: tablet - C or cap: capsule - mist: mixture - susp:suspension - cr: cream - ung/oint: ointment - g/guttae: drops - oc oculentum: eye ointment - au/aurist: ear drops - no: nose drops - a.c: before food - b.d: twice daily - o.d: every day - o.m: every morning - o.n: every night - p.c: after food 3/5 when to take abbreviations a.c, b.d, o.d, o.m, o.n, p.c, p.r.n, q.d.s, q.q.h, stat, t.d.s, t.i.d - p.r.n: when required - q.d.s: to be taken four times daily - q.q.h: every four hours - stat: immediately - t.d.s: to be taken three times daily - t.i.d: three times daily. what are LASA's - look-alike sound-alike - meds which can be easily confused with others - similar names and/or packaging what are the labelling requirements compulsory: - patient's name - name and address of pharmacy supplying product - date meds dispensed unless, wehn exercising their professional judgement, the pharm believes its inclusion is inappropriate: - product name - diretions for use -precautions relating to use of product - other particular as specified by prescriber RPS recommendations - 'keep out of reach and sight of children' - 'use this medicine only on your skin' where applicable explain labelling and the PMR - first time a patient has a Rx from your pharmacy, they won't be set up on PMR - need to add more patient details from the Rx - following this, if the patient returns to you, you can call up their details and you only need to add the Rx /medication details - clinical/professional check: Rx legal and complete, Rx appropriate, only done by a pharmacist 4/5 - accuracy/technical check: items on the what are the differences between a clinRx are dispensed correctly, done by ical/professional check and a accurapharmacist, done by an accuracy checkcy/technical check ing technician (ACT) has the item been labelled correctly: - to match Rx - to meet legal requirements - to meet any good practice requirements explain in detail what is checked during has the correct item been selected: an accuracy check - to match the Rx - correct label added to item - any necessary records completed appropriately explain how to hand out a Rx - must follow SOP - must ensure that the right Rx goes to the right person: check name and address/DOB as a minimum - must ensure that the patient receives the right counselling and advice - administration advice - storage info - warning label info - advice on treatment length - possible side-effects and what to do if how do you counsel a patient when givthese occur ing out the Rx - monitoring/follow up blood tests that are required - what to do if the patient's symptoms don't improve - check the patients understanding 5/5