Bnf, Pharmacology And Prescribing In The Nhs
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This document discusses safe prescribing and medication administration in the NHS. It provides guidance on properly prescribing medications, including writing prescriptions legibly and accurately with the correct dose, route, times of administration and patient information. It also covers checking for allergies, understanding medication names, and discontinuing treatments properly. Safe practices like teamwork, checking for errors, and addressing prescribing culture and systems are emphasized to reduce patient harm from medication mistakes and errors. Common errors involving insulin, anticoagulants, penicillin allergies and incorrect doses are also outlined.
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Dr. Pravin Prasad gave a lecture to MBBS Sem IV students about writing prescriptions. By the end of the class, students should be able to identify prescription components, appreciate the medico-legal aspects, and understand common errors. Prescriptions must be written clearly with the date, patient information, medication details, directions, and prescriber identification to avoid errors. Poor handwriting, missing information, and ambiguous instructions can cause issues if not written properly.
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This document discusses two types of prescriptions - pre-compounded prescriptions for already prepared drugs, and extemporaneous prescriptions where the pharmacist prepares the medication according to the physician's directions. It also outlines the typical parts of a prescription, including patient information, drug name and dosage, prescriber instructions, and prescriber signature/contact information. Finally, it notes some common issues with prescriptions like incomplete patient data, drug name confusion, and environmental distractions that can lead to medication errors.
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1. The definition of a prescription as a written order from a physician to a pharmacist with the patient's name, medicines, doses, frequencies, and durations.
2. The ideal components of a prescription including superscription with patient/prescriber details, inscription with medicine names/doses, subscription with instructions to the pharmacist, and signatura with directions to the patient.
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The document provides guidance on rational prescription writing, including introducing the concept of "P-drugs" or personal first-choice drugs, outlining the steps in prescription writing, common abbreviations, and important instructions and information to provide to patients. It also discusses medication errors and the importance of legible handwriting to prevent errors, as well as electronic prescribing systems that can help reduce errors.Prescription ppt
The document discusses prescriptions, their components, and legality. It notes that a prescription is a medical practitioner's order to a pharmacist to compound and dispense medication for a patient. A prescription typically includes the date, patient information, a symbol indicating it is a prescription, the medication ingredients and quantities, directions for use, and the prescriber's signature, address, and registration number. The main components are the inscription listing the medication and adjuncts and the subscription providing directions. Prescriptions must be filled out correctly and completely to be legal and help identify the intended medication and treatment.
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The document provides guidelines for writing prescriptions. It outlines that prescriptions should have 3 parts: general patient information, the list of prescribed medications, and a conclusion. The content section explains what information should be included for each prescribed medication such as name, strength, route, dose, frequency, and duration. The conclusion should have the consultant's signature, department, unit, and date. Key points are to use legible handwriting and proper formatting while common mistakes to avoid are missing the diagnosis or seals/dates.
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Writing a prescription (pharmacology practical class)
Dr. Pravin Prasad gave a lecture to MBBS Sem IV students about writing prescriptions. By the end of the class, students should be able to identify prescription components, appreciate the medico-legal aspects, and understand common errors. Prescriptions must be written clearly with the date, patient information, medication details, directions, and prescriber identification to avoid errors. Poor handwriting, missing information, and ambiguous instructions can cause issues if not written properly.
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This presentation covers different aspects of prescription, and safe prescription writing, including examples from NHS, and India.
Intro to prescription writing
The document provides information on prescription writing including:
1. The definition of a prescription as a written order from a physician to a pharmacist with the patient's name, medicines, doses, frequencies, and durations.
2. The ideal components of a prescription including superscription with patient/prescriber details, inscription with medicine names/doses, subscription with instructions to the pharmacist, and signatura with directions to the patient.
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A prescription is a written or verbal order from a licensed medical professional for a medication. Prescriptions have been used since ancient times and Latin was adopted as the standard language. Prescriptions must clearly identify the patient and include details like drug name, dose, frequency, and prescriber information. There are different types of prescriptions for different settings like hospitals, general practice, and private use. Proper prescription writing aims to prevent errors by using unambiguous terminology and formats. Common errors in drug administration must be reported to allow for proper management.
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The document discusses prescriptions, their components, and legality. It notes that a prescription is a medical practitioner's order to a pharmacist to compound and dispense medication for a patient. A prescription typically includes the date, patient information, a symbol indicating it is a prescription, the medication ingredients and quantities, directions for use, and the prescriber's signature, address, and registration number. The main components are the inscription listing the medication and adjuncts and the subscription providing directions. Prescriptions must be filled out correctly and completely to be legal and help identify the intended medication and treatment.
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- Only certain medical professionals like physicians and dentists can prescribe, and they must be registered and have recognized qualifications.
- There are different types of prescriptions like compounded and pre-compounded.
- Guidelines are provided on prescription format, abbreviations to avoid, dosage writing, and ensuring legibility to prevent errors and legal issues.
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- Proper handling involves checking for errors or issues, collecting ingredients, accurately compounding, and correctly labeling and packaging the dispensed medication.
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- Common types of errors include prescription errors, dispensing errors, administration errors, and transcription errors.
- Factors like look-alike drug names, poor communication, and environmental distractions contribute to errors.
- Errors can be detected through methods like medical rounds, medication administration records, and analyzing returned doses.
- Reporting helps identify root causes and improve safety, but relies on voluntary participation and protecting confidentiality
Rational drug use
Rational use of medicines means patients receive the appropriate medication for their condition in the proper dose and duration at the lowest cost. It involves evaluating the patient, specifying the treatment goal, selecting the right drug therapy, providing instructions, and regularly evaluating therapy while considering drug costs. Doctors should ask questions to ensure the right indication, drug, patient, dose, and information are considered for safe and effective treatment. Certain drug combinations should be avoided, such as anticholinergics with antipyretics, which can increase body temperature dangerously.
1-Responsibilities-and-Principles-of-Drug-Administration.pptx
The document outlines responsibilities and guidelines for the safe administration of medications by health care providers. It describes four responsibilities of providers including having up-to-date medication information, accurately assessing patient needs, skillfully delivering medications with documentation, and educating patients. It also lists the 10 rights of medication administration and provides guidelines for oral administration including checking the patient's identification and medication order, preparing and monitoring the dosage, and documenting the administration.
Medication safety.pptx
World Anesthesia Day aims to improve medication safety by sharing best practices on social media. Medication errors are a leading cause of avoidable patient harm and cost $42 billion annually. Anesthesiologists are leaders in medication safety due to the high-risk nature of the drugs administered. Key strategies to reduce errors include standardized packaging, pre-preparing syringes, double checks, and promoting a culture of reporting errors to address systemic issues.
Medication error
Here are the key steps I would take:
1. Return to Mrs. Veena immediately to inform her of the error and assess for any allergic reaction symptoms. Her safety is the top priority.
2. Notify the physician right away about the error so they can determine the appropriate treatment and monitoring plan for Mrs. Veena.
3. Fill out an incident report per hospital policy documenting exactly what occurred, the medications involved, actions taken, patient assessment and outcome.
4. Review the situation to understand what factors may have contributed to the error so I can learn and help prevent similar mistakes going forward. Proper documentation and reporting of all errors is important for quality improvement.
5. Apologize to
Medication Errors
This document defines key terms related to medication safety such as medication error, incident, sentinel event, and culture of safety. It identifies common medication errors like opioid patches, acetaminophen, and methadone. Safe practices to prevent errors are discussed, including following the rights of administration, using two patient identifiers, and proper documentation. The roles of communication and agencies like the FDA in medication safety are also reviewed.
Patient compliance Pdf
This document discusses patient compliance and non-compliance with medical treatment. It defines compliance as adhering to a treatment plan due to perceiving benefits, while non-compliance threatens treatment success. The document notes that adherence is a more accurate term than compliance, as it recognizes patients actively participate in their care. Key factors that influence compliance include the disease, treatment regimen, patient-provider interaction, and socioeconomic issues. Various methods to assess compliance are indirect, like pill counts or MEMS devices, or direct, like drug analysis. Strategies to improve compliance involve simplifying treatment, developing suitable packaging, supplementary education, and counseling. Overall, non-compliance is a major issue that reduces treatment effectiveness.
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Bnf, Pharmacology And Prescribing In The Nhs
- 1. Grzegorz Chodkowski (MD)Grzegorz Chodkowski (MD) Riga, Radisson SAS 2009 BNF, PharmacologyBNF, Pharmacology andand Prescribing in the NHSPrescribing in the NHS
- 3. • Know the medicine well enough to administer safely • Check and be certain of patient identity • Know the care plan • Administer in the context of patient condition • Check for allergy and the expiry date before administering • Know the following so you correct and understand prescription instructions: Key PointsKey Points
- 4. • Medication prescribing is: – Appropriate – Safe – Legible – Accurate – Clear – Indelible • The patient must be identifiable – patient's name – address – date of birth – hospital number – age if under 12 (legal requirement) – weight if under 12 (legal requirement) Prescribing Core KnowledgePrescribing Core Knowledge (for all clinical staff)(for all clinical staff)
- 5. • The Allergy box must not be left empty • Use approved names (rINN) in black ink and BLOCK CAPITALS • Metric doses • Write micrograms and units in full • Indicate the route and times of administration • Administration times should be agreed with the nursing team and the 24- hour clock used. Specify precise times if important. • Do not alter existing prescriptions. Rewrite if a change is made. • Only one chart should be active • Discontinue a treatment by crossing through it and cancelling subsequent recording panels. Add your initials and the date. • Antibiotics must be prescribed for a stated time period. • Place X in administration box to indicate drug not to be given at specific time & day • If a drug is to be administered by a pre-prepared protocol or patient specific direction this must be explicitly referred to on the chart Prescription Chart StandardsPrescription Chart Standards
- 6. Safe prescribing depends upon you putting yourself in the mind of everyone who might read and act on your script, patient, nurse, pharmacist and fellow prescriber. Dangerous errors tend to be: • Wrong medication in context • Wrong dose (too much) • Mistakes, are more likely when tired or distracted or interrupted. Every-one makes mistakes and every one will make the occassional bad mistake • Team work and taking responsibility for checking others and then acting appropriately is the most effective way of reducing patient harm. • All should accept the correction of potential mistakes in good grace • Many safety issues are due to culture and can be corrected by system change • Insulin is the most common cause of administration error • Anticoagulants are the most common cause of life threatening prescribing error. • All clinical staff should know the risks with prescribing so they can be detected. Medicines SafetyMedicines Safety
- 7. • Methotrexate given daily instead of weekly • Writing ug for microgram which might be read as mg and patient given 1000 times too much. • Allergy box on drug chart left empty • Three fatal episodes where a prescriber prescribes a penicillin to someone documented to be allergic penicillin and the penicillin is given despite the allergy being stated on the wrist band(s) and drug chart • A study comparing administration error in UK, Germany & France found – Product not labelled/incorrectly labelled in 43%, 99% and 20% of doses respectively – Wrong diluent used in 1%, 49% and 18% – Wrong administration selected for 49%, 21% and 5% of doses observed – At least one deviation from aseptic technique was observed among 100%, 58% and 19% – In the UK, no cleaning of preparation area or hand washing was observed for any of the prepared doses – Only 1% of cases swabbing the vial top – In the UK, the most frequent medication errors were related to an incorrect administration rate (48%). Examples:Examples:
- 10. Thank You!Thank You! Any Questions?Any Questions?