Dispensing-Checklist PDF

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Dispensing Checklists Prescription requirements Signature of prescriber is present. Dated and within the 6 month day validity. Address of the prescriber is present. The prescriber is an appropriate one. The dose is present, this does not need to be in words and figures. The formulation to be dispens...

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Dispensing Checklists Prescription requirements Signature of prescriber is present. Dated and within the 6 month validity/28 day validity. Address of the prescriber is present. The prescriber is an appropriate one. The dose is present, this does not need to be in words and figures. The formulation to be dispensed is stated, unless only one exists. The strength is specified, only if more than one exists. The total quantity to be dispensed is stated. The name of the patient is present. The address of the patient is stated. If no fixed abode then simply NFA is acceptable. The name of the medicine is present but this not a legal requirement. The directions for use are stated.

Standard label requirements Name of patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine If appropriate: for external use only Directions for use Precautions such as BNF warning labels Both outer container and inner product labelled, if applicable. PIL has been placed into bulk container alongside medication/product, if applicable.

POM book entry for private prescription Reference number for the prescription is present. Date the POM was supplied Date on the prescription Name of medication Quantity of medication Pharmaceutical form Strength of medication Name of patient Address of patient Name of prescriber Address of prescriber *NB: prescriptions for oral contraceptives are exempt from record keeping; as are prescriptions for Schedule 2 CDs where a separate CD register record has been made.

Checking a prescription is clinically valid Is the dose appropriate? - Check the BNF or the BNF for children If vet calculate correct dose in vet formulary Check the PMR - Is the dose appropriate for the patient’s clinical condition/recommended first line treatment - Check for any interactions with drugs or contraindications - Pharmacists can make small changes to prescription where necessary, for example changing a dose from twice daily to once daily if it exceeds the recommended amount in the BNF - Must sign, date and put GPhC reg number on the script. - If any changes are made to the prescription for clinical reasons then a clinical intervention form must be filled out.

Final checks before sending off prescription STAMP and DATE prescription Endorse – fill in quantity of items If applicable: reference number for the Rx on label, POM etc. PIL supplied? Labeled both outer box and inner tube if appropriate? Label states the drug name and not the brand, right click to change.

Retention and record keeping Standard FP10 Rx - Send to NHS BSA Controlled drug Rx - Send to NHS BSA - POM book not needed - CD register entry – retained for two years after the final entry Dental Rx - NHS BSA (Is it in the dental formulary?) - POM book not needed Vet Rx - Retain script for 5 years (Is it in the Vet formulary?) - POM book entry is retained for 5 years Nurse Rx - NHS BSA (Is it in the nurse formulary?) Private Rx - If CD send to NHS BSA - POM book for 2 years Emergency supplies - At request of GP: NHS BSA and POM book for 2 years - At request of patient: No physical script, keep POM book for 2 years Hospital discharge + Outpatient Rx - Retain for 2 years in the pharmacy - Must comply with HMR legal Rx requirements - Check details have been correctly transcribed from the drug chart - Sign and date at bottom Hospital drug chart - Retained indefinitely in the patient notes - Does not have to comply with HMR legal Rx requirements - Must contain:  Patient details, allergy status, drug details, prescriber signature, date of prescribing  Start and stop dates  Time of admin circled - Sign and date every pharmacy box to say the item has been clinically screened  S = stock  POD = patients own drug  CD (in triangle) = CD - Write the quantity in the pharmacy box of the dispensed drug - If medication stopped = Z line needs to be drawn through and signed and dated by prescriber - Always do intervention form - Counseling for both patient and doctor

NHS Controlled Drugs Dispensing Checklist Prescription requirements Signature of prescriber is present. Dated. Address of the prescriber is present. The dose is present, this does not need to be in words and figures. The formulation to be dispensed is stated, unless only one exists. The strength is specified, only if more than one exists. The total quantity to be dispensed is stated in both words and figures. The quantity prescribed can exceed 30 days’ supply but prescribers must be able to justify why this is needed on a clinical basis. The name of the patient is present. The address of the patient is stated. If no fixed abode then simply NFA is acceptable. The name of the medicine is present but this not a legal requirement. The directions for use are clearly stated, not simply MDU. If dental CD, the words For Dental Treatment are present on the script and label.

Instalment prescribing requirements Amount of medicine per instalment + interval between each time the medicine can be supplied each time is present. Within 28 days of the appropriate date. (if the only date is that when signed this is the appropriate date, if a date before which it should not be dispensed is stated then go from this) Prescription has been marked with the date of each supply. Dose is present Formulation is specified, if more than one exists. Strength is specified, if more than one exists. Total quantity written in both words and figures. Total quantity prescribed. If dental script, the words ‘for dental treatment only’

Standard label requirements Name of patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine Directions for use Precautions such as BNF warning labels Both outer container and inner product labelled, if applicable. PIL has been placed into bulk container alongside medication/product, if applicable. If dental CD, the words For Dental Treatment are present on the script and label.

CD register requirements Name and address of person supplied Name and registration info of prescriber. Address not needed. Date of supply Name of person collecting, not simply ‘WIFE’. No need for address if same as patient. Proof of identity requested and what it was. Quantity supplied CD Balance Drug class i.e. fentanyl Brand/Name i.e. Matrifen Strength i.e. 12mcg/hour Form i.e. transdermal patches No boxes crossed out. N.B* For example on FP10CD for fentanyl you can amend the script to add in words for quantity if it is only present in figures.

From Monday 1 June 2015 prescriptions for temazepam will be required to meet full prescription requirements for Schedule 3 controlled drugs (CDs). Temazepam is a Schedule 3 Controlled Drug that was previously exempt from the usual Schedule 3 Controlled Drug prescription requirements. Following a consultation in 2013, the Home Office concluded that temazepam prescriptions should be brought in line with other Schedule 3 controlled drugs.

Directions Legal One as Directed Two when required 1 PRN3 ampoules given over 24hrs as directed

Illegal as directed when required PRNas per chart titration dose weekly

Emergency Supply at the request of patient Information needed Name of patient: Age of patient: Address of patient:

Name of patients doctor: Address of patients doctor:

Reason for the request of ES:

What is the name of the medication?

What is the formulation?

What is the dose?

What is the frequency of administration?

Are they on any other medications?

Is this an NHS or private script?

Has the POM been previously prescribed recently?

Emergency supply label requirements Name of patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine Directions for use Precautions such as BNF warning labels Both outer container and inner product labelled, if applicable. PIL has been placed into bulk container alongside medication/product, if applicable. The words ‘Emergency supply’ must be stated on the label The reference number on label and script when it arrives.

POM book entry Date Name of medication Quantity of medication Pharmaceutical form Strength of medication Name of patient Address of patient Nature of the emergency The words ‘Emergency supply’ The reference number

Cannot supply on emergency supply Sch 2 and 3 CD except phenobarbitone for the treatment of epilepsy More than 5 days’ treatment of CDs More than 30 days’ treatment of POMs unless: - Cream, inhaler etc. where the smallest pack size should be given - Oral contraceptives should be given as full treatment cycle - For antibiotics supply the smallest quantity that will provide a full course of treatment

Emergency Supply at the request of doctor/prescriber

Information needed Name of patient: Age of patient: Address of patient:

Name of patients doctor: Address of patients doctor:

Reason for the request of ES:

What is the name of the medication?

What is the formulation?

What is the dose?

What is the frequency of administration?

Are they on any other medications?

Is this an NHS or private script?

Has the POM been previously prescribed recently?

Emergency supply label requirements Name of patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine Directions for use Precautions such as BNF warning labels Both outer container and inner product labelled, if applicable.

N.B* rem

pensed’ box.

POM book entry Date Name of medication Quantity of medication Pharmaceutical form Strength of medication Name of patient Address of patient Nature of the emergency The words ‘Emergency supply’ The reference number

Cannot supply on emergency supply Sch 2 and 3 CD except phenobarbitone for the treatment of epilepsy More than 5 days’ treatment of CDs More than 30 days’ treatment of POMs unless: - Cream, inhaler etc. where the smallest pack size should be given - Oral contraceptives should be given as full treatment cycle - For antibiotics supply the smallest quantity that will provide a full course of treatment

Instalment Prescribing Of CDs Checklist Standard prescription requirements Signature of prescriber is present. Address of the prescriber is present. Dated. The particulars of the prescriber are present e.g. what type, nurse etc. Patient is named. The address of the patient is stated. The age of the patient if they are under 12 years. Within 6 months of the appropriate date stipulated on the prescription. Available on the NHS for treatment of stated indication.

Product is named with directions for use.

Instalment prescribing/CD specific requirements Amount of medicine per instalment + interval between each time the medicine can be supplied each time is present. Within 28 days of the appropriate date. (if the only date is that when signed this is the appropriate date, if a date before which it should not be dispensed is stated then go from this) Prescription has been marked with the date of each supply. Dose is present Formulation is specified, if more than one exists. Strength is specified, if more than one exists. Total quantity written in both words and figures. Total quantity prescribed. If dental script, the words ‘for dental treatment only’

Standard label requirements Name of patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine Directions for use Precautions such as BNF warning labels Both outer container and inner product labelled, if applicable. PIL has been placed into bulk container alongside medication/product, if applicable.

Vet Prescription Dispensing Checklist Prescription requirements The name, address, telephone number, qualification and signature of the prescriber must be present. Where Sch 2 or 3 CDs have been prescribed, the Royal College of Veterinary Surgeons (RCVS) registration number of the prescriber must also be included. The name and address of the owner is present. Identification and species of the animal and its address (if different from the owner) is stated. The date is present and within the limit. (6 month validity for POMs etc. and 28 days for CDs) The name, quantity, dose and administration instructions of the required medicine are present. ‘As directed is not acceptable’

Any necessary warnings and if relevant the withdrawal period, time from when medicine is administered and when the animal can then be used as food, if applicable.

POM book entry for veterinary prescriptions Date the POM was supplied Name of medication prescribed for an animal or herd under the care of the veterinarian’ Quantity of medication Pharmaceutical form If the prescription is repeatable, the number of times it can be repeated is present. Strength of medication Name of recipient Veterinary prescription label requirements Address of recipient Name of the prescribing veterinary surgeon Name prescriber Name of and address of the animal owner Address of prescriber Name and address of the pharmacy Keep for 5 years Identification and species of the animal The words prescription’ Date of the‘Veterinary supply Reference number is present on both POM book, prescription and label. Expiry date of the product BATCH NUMBER OF MEDICATION Name and description of the product or its active ingredient and content quantity Dosage and administration instructions are present If appropriate, special storage instructions. Any applicable warnings for the user regarding disposal etc. Any applicable withdrawal period, see above. The words ‘For animal treatment only’ The words ‘Keep out of reach of children’ Both outer container and inner product are labelled, if appropriate. PIL has been placed into bulk container alongside medication/product, if applicable. Reference number from POM book is present on label and prescription.

Intervention Form Checklist Reason for intervention or referral section References used. E.g. Stockley’s, BNF, NICE, BNF-C, local guidelines. If an interaction, what is the interaction? If an inappropriate drug, why? Is it not first-line?

Action already taken and recommendation (if appropriate) section If the drug has been changed, to what has it been changed? What is the new dose, form, frequency, duration?

Current medication section Doses Frequency

Private Prescription Dispensing Checklist Prescription requirements Signature of prescriber is present. Dated and within the 6 month validity/28 day validity. Address of the prescriber is present. The prescriber is an appropriate one. The dose is present, this does not need to be in words and figures. The formulation to be dispensed is stated, unless only one exists. The strength is specified, only if more than one exists. The total quantity to be dispensed is stated. The name of the patient is present. The address of the patient is stated. If no fixed abode then simply NFA is acceptable. The name of the medicine is present but this not a legal requirement.

POM book entry for private prescription

Reference number for the prescription is present. Label requirements Date the POM was supplied Reference number for the prescription is present. Date on the prescription Name of patient Name of medication Name and address of the supplying pharmacy Quantity of medication Date of dispensing Pharmaceutical form Name of the medicine Strength of medication Directions for use Name of patient Precautions such as BNF warning labels Address of patient Both outer container and inner product labelled, if applicable. Name of prescriber PIL has been placed into bulk container alongside medication/product, if applicable. Address of prescriber *NB: prescriptions for oral contraceptives are exempt from record keeping; as are prescriptions for Schedule 2 CDs where a separate CD register record has been made....