QLD S4 and S8 Prescription Requirements 2018 PDF

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1. Summary Table for QLD 2018: SUMMARY TABLE S4 12 months from date of writing a) Duration of Health(D&P)Regs 1996 QLD validity of script Sections 82(2)(g) and 193(2)(f) of the QLD Health (D&P) Regs 1996 Restricted drugs records must be kept b) Records in good condition for two years (Sections 86, 87, This also applies to records required 99, 133, 199, 222 and 302 of the for S7 poisons. Regulation) Details of transactions which are destructions do not have to be kept. PBS must keep the duplicates of all old format PBS prescriptions, and the patient/pharmacist copies of all new format PBS prescriptions, with a Commonwealth contribution for at least one year from the date of supply. NOTE: State law must be followed

c) Storage Section 118, 119, 211 of the QLD Health (D&P) Regs 1996

An authorised person in possession of a restricted drug at a place must keep the drug in a cupboard, dispensary, drawer, storeroom or other part of the place to which the public does not have access.

S8 6 months from date of writing

The pharmacist or the authorised person who dispenses a controlled drug must personally record the transaction on the day of the transaction. This must be done on the day of the transaction and in the order in which they happen. Controlled drugs records must be kept in good condition for two years after the last entry that is made. Records for controlled drugs must be made as a written entry in a book, in an electronic form or in another certified way. If a book then it must be bound. Each page must be sequentially numbered, relate to only one controlled drug and have a heading describing the class of controlled drug (name of drug) and measurement unit. Drugs returned for destruction can be put on one page (ie they don’t need a separate page) The duplicates or originals must be held for 2 years and the duplicate hard copies are no longer sent into the DDU The owner of an institution must ensure a controlled drug kept at the institution is kept — (a) in a receptacle that complies with Appendix 6 (minimum requirements for controlled drug receptacle) of this regulation; or (b) in another place (a secure place) an inspector who inspects the place is reasonably satisfied is at least as secure as a receptacle mentioned in paragraph (a). This section S118 refers to instituitions S119 covers community pharmacy The receptacle must always be kept locked. The key or combination must not be able to be used by persons not authorized to possess a controlled drug at the place.

d) Prescription details Sections 82,190 and Appendix 4 of of the QLD Health (D&P) Regs 1996

Must be written by authorised prescriber; in own handwriting or in manner approved by the Chief executive (I.e. computer generated); Prescribers name, professional qualifications and address (NOTE: There is no requirement for a phone number on paper prescriptions) Date of prescribing Patients name and address or name and address of the owner if for animal use Description of drug or name of preperation, and quantity in figures Adequate directions and dose to be taken Signature on paper Rx or electronic signature on electronic Rx If the prescriber amends a prescription — (a) for a paper prescription—the prescriber must initial and date the amendment; or (b) for an electronic prescription—the prescriber must make the amendment in the approved way

All Rx requirements for S4 plus Must be written in prescriber’s own handwriting. Must have patient’s date of birth included on Rx Must have quantity and written in words and figures Prescriber’s name, address, qualifications and phone number may be computer generated Patients name,address, date of birth and the prescribing date may be computer generated. Must state an interval for the repeat dispensing. If the interval is not stated the Rx can still be dispensed but with NO repeats. Must not be defaced, illegible or obliterated Must not be changed by someone other than prescriber Only one controlled drug per prescription form (more than one dosage form of the same drug eg morphine tablets and injections may be prescribed together.)

e) Computer generated script Sections 82,190 and Appendix 4 of of the QLD Health (D&P) Regs 1996

Usual requirements allows for script to be computer generated, rather than in prescriber’s own handwriting. Prescriber must sign under last item. There must be a line or mark between each item on the form Total number of items on prescription needs to be stated The area under the signature must be marked to prevent other items being printed on the prescription. Cannot make alterations – need to print new prescription. The phone number is only required on pre-printed computer prescription paper

Same requirements for S8 above Same requirements for S4 computer generated Rx Prescriber’s name, address, qualifications and phone number may be computer generated Patients name,address, date of birth and the prescribing date may be computer generated. The remainder of the Rx must be in prescribers own handwriting ( in practice both handwritten and computer generated drug name, directions etc will be on Rx)

f) Emergency

If changed by the prescriber, the dispenser must contact the prescriber to confirm

A pharmacist must not dispense an

supply Sections 81 and 194 of of the QLD Health (D&P) Regs 1996

A pharmacist may sell a restricted drug to a person without Rx if the pharmacist reasonably believes— (a) an emergency exists; and (b) the person seeking the drug is under medical treatment requiring the use of the drug; and (c) it is essential to continue the treatment for the person’s wellbeing. The pharmacist must not sell more than— (i) for a restricted drug that is a prepacked liquid, cream, ointment or aerosol—the minimum standard pack; (ii) for another restricted drug—3 days supply of the drug; The drug must be in a container that is labelled with the following written on it— ‘Emergency supply’ in a colour contrasting with the background colour and in boldfaced sans serif capital letters with a face depth of at least 1.5mmin addition to usual labelling requirements (name, date etc) The emergency supply must be recorded in an ‘emergency supply book’. This record must include patient’s name and address, date drug sold, description and quantity of drug sold, directions given for use, name of doctor or nurse practitioner who las prescribed the drug NOTE: There is no provision in the legislation for ‘owed prescriptions’.

emergency supply of a controlled drug. If a person requires a controlled drug, a pharmacist must first obtain a written or an oral prescription from a doctor. 1. A prescriber may give a dispenser an oral prescription for a controlled drug the prescriber is endorsed to prescribe. (2) Within 24 hours after giving the oral prescription, the prescriber must ensure a paper prescription for the drug is sent by facsimile transmission to the dispenser. (3) Within 7 days after giving the oral prescription, the prescriber must send a paper prescription by post or by hand or send an electronic prescription for the drug to the dispenser. (4) If the dispenser does not receive a paper or electronic prescription for the drug from the prescriber within 14 days after being given the oral prescription, the dispenser must immediately give a written report about the circumstances to the chief executive For a faxed Rx (similar to above) – within 24 hours, the prescriber must telephone the dispenser and confirm the details. -within 7 days the paper or electronic Rx must be sent...