Prescription Documentation

Question 1

Which 2 dose units can be abbreviated?

Answer 1

ONLY grams (g) and milligrams (mg)

Question 2

What are the 4 additional legal requirements of a controlled drug prescription?

Answer 2

Dose stated
State the form (capsules, tablets, etc)
Strength - unless only one available
Total quantity in words and figures

Question 3

what legislation is there surrounding the authorisation of medicines for human use?

Answer 3

Human Medicines Regulations

Question 4

what is the name of the prescription form issued by a GP?

Answer 4

FP10(NC/HNC/SS)

GREEN

Question 5

what colour are FP10s issued by dentits?

Answer 5

yellow

Question 6

what colour are FP10s issued by supplementary prescribers and nurse independents?

Answer 6

purple

Question 7

what is prescribed on blue FP10s?

Answer 7

drugs of misuse to manage opioid dependence

Question 8

what are pink FP10s for?

Answer 8

private practice for controlled section 2/3 drugs

Question 9

what are patient specific directions?

Answer 9

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

Question 10

when are patient specific directions (PSDs) seen?

Answer 10

in hospital setting on inpatient drug charts

Question 11

what are 4 purposes of medicines policies?

Answer 11

risk management
auditable drug trail
make people aware of role and responsibilities
outline principles of prescribing

Question 12

how long is the usual minimum for a TTO prescription length?

Answer 12

14 days

Question 13

are F1s allowed to prescribe on FP10s?

Answer 13

NO! - not seen as supervised as can be dispensed from any pharmacy

Question 14

Before what age is it a legal requirement for an age/DOB to be present on a prescription?

Answer 14

<12 years

Question 15

What are the 6 legal requirements of a prescription?

Answer 15

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

Question 16

what are 2 parliamentary acts about controlled drugs?

Answer 16

the misuse of drugs act 1971
misuse of drugs regulations 2001

Question 17

How long does a controlled drug prescription last?

Answer 17

28 days

Question 18

How long does a prescription last?

Answer 18

6 months

Question 19

How long should the quantity of schedule 2,3 and 4 CDs be for?

Answer 19

<30 days

Question 20

what are 4 things you should consider according to the NG when prescribing CDs?

Answer 20

benefits and risks
patients full medical history
whether they are opioid naive
evidence base

Question 21

what is an unlicensed medication?

Answer 21

medication without uk marketing authorisations

Question 22

what is off-label prescribing?

Answer 22

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

Question 23

what is good practice in prescribing unlicenced or off label medicines?

Answer 23

no suitable alternatives
sufficient evidence for use
prepared to take responsibility for prescribing and monitoring
Document decision and reasoning

Question 24

what are cases which may require non-generic prescribing?

Answer 24

biological medicines - insulin, MABs, biosimilars
Anti-epileptics
immunosupressants
some modified release preparations

Question 25

what should be included in PRN prescriptions?

Answer 25

max dose
minimal dose interval
indication