prescriptionandadministrationcharts(completionprocedure).docVIP

Portfolio Medicines Management Document name: Prescription and Administration Chart Guidelines Procedure for the completion of prescription and administration charts Document type: Pharmacy Procedure Staff group to whom it applies: All staff who prescribe, dispense or administer medication. Distribution: Ward folders Intranet How to access: Ward folders Intranet PA to Chief Pharmacist Issue date: May 2007 Next review: May 2009 Approved by: Drug and Therapeutics Trust Action Group Developed by: Chief Pharmacist Director leads: Dr N H Booya Medical Director Contact for advice: Lynn Haygarth Chief Pharmacist 01422 281351 Lynn.haygarth@swyt.nhs.uk  PROCEDURE FOR COMPLETION OF PRESCRIPTION AND ADMINISTRATION CHART LOCALITY: Trustwide OBJECTIVE: To ensure that all prescription and administration records are completed correctly and consistently. SCOPE: This standard operating procedure details the approved method of completing all sections of the prescription and administration record sheet by authorised prescribers, doctors, nurses and pharmacists. GENERAL GUIDANCE Only use accepted codes for routes of administration. Ext External use PR Per Rectum IM Intramuscular PV Per Vagina Inh Inhalation Top Topical IV Intravenous Neb Nebulisation PO Oral Only use generic drug names except drugs that are brand specific eg. Lithium, Fentanyl Patches. Drug names to be written in block capitals or clear print. Write Micrograms in full. Prescribe doses of less than 1mg in MICROGRAMS . Prescribers to complete chart in permanent black ink. The prescriber’s signature should be identifiable or the name should be clearly printed next to the signature. Pharmacists to sign and annotate entries in permanent green ink. A pharmacist’s initials in green next to a medication on the chart usually indicate that they have seen the chart and can see no clinical reason to deem the medication inappropriate. Supplies