Prescribing in Practice Part 1 (c)

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Presentation transcript:

Prescribing in Practice Part 1 (c) Legal Issues (2) The following lead lectures within this OER are referred to it this presentation and may be useful to review Prescribing Triangle, Accountability, Concordance and Team Working

Categories of medicines under Medicines Act (1968) Category General sales list (GSL) Paracetamol 500mg tabs (16) Pharmacy medicines (P) Paracetamol 500mg tabs (32) Prescription only medicine (POM) Paracetamol 1g qds 100 tabs Restrictions on availability They must be sold in original package, there may be limits on pack size and must be sold from permanent premises e.g. garage Can only be sold from a registered pharmacy under the supervision of a pharmacist who can refuse the sale Can only be supplied or authorised for supply by an appropriate practitioner Three categories of medications there are also cds but we will not be covering this there are guidelines on how to prescribe these correctly in the BNF

Controlled Drugs Misuse of Drugs Act 1971 aims to prevent the misuse of drugs that are ‘dangerous and harmful’ They are grouped in Schedules 1-5 1 no medicinal use ecstasy, LSD 2 around 100 substances mainly opiates 3 barbiturates, temazepam, buprenorphine 4 split into benzodiazepines and anabolic/growth hormones 5 preparations of certain CDs pholcodeine, codeine Schedule 2 are poms Class a b and c are based on the decreasing order of harmfulness & are used to rate penalties and conviction

Controlled drugs (CDs) Nurse / midwife independent prescriber are restricted to prescribe only certain CDs solely for specific medical conditions if this falls within their scope of practice A nurse/midwife or Allied Health Professional supplementary prescriber can prescribe any schedule 2-5 CD for any condition within their competence as part of a patient specific, written clinical management plan agreed with the Dr & the patient

Controlled Drugs See Department of Health, Nurse Prescribing Frequently Asked Questions www.dh.org.uk (accessed 3/8/11) Facilitator’s note: ensure up to date list of Controlled Drugs is used see www.dh.org.uk or Home Office website www. homeoffice.gov.uk Controlled Drugs Legislation- Nurse prescribing and patient group directions for details

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