It is the person who reviews the medicine. Generally, two people distribute the medicine, one person takes the medicine, and the other person reviews and distributes the medicine. Both the person who reviews and the person who takes the medicine should sign.
According to Article 2 of the "Regulations on the Administration of Prescriptions": Prescriptions refer to prescriptions issued by registered practicing physicians and practicing assistant physicians (hereinafter referred to as physicians) for patients in the course of diagnosis and treatment activities and by those who have obtained pharmaceutical professional and technical positions. Qualified pharmaceutical professional technicians (hereinafter referred to as pharmacists) review, deploy, and verify medical documents as patient medication vouchers. Prescriptions include medication orders for wards of medical institutions. Prescription is a written document used by doctors to administer medicine to patients. It is the basis for pharmacists to prepare medicines and has legal, technical and economic responsibilities. Prescriptions include doctor's prescriptions and legal prescriptions. What we see every day are prescriptions from doctors.
The prescription*** has three parts:
(1) Prescription includes the full name of the hospital, department, patient name, gender, age, date, etc. Items with special requirements can be added.
Prescriptions for narcotic drugs and first-category psychotropic drugs should also include the patient’s identification number, the name of the agent, and the identification number;
(2) The prescription should be preceded by “R” " or "RP" begins, meaning to take the following medicines; followed by the main part of the prescription, including the name, dosage form, specification, quantity, usage, etc. of the medicine;
(3) The postscript of the prescription includes the doctor , pharmacy staff, and estimator sign to show responsibility. The signature must be in full. Physicians should prescribe prescriptions based on medical, prevention, and health care needs and in accordance with the diagnosis and treatment specifications, drug indications, pharmacological effects, usage, dosage, contraindications, adverse reactions, and precautions in the drug instructions.
Prescriptions for medical toxic drugs and radioactive drugs must strictly comply with relevant laws, regulations and rules. The prescription is valid on the day it is issued. If the validity period needs to be extended under special circumstances, the prescribing physician shall indicate the validity period, but the validity period shall not exceed 3 days at most.
Prescriptions should generally not exceed a 7-day dosage; emergency prescriptions should generally not exceed a 3-day dosage; for certain chronic diseases, geriatric diseases or special circumstances, the prescription dosage can be appropriately extended, but the physician should indicate the reasons.
The prescription dosage of toxic drugs and radioactive drugs for medical use should be strictly implemented in accordance with relevant national regulations. When prescribing, doctors should use the generic name of the drug, the patented drug name of the new active compound and the name of the compound preparation drug approved and published by the drug regulatory department. When prescribing in-hospital preparations, doctors should use names that have been reviewed by the provincial health administration department and approved by the drug regulatory department. Physicians may issue prescriptions using customary drug names published by the Ministry of Health.
When doctors use computers to issue and deliver ordinary prescriptions, they should also print out paper prescriptions in the same format as handwritten prescriptions; the printed paper prescriptions are valid after being signed or stamped. When pharmacists issue medicines, they should check the printed paper prescriptions, issue the medicines if they are correct, and store the printed paper prescriptions and computer-delivered prescriptions at the same time for future reference.
Management procedures:
1. Prescription review
1.1 Personnel requirements: Prescription review personnel must have professional and technical titles of pharmacists or above.
1.2 Collecting prescriptions: When receiving customers, the salesperson must hand over the prescriptions that need to be reviewed to the prescription review personnel in a timely manner.
1.3 Review content: After receiving the prescription, the prescription reviewer will review the prescription. First, they will check whether the prescript, main text, and postscript of the prescription are clear and complete, and confirm the legality of the prescription. Secondly, it is necessary to review the consistency of the prescribed medication with the clinical diagnosis; the correctness of the dose and usage; the rationality of the dosage form and route of administration; whether there is repeated dosing; whether there are potential clinically significant drug interactions and incompatibility; and Other situations where medication is inappropriate.
1.4 Rejection of prescriptions: Prescription reviewers will reject prescriptions with incomplete items or illegible handwriting, and inform customers to find the prescribing doctor to complete the prescription or write it clearly; Prescriptions that are incompatible will be rejected, and the customer will be informed to find the prescribing doctor for correction or re-signing; prescriptions for drugs listed in the prescription that are not available in the store will be rejected, and the customer will be informed to find the prescribing doctor to replace other drugs.
2. Prescription Dispensing
2.1 Personnel requirements: Dispensing personnel should have a high school education or above, undergo professional job training, and obtain a job qualification certificate before they can take up the job.
2.2 Prescription Dispensing: If the prescription is approved, the prescription reviewer will sign on the prescription and hand it over to the dispensing personnel for dispensing; the dispensing personnel will prepare the prescription one by one according to the contents of the prescription signed by the reviewer. During the dispensing process, if If in doubt, the dispenser should immediately consult the prescription review staff. When preparing prescriptions, you should be careful, meticulous and accurate. At the same time, you should do "four checks and ten pairs", that is, check the prescription, the department, name, and age; check the medicine, check the name, dosage form, specification, and quantity; check the incompatibility and contraindications. Drug properties, usage and dosage; check the rationality of drug use and verify diagnosis.
3. Prescription verification
3.1 Personnel requirements: Prescription review personnel must have professional and technical titles of pharmacist or above.
3.2 After the dispensing personnel complete the dispensing, they will sign their full names on the prescription and submit the prescription and medicines to the prescription review personnel for review.
Prescription reviewers review the prescription control drugs one by one. If there is a wrong issuance or quantity discrepancy, the prescription review staff will immediately notify the dispensing staff to make corrections. If the review is correct, the prescription will be signed and returned to the dispensing staff for dispensing.
3.3 Dispensing medicines: When distributing medicines, the dispatching personnel should clearly explain the usage, dosage, contraindications, precautions, etc. to the customers. And keep the prescriptions, bind and record them on a monthly basis.
Legal basis:
"Prescription Management Measures"
Article 6 Prescription writing shall comply with the following rules:
(1) Patients The general situation and clinical diagnosis should be filled out clearly and completely, and consistent with the medical records.
(2) Each prescription is limited to medication for one patient.
(3) The handwriting must be clear and no alteration shall be allowed; if modification is required, a signature must be placed on the modified part and the date of modification shall be noted.
(4) Drug names should be written in standardized Chinese names. If there is no Chinese name, they can be written in standardized English names; medical institutions, doctors, and pharmacists are not allowed to prepare drug abbreviations or use code names on their own; when writing drugs The name, dose, specification, usage, and dosage must be accurate and standardized. The usage of the drug can be written in standardized Chinese, English, Latin, or abbreviations, but ambiguous words such as "follow the doctor's advice" and "for personal use" are not allowed.
(5) The patient’s age should be filled in in full. For newborns and infants, the age in date and month should be written. If necessary, the weight should be noted.
(6) Western medicine and Chinese patent medicine can be prescribed separately, or one prescription can be issued, and Chinese medicine pieces should be prescribed separately.
(7) When issuing prescriptions for Western medicines and Chinese patent medicines, each medicine should be on a separate line, and each prescription should not exceed 5 types of medicines.
(8) Prescriptions for traditional Chinese medicine preparations should generally be written in the order of "monarch, minister, assistant, and envoy"; special requirements for dispensing and decoction are indicated on the upper right side of the medicine, with parentheses. Such as cloth wrapping, frying first, then serving, etc.; if there are special requirements for the place of origin and processing of the decoction pieces, they should be stated before the name of the drug.
(9) Drug usage and dosage should be used in accordance with the conventional usage and dosage specified in the drug instructions. When special circumstances require excessive use, the reason should be stated and signed again.
(10) Except for special circumstances, the clinical diagnosis should be indicated.
(11) Draw a slash in the blank space after issuing the prescription to indicate completion of the prescription.
(12) The signature style and special signature of the prescriber should be consistent with the style retained by the pharmacy department in the hospital for reference, and must not be changed arbitrarily, otherwise the sample must be re-registered for record keeping.