Article 2 These Measures shall apply to the corresponding institutions and personnel that distribute, examine, adjust and keep prescriptions.
Article 3 Prescription refers to the medical documents issued by registered medical practitioners and assistant medical practitioners (hereinafter referred to as doctors) for patients in the process of diagnosis and treatment, which are examined, prepared and checked by pharmaceutical professional and technical personnel as the vouchers for dispensing drugs.
Article 4 The sale, deployment and use of prescription drugs must be based on a doctor's prescription.
Doctors' prescriptions and pharmacy professionals' prescriptions should follow the principles of safety, effectiveness and economy, and pay attention to protecting patients' privacy.
Article 5 A registered doctor shall obtain the corresponding prescription right in the practice place.
A prescription issued by a registered assistant practicing physician shall be valid only after the signature or seal of the practicing physician at the place where he practices.
Registered practicing assistant doctors practice in medical, preventive and health care institutions in townships, nationality townships and towns, and obtain corresponding prescription rights in registered practice places.
Prescriptions made by doctors during the probation period shall be examined by medical practitioners who have the right to prescribe in their medical, preventive and health care institutions, and shall be valid only after they are signed or stamped with special seals. Doctors must sign and keep samples in registered medical, preventive and health care institutions, and sign for the record before prescribing.
When a doctor is ordered to suspend his practice, be ordered to leave his post for training, be cancelled or revoke his practice certificate, his prescription right will be revoked.
Article 6 Doctors should prescribe according to the medical treatment, prevention, health care needs, indications, pharmacological effects, usage, dosage, contraindications, adverse reactions and precautions in the medical specifications and drug instructions. The prescriptions of narcotic drugs, psychotropic drugs, toxic drugs for medical use and radioactive drugs must strictly abide by the provisions of relevant laws, regulations and rules.
Article 7 This prescription is effective from the date of issuance. If it is necessary to extend the validity period under special circumstances, the prescriber shall indicate the validity period, but the longest validity period shall not exceed 3 days.
Article 8 The prescription format consists of three parts:
(1) Foreword: including the name of medical, preventive and health care institutions, prescription number, charging standard, patient's name, gender, age, outpatient or inpatient medical record number, department or ward and bed number, clinical diagnosis, date of issuance, etc. , and can increase the professional needs of the project.
(2) Text: marked with Rp or R (abbreviation of Latin prescription "Please take"), indicating the name, specification, quantity, usage and dosage of the drug.
(3) Remarks: the signature and/or special seal of the doctor, the signature of the pharmaceutical professional technicians who examine, allocate, check and distribute the drugs.
Article 9 Prescriptions shall be uniformly printed by medical institutions in the prescribed format. The printing paper of narcotic drugs prescription, emergency prescription, pediatric prescription and general prescription should be light red, light yellow, light green and white respectively. And indicate it in words in the upper right corner of the prescription.
Article 10 Prescription writing must comply with the following provisions:
(a) the general matters of patients recorded in the prescription should be clear and complete, and consistent with the medical records.
(two) each prescription is limited to one patient.
(3) Prescription handwriting should be clear and shall not be altered. If there is any modification, you must sign the modification place and indicate the date of modification.
(4) Prescriptions should use standardized Chinese or English names. Medical, preventive and health care institutions, doctors and pharmacists shall not compile their own abbreviations or use codes. The name, dosage, specification, usage and dosage of drugs should be accurate and standardized, and vague terms such as "following doctor's advice" and "for personal use" should not be used.
(five) the age must be realistic enough, and the infant should write the date and month age. When necessary, the baby should show his weight. Western medicine and Chinese patent medicine can be prescribed separately, or they can be prescribed together, and Chinese herbal pieces should be prescribed separately.
(6) Western medicine and Chinese patent medicine prescription, each drug needs a separate line. Each prescription must not exceed five drugs.
(seven) the prescription of Chinese herbal pieces can be written in the order of monarch, minister, assistant and envoy; On the back and top of the medicine, indicate the special requirements for dispensing and decocting, and add brackets, such as wrapping, frying first and dropping later; If there are special requirements for the origin and processing of drugs, it should be written before the name of the drug.
(8) dosage. Generally, it should be used in accordance with the usual dosage in the drug instructions. In case of overdose under special circumstances, the reason shall be indicated and re-signed.
(9) In order to facilitate the examination of prescriptions by pharmaceutical professionals and technicians, doctors must indicate the clinical diagnosis when prescribing, except in special circumstances.
(ten) the blank space after the prescription should be marked with diagonal lines to show that the prescription has been finished.
(1 1) The signature style and special seal of the prescriber must be consistent with the style of the sample kept by the pharmacy department for future reference, and shall not be changed at will, otherwise the sample shall be re-registered for filing.
Article 11 The names of drugs shall be based on the generic names of drugs in China published in People's Republic of China (PRC) Pharmacopoeia or the names of patented drugs approved by the state. If there is no collection, you can use a common name or trade name. The abbreviation or abbreviation of drug name must be commonly used in China. The names of Chinese patent medicines and hospital preparations should be consistent with the officially approved names.
Article 12 The dosage and quantity of drugs shall be written in Arabic numerals. Dosage should be in metric units: weight should be in grams (g), milligrams (mg), micrograms (μg) and nanograms (ng); Capacity units are liters (L) and milliliters (mL); International unit (IU), unit (U) calculation. Tablets, pills, capsules and granules take tablets, pills, granules and bags as units respectively; The solution is in rods and bottles; Ointment and cream are in the form of sticks and boxes; Injections are in units of branches and bottles, and the content shall be indicated; Pieces in dosage or payment.
Thirteenth prescription shall not exceed 7 days; Emergency prescription shall generally not exceed 3 days; For some chronic diseases, senile diseases or special circumstances, the prescribed dose may be appropriately extended, but the doctor must indicate the reasons. The prescription dosage of narcotic drugs, psychotropic drugs, toxic drugs for medical use and radioactive drugs shall strictly implement the relevant provisions of the state. When prescribing narcotic drugs, you should have a medical record.
Article 14 When a doctor uses a computer to make a general prescription, he must print a paper prescription at the same time. The format is the same as the handwritten prescription, and it is valid after the prescription is printed and signed. When pharmaceutical professionals distribute drugs, they must check the printed prescription and distribute it to the drugs, and keep the printed prescription for future reference.
Article 15 Pharmaceutical professionals should adjust prescription drugs according to the operating rules: carefully examine prescriptions, accurately prepare drugs, correctly write medicine bags or paste labels and package them; When distributing prescription drugs to patients, instructions and guidance should be provided to patients.
Article 16 Pharmaceutical professionals must prepare medicines according to doctors' prescriptions, and no medicines can be prepared without doctors' prescriptions.
Seventeenth personnel who have obtained professional and technical qualifications in pharmacy can engage in prescription dispensing and deployment. Non-pharmaceutical professional and technical personnel shall not engage in prescription preparation. Personnel with the qualifications of pharmacists or above in pharmaceutical professional and technical positions are responsible for prescription review, evaluation, verification, drug distribution and safe drug use guidance. Pharmacists are engaged in prescription preparation; Due to the needs of work, after passing the training and examination, you can also undertake the corresponding drug dispensing work. The signature pattern of pharmaceutical professional and technical personnel shall be kept in the pharmaceutical department of the institution or the pharmaceutical retail enterprise for future reference.
When pharmaceutical professionals stop practicing in medical, preventive and health care institutions or pharmaceutical retail enterprises, their prescription dispensing rights are cancelled.
Eighteenth pharmaceutical professionals should carefully check whether the preface, text and postscript of the prescription are clear and complete, and confirm the legality of the prescription.
Article 19 Pharmaceutical professionals shall examine the suitability of prescription drugs. Includes the following contents:
(1) For drugs that must undergo skin test, whether the prescription indicates the allergy test and result judgment;
(2) Consistency between prescription medication and clinical diagnosis;
(3) dosage and usage;
(4) dosage form and route of administration;
(five) whether there is a phenomenon of repeated administration;
(6) Whether there are potential clinical drug interactions and incompatibility.
Article 20 When the professional technicians of pharmacy think that there is a drug safety problem after the prescription is examined, they should inform the prescriber and ask him to confirm or reissue the prescription, and record it on the special record sheet for prescription dispensing, and the professional technicians handling the pharmacy should sign it and indicate the time. When pharmaceutical professionals find drug abuse and medication errors, they should refuse to dispense drugs and inform the prescriber in time, but they are not allowed to replace or distribute substitute drugs without authorization. Pharmaceutical professional and technical personnel shall report prescriptions with serious drug abuse and medication errors in accordance with relevant regulations.
Twenty-first pharmaceutical professional and technical personnel must do "four checks and ten pairs" when dispensing prescriptions. Investigator, subject, name and age; Check drugs, check the name, specification, quantity and label of drugs; Look up the contraindications of compatibility and discuss the characteristics, usage and dosage of drugs; Check the rationality of clinical diagnosis medication. The drugs prescribed shall indicate the patient's name, drug name, usage and dosage.
When prescribing drugs, patients or their families should be given corresponding medication instructions and guidance according to the drug instructions or prescriptions, including the usage, dosage and precautions of each drug.
Twenty-second pharmaceutical professional and technical personnel shall sign the prescription after completing the prescription adjustment.
Twenty-third pharmaceutical professional and technical personnel shall not adjust prescriptions that are not standardized or whose legality cannot be judged.
Article 24 Medical, preventive and health care institutions or pharmaceutical retail enterprises that prepare or sell prescription drugs shall properly keep the prescriptions. General prescriptions, emergency prescriptions and pediatric prescriptions are kept for 1 year, toxic drugs for medical use, psychotropic drugs and drug rehabilitation drugs are kept for 2 years, and narcotic drugs are kept for 3 years. After the expiration of the shelf life of the prescription, it can be destroyed only after it is approved and registered by the competent leaders of medical, preventive and health care institutions or pharmaceutical retail enterprises.
Article 25 Except toxic drugs for medical use, psychotropic drugs, narcotic drugs and drug rehabilitation drugs, medical, preventive and health care institutions shall not restrict medical personnel from purchasing drugs from other medical, preventive and health care institutions or drug retail enterprises by prescription.
Twenty-sixth pharmaceutical professional and technical personnel mentioned in these Measures include medical, preventive and health care institutions and pharmaceutical retail enterprises with corresponding academic qualifications and qualifications for pharmaceutical professional and technical positions.
Twenty-seventh approach by the Ministry of health, state administration of traditional chinese medicine is responsible for the interpretation of.
Twenty-eighth the implementation since September 6, 2004. If the prescriptions originally printed by medical institutions are inconsistent with these measures, they can be used until June 65438+February 3, 20041.