Prescribing
to Pharmacology
5% incidence of errors
80% cause harm (3x adults)
Based of weight (actual or lean), age or BSA to compensate for smaller size and immature liver/kidneys
5% incidence of errors
80% cause harm (3x adults)
Based of weight (actual or lean), age or BSA to compensate for smaller size and immature liver/kidneys
abbreviations.pdf | |
File Size: | 136 kb |
File Type: |
Children's AMH
O2
Fluids
National Inpatient Medication Chart
ideal drug guide would include
combined eTG/MIMMS/AMH/redbook/Shan/ sport prohibitions / PBS schedule/quant/repeats
www.asada.gov.au/substances
www.wada-ama.org
Approved abbreviations
GuidanceMS
green - no approval if standard indication
yellow/expired - 24 hours to get appro
red - immediate approval required
check MS daily for alerts and cancel ceased/discharged medications
Schedule from Poisons and Therapeutic Goods Act
CHECK ALLERGIES/INTERACTIONS
CHECK ADULT DOSE
ROUND TO PRACTICAL DOSE
Payment
S4
Appendix D (above plus)
Authority Streamlined (above plus)
Authority (above plus)
S8 (drugs of addiction)
S8 Dexamphetamine or Methylphenidate (neurostimulants)
(Cancel Authority with DHS/DVA if change mind)
Section 100
Unit NOT U
daily NOT od
Intrathecal NOT IT
Microgram NOT ug/mcg
oral or PO NOT o
International units NOT IU
O2
Fluids
National Inpatient Medication Chart
ideal drug guide would include
combined eTG/MIMMS/AMH/redbook/Shan/ sport prohibitions / PBS schedule/quant/repeats
www.asada.gov.au/substances
www.wada-ama.org
Approved abbreviations
GuidanceMS
green - no approval if standard indication
yellow/expired - 24 hours to get appro
red - immediate approval required
check MS daily for alerts and cancel ceased/discharged medications
Schedule from Poisons and Therapeutic Goods Act
- Unscheduled – supermarket
- Schedule 2 Pharmacy
- Schedule 3 Pharmacist (S3R – recordable)
- Schedule 4 Prescriber (Appendix 4 benzos/steroids)
- Schedule 8 Authority Prescriber
CHECK ALLERGIES/INTERACTIONS
CHECK ADULT DOSE
ROUND TO PRACTICAL DOSE
Payment
- Non-PBS/RPBS = no subsidy
- PBS = government subsidy, RPBS = further repatriation subsidy
- Unrestricted PBS/RPBS = subsidy regardless of indication
- Restricted PBS/RPBS = only subsidised for certain indications
- Authority streamlined PBS = automatic authority for certain indication
- Authority PBS/RPBS = only subsidised if authority provided
- Section 100 – Special access requiring specialist
S4
- 15cmx12cm paper, ink, legible
- Pt name/address/age (wt/BSA)
- non-PBS/PBS/RepatPBS (medicare/DVA no)
- Item/strength/form/quantity/dose/freq/route/duration
- Repeats (if more needed than allowed >authority)
- Brand substitution permitted/not
- Dr’s name/address/ph/prescriber no/signed/dated
- Pt needs original and duplicate
- 3rd copy in notes for 2 years
- Only one script for the same medication / day
- max 3 drug per script
- valid for 12 month
- Phone orders can be given for PBS/RPBS/Authority over the phone to pharmacists BUT script must follow in 7 days
- Emergency hospital telephone orders within 24 hours
- Regulation 24 allows supply of all repeats for pt with chronic illness/in remote area AND would experience hardship filling separately
- Prescriber bag order form max once per month
Appendix D (above plus)
- Repeat interval e.g. repeat twice at 10day intervals
- valid for 6 months
- document no of prescriptions in last 2m (pt require to answer by law)
- ask if seeing other doctors/on other addictive medications
Authority Streamlined (above plus)
- On authority pad
- 1 drug per script
- 4 dig code from PBS website
- Note if previous authority script given
Authority (above plus)
- Requires individual authority number from DHS/DVA
S8 (drugs of addiction)
- By authorised prescriber OR anyone in first 14 days of admission
- Quantity and repeats in letters and numbers
- Underline unusual doses and initial in margin
- Usual max is 1 month (eg. 1 week + 3 repeats)
S8 Dexamphetamine or Methylphenidate (neurostimulants)
- Separate Authority required
- Further authority require to prescribe outside of dose guidelines
(Cancel Authority with DHS/DVA if change mind)
Section 100
- Can only be prescribed by Dr associated with specialised hospital unit, or GP continuing maintenance therapy under guidance of a specialist
Unit NOT U
daily NOT od
Intrathecal NOT IT
Microgram NOT ug/mcg
oral or PO NOT o
International units NOT IU