Basic rules for prescribing

The rules for prescribing a particular drug should always be followed. Otherwise, a certain responsibility may be incurred. As practice shows, doctors are responsible for issuing prescriptions for medicines. Therefore, violation of established standards is not permissible. What tips and tricks to follow? What can and in what order, and what can not be prescribed to patients as a medicine in a particular case? What process features should all healthcare providers pay attention to?

Drug Definitions

First of all, it is necessary to study the basic concepts that every medical professional should know and fully understand. Only after studying them, you can take on the design of the recipe. The following concepts will come in handy:

1. A drug (substance) is a certain chemical compound with the so-called pharmacological activity.
2. A medicinal product is a medicinal raw material that has undergone special processing. Sources can be different: plant, mineral, animal, synthetic, as well as the result of the activity of various microorganisms.
3. A dosage form is a release form of a drug substance that is best suited for a particular drug.
4. A medicine is a medicinal substance released in a specific form.

Recipe Definition

The rules for writing a prescription are varied. For each specific case, there are specific features. Before issuing this document, the doctor must understand what kind of paper they are prescribed. So what is a recipe? Which document may be called that?

A prescription is the so-called written appeal of an authorized medical professional to a pharmacist (employee of a pharmacy), which indicates the need for the manufacture and delivery of a specific medicine to the patient. This paper gives the patient the right to purchase a particular drug.

When issuing / selling a medicine, the pharmacist must carefully study the prescription - there will be written instructions for admission for the patient. This is an extremely important point. We can say that a prescription is a kind of permission to issue and purchase special medicines that are not intended for free access. Without this paper, many potent drugs are not available to patients.

This form is used not only for medicines that are labeled "Vacation only with the permission of a doctor." Prescriptions are written to control the intake of drugs containing narcotic and psychotropic substances. It will turn out to know exactly who and when, as well as which drug and for what specific reasons, acquired in a particular place.

The consequences of incorrect prescribing

The rules for prescribing (dispensing drugs) are established at the legislative level. And a violation of these norms entails certain consequences. Most often, they are dangerous or cause discomfort to the patient. Especially if the medicine is urgently needed in order to save the life of a citizen. So what should one prepare for if the established standards for the design and writing of recipes are violated? The consequences may be the following cases:

1. Non-delivery or non-sale of medication. Pharmacy points have the right to refuse to leave the goods indicated on the form. This is a kind of reinsurance measure - maybe the buyer decided to purchase a psychotropic substance (or narcotic) by making a fake document on behalf of a particular doctor.
2. The doctor's refusal to bear responsibility for the consequences of using the medicine. A recipe drawn with errors is considered invalid. If the patient uses it, all the consequences will lie purely on the one who decided to use and purchase the medicine. It will not be possible to present any claims to the doctor if the medical worker made a mistake during the treatment.
3. Additional cash costs for the drug specified in the prescription with a higher price. Some doctors try to prescribe either the “wrong” drugs or drugs with great price tags.
4. Criminal or administrative punishment for doctors who prescribe narcotic / psychotropic substances without evidence. Not the most common, but occurring case. The recipe should only be given if indicated. If a medical professional writes out this document unnecessarily, you will have to answer for the consequences.

We can conclude that a violation of the rules for issuing pharmaceutical products leads to rather serious consequences. Therefore, healthcare providers should pay particular attention to this process. Otherwise, you can bring trouble to yourself and to the patient. What are the rules for writing prescriptions? Order number 1175 of December 20, 2012 indicates an algorithm for preparing the document. What features should you pay attention to first of all?

Who can write recipes

It is not difficult to guess that far from all citizens can write out certain recipes. These documents are extremely important, their execution imposes, as has already been said, on the one who issues them a certain responsibility. It should also be remembered that a person who has handed over a prescription to a pharmacist issued by an unauthorized person may be accused of faking it. It is for this reason that it is necessary to understand who exactly has the right to issue this documentation.

The thing is that the general rules for writing prescriptions indicate that only a certain circle of people has the right to draw up a document for a patient. Of course, we are talking about medical workers. These include:

• paramedics;
• Doctors
• obstetricians.

This is the end of the list. No medical nurses or assistants have the right to issue a prescription. Speaking of doctors, it should be noted that we are talking about all such medical personnel. That is, a prescribing specialist, a narrowly focused healthcare provider, and an ambulance employee can issue a prescription for some medicine. The main thing is that it should be a doctor, and not secondary personnel.

These are not all the features that conceal the rules for writing a prescription. The thing is that often individual entrepreneurs act as doctors. Some people wonder if such employees have the right to a prescription for medicines. A moot point. In general, such a right is reserved for individual entrepreneurs who provide medical care as specialized specialists or as treating doctors. Simply, such citizens cannot issue prescriptions for certain groups of drugs. For example, all drugs that contain narcotic or psychotropic substances of the 2nd and 3rd list fall under the restriction. Therefore, IP has fewer opportunities. But ordinary doctors have more rights in the field of prescribing. They are practically entitled to prescribe all drugs.

Structure

Did you need this or that recipe? Its structure (the rules for writing a prescription have general provisions on the content of the issued form) is clearly defined at the legislative level. Every doctor must comply with established standards. Otherwise, the recipe will be considered invalid. So, the structure of this document is as follows:

• patient data (name, age, date of birth);
• information about the doctor (enough initials, sometimes the position is indicated);
• name of the medicine;
• Indication of the recommended form of vacation (optional);
• features for the issuance of the drug;
• date of writing out the document;
• stamp of the medical organization in which the prescription was issued;
• Signature of a physician with a personal seal;
• instructions for taking the medicine (usually written for the patient).

It is this information that must be indicated on the issued document. Sometimes doctors even indicate the disease for which the patient is being treated. This is far from the most necessary step. But some use it, especially when it comes to drugs containing narcotic / psychotropic components. The order 1175H, issued back in 2012, points to these rules for writing prescriptions. It contains other design features of the document in question. What other points should you pay attention to?

Miscellaneous forms

The thing is that in medical institutions there are various forms for prescribing. This feature plays an important role for both the doctor and the patient. Failure to choose the form is a serious omission of the physician. What should every doctor know about the forms? General rules for writing prescriptions indicate the existence of only 4 forms of documents:

• N148-1 / y-88;
• N148-1 / y-04 (l);
• N148-1 / y-06 (l);
• N107-1 / 1.

Each form has its own limitations. In general, the structure of recipes is no different. It is just required to follow the small rules of paperwork. Otherwise, it will be considered invalid.

What do prescription rules indicate? The prescription forms listed previously are for certain medications. What medicines are prescribed and on what forms? For example, N148-1 / y-88 is used for:

1. Medicines containing psychotropic substances included in the 3rd list.
2. Any drugs to be recorded.
3. Drugs with anabolic activity.
4. Medicines containing narcotic or psychotropic components of the 2nd list in a dose that does not exceed a single higher, provided that the drugs themselves are not in the list of the 2nd list of psychotronic or medicinal drugs.

The first type of forms was sorted out. What's next? Drug prescribing rules indicate that forms N148-1 / y-04 (l) and N148-1 / y-06 (l) are forms that help you get free medication. The option of selling medicines at a discount is also being considered. We can say that these two forms of issuing a document are intended exclusively for beneficiaries. For all other medicines, form N107-1 / 1 is used. This is far from all that a medical professional should know before he issues a prescription. What rules have not yet been considered?

General recommendations

For example, how to correctly record drugs in one form or another. The thing is that the doctor must first write components that are psychotropic or narcotic, provided that they are included in the lists of the 2nd and 3rd list. In the first places, it is also necessary to fix the names of any medicinal substances that are subject to mandatory registration. All other components are recorded after.

There is another point - each drug has a maximum allowable rate. It allows you to set the maximum amount of medication per prescription. It is not recommended to exceed the established maximums. For some medications, overuse of the drug is strictly prohibited.

Sometimes it turns out that the prescribed medication contains narcotic / psychotropic substances, the concentration of which exceeds the maximum dose. In this case, the rules for writing a prescription indicate that the physician is required to write down exact instructions for taking the medicine with a dosage, and then an exclamation mark is put. The dose should be written in words. This rule applies to medicines with psychotropic or narcotic components that are included in the 2nd and 3rd list.

If the patient is provided with palliative care, it is permissible to exceed the established norm of the drug per prescription. But there are limitations in this area. You can not prescribe the amount of drugs with psychotropic or narcotic components, which will exceed the established norm by more than 2 times. As in previous cases, this algorithm applies to substances that belong to the 2nd or 3rd list, or are subject to mandatory accounting.

The rules for prescribing dosage forms in prescriptions indicate that when compiling a document, you should write an appeal to a pharmacist, as well as indicate the components of the drug (together with its name) in Latin. In this case, certain reductions are allowed. They are approved by special order. Ingredients that are close in name cannot be reduced at all under any pretext. The ban also includes substances whose incomplete names can cause difficulties in determining them.

For patient and pharmacist

The rules (procedure) for prescribing do not exist only for doctors and pharmacists. Patients should also understand what they are prescribed. Therefore, there are some recommendations that can help in deciphering the rules of admission, as well as in other directions regarding the medication that was prescribed by the medical professional.

For example, the method of using the drug is prescribed with all the nuances. The dosage, frequency and duration of the course of treatment, as well as the time of administration relative to sleep (morning, evening, night, "before bedtime") are indicated. If we are talking about drugs that should interact with food, the time of use relative to the meal is mandatory. For example, during meals or after.

Sometimes it turns out that medicines should be given out / sold urgently. The established rules for prescribing solid dosage forms in prescriptions (and other forms of release of funds) indicate that under similar circumstances, the medic on the form makes a certain note in Latin. Cito is “urgent,” and statium is used to indicate the immediate delivery of a drug.

If we are talking about prescribing liquid forms of the drug, then the dosages are indicated only in milliliters. For all other (solid or loose) options, you must write this parameter in grams.

Validity period

This is not all the rules for writing prescriptions. Order No. 1175 provides an indication of the duration of these documents. After all, it is impossible to issue a prescription and claim that according to it the patient is able to acquire medicines constantly. The form should be updated from time to time. Maybe the treatment should be stopped!

How many forms are valid? It all depends on their shape. Prescriptions written on form N148-1 / y-88 are valid for only 10 days from the date the doctor issued them. If we are talking about getting medicines by beneficiaries (or at a discount), then you can not rush to purchase. After all, forms N148-1 / y-04 (l) and N148-1 / y-06 (l) allow you to use the issued prescription for one month. But this is not the only rule that should be considered. The thing is that the validity period of "preferential" forms can be increased up to 3 months. These are cases of issuing a document to people with disabilities of the 1st group, children with disabilities, as well as to pensioners. But the form of the recipe N107-1 / 1 has a duration of action equal to 2 months. After the expiration of these periods, you will either have to refuse the prescribed drugs, or take a new prescription from the doctor. No pharmacist will accept the old document.

Features for Beneficiaries

The last thing to consider is the rules for writing preferential recipes. After all, such cases are not too rare. The thing is that all of the above features apply to beneficiaries. For recipes only, in this case there are some points that must be taken into account.

For example, it is impossible for a certain circle of people to write prescriptions for drugs that can be obtained at a discount or free of charge by categories of citizens . The ban includes medical workers operating in sanatorium organizations. The staff in day hospitals also do not have any rights to assign prescriptions to beneficiaries. In all other cases, the document is issued by the attending physician during treatment.

Recipes are issued on preferential forms in 3 copies. One remains with the medical worker who prescribed the medicine, 2 are given to the patient. They must be contacted at the pharmacy.

Completion

The rules for writing prescriptions (RK and RF) provide for some features of filling out a document. More precisely, the requirements that must be followed. This is not about the recipe itself, but about its design. In what order it is clear to list the substances. But that's not all.

The fact is that all forms must be executed manually by the attending physician or other health worker who has the right to issue a prescription. Moreover, all recordings are carried out only with a ballpoint pen (black or blue). Labels should be clear and legible.

The initials of the patient and the doctor must be indicated in the designated places in full. Abbreviations are prohibited.In the case of indicating information about the doctor prescribing the prescription, such a step is acceptable, although not welcome. But patient data must be fully contained.

The column "Rp" is intended strictly for the names of the medicinal product. Here the name is indicated in Latin, then in Russian. Next, the doctor prescribes recommendations for admission. At the end, the doctor's signature, date of issue and seal are put. Now the rules for writing prescriptions are clear. Narcotic and psychotropic substances are not for sale without this document!