Purpose: To document once only and nurse initiated medicines 3.2.9 Prescriber details and pre-medications. Purpose: Risk addressed: To document details and signatures of all prescribers Ensuring patients receive timely medicines requires a and provide sample signatures to accurately structured system of authorisations to mitigate potential verify medicines. patient safety risks. Risk addressed: Instruction: Full prescriber details are required in order to confirm Once only medicines and their authority to prescribe and to provide contact details Document the following for once only and if follow-up is required. orders: date prescribed PBS requirements: generic name of medicine For a prescription, the following prescriber details route of administration must appear on page one of the chart: dose to be administered including the dose Name calculation (e.g. mg/kg/dose) for paediatric orders PBS prescriber number date and time medicine is to be administered Contact number (mobile or pager) prescriber’s signature and printed name Address initials of person that administers the medicine, and Signature and date. initials of a second person to document double checking of the dose for paediatric orders Instruction: time medicine administered The prescriber does not have to personally complete pharmacist review of orders. their name, address and PBS prescriber number on the front page of the chart, but these fields must be Standing orders completed for orders on the chart to be considered valid Document standing orders the same as once only prescriptions. However, the prescriber must sign the medicines and pre-medications (see above) and front page of the chart (in the box containing their consistent with the relevant local health service details), and must sign their name in the prescription organisation policy or guidelines. box for each medication order written on the chart. Nurse initiated medicines Figure shows the prescriber details section Document nurse initiated medicines the same as once only medicines and pre-medications (see above) and consistent with the relevant local health service 3.2.10 Once only and nurse organisation policy or guideline. initiated medicines and pre-medications
3.2.9 Prescriber details Purpose: To document details and signatures of all prescribers and provide sample signatures to accurately verify medicines. Risk addressed: Full prescriber details are required in order to confirm their authority to prescribe and to provide contact details if follow-up is required. PBS requirements: For a prescription, the following prescriber details must appear on page one of the chart: Name PBS prescriber number Contact number (mobile or pager) Address Signature and date. Instruction: The prescriber does not have to personally complete their name, address and PBS prescriber number on the front page of the chart, but these fields must be completed for orders on the chart to be considered valid prescriptions. However, the prescriber must sign the front page of the chart (in the box containing their details), and must sign their name in the prescription box for each medication order written on the chart. Figure shows the prescriber details section 3.2.10 Once only and nurse initiated medicines and Purpose: To document once only and nurse initiated medicines and pre-medications. Risk addressed: Ensuring patients receive timely medicines requires a structured system of authorisations to mitigate potential patient safety risks. Instruction: Once only medicines and pre-medications Document the following for once only and orders: date prescribed generic name of medicine route of administration dose to be administered including the dose calculation (e.g. mg/kg/dose) for paediatric orders date and time medicine is to be administered prescriber’s signature and printed name initials of person that administers the medicine, and initials of a second person to document double checking of the dose for paediatric orders time medicine administered pharmacist review of orders. Standing orders Document standing orders the same as once only medicines and pre-medications (see above) and consistent with the relevant local health service organisation policy or guidelines. Nurse initiated medicines Document nurse initiated medicines the same as once only medicines and pre-medications (see above) and consistent with the relevant local health service organisation policy or guideline.