Transcript 05 The organizations of work of prescriptions department

Department of Management and Economics of Pharmacy
THE ORGANIZATION OF WORK OF
PRESCRIPTION DEPARTMEN OF PHARMACY.
RULES OF EXCERPTION AND RECEPTION OF
RECIPE
Lecturer Assoc. prof. M.V. Leleka
The prescribed-productional department of a
drugstore carries out such functions:
1) reception of prescriptions on ex-temporal medical
products
2) manufacturing and veneering of medicines
3) quality assurance of the medicines made in a
drugstore
4) leaving of medical products.
The basic and auxiliary premises of
department.
1) a hall of service of the population (the
area is not less 18 m2)
2) material rooms for medical products
(the area is not less 15 m2); Material
rooms for medicinal vegetative raw
materials (the area is not less 4 m2)
3) a premise for manufacturing of
unsterile medical products (20 m2) (In this
premise the organisation of a workplace
for monitoring procedure of quality and
packing of medicines is supposed)
4) a premise for reception of cleared water.
Reception of water for injections is spent in a
separate room of the aseptic block, where
categorically forbidden to perform any works
which have been not bound to reception of
water for injections.
5) Service-household premises (an office of the
manager (8 m2), accounts department, a
personnel room (8 m2), wardrobe, WC (6 m2),
a room for storage of subjects of cleaning (2
m2)
Room for storage of medicins is equipped with
racks, cases, refrigeration cabinets, safes.
The list of premises of PPD:
industrial rooms (assistant, the aseptic block);
auxiliary (an office of the
pharmaceutist-analyst, washing,
rooms for reception of water
cleared and waters for injections,
a hall of service of the
population).
MINISTRY OF HEALTH OF UKRAINE
THE ORDER N 360
It is registered in the Ministry of Justice
of Ukraine on July, 20th, 2005 for N
782/11062
Rules of a discharging of
prescriptions and demands-orders
on medical agents and products of
medical appointment
An encyclopedic determination of "recipe"
means that it is the writing addresfL doctor to
the druggist about making and delivery of
medicine with pointing method their
application. In addition, a recipe is a legal
document, for violation rules of work with
which foreseen administrative and on
occasion even crimitynal responsibili
Common rules of excerption of recipes in Ukraine
Doctors of medical establishments, including clinics, research
institutes, medical educational establishments, legal and
physical entities, which are engaged in medical practice are to
write to the patient's recipes on medications notarized by the
signature personal seal.
Dental doctors, accoucheurs can write to the patients recipes
on medications necessary for the grant of urgent medical aid,
except for narcotic and psychotropic, specifying the medical
position, notarizing a recipe by the signature and the Seal of
establishment of health protection.
Recipes must be written by Latin with pointing of patient age
(for paediatric ' te °f birth and weight must also be entered),
order of payment, form of applications. It must be printed in a
printing-house according to forms, ratified by MHP
Form 1!
For excerption named medicinal forms:
Medicines of general list for an overall cost.
Essential elements: doctor's signature and
personal seal.
2. Quantity controlled medicines:
*«* Narcotic, dopey and psychotropic
medications, precursors in a mixture : with the
non-indifferent matters.
Codeine phosphate
Ethylmorphine hydrochloride
Phenobarbital
Sodium phenobarbital
Barbamyle
Ephedrine hydrochloride etc.
Poison
Atropine sulfate
Ketamine
Tetracaine
Tramadol
Trihexiphenidyle
Muscul relaxants: Atracurium, Vecuronium,
Mivacurium, Pancuronium, Pipecuronium,
Rocuronium, Suxamethonium,
Tubocurarium, Cisatracurium
Strong
Dimedrole
Butornhanol
Zopiclone
Clonidine
Metandienone
Nandrolon
Promethazie
Essential elements:
doctor's signature
and personal seal of
health protection
establishment.
+ seal
3. Medications free of charge or on
favorable terms.
Essential elements: doctor's
signature and personal seal + seal
of ht
protection establishment.
A. Period of validity: 1 month.
B. Period of storage: it. 1. — is not
stored into pharmacy
it. 2. -1 year,
it. 3. -3 years
Rules of pricing of extemporeus prescription
The price of the prescription must always be marked upon it.
This is necessary 'in order to fix the sum in case of renewal.
There are common rules of pricing of extemporeus prescription
• during pricing of extemporeus prescription a cost of all the
ingredients is taken into account, packing and tariff for
compounding;
.
'
• a cost of every ingredient is determined according to the
prescribed quantity without rounding off of stakes of copecks;
.. ;
• the calculated cost of all taken ingredients is written''down
separate line;
• a cost of packing is indicated by the separate line;
• a tariff for making of medicinal form is written down by the sep.
line;
• a total worth is counted up of ingredients, packing and tariff
1.7. Prescriptions leave on the prescription form of
the form N 1 (F-1) (Addition 1) and to the special
prescription form of the form N 3 (F-3), which
sample confirmed by the decision of Cabinet of
Ministries of Ukraine from 18.01.2003 N 58 "About
the statement of the Procedure of the control over
the reference of narcotic (psychotropic) medical
agents" (with changes), also are produced in the
printing way.
1.8. Drawings on the prescription form any
advertising information is forbidden
1.12. All specific indicatings, marks of the medical
worker ("chronically sick", "On special
appointment", etc.) are in addition assured by its
signature and the press.
1.13. Prescriptions on medical agents, except
narcotic (psychotropic) medical agents and a
medical agent tramadol (irrespective of its trading
name and the medical form, further - tramadol), and
products of medical appointment leave on
prescription forms F-1.
Prescriptions on narcotic (psychotropic) medical
agents in the pure state or in an admixture with
indifferent substances and tramadol are leaved on
special prescription forms F-3.
The prescription F-3 in addition subscribes the
principal of establishment of public health services
or its assistant from medical work (and in case of
their absence - the signature the manager of unit
of this establishment, on which put responsibility
for appointment of narcotic (psychotropic) medical
agents and tramadol) and it is assured by the
press of the subject of health care.
1.14. On prescription forms F-1 it is authorised to
write out no more than three names of medical
agents.
On prescription forms F-1 which remain in a
drugstore and the special prescription form F-3 is
authorised to write out only one name of the
medical agents.
1.15. Prescriptions on medical agents which
are subject to the in detail-quantitative account
(addition 3), whether which are released on
favourable terms or gratuitously, except narcotic
(psychotropic) medical agents and tramadol,
leave in 2 copies on the form F-1.
1.16. Whether in case of a discharging it is
gratuitous or on favourable terms narcotic
(psychotropic) medical agents and tramadol
near to the Prescription discharging on the form
F-3 Prescriptions on the form F-1 leave in
addition.
1.17. To preferential categories of patients
which spend injections outside the limits of
treatment-and-prophylactic establishments, it is
authorised to write out to 100 g ethyl alcohol
gratuitously for a month.
1.18. In case of need (business trip,
holiday, etc.) to the patient, including that
who has the right to gratuitous or
preferential maintenance, is authorised to
write out on one prescription form medical
agents in the quantities, provided for
trimensual course of treatment,
considering norms of distribution of the
medical agents.
At a discharging of such Prescriptions
the doctor should make the indicating
"chronically sick".
1.20. For patients with fixing and chronic
diseases prescriptions on medical agents
which contain fenobarbitalum in an
admixture with other medical agents and
belongs to prescription, can leave on the
prescription form F-1 on course of treatment
about one month with the obligatory
indicating of the doctor "On special
appointment".
1.22.2 It is forbidden to write out in one
Prescription F-1 the narcotic (psychotropic)
combined medical agents in larger quantity
that specified in the table:
The name of a narcotic,
psychotropic substance
As much as possible admissible quantity for
distribution as a part of a narcotic
(psychotropic) medical agent for 1
prescription
Codeinum
0,2 г
Dextropropoxifenum
0,6 г
Phenobarbituralum
1г
Ephedrine hydrochloride
0,6 г
pseudoephedrine
0,6 г
Phenylpropanolaminum
0,6 г
Ergotaminum
0,02 г
Ergometrinum
0,002 г (in recalculation on an anhydrous basis)
2.3. At a discharging of narcotic
(psychotropic), poisoning and strong
medical agents in doses which exceed the
higher single doses, the medical worker is
obliged to write a dose of this agent words
and to put an exclamation mark.
2.5. In need of immediate distribution to the patient
of a medicine in the top part of the Prescription the
mark “cito" (Quickly) or "statim" (Immediately) is
puted down.
3. Prescription period of validity
3.1. Prescriptions on the medical
agents which have been written out
on prescription forms F-1 valid
throughout 1 month from the date of
an extract, and on special
prescription forms F-3 - throughout 5
days from the date of an extract.
4.2. Demand-order for reception from drugstores
and chemist's structures (bases) of medical agents,
products of medical appointment is assured by an
angle die, round stamp of treatment-andprophylactic establishment or research
establishment, the signature of the principal of
establishment (research establishment) or its
assistant from a medical part.
4.3. In the demand-order specify names of a
medical agent, dosage, the release form (tablets,
ampoules, etc.), a packing kind (boxes, vials, tubas,
etc.), total.
4.4. The Demand-order of medical
agents which are subject to the in
detail-quantitative account, medical
anaesthetic drugs, medical agents
which belongs to the pharmacological
groups, which resulted in addition 5,
and the medical agents resulted in the
table of item 1.22 of these Rules,
leave on separate forms of demandsorders for each group of preparations.
4.5. The Demand-order leave in triplicate,
and on medical agents which are subject
to the in detail-quantitative account, the
demand-order leave in four copies.
In a drugstore (chemist's
structure/base) there is one copy of the
demand-order, except the demand-order
of medical agents which are subject to the
in detail-quantitative account and remain
in duplicate.