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Apr 5, 2021 · You must use your professional judgement to apply the standards to your day-to-day practice. If you do this, act in good faith and in the interests of patients, you will be able to explain and justify your decisions and actions. We say more about professional judgement, and how the professional standards relate to our fitness to practise processes,
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Apr 5, 2021 · The standards of good practice apply to all doctors working in all settings. That is why advice on face to face and remote prescribing is integrated throughout the guidance. We also set out things to consider if prescribing to patients who are overseas or if prescribing unlicensed medicines.
- Be Clear About The Reasons For Prescribing
- Take Into Account The Patient’S Medication History Before Prescribing
- Take Into Account The Patient’S Ideas, Concerns, and Expectations
- Adhere to National Guidelines and Local Formularies Where Appropriate
- Monitor The Beneficial and Adverse Effects of Medicines
- Communicate and Document Prescribing Decisions and The Reasons For Them
- Prescribe Within The Limitations of Your Knowledge, Skills and Experience
Establish an accurate diagnosis whenever possible (although this may often be difficult)Be clear in what way the patient is likely to gain from the prescribed medicinesObtain an accurate list of current and recent medications (including over the counter and alternative medicines); prior adverse drug reactions; and drug allergies from the patient, their carers, or...
Seek to form a partnership with the patient when selecting treatments, making sure that they understand and agree with the reasons for taking the medicine
Be aware of guidance produced by respected bodies (increasingly available via decision support systems), but always consider the individual needs of the patientSelect medicines with regard to costs and needs of other patients (health care resources are finite)Be able to identify, access, and use reliable and validated sources of information (for example, British National Formulary), and evaluate potentially less reliable information criticallyIdentify how the beneficial and adverse effects of treatment can be assessedUnderstand how to alter the prescription as a result of this informationKnow how to report adverse drug reactions (in the UK via the Yellow Card scheme)Communicate clearly with patients, their carers, and colleaguesGive patients important information about how to take the medicine, what benefits might arise,adverse effects (especially those that will require urgent review), and any monitoring that is requiredUse the health record and other means to document prescribing decisions accuratelyAlways seek to keep the knowledge and skills that are relevant to your practice up to dateBe prepared to seek the advice and support of suitably qualified professional colleaguesMake sure that, where appropriate, prescriptions are checked (for example, calculations of intravenous doses)Jun 14, 2023 · Safety of services is one of the key lines of enquiry by the Care Quality Commission (CQC). General practice professionals should take steps to ensure that safe prescribing procedures are in place and that patients are fully informed about the medicines they are being prescribed.
Prescribing decisions must take into account the child’s age, weight and development stage. For detailed advice, consult the current version of the BNF for Children. Medicines licensed for use in children in the specific age range and for specific disease must always be used if available.
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... Prescribers are called to account for their practice and in order to practice safely they must have: ... Legal consent may be considered as: ... To be valid, consent must be informed, which requires the patient to be aware of: ... NMC and HPC codes, p. 20. Legal differences between prescribing, administering, and dispensing, p. 18.
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To ensure the best possible outcome from medicines, there is an ongoing, open dialogue with the patient and/or their carer about the patient’s choice and experience of using medicines to manage their condition; recognising that the patient’s experience may change over time even if the medicines do not.
