Prescribing and Prescription Writing 2024-2025 PDF

Prescribing and prescription writing 1 & 2 BDS year 2 Safiya Robinson Slides compliments of: Dimitra Saliakelli and Dr Alana Metcalfe  Learning Objectives 1. Explore and...

Prescribing and prescription writing 1 & 2 BDS year 2 Safiya Robinson Slides compliments of: Dimitra Saliakelli and Dr Alana Metcalfe  Learning Objectives 1. Explore and discuss prescribing guidelines for dental professionals 2. Gain knowledge of the method of prescription writing 3. Be familiar with the British National Formulary 4. Be able to follow the correct guidance and protocols when prescribing 5. Appreciate which drugs and therapeutic agents can be prescribed by a dentist 6. Be able to write a prescription in an appropriate manner  GDC standards 7.2 You must work within your knowledge, skills, professional competence and abilities. 7.2.1 You must only carry out a task or type of treatment if you are appropriately trained, competent, confident and indemnified. Training can take many different forms. You must be sure that you have undertaken training which is appropriate for you and equips you with the appropriate knowledge and skills to perform a task safely.  Things to consider before prescribing a medication Mason et al., 2019. Safe prescribing in general dental practice – challenges and solutions. Dental Update, 46 (9) 828-835  Also think about Exempt patients https://www.nhs.uk/nhs-services/prescriptions-and-pharmacies/w ho-can-get-free-prescriptions/  When prescribing check: BNF (British National Formulary) NICE (National Institute for Health and Care Excellence) – Dental Practitioners’ Formulary https://bnf.nice.org.uk/dental-practitioners-formulary/ NICE (National Institute for Health and Care Excellence) – British National Formulary for Children https://bnfc.nice.org.uk/ Local and national guidelines Protocols  Resources BNF (online & paper version available) Electronic Medicines Compendium (EMC) MHRA Yellow Card (Medicines & Healthcare products Regulatory Agency) UK Medicine Information (NHS) SCRIPT (eLearning) SDCEP Prescribing for Dentistry (Scottish Dental clinical Effectiveness Programme)  In detail BNF - information on how to select, prescribe, dispense and administrate medicines https://bnf.nice.org.uk/ EMC - up to date information on prescribing & patient information for licenced medicines https://www.medicines.org.uk/emc MHRA Yellow Card Scheme – Reporting scheme for suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to ensure safe and effective use https://yellowcard.mhra.gov.uk/  UK Medicine Information Service - evidence-based medicines advice and information primarily by pharmacists and pharmacy technicians https://www.ukmi.nhs.uk/ SCRIPT - eLearning programme to improve safety and competency among healthcare professionals around prescribing, therapeutics and medicines management Script - elearning for healthcare (e-lfh.org.uk)  SDCEP Prescribing for Dentistry – Document with evidence based guidance for dental practitioners & for drug prescribing in dentistry https://www.sdcep.org.uk/media/2wleqlnr/sdcep-drug-prescribing- for-dentistry-3rd-edition.pdf https://www.sdcep.org.uk/media/ckgfnx3w/sdcep-drug-prescribin g-ed-3-update-june-2021.pdf  PSD / PGD Patient Specific Directions (PSD) An instruction from a dentist, to a non-prescribing health care professional (therapist) for medicines (LA or fluoride varnish) to be supplied and/or administered to a named patient after the prescriber has assessed the patient on an individual basis Must include: Patient details Dose Medicine Frequency Form/Strength Date Route Signature  PSD/ PGD Patient Group Directions (PGD) A Patient Group Direction is a written instruction to a non-prescribing health care professional (therapist), for the supply and/or administration of medicines (LA or fluoride varnish) by named health care professional, to groups of patients who meet the criteria specified in the PGD. A written, patient-specific prescription from an approved prescriber is not needed. Authorised by an appropriate authorising body Things to be specified: Period of effect Dose/Strength Medicine Route of administration Restrictions Frequency Patient clinical criteria for eligibility When to get advice  Resources/references PSD/PGD PDSE Guidelines Protocol for the use of Local Anaesthetic and Fluoride by Dental Hygienists and Dental Therapists PGD Guidance (Medicines and Healthcare products Regulatory Agency) https://www.gov.uk/government/publications/patient-group-directions-pgds/patient-group-directio ns-who- can-use-them PGD Advice from the DDU https://www.theddu.com/guidance-and-advice/guides/patient-group-directions Patient group directions – NICE https://www.nice.org.uk/guidance/mpg2/chapter/recommendations#authorising-body Patient Group Directions – Template https://www.sps.nhs.uk/articles/sps-national-medicines-governance-do-one-programme-national -patient-group-direction-pgd-exemplar-template/  Antimicrobial resistance Antimicrobial resistance – WHO https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance Tackling Antimicrobial Resistance 2019-2024 https://www.gov.uk/government/publications/uk-5-year-action-plan-for-ant crobial-resistance-2019-to-2024 FGDP guidance on antimicrobial prescribing https://www.rcseng.ac.uk/dental-faculties/fds/faculty/news/archive/antimic bial-prescribing-guidelines/ E-Learning – Antimicrobial Stewardship https://www.baos.org.uk/elearning/ PDSE PROCEDURES 6236027901 7  Prescription writing What to include Patient’s details (name, address, date of birth etc) Name of medication (no abbreviations) Form (capsules, liquid) Strength (especially for liquid preparation) Dose, frequency & quantity Instructions Make sure everything is clearly written! https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention/chapter-9-fluoride  Abbreviations (‘milligrams’ to ‘mg’ but do not abbreviate ‘micrograms’ or ‘nanograms’; these must be written in full) English, but some Latin abbreviation may be used (q. d. s. = quater die sumendum (to be taken four times daily) Name of prescriber Date Signature Stamp Make sure everything is clearly written! R4 Medical History – R4 Prescription – R4 Clinical notes – R4 Treatment plan - Sign off Prescription Practice Write a prescription for high strength fluoride (max for the age) for this patient. Prescription Practice Write a prescription for antibiotics – your patient has increased body temperature and swollen face from a periapical infection of an upper 6  Thank you!!! Any questions????