Mary Hawking wrote:
> In message <[log in to unmask]>, Jeff Green <[log in to unmask]>
> writes
>
>> Ewan Davis wrote:
>>
>>> Some GP systems (certainly TPP SystmOne) will allow you to prescribe
>>> at dm+d
>>> AMPP (actual medical product pack) level which will allow prescribing
>>> of a
>>> particular brand or manufacturer.
>> I see loads of generic scripts where a manufacturer is specified.
>> Overwhelmingly it is for no reason and is ignored. (Just like the word
>> AEROSOL that seems to appear under hypromellose eye drops 0.3% scripts.)
>
> How do you know it is for no reason
It doesn't exist - and if it did it would be an aerosol and not an eye drop.
- and who is liable if a dispenser
> ignores a prescriber's instructions?
Always the pharmacist
> And how on earth does "AEROSOL" get attached to eye drops?
Presumably by someone trying to use a code to type in some directions
and the code coming up with aerosol as opposed to whatever was intended.
> Where does the word appear?
In capitals a line below the hypromellose 0.3% eye drops and a line
above the directions
> On the prescription or the pharmacy system?
On the prescription
> If on the prescription is it one practice, one system or random?
More than one practice - not sure of the systems in use at each, might
even be data transferred from previous systems.
> Impossible forms being prescribed reminds me somehow of EDLs - and are a
> patient safety issue!
There's so much that I tend to ignore it.
Co-codamol capsules - Two caplets fout times a day.
Forgotten what it was but one tablet the other had NEBULE appear in
capitals - you just learn to ignore the inconsistencies.
>> It's not all bad though - it stops some of the common pharmacy errors
>> like repeating last months script when the dose has been changed.
>
> How? It doesn't seem to round here!
It depends on the PMR system that the pharmacy is using.
ProScript hides (it's there somewhere but not too easy to get at) my
repeat information when doing a script from ETP so the dose and strength
come from the script rather than from me choosing to repeat an item.
On the Cedegim Pharmacy manager though, I can go into repeats and repeat
the old dose whatever is on the script.
Nowadays I try to leave the labelling to people who know what they are
doing!
Five and four half working days and I'll be leaving pharmacy to those
who know what they are doing.
Might try for a job as a delivery driver so I can actually see patients.
Jeff
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