According to the provisions of Article 2 of the Prescription Management Measures, prescription refers to the medical documents that are prescribed by registered medical practitioners and assistant medical practitioners (hereinafter referred to as doctors) for patients in the process of diagnosis and treatment, reviewed, prepared and checked by pharmaceutical professional technicians (hereinafter referred to as pharmacists) who have obtained the qualifications for pharmaceutical professional and technical positions, and serve as the medication vouchers for patients. Prescriptions include medical institution ward medication orders. Prescription is a written certificate for doctors to use drugs for patients, and it is the basis for pharmacists to allocate drugs, which has legal, technical and economic responsibilities.
(a) the basic requirements of prescription writing
1. The general situation and clinical diagnosis of patients recorded in the prescription should be clear and complete, and consistent with the medical records.
2. Each prescription is limited to one patient.
3 prescription handwriting should be clear and shall not be altered. If there is any modification, you must sign the modification place and indicate the date of modification.
4. The names of drugs should be written in standardized Chinese and English.
5. Age must be realistic enough. Newborns and babies should write down the date, month age and weight when necessary. Western medicine and Chinese patent medicine can be prescribed separately or in the same prescription. Chinese herbal pieces should be prescribed separately.
6. Prescriptions of chemical drugs and Chinese patent medicines shall be listed in a separate line for each drug. Each prescription shall not exceed 5 drugs.
7. Prescriptions of Chinese herbal pieces can be written in the order of monarch, minister, assistant and envoy; Indicate the special requirements for dispensing and decocting drugs at the top right of the drug, and add brackets, such as wrapping, frying first, dropping later, etc. Where there are special requirements for the origin and processing of the decoction pieces, it shall be indicated before the name of the drug.
8. Generally, the dosage should be used according to the usual dosage in the drug instructions. In case of excessive dosage under special circumstances, the reason should be indicated and re-signed.
9. In order to facilitate pharmaceutical professional and technical personnel to review prescriptions, doctors must indicate the clinical diagnosis when prescribing, except in special circumstances.
10. After the prescription is issued, a diagonal line should be drawn in the blank to indicate that the prescription is finished.
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12. Doctors should use the generic names of drugs, the names of patented drugs of new active compounds and the names of compound preparations approved and published by the State Food and Drug Administration.
13. Dosage and quantity of drugs shall be written in Arabic numerals.
(2) Common foreign abbreviations and meanings in prescriptions.
Doctors often use Latin abbreviations or English abbreviations when writing the text of prescriptions, such as the usage (including dosage, interval and times of taking) and preparation methods of drugs. Pharmacists should master foreign abbreviations commonly used in prescriptions and understand their Chinese meanings.
(3) Names of traditional Chinese medicines that are easily confused in prescriptions.
There are many kinds of chemical substances with different names; The names of some drugs (generic names or trade names) are very similar in Chinese, such as indomethacin and indomethacin, but their pharmacological effects are completely different. This requires doctors to pay attention to identification when writing Yamatonokusushi audit in prescriptions.
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