Article 2 This Code is applicable to licensed pharmacists who directly provide pharmaceutical services to the public. Licensed pharmacists are responsible for rational drug use by the public.
Article 3 The business norms of licensed pharmacists refer to the code of conduct that licensed pharmacists should abide by when they engage in business activities with relevant knowledge, skills and professional qualities such as pharmacy.
Business activities include prescription dispensing, drug consultation, pharmacovigilance, health education, etc.
Article 4 Licensed pharmacists should abide by discipline and law, love their jobs, abide by morality, serve health, consciously learn and improve their abilities as the basic criteria.
Article 5 Licensed pharmacists shall wear badges to identify themselves. And plan their own career development, establish the concept of lifelong learning, constantly improve their professional knowledge and skills, improve their practical ability, and meet the needs of individuals and patients for medication guidance and health services.
Article 6 The practicing units where licensed pharmacists work shall provide necessary places and hardware guarantee for licensed pharmacists to perform this specification, and support and guarantee licensed pharmacists to carry out excellent pharmaceutical services.
Folding prescription dispensing
Article 7 Prescription dispensing includes prescription review and prescription dispensing. Licensed pharmacists -4- shall prepare prescription drugs according to the doctor's prescription, and may not prepare prescription drugs without a doctor's prescription.
Prescription adjustment should comply with relevant laws and regulations, medical insurance system and other provisions.
Article 8 Licensed pharmacists shall examine the legality of prescriptions, including prescription sources, doctor qualifications and prescription categories (narcotic drugs prescriptions, psychotropic drugs of category II, emergency prescriptions, pediatric prescriptions and general prescriptions).
Licensed pharmacists may not adjust prescriptions whose legality cannot be judged.
Article 9 Licensed pharmacists shall review the standardization of prescriptions, and carefully check whether the preface, text and postscript of prescriptions are complete, whether the writing or printing is clear, whether the prescriptions are effective, and whether the signature or seal of doctors is consistent with the words used for filing.
Licensed pharmacists are not allowed to adjust non-standard prescriptions.
Article 10 A licensed pharmacist shall inquire about the adjustment of diseases and examine the suitability of prescription drugs, including: (1) whether the prescriber of skin test is required to indicate the allergy test and the judgment of the results; (2) Consistency between prescription medication and clinical diagnosis; (3) the correctness of dosage, usage and course of treatment; (four) the rationality of the choice of dosage form and route of administration; (five) whether there is a phenomenon of repeated administration; (6) Whether there are potential clinical drug interactions, compatibility contraindications and pregnancy contraindications; (seven) other inappropriate drugs.
For the prescription of improper medication, the prescriber should be informed, -5- require confirmation or re-prescription; Substitute drugs shall not be changed or distributed without authorization.
Article 11 After the prescription is approved, drugs shall be prepared correctly according to the prescription:
(a) according to the prescription drug order one by one;
(2) After the drugs are fully prepared, check the drug name, dosage, specification, quantity, usage and dosage with the prescription one by one, and write the label accurately;
(3) Valuable drugs and narcotic drugs shall be registered in accordance with regulations;
(four) when the same patient holds more than two prescriptions, they should be prepared one by one to avoid mistakes;
(five) drugs that need to be stored under special conditions should have eye-catching labels to remind patients;
(6) When conditions permit, labels should be attached to the outer packaging of each drug, including: name, usage, dosage, storage conditions, etc.
(7) Patient's name, dosage, decocting method, matters needing attention, etc. It should be indicated on the prepared packaging bag of Chinese herbal pieces;
(eight) the inspector, the dispatcher and the drug distributor shall sign or seal the corresponding position of the prescription.
Article 12 When processing Chinese herbal pieces, the dosage should be reduced by the same amount, and the dosage should be repeated one by one. First fry, then drop, pack, take, melt, fry separately, etc. , and indicate the usage separately.
Article 13 Prescriptions of expensive Chinese herbal pieces and toxic Chinese herbal pieces must be checked and prepared by two people. After the preparation is completed, the two people should sign for confirmation and register them in the account books.
Article 14 Before dispensing drugs, it shall be checked whether the dispensed drugs are consistent with the drugs prescribed in the prescription, and whether there is any mismatch, omission or over-dispensing. -6- Article 15 When distributing drugs, the distribution targets shall be verified, and the drugs shall be distributed to patients or their families one by one according to the prescription order, and medication guidance shall be given to patients or their families according to the prescription order (refer to the drug instructions if necessary). The basic contents shall include:
(1) The name and quantity of the drug;
(2) Reasons for taking drugs;
(III) the dosage, frequency or interval of daily administration and the course of treatment. In particular, there are special requirements for medication (hourly requirements, daily dosage should be taken suddenly, not at the same time with a certain drug, etc. ), special instructions should be made, and drug labels should be used when necessary; For drugs used "when necessary", the maximum dosage or daily maximum dosage should be specified;
(four) the method of medication, if necessary, explain how to convert the dose and demonstrate how to calculate it;
(five) the expected time of drug efficacy and the maintenance time of drug efficacy;
(six) the handling methods of forgetting to take or missing drugs, and paying attention to the compliance of patients with drugs;
(seven) how to avoid and deal with the common adverse reactions of drugs;
(eight) the skills of self-monitoring the efficacy of drugs;
(nine) the storage conditions and expiration date of drugs, and the drugs stored in a cool place (refrigerator) need special tips;
(10) Decocting methods and requirements of traditional Chinese medicine decoction, decocting methods such as decocting first and then lowering the temperature, and selection of decocting instruments;
(eleven) suggestions on how to avoid the interaction and lifestyle caused by the simultaneous use of other drugs or special foods;
(12) Licensed pharmacists shall provide consulting services when patients request more information about drug treatment.
Sixteenth prescription dispensing in principle should implement drug dispensing and double check system, emergency, night shift and other special circumstances can be stipulated separately.
Folding medication consultation
Seventeenth consulting services include patients, medical staff and the public.
For patients without autonomous capacity, licensed pharmacists should take the initiative to explain various matters of medication to their families or guardians.
Eighteenth consulting services should be based on face-to-face language communication, while providing written materials as much as possible.
Nineteenth in any of the following circumstances, licensed pharmacists should take the initiative to provide medication guidance to patients:
(1) Patients use four or more drugs at the same time;
(2) There is a history of adverse drug reactions in the past or adverse reactions after taking the medicine;
(3) Poor medication compliance;
(4) It is found that the drugs used have incompatibility or drug interaction;
(five) it is necessary to monitor the blood concentration of drugs;
(6) The drug instructions have been changed recently;
(seven) the use of special drugs;
(eight) the indications of the drugs used are many or the usage and dosage are complicated;
(nine) drugs with special requirements for storage conditions and short or near the expiration date; (10) Use this drug for the first time or continuously.
Article 20 Licensed pharmacists are obliged to provide-8-/kloc-0-professional guidance to patients who use over-the-counter drugs, mainly including:
(1) Ask about recent diseases;
(2) Ask about the drugs taken recently;
(three) to give advice and guidance to patients in choosing over-the-counter drugs; (4) Ask the patient if he has any contraindications or allergic history.
Twenty-first licensed pharmacists should provide special medication guidance for special groups (pregnant women, lactating women, newborns, children, elderly people over 65 years old, patients with liver and renal insufficiency, dialysis patients, etc.). ), pay special attention to the pharmacokinetic characteristics, condition, medication precautions and medication safety of these patients.
Twenty-second licensed pharmacists should establish a medical calendar for patients with chronic diseases, follow up regularly and make follow-up records; Help patients find abnormal conditions in the treatment process in time, and give advice or medical guidance.
The contents of patients' medication consultation should be recorded, and the matters needing special attention must be marked. If the patient is unwilling to receive counseling or guidance, it should also be recorded.
Folding pharmacovigilance
Twenty-third licensed pharmacists should follow up the drug use safely, paying special attention to the drug use of newly listed drugs and special groups.
Twenty-fourth licensed pharmacists should bear the responsibility of drug vigilance. When discovering adverse drug reactions, they should record and fill in the statements in time and report them step by step according to regulations.
Twenty-fifth licensed pharmacists should adopt scientific methods to identify medication errors and adverse drug events. -9- Licensed pharmacists should guard against medication errors and adverse drug events in the whole process of reviewing prescriptions, doctor's orders, drug labels, packages, drug names, formulas, administration, medication guidance and follow-up.
Twenty-sixth licensed pharmacists should pay special attention to patients' new diseases, carefully observe patients' clinical symptoms and adverse reactions, and judge whether patients' new diseases are related to medication. Once found, it should be corrected and reported in time.
Folding health education
Twenty-seventh licensed pharmacists have the responsibility and obligation to educate patients about drug use, publicize drug use knowledge to the public, actively advocate and popularize the concept of rational drug use, and popularize the culture of rational drug use.
For those who are in the adjustment stage of drug usage and dosage and other people who need special attention, follow-up should be strengthened to track the effect of drug education.
Twenty-eighth licensed pharmacists should advocate and publicize a healthy lifestyle.
We should pay attention to and study the chronic disease reports regularly issued by the national health administrative department, understand the current situation of chronic diseases in this area, and carry out targeted health education to play a role in preventing and controlling the occurrence and development of chronic diseases.
Twenty-ninth licensed pharmacists should play an active role in curbing drug abuse in society.
Strictly implement the control of specially managed drugs, avoid excessive use of ephedrine-containing preparations by patients, pay attention to the use of sedative and hypnotic drugs for the elderly, and inform patients who have abused drugs of their harmfulness.
Folding bylaw
Article 30 This Code is formulated by the Licensed Pharmacist Qualification Certification Center of China Food and Drug Administration, Chinese Pharmaceutical Society, China OTC Pharmaceutical Association and china association of pharmaceutical commerce.
China Food and Drug Administration Licensed Pharmacist Qualification Certification Center is responsible for the interpretation.
Article 31 This Code shall be implemented as of 2065438+65438+ 10/day, 2006.