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. Prescriptions are divided into doctor's prescriptions and legal prescriptions. What I see every day is the doctor's prescription.
The prescription * * * has three parts:
(1) The preface of the prescription includes the full name of the hospital, department, patient's name, gender, age, date, etc. Items with special requirements can be added.
The prescription of narcotic drugs and psychotropic drugs of category I shall also include the patient identification number, the name and identification number of the agent;
(2) Prescription prescription begins with "R" or "RP", which means taking the following drugs; Next is the main part of the prescription, including name, dosage form, specification, quantity, usage, etc.
(3) Prescription postscript includes the signatures of doctors, pharmacists and price assessors to show responsibility, and the signatures must be signed in full name. Doctors should prescribe drugs according to the medical treatment, prevention, health care needs, indications, pharmacological effects, usage, dosage, contraindications, adverse reactions and precautions in the diagnosis and treatment specifications and drug instructions.
The prescriptions of toxic drugs and radioactive drugs for medical use shall strictly abide by the provisions of relevant laws, regulations and rules. The prescription is valid on the date of issuance. If it is necessary to extend the validity period under special circumstances, the prescriber shall indicate the validity period, but the longest validity period shall not exceed 3 days.
Prescription shall generally not exceed 7 days; Emergency prescription shall generally not exceed 3 days; For some chronic diseases, senile diseases or special circumstances, the prescription dose may be appropriately extended, but the doctor should indicate the reasons.
Prescription doses of toxic drugs and radioactive drugs for medical use should be strictly implemented in accordance with relevant state regulations. When making prescriptions, doctors should use the generic names of drugs, the names of patented drugs with new active compounds and the names of compound preparations approved and published by the pharmaceutical supervisory and administrative departments. Doctors should use the name approved by the provincial health administrative department and the drug supervision and administration department when prescribing hospital preparations. Doctors can use the customary names of drugs published by the Ministry of Health to make prescriptions.
When doctors use computers to draw up and transmit commonly used prescriptions, they should also print out paper prescriptions in the same format as handwritten prescriptions. The printed paper prescription is valid after being signed or sealed. When pharmacists distribute drugs, they should check the printed paper prescriptions and distribute them to drugs after they are correct, and keep the printed paper prescriptions and computer-transmitted prescriptions for future reference.
Legal basis:
Prescription management measures
Article 6 Prescription writing shall meet the following requirements:
(a) the patient's general situation and clinical diagnosis are clearly and completely filled in, and are consistent with the medical records.
(two) each prescription is limited to one patient.
(3) The handwriting is clear and shall not be altered; If it is necessary to modify, it should be signed at the modification place and indicate the date of modification.
(4) The name of a drug shall be written in a standardized Chinese name; if there is no Chinese name, it may be written in a standardized English name; Yamatonokusushi, a medical institution or physician, shall not compile abbreviations or use codes by himself; The name, dosage, specification, usage and dosage of drugs should be accurate and standardized, and the usage of drugs can be written in standardized Chinese, English, Latin or abbreviations, but vague words such as "following doctor's advice" and "for personal use" should not be used.
(five) the patient's age should fill in the full age, the date and month age of the newborn and baby, and indicate the weight when necessary.
(six) western medicine and Chinese patent medicine can be prescribed separately, or a prescription, Chinese herbal pieces should be prescribed separately.
(seven) prescription of western medicine and Chinese patent medicine, each drug should be listed in a new line, each prescription shall not exceed 5 drugs.
(eight) the prescription of Chinese herbal pieces shall be written in the order of "monarch, minister, assistant and envoy"; The special requirements for dispensing and decocting drugs are indicated on the upper right of the drug, and brackets are added, 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.
(9) The usage and dosage of drugs shall conform to the conventional usage and dosage specified in the drug instructions. In case of overdose under special circumstances, the reasons shall be indicated and re-signed.
(ten) except in special circumstances, the clinical diagnosis should be indicated.
(eleven) draw a diagonal line in the blank after the prescription is issued, indicating that the prescription is finished.
(12) The signature style and special seal of the prescriber shall be consistent with the sample style kept by the hospital pharmacy department for future reference, and shall not be changed at will, otherwise it shall be re-registered.