A Patient Specific Direction (PSD) is a written instruction, signed by a prescriber for medicines to be supplied and/or administered to a named patient after the prescriber has assessed the patient on an individual basis.
Who can prescribe under a PSD?
Can nurse or pharmacist prescribers issue PSDs? Yes, nurses and pharmacists may issue a PSD and instruct another HCP to administer the medicine. Naturally, like any other act of authorising a POM, they should have the necessary knowledge and qualifications to authorise that drug. 15.
What should a PSD include?
The PSD must include the:
- name(s) of patient(s) and/or other individual patient identifiers including age if a child.
- name, form and strength of medicine.
- route of administration.
- dose.
- frequency.
- date of treatment/number of doses/frequency/date treatment ends as applicable.
- signature of prescriber.
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Is a prescription a PSD?
A PSD for the supply of medicines is classified as a prescription form. This form is a legal document and must comply with the requirements for prescriptions as specified in the Human Medicines Regulations 2012 (2).
How long do you keep PGDs for?
For adults all PGD documentation in a patient’s clinical record must be kept for eight years. For children all PGD documentation in a patient’s clinical record must be kept until the child is 25 years old or for eight years after a child’s death.
Who can use a patient group directive?
POM and P medicines can generally only be sold or supplied at a registered pharmacy premises by or under the supervision of a pharmacist. POMs must be sold or supplied according to a prescription prescribed by a health practitioner. This can be a doctor, dentist, or other independent or supplementary prescriber.
What is a PSD form?
What is a PSD File? PSD (Photoshop Document) is an image file format native to Adobe’s popular Photoshop Application. It’s an image editing friendly format that supports multiple image layers and various imaging options. PSD files are commonly used for containing high quality graphics data.
How often are PGDs reviewed?
5 Determine the expiry date for an individual PGD on a case-by-case basis, with patient safety paramount. Ensure that this date does not exceed 3 years from the date the PGD was authorised. 1.6. 6 Ensure that an updated PGD is reauthorised, in line with the Human Medicines Regulations 2012 (see recommendations 1.4.
Can doctors work under PGD?
Legislation. Only healthcare professionals listed in the PGD legislation can supply or administer medications under a PGD, this does not include doctors and dentists. Doctors and dentists cannot administer medicines under a Written Instruction used for Occupational Health Services (OHS).
What drugs are PGDs?
Recent changes allow some controlled drugs to be given under PGDs, such as morphine and diamorphine, by nurses in cases of immediate need (but not in addiction treatment), along with midazolam, benzodiazepines, ketamine and codeine.
What type of prescription is a traditional prescription?
Traditional paper-based prescribing systems involve a prescriber issuing a signed prescription form to a patient to authorise the dispensing of medicines or appliances needed for their care. Patients present the prescription to a pharmacist who then dispenses the items.
Who can write a drug prescription?
Click on a drop down option below for further information of the prescribing rights for different types of prescriber:
- Doctors.
- Pharmacist independent prescribers.
- Physiotherapists independent prescribers.
- Chiropodists/Podiatrists independent prescribers.
- Dentists.
- Nurse independent prescribers.
Who Cannot administer drugs under a PGD?
The following regulated professions groups cannot administer or supply any controlled drugs in any of the five schedules under a PGD:
- Dietitians.
- Speech & language therapists.
- Dental therapists.
- Dental hygienists.
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Can nursing associates use PGDs?
Nursing associates cannot operate under a PGD as they are not currently included within the legislation, but this may change in the future. The standard of proficiency for nursing associates includes competencies required for administering medicines safely and making accurate drug calculations for a range of medicines.
Can NHS Trust Authorise PGD?
The Medicines and Health Regulatory Agency (MHRA) takes the view that where a PGD is used for NHS/public health funded healthcare under arrangements made with an NHS or public health body, the law requires that the PGD is authorised by that body. … NHS trusts or NHS foundation trusts. Special health authorities.
Who can sign off a PGD?
Legislation requires that a PGD must be signed by a doctor (or dentist) and a pharmacist and guidance states that they should be involved in the development of the PGD.