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The privilege and
condition (e.g. well-controlled epilepsy) knowledge of the patient’s needs responsibility for
prescribing
in the patient’s best interests. Medical practitioners have the privilege appropriate to provide a prescription in colleague or a practice colleague who can satisfy the above criteria, Practitioners are able to prescribe, they patient was not due for a review of their as long as you are satisfied that the prescribing is still almost exclusively the Scenario 2
and the patient has given his or her receptionist and asks for a prescription fluoxetine for the treatment of children treatment of a patient under his or fluoxetine is regularly prescribed for the 3. The Council’s view is that for a patient to be ‘under his or her This may be a result of the fact that drug care’, a doctor must have had a face to face consultation with the in the patient’s ability to assess their specific patient’s treatment with does decide to prescribe then very clear health practitioner who can verify Medical practitioners can even prescribe discharging a patient from hospital However in such cases, the responsibility it is also permissible to complete Scenario 3
a prescription for a patient if you have access to that patient’s notes.” receptionist and asks for a prescription Patients wanting scripts for a drug to treat a complaint that the
Does the prescribing
from their GP
patient, or a nurse, or another GP has diagnosed, but that this GP has never doctor need to see
the patient before
prescribing repeat
generally inappropriate to prescribe. He prescriptions?
the GP had a high level of confidence in the other practitioner if they were in the same practice and the patient’s notes or advice – it can be found in full at http:// reports were available: then a short term we would also suggest that such a script might fall foul of clause 3 in the Medical been clarified by the Medical Council’s statement Good prescribing practice Scenario 1
absence of a conversation with the nurse 1. You should only prescribe medicines receptionist and asks for a repeat why isn’t the other doctor providing a prescription for a drug that is considered adequately assessed the patient’s This newsletter is sponsored by New Zealand Medical Professionals Ltd, providers of professional indemnity insurance Phone: 0800 102 220 or 09 623 3993 Website: www.nzmpi.co.nz Email: general@nzmpi.co.nz
Scenario 4
Patients receiving repeat prescriptions should be assessed in a face-to-face A hospital nurse practitioner telephones consultation on a regular basis to ensure that the prescription remains prescription to treat a condition that the further examination or assessment should not receive repeat prescriptions identical’ hormones had been prescribed This is particularly important in the case Mr Paterson thought that such situations of medicines with potentially serious side and 2010. would be rare, but the GP who had Paltridge had worked with the assistance Demanding patients
individual case with her. However, after appreciate the need to pay for a further almost always be necessary for the GP to GP’s obligations to see the patient are medical history. Dr Paltridge would then see the patient. If a nurse practitioner clearly set out in both HDC case law and in the Medical Council’s statement. To habit” of calling the GP rather than her hospital colleagues, then a conversation risk the patient’s safety and your own If the patient raised certain issues during arrange for further tests to be conducted be confident of their ability to diagnose, but we believe it would nearly always be term script for cases where a patient is preferable for the GP to see the patient basis, with the proviso that the patient prescribing in these circumstances, they about their medical and family histories. that they should attend a medical review in order to obtain a longer term script.
Standing orders
Repeat prescribing
without a medical
can be found at the Ministry of Health’s that if the practice was of the view that Recent case on
prescribing from
it was clinically inappropriate to renew Health Practitioners
supervision, and published the decision. it was also found that the patient did not have enough information to allow Disciplinary Tribunal
her to make an informed choice and give ongoing consent to her use of This newsletter is sponsored by New Zealand Medical Professionals Ltd (NZMP), but the views expressed are those of the authors and do not necessarily reflect the views of NZMP. Its contents are provided for general information purposes only. This information is not advice and those needing advice or to statement Good Prescribing Practice Men’s Clinic fell short of the required notify NZMP of a claim or potential claim should contact the NZMP office on 0800 102 220 or 09 623 3993 or by email at general@nzmpi.co.nz . NZMP works to maintain up-to-date information from reliable sources; however, no responsibility is accepted for any errors or omissions or results of any actions

Source: http://nzmpi.co.nz/wp-content/uploads/2011/08/Issue-3-September-2011.pdf

Version 7, 07/2005

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FALL RISK ASSESSMENT FORM Resident Name- Check off reason for assessment Initial Assessment Re-Assessment after fall Re-Assessment (periodic) Change in Status Circle reference Total reference Categories number(s) in Descriptions numbers by each category category NO FALLS in past 3 months Recent Fall History 1 - 2 FALLS in past 3 months 3 O

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