Writing discharge prescriptions in the ED
Discharge prescriptions for patients going home should be written on a yellow hospital prescription rather than on HSE headed note paper.
Legal requirements for prescriptions
- Must be legible.
- Must be in ink.
- Must be dated & signed by practitioner in their usual signature.
- Clearly indicate the prescriber’s name.
- Specify the prescriber’s address (HSE notepaper doesn’t have an address on it).
- State whether the prescriber is a doctor, dentist or nurse. (The Medical Council recommends including doctors registration number – not a legal requirement).
- Specify the name & address of the patient.
- State the age of the patient if under twelve years.
Legal requirements for Controlled Drug prescriptions (CD schedule 2 & 3)
- Must be written in indelible ink.
- Must be dated & signed by practitione.
- Must specify the address of the prescriber.
- Patient’s name & address must be handwritten (no addressograph stickers).
- Must handwrite the following drug details:
- Dose to be taken
- Total quantity to be supplied in words & figures.
- Clearly indicate the prescriber’s name & state whether the person is a registered medical practitioner. (The MC recommends including doctor's MCRN - not a legal requirement).
- Telephone number at which the prescriber may be contacted.
|Schedule 1||Substances not ordinarily used as medicines e.g. Raw Opium, Coca Leaf|
|Schedule 2||Opiate substances for example, Morphine, Fentanyl and Oxycodone. Some Stimulants e.g. Lisdexamphetamine|
|Schedule 3||Certain Benzodiazepines and painkillers e.g. Temazepam, Flunitrazepam, Pentazocine, Ketamine|
|Schedule 4 (1)||Most Benzodiazepines and 'Z-drugs' e.g. Diazepam, Alprazolam, Clonazepam, Midazolam and Zolpidem|
|Schedule 4 (2)||Certain Anti-Epileptics for example, Phenobarbitone <100mg. Certain MAOIs e.g. Selegiline|
|Schedule 5||Lower strengths of painkillers for example, Codeine (below specified concentration)|