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The GP had already issued a valid prescription and in most cases for controlled drugs given orally then this is adequate. However my understanding is that the health visitors need a separate sheet for either syringe driver or sub cutaneous injections for 'prn' to allow them to administer the drug.
Are you a regular nurse working in a residential or care home?
yes, I am going to be deputy manager from Jan 3rd, and I need to ensure we are practising appropriately, and following the code of conduct
You will have a legally labelled box in your possession that will fall under medicines act and NMC guidelines to allow administration of the drug to the patient. However without a printed MAR or a countersigned handwritten MAR then you will have nothing to check this label against. So there is a potential for error for adminstering from a handwritten MAR, however in practice it is usual for the GP to sign on the next visit or to request the pharmacy sends out an appropriate MAR. If the pharmacy will not support you in this, then you should speak to their care services manager (assuming this is a chain).
It is more a breach of Standard operating procedures than Medicines Act however should there be any error, then this creates a difficult situation.
thank you i await for anymore information
I will see if there is anything available through RPSGB
I've been into the sites for regulation of pharmacy services, and the MAR seems to come under either Care Commision or Residential/Care home Best practice or Standard Operating procedures.
You should ring your legal department in NMC after the holiday, however from a legal standpoint as long as the documented handwritten MAR is written by the nurse directly from a doctor's authorisation (via labelled drug, discharge letter or prescription) then this should be adequate however any changes from that direction need to be signed by the GP in person.
Ideally a second (trained) member of staff or the care manager should double check the MAR against the documentation. This can be a fax if necessary.
Thank you very much , that was very helpful, and I will contact the nmc on tuesday as suggested