a range of cancer chemotherapy drugs for day patients and outpatients.
Implementation of the Australian Pharmaceutical Advisory Council’s (APAC) guiding principles to achieve continuity in medication management.
The key objectives of the reforms are to improve:
equity of access to medication for patients regardless of their place of care – public hospital, private hospital or community sector, and
safety and quality of medication management, including a smooth transition between hospital and community based care.
SA Health has developed the following fact sheets for clinicians involved in the distribution of medicines to consumers. The below list also highlights the key points that you as a health care professional need to consider.
The hospital PBS prescription form may not be pre-printed with individual prescriber details – check the prescriber has written name and contact details (e.g. pager number), and prescriber number.
The hospital PBS prescription form is different from the community forms, but the top copy can be used for repeat authorisations.
Up to ten items can be written on the forms and can include PBS benefits (including authority items), controlled drugs and non-PBS items.
Apart from prescriptions for the treatment of HIV, hepatitis B and hepatitis C, and Complex Authority Required Highly Specialised Drugs (CAR HSD), hospital pharmacies cannot dispense community PBS prescriptions.
For problems with an individual prescription please contact the prescriber.
Eligible prescribers (including doctors, dentists, nurse practitioners/midwives and optometrists) employed by participating public hospitals will be able to write PBS prescriptions for patients attending outpatient clinics, on discharge from hospital and when receiving chemotherapy as day patients or as outpatients.
Prescriptions can be for up to one month’s supply of medication, or the PBS maximum quantity, if this is clinically appropriate. For discharged patients this means that there will be more time to arrange a GP consultation before medication runs out.
Hospital doctors will only be prescribing medication that the patient requires an immediate supply of, not everything they are taking.
Repeats for PBS items will not usually be ordered, instead information will be sent to the patient’s GP for continuation of treatment.
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