Training

Transcribing Basics

Demographic checks

1. Patient Name

2. NHS Number

3. Address

4. Date of request

Example 1 Transcribing Request

Drug Checklist

1. Name of Medication - check generic /brand

2. Dose of medication - be careful of total quantity/ available doses

3. Formulation - tablet/ capsule/ liquid/ nebule.

4. Route - oral/ topical/ rectal

5. Frequency and Indication - common abbreviations

6. Quantity - careful consideration of total quantity

It is not recommended for abbreviations to be used on patient scripts

7. Urgency - acute/ repeat

8. Any special notes

Example 2 Drug Checks

Transcribing medication from a repeat request form (part B or RHS of FP10).pdf - Google Drive - Google Chrome

Performing The Transcription

The following examples assume that demographic checks have been completed

1. Example 3: Repeat Transcription from a Letter

1.1. Accessing the Repeats Screen

1.2. Searching for the medication

1.3. Selecting the medication

In this case there is a relevant pre-set you can use

It is important you complete the 6 checks detailed below

1.4. Adding relevant information to the letter

In this case you would need to forward the letter to Prescribers and Practitioners Group

Issuing Repeat Medication following a transcription

SystmOne GP: Mr Georgios Christopoulos (Physiotherapist Specialist Practitioner) at Loomer Medical Partnership - Patient Record

Check you have selected the correct medication

2. Example 4: Acute Transcription from an OC

You will need to have gathered the relevant information of why this transcription has been completed

e.g. Issued last 16.010.23 - has now run out - second request - under ENT for Vertigo

In acute prescription requests it is highly important to check the frequency of the requests

Through the "Medication" Section you can see the prescription history for a patient including acute and repeat

The information checks below from 1 to 5 are extremely useful to ensure that the transcription is correct.

2.1. Option 1 - Copying a previous prescription

If you are copying a previous prescription that contains an error you will be repeating the same error! Make sure you double check the drug checklist!

2.2. Option 2 - Creating a new prescription

You can see below that the transcription details need to be amended to reflect the previous prescription

3. Example 5: Transcribing from a Task

In this case you have a written instruction by a clinician - You should follow the same steps as Example 3

If transcription unclear e.g. whether acute on repeat - check with clinician

Issuing Acute Medication following Transcription (Example 4&5)

Save the record

Do not forget to add relevant information

Patient Requested medication

This function can be used when you are not confident in transcribing the medication. It is still important to complete the relevant drug checks and gather relevant information

Ensure you have selected group and assign to Prescribers/Practitioners

It is important to be clear why this medication has been requested