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The new requirement will also improve the information recorded in SafeScript NSW to reduce the incidence of harm from monitored medicines. ‘It to make sure supply is safe and appropriate for patients,’ she said.

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Describing the regulation as an ‘extra tool’ to identify patients, Ms Fairjones said pharmacists should have all patient's DOB recorded in their dispensing software system so they can refer to it when supplying medicines.

While DOB was already required for electronic prescriptions, the decision to extend the regulation to all prescriptions was made from a safety perspective, said PSA NSW State Manager Amanda Fairjones. This includes handwritten and computer-generated prescriptions. To improve patient safety, the date of birth (DOB) of every patient must be included on all prescriptions for Schedule 4 and Schedule 8 medicines in NSW from this week (1 November 2022). => Have you ever seen a medicine handed to the wrong patient? Or uncovered a dispensing record logged on the wrong patient profile? Patient identification errors can have serious health consequences either at the time the error occurs, or in the future when health records are relied on to make treatment decisions. Consideration of patient age, health literacy, health needs and dosing regimen contribute to the decision on which CALs are appropriate, as will the available space on the dispensing label. The balance of information between CALs and label instructions is inexact. 2 CALs that reiterate critical counselling points will nearly always cause overcrowding on dispensing labels and should be avoided. Wording variations are permitted provided the meaning is preserved. This does not include other CALs that reiterate critical counselling points to the patient – for instance, the risk of photosensitivity in malaria prophylaxis (CAL#8) or avoiding grapefruit in some statins (CAL#18).ĬALs that are essential dosing instructions should be included on the dispensing label however, the addition of warnings may overcrowd the label and affect the patient’s ability to interpret the instructions. When do I use CALS? The Australian Pharmaceutical Formulary (APF) 3 states that CALs are intended to be an adjunct to verbal counselling on medicine- related issues, and the National Standard for Labelling Dispensed Medicines 4 recommends that where the information on a CAL forms an essential part of the dosing instructions for the medicine, this information should be included as a CAL.ĬALs with information that may form an essential part of dosing instructions include:

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Non-legislated CALs (that is, the rest of them) are not compulsory, but are usually needed to meet pharmacists’ professional obligations to support safe and effective medicine use.

Pharmacists who have dispensed these medicines without the appropriate warning CALs attached have been disciplined as a result of patient harm or misadventure, and may also have some legal liability. 2 Are CALs compulsory?Īppendix K of the Poisons Schedule lists medicines that by law require a warning about the potential for sedation (CAL#1). 1 Only 39% of people found it always easy to understand health information well enough to know what to do. They can help engage with patients or their carers about safe and effective use of medicines and have demonstrated benefit in reducing medicine errors and misadventure. The colour and design are intended to draw the consumer’s attention to the important information on the label. Cautionary Advisory Labels (CALs) are applied in addition to the dispensed label at the point of dispensing.

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