Anonymous #1
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Is there a list of medication FY1 doctors are not allowed to prescribe?
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ecolier
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(Original post by Anonymous)
Is there a list of medication FY1 doctors are not allowed to prescribe?
http://www.oxforddeanery.nhs.uk/pdf/...sion)%20v2.pdf

It is the local employer’s responsibility to ensure that Foundation Doctors and their supervisors are fully aware of the risks and responsibilities associated with the prescription and administration of drugs. The following should be noted:

•F1 Doctors are not allowed to prescribe or administer cytotoxic drugs or immunosuppressant’s (excluding corticosteroids).

•F2 Doctors should never initiate or administer cytotoxic drugs or immunosuppressant’s (excluding corticosteroids).

Specialist units with Foundation Doctors may apply for an exceptional variance of this directive to their Foundation School. Variances that require a FD to administer cytotoxics via the intrathecal route will NOT be permitted.

http://www.leedsformulary.nhs.uk/cha...100&Expanded=0

FY1 and FY2 doctors are not allowed to prescribe intravenous cytotoxics but can assess patients as medically fit to receive them.

https://www.medway.nhs.uk/downloads/...t%20Policy.pdf

Non-registered doctors, i.e. Foundation Year 1 (FY1) doctors, are allowed to prescribe; they must, however, be appropriately supervised. Mistakes are more likely if they have insufficient knowledge to undertake the task safely. They may not prescribe on FP10 prescriptions. They may not prescribe any cytotoxic drug, including for non-cancer conditions (for example, methotrexate for rheumatoid arthritis).

I spot a trend here...
Last edited by ecolier; 1 year ago
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Anonymous #1
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(Original post by ecolier)
http://www.oxforddeanery.nhs.uk/pdf/...sion)%20v2.pdf

It is the local employer’s responsibility to ensure that Foundation Doctors and their supervisors are fully aware of the risks and responsibilities associated with the prescription and administration of drugs. The following should be noted:

•F1 Doctors are not allowed to prescribe or administer cytotoxic drugs or immunosuppressant’s (excluding corticosteroids).

•F2 Doctors should never initiate or administer cytotoxic drugs or immunosuppressant’s (excluding corticosteroids).

Specialist units with Foundation Doctors may apply for an exceptional variance of this directive to their Foundation School. Variances that require a FD to administer cytotoxics via the intrathecal route will NOT be permitted.

http://www.leedsformulary.nhs.uk/cha...100&Expanded=0

FY1 and FY2 doctors are not allowed to prescribe intravenous cytotoxics but can assess patients as medically fit to receive them.
Thank you for this. I heard we can't prescribe Amiodarone , digoxin, or any controlled drugs either?
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ForestCat
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(Original post by Anonymous)
Thank you for this. I heard we can't prescribe Amiodarone , digoxin, or any controlled drugs either?
Who has said that to you? I definitely prescribed CDs and digoxin. It may be a very specific trust policy but it seems unusual.
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nexttime
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Thank you for this. I heard we can't prescribe Amiodarone , digoxin, or any controlled drugs either?
No that is defintiely wrong. Digoxin is a particularly weird one there - commonly used, not especially toxic. You'll prescribe CDs literally all the time.

I mean, I'd be quite concerned if you wanted to initiate amiodarone off your own back. But as far as I know your signature is enough (e.g. if a consultant told you to prescribe it) unless there was a local hospital policy.

In most places there are very controlled policies about most cytotoxic meds. Even if you tried to prescribe someone some cisplatin, you wouldn't exactly get anywhere.

I think in general the limiting factor here will be (and certainly should be) your confidence to prescribe something, not rules limiting you.
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