Fiscalização Orientativa - Orientação sobre dispensação de antimicrobianos por farmacêutico

Summary

This video script outlines the responsibilities of pharmacists in Brazil regarding the dispensing of antimicrobial medications. It discusses the key regulations set by ANVISA and CRF, including the 2011 RDC 20/2011 resolution, which mandates strict control over these substances. Pharmacists are required to ensure safe, rational use of antimicrobials, provide clear guidance to patients, and accurately interpret prescriptions. The script also details the required prescription documentation and inventory practices. It emphasizes the importance of compliance with these rules to prevent misuse and the development of bacterial resistance, highlighting the pharmacist's role in public health.

Takeaways

• 😀 In 2010, ANVISA introduced regulations to control antimicrobial medications in Brazil.
• 😀 RDC 20/2011, effective since May 5, 2011, outlines the current regulations for antimicrobial control.
• 😀 Pharmacists are responsible for dispensing antimicrobials safely and rationally, in line with professional and legal guidelines.
• 😀 The retention of prescriptions and stock movement records is mandatory when dispensing antimicrobials.
• 😀 Pharmacists must ensure the patient fully understands the prescribed treatment and answer any questions regarding it.
• 😀 If there is uncertainty about a prescription, pharmacists must contact the prescribing doctor for clarification.
• 😀 Antimicrobials must be dispensed in the exact prescribed quantity, whenever possible.
• 😀 If the exact amount prescribed is unavailable, pharmacists should dispense the closest available higher quantity to ensure full treatment.
• 😀 The control measures outlined by RDC 20/2011 do not apply to certain units like municipal or hospital pharmacies.
• 😀 Pharmacists must follow ethical guidelines and ensure compliance with both professional and regulatory requirements.
• 😀 For further clarification on antimicrobial dispensing, pharmacists are encouraged to contact the CRF São Paulo Pharmaceutical Guidance Department.

Q & A

What is the main focus of the video script?

The video script primarily focuses on the role of pharmacists in dispensing antimicrobials, aiming to minimize microbial resistance and the irrational use of antimicrobial drugs, as well as the regulations governing these practices in Brazil.

What regulations govern the dispensing of antimicrobials in Brazil?

The dispensing of antimicrobials in Brazil is governed by RDC 20/2011, which regulates antimicrobial control, and RDC 174/2017, which updates the list of antimicrobial substances controlled by ANVISA.

What are the responsibilities of pharmacists when dispensing antimicrobials?

Pharmacists are responsible for interpreting prescriptions, ensuring that patients receive the correct medication and dosage, providing guidance on proper usage, and retaining prescriptions as required by law.

What does RDC 20/2011 require from pharmacists in terms of prescription handling?

RDC 20/2011 requires pharmacists to retain the second copy of a prescription, record specific details such as the dispensing date and quantity, and ensure that prescriptions are filled in accordance with the prescribed medication and quantity.

How should pharmacists handle situations where the prescribed amount of medication is unavailable?

If the prescribed amount of medication is unavailable, pharmacists should provide the closest available quantity, ensuring that the treatment is completed, but only dispensing larger amounts when absolutely necessary.

Are hospital pharmacies subject to the same antimicrobial dispensing regulations as retail pharmacies?

No, hospital pharmacies, as well as municipal, state, and federal dispensaries, are not subject to the same antimicrobial dispensing regulations as retail pharmacies. They have their own procedures for dispensing antimicrobials.

What does the law state about the role of pharmacists in ensuring the proper use of antimicrobials?

Pharmacists are legally required to ensure that antimicrobials are dispensed properly, provide clear instructions to patients, and confirm that patients have no doubts about their treatment. They must also contact prescribing doctors if necessary to clarify prescriptions.

What should pharmacists do if they have doubts about a prescription?

If pharmacists have doubts about a prescription, they should contact the prescribing doctor to clarify the issues related to the prescription or any potential problems identified during the evaluation of the prescription.

What kind of documentation is required during the antimicrobial dispensing process?

The pharmacist must document the date of dispensing, the quantity dispensed, the batch number of the medication, and other essential details such as the patient's and pharmacist's identification on both copies of the prescription.

What is the goal of the antimicrobial dispensing regulations outlined in the video?

The goal is to promote the safe, rational, and ethical use of antimicrobials, prevent resistance, and ensure the correct dispensing of medications to patients, contributing to public health protection.