The College of Optometrists

Just was a bit confused, would you give a Rx out to a patient at the end of the sight test even though you are referring them ( for e.g. suspicion of glaucoma) or do u hold it until outcome of referral is known.

yes - give it out. You can add comments on it directing any dispenser what you intended or any outcome. But you must give it out. If it was a referal that could change the vision (for example diabetes suspected) - then you could always give the old 'unchanged' Rx with a reccommendation to recheck after treatment.

A prescription does not have to be given out if the patient is being referred. This is a specific exemption from that duty under the law.

The law does require, however that you issue a statement that the examination has been carried out in accordance with the regulations, and if you are referring the patient, the reason for the referral.

sorry to be thick, are you meant to add, in comments box, eg. 'referred suspect glaucoma' ? or do you just tick refer to gp, and write in comments box'do not supply specs till all clear given' or something like that? i don't always want to fully clarify my worries to the Px at time of test...

A new requirement that has been slipped in to the new section 60 order (and not mentioned in the optom press) is the following:

1.Immediately following a sight test issue a statement that the examination has been carried out in accordance with the regulations and whether the patient has been referred to a doctor or not.

(no change from previous regs)

2. If the patient is being referred a statement of the reason for referral must be issued.

(new regs)

Thanks for the alert, I feel someone is being awkward out there, referral reason on Px result form, informing 48 hours ahead for domos.... what next, lie on our backs and beg to be allowed to work? or am i oversensitive these days