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Chapter 8 Prescription Processing

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Presentation on theme: "Chapter 8 Prescription Processing"— Presentation transcript:

1 Chapter 8 Prescription Processing
Copyright © 2004 by Elsevier Inc.  All rights reserved.

2 Introduction Clarification is needed at times
Pharmacist makes the call

3 Processing a Script: A Step-by-Step Approach
Patient drops off prescription Pharmacy tech checks to make sure that the patient is on file. If not, a patient information sheet must be filled out. Pharmacy tech checks the prescriptions for completeness Pharmacy tech checks to ensure medication is in stock Pharmacy tech enters the prescription into the computer

4 Taking the Prescription
Prescription arrives by various methods Written order Hand carried Faxed Called in

5 Taking the Prescription
Computer generated prescriptions becoming more common May be provided to patients on discharge from hospitals or physician’s office

6 Patient Information Sheet
Allergy information for new patient needed Contact information Insurance information

7 On the Rx Patient Information Provider's Information Name Name
Phone number and address Phone number and address Insurance information, Provider's license number if applicable Age or date of birth Provider's DEA number if applicable Name of medication Strength Dosage form

8 Important Patient Information (continued)
Provider's Information Route Quantity Route of administration Sig Refill information Provider's signature Date written "Brand necessary" if brand name drug is desired

9 Prescription Information
DEA number is necessary for controlled substance Controlled drug written in ink or indelible pencil

10 Translation of an Order
Look at whole order if difficult to decipher If in doubt, ask another person or pharmacist

11 Entering the Information into the Database-Inpatient
Computers alert to drug interactions DUR (drug utilization review) warns of possible problems the pharmacist will have to address. checks for drug interactions and drug allergies Pharmacist calls physician to change order if necessary

12 Checking the Label Against the Script
Label checked many times before it reaches patient Hold original script next to label to check for errors or discrepancies Look at names of drug, strength, dosage form, sig (directions)

13 Pulling the Correct Medication
Take label to shelf when getting medication from the shelf Label helps you not to forget Can compare label with information on the bottle

14 Finding the Right Stock Bottle
NDC (National Drug Code): is a unique eleven digit number that identifies each medication. 1st five digits identify the manufacturer Next four identify the drug product Final two digits represent package size and packaging

15 Counting and Filling the Medication
Check label and script against bottle for accuracy Counting trays still used Digital counters and automated machines Baker cells used in larger pharmacies

16 Prescription Lid and Auxiliary Label
Appropriate lid applied after medication is filled Problem for elderly patient–safety lid Elderly lose dexterity and strength Older patients do not want safety lids Can replace with snap-on lid

17 Applying the Label Professionalism is needed when applying label
Do not place torn or crooked label on bottle Label not to cover lot and expiration date on full bottle prescriptions Auxiliary labels must be easily read

18 Auxiliary Labels Auxiliary labels usually printed with prescription label Drug classification, interactions, and side effects need to be known for auxiliary labels if not computerized

19 Package Insert Is drug information that is dispensed with each prescription medication. The information sheet includes indications, interactions, and possible side effects.

20 The Rights of a Patient Right dose Right medication Right route
Right time Right price Right dosage form Right patient

21 Pharmacist Consultations: When and Who Needs Them
First-time prescriptions flagged and pharmacist is alerted Patient needs consultation with new script Federal law–all new or changed prescriptions need consultation OBRA 1990

22 Billing No third-party coverage–patient charged full price
Each type of insurance has limitations

23 Preventing Forgery Prescription pad may colored paper or water marking to prevent photocopying prescriptions Alert the pharmacist if you suspect forgery

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