Drugs and Prescription Records Chapter 10 Drugs and Prescription Records

Objectives Review the learning and performance objectives for this chapter By the end of this chapter, demonstrate the procedures in the textbook and the job skills in the workbook

Heart of the Health Care Professional Service Efficient handling of prescription refills will serve the patient in ways you may never fully realize.

History of Drug Laws The Harrison Narcotic Act – 1914 Register doctors, pharmacists, vendors Paperwork for all drug transactions The Volstead Act – 1919 National Prohibition Act Prohibited Beverages > 0.5% Alcohol

History of Drug Laws The Marijuana Tax Act – 1937 Transfer tax for marijuana sales The Food, Drug, and Cosmetic Act - 1938 Control of cosmetics and medical devices First labeling of drugs Premarket approval from the FDA FDA: Food and Drug Administration

History of Drug Laws The Drug Enforcement Administration (DEA) 1960s War on Drugs U.S. Department of Justice Regulates Dangerous Drugs Regulates Potentially Abused Drugs

History of Drug Laws Watch the video scenario about the DEA and controlled substances DEA & Controlled Substances

History of Drug Laws The Omnibus Budget Reconciliation Act (OBRA) – 1990 Medicaid Pharmacy Programs/Providers Prospective Drug Utilization Review Patient Counseling Standards Maintenance of Patient Records Drug Use Review Board

History of Drug Laws Controlled Substances Act – 1970 Limit/control access to intoxicating drugs Schedule of controlled substances Five levels based on potential for abuse Schedule I: Highest potential Schedule V: Lowest potential Table 10-1

History of Drug Laws Controlled Substances Act – 1970 Physician Narcotic License Physicians required to register with DEA Administer, prescribe, or dispense The Compassionate Use Act Possible clinical uses of cannabis

Drug Names Chemical name Brand name Generic name See Example 10-1 Indicates chemical content Brand name Trademark indicating ownership Generic name Established, nonproprietary, official name See Example 10-1

Drug References Physicians’ Desk Reference (PDR) Pharmaceutical products Prescription information Use a PDR to spell and locate information Procedure 10-1

Drug References Other drug reference books Over-the-counter drugs (OTC) PDR for nonprescription drugs Labeling (Figure 10-4) Word books Helpful in spelling Detailed drug information not included

Understanding Prescriptions Routes of administration Table 10-2 Components of a prescription Prescription An order to prepare medications

Understanding Prescriptions Components of a prescription Physician/office information Name and address DEA narcotic number Patient information Date

Understanding Prescriptions Components of a prescription Superscription Recipe/Rx Inscription Name of medication Quantity Dosage and strength

Understanding Prescriptions Components of a prescription Subscription Directions to the pharmacist Signature Instructions to the patient

Understanding Prescriptions Components of a prescription Signature of physician Number of refills State prescription regulations Other regulations in certain states

Understanding Prescriptions

Understanding Prescriptions Authorizing prescriptions Legal document Electronic prescription programs E-prescribing Transmit electronically to pharmacy Preprinted and duplicate prescriptions Copy for the medical record

Understanding Prescriptions Prescription abbreviations Table 10-3 Common errors/dangerous abbreviations Table 10-4 Formatting errors Read and interpret a written prescription Procedure 10-2

Prescription Drugs and the Role of the Medical Assistant Pharmaceutical representatives Schedule meetings Drug classifications Organize Track expiration dates

Prescription Drugs and the Role of the Medical Assistant Medication instructions Instruct patients Learn drug categories Table 10-5 Medication schedule card (Figure 10-7) Drug dispensing containers Medication log (Figure 10-8)

Prescription Drugs and the Role of the Medical Assistant Medication refills Obtain information from the patient Charting prescriptions Record medication Patient’s chart Medication log Procedure 10-3

Prescription Drugs and the Role of the Medical Assistant Drug abuse prevention measures Good documentation Protecting prescription pads Drug side effects and adverse reactions Allergies Alert tags Figure 10-9

Control and Storage of Drugs Keep an inventory Contact pharmaceutical representative Lock up controlled substances Check expiration dates

Control and Storage of Drugs Disposal of drugs Uncontrolled substances Discard as hazardous or medical waste Controlled substances Return processors Follow federal, state, and local regulations

Stop and Think Determine correct medication Review the scenario What would you do to determine the correct medication? What are some preventive measures to help avoid cases of mistaken drug identity?

Stop and Think Determine food and drug allergies Review the scenario What might the patient also be allergic to? What should you say to Dr. Practon in this situation? Are there additional questions you might ask the patient?