The Pharmaceutical Agent Order

Prescription An oral or written record of a physician ’ s order to pharmacist to dispense medication to patient. who can write a medication rx???-- this is called prescriptive authority, varies by state. most likely--MD DO DVM DDS PA NP DPM OD also maybe animal services,ect

origin of Rx written out fax electronic--dr link to pharmacy phone

Components of a Prescription – Written Form prescriber ’ s name and title (MD, DDS, DMD, DO, etc.) prescriber ’ s office address prescriber ’ s phone number patient ’ s name and address patient ’ s age date on which prescription was written Superscription, or the letters Rx – Latin for recipe or “ take thou ” Inscription, the actual body of the prescription indicating the drug name, strength and dosage form

Components of a Prescription – Written Form Signature, (sig)not to be confused with the prescriber ’ s signed name; clearly written and understandable instructions Subscription, the quantity of the drug to be dispensed to the patient refill instructions prescriber ’ s signature prescriber ’ s DEA number

Physician ’ s Order Form to order medication for the hospitalized patient If written by nurse then dr must sign within 2-3 days unless such is in medical staff protocol.

Components of a Physician ’ s Order Patient ’ s Name and hospital number patient ’ s room or ward location attending physician patient ’ s date of birth allergies or sensitivities to drugs, foods, and other substances Diagnosis date of admission patient ’ s condition

Components of a Physician ’ s Order Services to be performed(i.e. tests, activities, diet, etc.) medications ordered strength of each medication ordered dosage form specified to avoid any questions regarding the form to be administered – most drugs come prepared in more than one dosage form; patient ’ s condition often determines route of administration directions for use or frequency of administration for each drug nurse ’ s or physician ’ s signature with date and time of entry on the physician ’ s order. These chart orders must be kept for 3 years for BOP.

Oral Prescriptions Phoned in – usually done by a prescriber known to pharmacists. Not applicable to schedule II drugs.

Components of an Oral Prescription Doctor ’ s name Doctor ’ s phone number Patient ’ s name Patient ’ s address Patient ’ s phone number

Components of an Oral Prescription DEA number Name of drug Quantity of drug Directions Refill instructions

Prescription Label An identification label placed on the outside of the bottle. Pt name, rx number xxxx, date filled, printed instructions, drug name, cpht initial, dpharm initial, dr name, exp date, refills, Aux label

Components of a Prescription Label a prescription serial number (referred to as the RX number) and the date the prescription was filled the patient ’ s full name clearly typed (or printed) instructions for taking the medication the first word of the directions should infer the route of administration

Components of a Prescription Label name of the drug (labeling), unless specifically requested by prescriber not to label pharmacist ’ s initials and initials of the tech preparing the drug for dispensing prescriber ’ s name drug ’ s expiration date (usually can be obtained from stock bottle, except in case of freshly reconstituted medication according to manufacturer ’ s recommendation

Components of a Prescription Label number of refills left available, if any, or no refills, if none additional labels, “ strip labels ”, accessory labels, informing patient of particular way to take medication assuring optimal effect