5/9 Writing Prescriptions Flashcards
In a typical outpatient appointment for a patient in a primary care adult practice (e.g. GIM or FM), approximately what percentage of patient visits end up with a new or renewed outpatient prescription for the patient?
A. 15%
B. 30%
C. 45%
D. 60%
E. 75%
In a typical outpatient appointment for a patient in a primary care adult practice (e.g. GIM or FM), approximately what percentage of patient visits end up with a new or renewed outpatient prescription for the patient?
A. 15%
B. 30%
C. 45%
D. 60%
E. 75%
Why should we write on the prescription either the patient’s age (up to 16 yo), or “adult” (if 17 yo or greater), or (best of all) the actual patient’s date or birth?
It is a legal requirement
So that the pharmacist can check certain prescriptions with the school principal
So that the pharmacist can double-check the dose ordered to see if it is appropriate for a patient of that age.
Because some drugs are not approved by the FDA for patient’s less than 18 yo.
Why should we write on the prescription either the patient’s age (up to 16 yo), or “adult” (if 17 yo or greater), or (best of all) the actual patient’s date or birth?
It is a legal requirement
So that the pharmacist can check certain prescriptions with the school principal
So that the pharmacist can double-check the dose ordered to see if it is appropriate for a patient of that age.
Because some drugs are not approved by the FDA for patient’s less than 18 yo.
What is the purpose of writing out “Rx” (the Recipe)?
It is a legal requirement
It helps the pharmacist locate the precise product that you want to be dispensed
It is useful to always have at least something in Latin on the prescription. To demonstrate to the patient how learned the physician is
So that the insurance company will pay for the prescription
What is the purpose of writing out “Rx” (the Recipe)?
It is a legal requirement
It helps the pharmacist locate the precise product that you want to be dispensed
It is useful to always have at least something in Latin on the prescription. To demonstrate to the patient how learned the physician is
So that the insurance company will pay for the prescription
Why do you need to write out the phone number of the prescriber on the prescription?
It is a legal requirement
It is how they track the prescriber for insurance purposes
Sometimes the pharmacist will want to call that number to check if the doctor is really there
So that the pharmacist can easily reach the physician if he or she has any questions or concerns about the prescription
Why do you need to write out the phone number of the prescriber on the prescription?
It is a legal requirement
It is how they track the prescriber for insurance purposes
Sometimes the pharmacist will want to call that number to check if the doctor is really there
So that the pharmacist can easily reach the physician if he or she has any questions or concerns about the prescription
When should the physician write his or her DEA number on the prescription form?
On every prescription as a legal requirement
On every prescription for tracking purposes
On every prescription for billing purposes
Only on prescriptions for any DEA-regulated controlled substances
Only on prescriptions for DEA Schedule II controlled substances
When should the physician write his or her DEA number on the prescription form?
On every prescription as a legal requirement
On every prescription for tracking purposes
On every prescription for billing purposes
Only on prescriptions for any DEA-regulated controlled substances
Only on prescriptions for DEA Schedule II controlled substances
If you are permitted to fill out a written outpatient prescription form for one of your patients on your FM clerkship, the pharmacist can legally fill it only if:
You sign it as a medical student
Your resident signs it
Your attending signs it
Any licensed physician you are working with in the clinic signs it
A licensed physician whom you are working with, who has also seen the patient, signs it
If you are permitted to fill out a written outpatient prescription form for one of your patients on your FM clerkship, the pharmacist can legally fill it only if:
You sign it as a medical student
Your resident signs it
Your attending signs it
Any licensed physician you are working with in the clinic signs it
A licensed physician whom you are working with, who has also seen the patient, signs it
If a licensed physician in the State of NH obtains his or her own regular DEA number, then that physician can legally prescribe which of the following drugs?
Buprenorphine for narcotic maintenance treatment
Methadone for narcotic maintenance treatment
Heroin for analgesia
OxyContin™ for analgesia
Marijuana for its antiemetic effect in cancer chemotherapy patients
If a licensed physician in the State of NH obtains his or her own regular DEA number, then that physician can legally prescribe which of the following drugs?
Buprenorphine for narcotic maintenance treatment
Methadone for narcotic maintenance treatment
Heroin for analgesia
OxyContin™ for analgesia
Marijuana for its antiemetic effect in cancer chemotherapy patients
What Schedule includes codeine 30 mg when combined with acetaminophen in the same tablet?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What Schedule includes codeine 30 mg when combined with acetaminophen in the same tablet?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What Schedule includes oxycodone in any strength, with or without acetaminophen?
Schedule I
Schedule II
Schedule III
Schedule IV
What Schedule includes oxycodone in any strength, with or without acetaminophen?
Schedule I
Schedule II
Schedule III
Schedule IV
Next year, when you are working as a third year medical student at any Dartmouth-Hitchcock affiliated facility, what is the web-based program that we purchase a site license for every year to help all students, residents, attendings, pharmacists, and nurses find accurate information easily about drugs and medications?
PDR (Physician’s Desk Reference)
Micro-Medex
Epocrates Online
Clinical Pharmacology Online
United States Pharmacopoiea
Next year, when you are working as a third year medical student at any Dartmouth-Hitchcock affiliated facility, what is the web-based program that we purchase a site license for every year to help all students, residents, attendings, pharmacists, and nurses find accurate information easily about drugs and medications?
PDR (Physician’s Desk Reference)
Micro-Medex
Epocrates Online
Clinical Pharmacology Online
United States Pharmacopoiea
A regular DEA license allows you to prescribe what?
A Special DEA license is needed for what?
Regular license: can prescribe all drugs: Schedules 2-5 (Schedule 1 = no one can prescribe. only LSD and Heroin)
Special Licenses needed for Suboxone, Methadone, or research using Schedule I drugs.
What drugs are in Schedule I?
LSD, Heroin.
Never prescribed for care in the US
Schedule 2: what drugs?
- Strong opioids (e.g. morphine, methadone, hydromorphone, meperidine, oxycodone, hydrocodone, codeine)
- stimulants (cocaine, amphetamines - for ADHD)
- short-acting barbiturates
Schedule 3: what drugs?
codeine plus acetaminophen
other barbiturates (that are not in Sched 2)
Schedule 4: what drugs?
benzodiazepines (e.g. lorazepam, diazepam)
