Assessment: Final Verification of a Filled Prescription

Question 1

What are the six (6) macrosteps for the final verification of a filled prescription?

Answer 1

O-C-T-N-L-P

1. Review of original prescription [ORIGINAL]
2. Comparison of prescription to label [COMPARE]
3. Perform triple check of prescription [TRIPLE CHECK]
4. Perform National Drug Code (NDC) Check [NDC]
5. Perform “Look and See” [LOOK and See]
6. Assessment of Prescription Packaging [PACKAGING]

Question 2

What are the seven (7) microsteps for reviewing the original prescription [Macrostep 1]

Answer 2

1. Confirms that all necessary patient information is present ((1) Name, (2) address, (3) date of birth) [PATIENT INFO]
2. Confirms that all medication information is present ((1) name, (2) strength, (3) quantity, (4) refills) [MEDICATION INFO]
3. Verifies that the dosage is appropriate for the patient’s age/condition/comorbid disease states. [APPROPRIATE MEDICATION]
4. Confirms that directions for HOW to take medication are present on prescription [DIRECTIONS]
5. Verifies that the directions for the medication ordered are appropriate for the patient. [APPROPRIATE DIRECTIONS]
6. Verifies that all physician information ((1) name/(2) address/(3) phone #/(4) DEA # if applicable) is present and correct [PHYSICIAN INFO]
7. Reviews notes/highlights important notes on prescription (allergies to other meds/unusual dosage). [IMPORTANT INFO]

Question 3

What are the six (6) microsteps for comparison of prescription to label? [Macrostep 2]

Answer 3

1. Verifies that patient (1) name (2) address and (3) date of birth on PRESCRIPTION match LABEL [MATCH]
2. Verifies that the correct drug and strength are listed on the label. [DRUG]
3. Verifies that the correct directions are listed on the label. [DIRECTIONS]
4. Assesses that the directions are worded in patient‐friendly terms [FRIENDLY]
5. Verifies that the correct physician is listed on the label [PHYSICIAN]
6. Verifies that the correct number of refills authorized is listed on the label. [REFILLS]

Question 4

What are the three (3) microsteps for performing triple check of prescription? [Macrostep 3]

Answer 4

1. Checks that the drug name/strength and form on the PRESCRIPTION match the LABEL [PRESCRIPTION-LABEL]
2. Verifies that the drug name/strength and form on the PRESCRIPTION match the STOCK BOTTLE. [PRESCRIPTION-BOTTLE]
3. Verifies that the drug name/strength and form on the LABEL match the STOCK BOTTLE. [LABEL-BOTTLE]

Question 5

What are the three (3) microsteps for performing the NDC Check? [Macrostep 4]

Answer 5

1. Verifies the NDC number on the PRESCRIPTION BACKTAG matches the number on the STOCK BOTTLE. [VERIFY]
2. Circles NDC number and initials PRESCRIPTION BACKTAG [CIRCLE&INITIAL]
3. Attaches PRESCRIPTION BACKTAG to the back of PRESCRIPTION. [ATTACH]

Question 6

What are three (3) microsteps for perforing the “Look and See” [Macrostep 5]

Answer 6

1. Opens the PRESCRIPTION BOTTLE and looks at the contents inside. [VIAL]
2. Opens the STOCK BOTTLE and looks at the contents inside. [STOCK]
3. Verifies that the PRESCRIPTION BOTTLE and the STOCK BOTTLE contain the same contents. [MATCH]

Question 7

What are three (3) microsteps for assessing the prescription packaging? [Macrostep 6]

Answer 7

1. Verifies that a safety cap is used (unless patient signed consent for non‐safety caps). [SAFETY CAP]
2. Verifies that appropriate auxiliary labels are attached. [AUXILIARY LABELS]
3. Verifies that patient information materials are included (when required) [SUPP. MATERIALS]