lesson 7 Flashcards
It is the act of the pharmacist in supplying one or more drug products to a patient, usually in response to an order from a prescriber, utilizing his/her professional knowledge, judgment,
and skills.
Dispensing
The pharmacist ___, ____, ___ and ___ the
maintenance and delivery of medicines along with the information needed for its proper storage and administration.
plan, develop, control and monitor
Dispensing in hospital pharmacy is intended for its ___ and ___ at all economic levels.
in/out-patients and the general public
The Responsibilities of the Pharmacists include:
The distribution and control of medicines on a 24-hour service, including dangerous and investigational
drug products.
To ensure the availability of an adequate supply of medicines for the patients of the hospital.
To ensure rational drug therapy and patient pharmaceutical care through the application of the “rule of right”
The pharmacists ensure rational drug therapy and patient pharmaceutical care through the application of the:
“rule of right”
Dispensing is the major activity of the pharmacy service as governed by the:
Generics Acts of 1988
Dangerous Drugs Act
Food, Drugs, Devices and Cosmetics Act
Pharmacy Law
It is used to describe the various methods by which the pharmacy service receives drug orders, prepares the
drug for distribution and in turn, distributes the drugs to the patients care areas.
Dispensing
The consistent and repeated use of good dispensing procedure is vital in ensuring that errors are noticed and corrected at all stages of the dispensing process.
Before dispensing a drug product, the pharmacist must clearly understand which medicine is being requested.
Prescriptions must be legibly written; if not, ask the prescribing physician for clarification. Verbal order shall only be entered on emergency cases.
It shall only be entered on emergency cases.
Verbal order
Dispensing Process
- Receive and Validate Prescription
- Understand and Interpret Prescription
- Prepare Items for Dispensing
- Record Issuance in the stock card
- Issue Medicine to patient with clear
instructions and advise
Check if the prescription is appropriate for the age, weight and sex of the patient.
Check if the medications prescribed are appropriate in form, dosage and strength.
Confirm name of patient since there might be a risk of mixing-up prescriptions as there are people with
similar names.
- Receive and Validate Prescription
The pharmacist must read the label of a drug product at least three times and compare it with the prescription before withdrawal from stock bottle, shelf or drawer.
If the prescription is not complete, contact the prescriber and ask him/her to complete the prescription before dispensing.
- Understand and Interpret Prescription
The pharmacist must read the label of a drug product at least ____ and compare it with the prescription before withdrawal from stock bottle, shelf or drawer.
three times
Who to contact in case of incomplete prescription
Prescriber
Label in Prescription for external use
Red Label
Every prescription for internal and oral use shall bear this label
White Label
Prescription for external use, shall bear
a red label in black ink indicating the components of such prescription and the word ____ at the bottom of the label.
“For external use only”
For ____, the pharmacist must affix to the box, bottle or other package another label or red paper upon which shall be printed in large letters the word “POISON” and a vignette representing a _____ before delivering it to the purchaser.
poisonous substances
skull and bones
Every prescription for internal and oral use shall bear a white label. Prescription for external use, shall bear a red label in black ink indicating the components of
such prescription and the word “For external use only” at the bottom of the label.
What section and RA
Section 31
R.A. 5921- Pharmacy Law
For poisonous substances, the pharmacist must affix to the box, bottle or other package another label or
red paper upon which shall be printed in large letters the word“POISON” and a vignette representing a skull and bones before delivering it to the purchaser.
What section and RA
section 34
R.A. 5921- Pharmacy Law
It must be affixed to the drug containers to remind other health personnel to take
extra caution in handling, delivery and administering the medications concerned.
Auxiliary Labels
Auxiliary labels are used for:
high alert drugs
chemotherapeutics
parenteral admixtures
In this AO, in dispensing unit dose products which are no longer in their original containers but have been transferred to small bottles, cans, boxes, plastic and/or paper envelopes and the like, the pharmacist shall place
legibly on the label the following information.
A.O. No. 63 s. 1989 Labeling Requirements
Labeling Requirements:
Name of the Patient
Generic Name of the Drug
Brand name, if any
Manufacturer
Dosage Strength
Expiration Date
Direction for use
Name of the Pharmacist
Labels must be printed clearly. In addition, the pharmacist must fully explain to the patients and/or relatives the written instructions for them to understand.
Read the label of the container and check it with the prescription.
Pick the Right Medicine from the Shelf
For capsules/tablets in container, hands must never be in direct contact with the medicine. Counting can be done with a clean piece of paper and spatula, tablet counter, lid of the container in
use or other clean surface.
Labels should be rechecked for the drug name and strength.
Measure/Count Quantity from the Stock Container
Tablets and capsules should be packed in a ___
Liquids require ___. Never mix two
liquids together.
sealed plastic dispensing bag
clean bottles and caps
Steps in Preparing Items for Dispensing
• Write the Label
• Pick the Right Medicine from the Shelf
• Measure/Count Quantity from the Stock Container
• Pack and Label Medicine
• Check Dispensed Medicine against prescription and stock container
Services in Drug Distribution System
Out-Patient Services
In-Patient Services
The ____ is usually in an uncontrolled environment where vital signs are not routinely recorded between clinic visits, and medications may sometimes be taken erratically by the patient.
ambulatory patient