Module 4 ch 2 Flashcards
Anatomy of a script
medical office info
date of script
patient info
drug name
dosage form and strength
sig: dose, route, frequency, +- duration
quantity of medication to be dispensed
refill count
prescriber signature
DEA number for controlled substances
AAA
apply to affected area
AD
right ear
AS
left ear
AU
both ears
ID
intradermal
IM
intramuscular
Inh
inhalation
IV
intravenous
OD
right eye
OS
left eye
OU
both eyes
PO
orally
PR
rectally
SC
subcutaneously
SL
sublingually
CC
cubic centimeter
g
grams
gr
grain
gtt
drop
L
liter
lb
pound
mcg
microgram
mL
milliliter
oz
ounce
qty
quantity
Q.S
sufficient quantity
tbsp
tablespoon
Am
morning
Ac
before meals
ATC
around the clock
BID
twice daily
h or hr
hour
HS
at bedtime
PC
after meals
Pm
evening
PRN
as needed
Q
every
QID
four times daily
STAT
immediately
TID
three times daily
BP
blood pressure
c
with
DAW
dispense as written
IR
immediate release
K, KCL
potassium, potassium chloride
ODT
orally disintegrating tablet
s
without
SOB
shortness of breath
supp
suppository
tab
tablet
u.d.
as directed
w
with
w/o
without
receiving prescriptions
e-prescribe
hard copy
fax
telephone order
CPOE
Paper chart orders
Processing script first time
create a profile for the patient (demographic data, insurance, allergies, current meds, conditions, pregnancy)
Follow up encounters
Must verify that nothing has changed
ask open-ended questions
be conversational
Verify profile match
name
d.o.b
address
room number
account number/Medical record
Screening script
must verify the completeness and authenticity of the script
-suspicions should be escalated to the pharmacist
Scrutiny issues
unusual doses, quantities and refills
non-local providers
unfamiliar signatures
signs of alteration
incorrect dea number
Entering medication into system
select the correct medication within the pharmacy system
enter the remaining prescription info and submit the order to the system
Final verification
medication label
correct drug
appropriate quantity of the drug should be place in container
place any auxiliary labels on container
collate any other filled medication orders for the same patient and send them in line for verification via pharmacist
Workflow urgency
medication orders should include specifics on timing of med administration
standardized nomenclature
Nomenclature for frequencies should be standardized within the institution well
STAT
15 min
Urgent
1 hour
Routine
to be administered at next standard time
Medication administration record purpose
A guide for medication administration personnel
A record of each medication that has been administered to the patient
