PPP intro notes 2 Flashcards
At top of prescription there is provider’s name and DEA # and a NPI, address, fax number
Patient’s name,address,date of birth, and date prescription was written
Rx symbol where provider would write what the strength is, what the drug is, what the route of administration is, what the directions are (SIG), there is a space for refills, and there’s a space for the prescribers signature
Unless the provider writes no substitutions we in the pharmacy by law are required to dispense the generic…if provider writes the medication for Norvasc and writes in the space there no substitution we are allowed to fill Norvasc but not its generic amlodipine and instead would be required to fill it for that brand name Norvasc
Electronically submitted prescription and it is through CVS pharmacy and they use ePhysician (a company that allows them to receive electronic prescriptions despite it being electronic it still holds all of the information that we would expect to see on a prescription including generic or medically necessary brand statements. You see the directions, you see the drug, you see the patients information
Another example of a electronic prescription: Once you input prescription into the computer system you see what is transcribed on whats called a backtag…this shows you everything that say you or your technician put into the computer system and these are the two pieces of paper that you want to use when your verifying so you want to take what’s found on the hardcopy and make sure that whatever was transcribed and that you see on that backtag match
Error prone abbreviations made by Institute for Safe Medication Practices(ISMP)
Tall man lettering was used to decrease mistakes in drug names and its specifically for those that are look alike or sound alike drugs for prednisone vs prednisolone (pred is all lowcase letter and NISONE or NISLONE are all capitalized)
Label is what is being given to the patient
Patient isn’t seeing the hardcopy or backtag but they are getting the bottle or box that is labeled for them by the pharmacy
Pharmacy name and address and phone number in case pt has questions or want to call in refills, serial # of prescription or prescription number which is helpful for calling in refills and also for the pharmacy to keep track of all the prescriptions that they filled
Use by date is expiration date is when pharmacists can no longer safely say its as effective as it would have been within that date range
Rights of Medication Administration…Five rights: right patient,right drug,right time,right dose, and right route
Prescription error: For patient that this is for does the prescription make sense (ex: prescription for Aricept which is for Alzheimer’s dementia to be written for a 2 year old that doesn’t make sense)
Dispensing: Wrong pills went into the wrong bottle
Administration being that despite you putting on the label take one tablet by mouth daily perhaps patient took one tablet by mouth every other day
Monitoring could be the hospital staff was suppose to take labs and they didn’t
Use hard copy prescription as gold standard and what is on there should be on the backtag…not what is on the backtag should be on the hard copy so always remember you start with the hardcopy then you go and look at the pills that are the cap of the vial that your technician has filled for you…those should match what is on your computer screen
Pill ID is an important step to the verification process
When an error occurs the most important thing to do is to apologize and then document!
HPSO(professional insurance)…a way to protect yourself outside of the realms of whatever your company will do
We have to counsel patients if patient has never taken this medication before like how do we know that they know what to expect, especially a patient has certain health literacy level can sometimes mean getting the care that they need and falling off their adherence and stopping taking medication and never getting better…best outcomes when you take the time to speak to your patients
Know common side effects, serious side effects, rare side effects… don’t scare patients but patient needs to know what to expect and they are not the only ones going through this and this will help them stay on the medication and do best for them
Auxiliary labels is important for common,serious, or rare side effects, and counseling points
Prime questions:
What were you told this medication is for?
How were you told to use this medication?
What were you told to expect from this medication?
