Prescriptions, Prescription Information, the Filling Process, and Labels Flashcards
Elements of the prescription
Dr. Name, title, office address and phone # Dr. NPI Dr. DEA (required for controlled Rx) Pt name Pt address Date written Inscription- name, strength, and quantity of medication Sig code Recipe (for compounding medications) Refill instructions DAW/PSC Dr. signature
This info must be entered by the pharmacist or the pharm tech
Date product is dispensed Price charged Manufacturer and NDC Initials of who filled Patient insurance info Prescription/transaction number Signature of pharmacist if prescription is verbal order
Determine the ______ name so that multiple files are not created for one patient
exact.
avoid nicknames, initials. get a full name.
Always confirm the information on the prescription is _______.
current
record the patient’s date of birth on the prescription to use as a double check when filling the prescription.
make sure all the required info is on the prescription before letting them go.
During the fill process, the pharmacy technician is responsible to ______?
complete fill process by placing the correct amount of medication into a container and labeling it correctly. (fill)
During the fill process, the pharmacist is responsible to ______?
check the final product and the label. (verify)
fill process: common errors
wrong medication wrong amount wrong dosage wrong directions/sig forged or altered prescription
fill process: considerations
Are the fill instructions ____ and _______?
clear and reasonable
fill process: considerations
Are the ______ ________ clear?
administration directions
Are the ____-____ names?
look-alike
fill process: considerations
Don’t ______ _________!
add information
fill process: considerations
Pay attention to _______!
warnings
when a warning sign pops up, call a pharmacist to evaluate each warning. It is up to the pharmacist to decided how important a warning is.
fill process: considerations
Check against the _______!
original
when in doubt, refer to the original prescription before looking at the label.
Roles: Pharmacist or Pharm Tech?
Assisting the pharmacist in routine, technical aspects of prescription filling
Tech
Roles: Pharmacist or Pharm Tech?
Treating each patient, their personal information, and their medications with respect
Tech
Roles: Pharmacist or Pharm Tech?
Accepting new prescriptions from patients, obtaining all necessary information, and keying it into the computer
Tech
Roles: Pharmacist or Pharm Tech?
Getting advice whenever a warning note pops up on the screen
Tech
Roles: Pharmacist or Pharm Tech?
Faxing or telephoning refill and clarification requests to prescribers
Tech
Roles: Pharmacist or Pharm Tech?
Consulting to formularies and responding appropriately to third-party adjudication messaging, such as: non preferred drug, prior authorization, or step-edit required
Tech
Roles: Pharmacist or Pharm Tech?
Recording the dispensing of controlled medications
Tech
Roles: Pharmacist or Pharm Tech?
Checking the work of other techs, if instructed by pharmacist.
Tech
Roles: Pharmacist or Pharm Tech?
ALWAYS ensuring accuracy and safety of the prescription by incorporating quality control checks into every step in the process
Tech
Roles: Pharmacist or Pharm Tech?
The correct medication, strength, and dosage form is dispensed.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Directions for patient are clear and concise.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Patient knows how to take the medication and how and when to fill it.
Pharmacist
Roles: Pharmacist or Pharm Tech?
No problems with allergies and interactions.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Patient knows beneficial effects and side effects.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Prescriber has been contacted regarding the prescription, if appropriate.
Pharmacist
Roles: Pharmacist or Pharm Tech?
The prescription has been accurately billed to the patient and/or the appropriate third party.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Counsel patient on prescription and OTC medications.
Pharmacist
Roles: Pharmacist or Pharm Tech?
Receive telephone requests for new prescriptions.
Pharmacist
Components of a label
name, address, and telephone number of the pharmacy prescription/transaction number name of patient patient address medication name, dosage, and quantity instructions date filled number of refills initials of filler refill info manufacturer name of prescriber expiration date of medication
Directions for use should start with a ____ and ___________.
verb and completely, clearly, and accurately describe the administration of the medication.
Directions for use should indicate the ______ of administration
route
Use _____ _____, not _________.
whole words, abbreviations
Use _______ words, especially in measurements.
familiar
Prescription process
Prescription written by prescriber. Written prescription presented at the pharmacy. Prescription information is checked. Patient and prescription data is entered into system Insurance and billing processed Label is generated Prescription is prepared Pharmacist checks the prescription Patient receives the prescription Pharmacist provides counseling.
