Record Keeping Flashcards
Prescriptions
5 yrs
Most recent year at site
older 4 years must be retrievable in 2 weeks
Refills
Valid for 1 yrs from date issued
Emergency Refills
A pharmacist may dispense no more than a 72-hour emergency supply for non controlled
additional restrictions when dispensing an emergency refill of non-controlled drugs without prescriber authorization (e.g., time period to receive a prescription, notification of the prescriber)?
1) Ascertain by direct communication with the patient or caregiver that the medication or device was prescribed by order of a practitioner.
2) Require the patient or caregiver to provide suitable identification.
3) Document the communication in the patient profile record system.
4) Document the dispensing of the emergency supply in the prescription record system.
rx label
- Pharmacy name, address, and telephone number
2) Brand name and/or generic. If the generic name is used and the brand is still available, must contain “generic for” followed by the brand name
3) Strength
4) Quantity dispensed
5) Date of dispensing
6) CDS cautionary label when applicable
7) Patient’s name
8) Practitioner’s name
9) Prescription number
10) Driections for use
11) “Use by” date (the earlier of 1 year from date of dispensing or the expiration date on the manufacturer’s container
12) Any auxiliary labels as recommended by the manufacturer
13) If a substituted biological product, the name of the product dispensed followed by “substituted for” and the name of the product for which the prescription was written.
label
The law does specify for all labels that the patient name, brand or generic name of the medication, and directions for use should be in “larger type,” a “different color type,” or “bolded type” in comparison to other required label information.
PATIENT PROFILES
KEEP FOR 5 YRS
PROFILE REQUIREMENTS
1) The family name and the first name of the person for whom the medication is intended (the patient)
2) The address and telephone number of the patient
3) The patient’s age, birth date, or age group (infant, child, adult) and
gender
4) The height, weight and other patient-specific criteria for medications that are height and weight dose-dependent
5) The original or refill date the medication is dispensed
6) The number or designation identifying the prescription
7) The practitioner’s name
8) The name, strength, and quantity of the drug dispensed
9) Individual history, if significant, including known allergies and drug reactions, known diagnosed disease states and a comprehensive list of medications and relevant devices
10) Pharmacist’s comments relevant to the patient’s drug therapy (may include failure to accept pharmacist’s offer to counsel). The absence of any record of a failure to accept the pharmacist’s offer to counsel shall be presumed to signify the offer was accepted and counseling was provided.
COUNSELING
An offer to counsel must be made for all new prescriptions and prescriptions for Medicaid patients.
An offer to counsel is not required for prescription refills.
WHO CAN COUNSEL
pharmacist, or pharmacy intern/extern under the immediate personal supervision of a pharmacist, can perform the counseling.
COUNSELING FROM MAIL ORDER
f the patient or caregiver is not physically present, the offer to counsel must be made by telephone or in writing on a separate document accompanying the prescription.
A written offer to counsel must be in bold print, easily read, and must include the hours a pharmacist is available and a telephone number where a pharmacist may be reached. The telephone service must be available at no cost to the pharmacy’s primary patient population.
GENERIC SUBSITUTION
PERMISSIBLE BY LAW AND DOES NOT REQUIRE PT’S CONSENT.
DRUG DISPENSE must be less than or no more expensive than the drug prescribed.
DO NOT SUBSITUTE
To prevent a generic interchange, the practitioner must initial next to the “do not substitute” line on written prescriptions or state that there must be no substitution when transmitting an oral prescription.
SUB DOCUMENTATION
If a patient requests the pharmacist to not substitute a product, the pharmacist must make a notation of such request on the prescription blank.
If a physician allows substitution but requests to be notified by the pharmacist, the pharmacist must transmit notice either orally or by written notice to be mailed to the prescriber by the end of the business day specifying the product dispensed and the manufacturer thereof.
When interchanging a biological product, the pharmacist must communicate with the prescriber within 5 days specifying the name of the product dispensed and the manufacturer via an electronic system accessible by the prescriber. The label of the substituted biological product must include the product name and manufacturer followed by the words “substituted for” and the name of the biological product for which the prescription was written.
DEATH BY DIGNITY
YES
