T3 - Product Dispensing Flashcards
What is the dispensing process?
- Drop off
- Order entry
- Drug utilization review
- Filling
- Final verification
- Patient counseling
What is drop off?
- Receive the prescription
- Obtain any necessary information
- Provide an estimated ready time
What is character of drop off?
- Practice ethically and legally.
- Ensure all required parts of a prescription are present.
What is chemistry of drop off?
- Begin building rapport through excellent customer service.
- Let the patient know what to expect.
What is competence of drop off?
- Verify and update all pertinent patient information.
- Ensure that the medication is in stock.
What is order entry?
- Scan hard copy Rx and file the original
- Type Rx information into the system
What is character of order entry?
Be thorough
What is chemistry of order entry?
- Proactively contact the prescriber with any clarifications/questions.
- Let the patient know if this results in any delays.
What is competence of order entry?
- Check for appropriateness.
- Double check your work.
What is drug utilization review?
Review Rx for accuracy, appropriateness, and DRPs
What is character of DUR?
Be certain in your decisions before moving forward.
What is chemistry of DUR?
Respectfully communicate DRPs, questions, recommendations to prescribers.
What is competence of DUR?
- Consult drug resources when necessary.
- Thoroughly consider all aspects of appropriateness.
What is filling?
- Count out the needed tablets and label the bottle.
- Pick the appropriate medication and scan both the bottle and the label.
What is character of filling?
Follow procedures. Don’t cut corners to save time.
What is chemistry of filling?
Build rapport with technicians and praise their work.
What is competence of filling?
- Always scan.
- Double check your work.
- Avoid overrides.
What final verification?
Verify that all aspects of the prescription are accurate. This includes looking inside the bottle and comparing the label to the Rx.
What is character in final verification?
Send back any errors to be corrected.
What is chemistry in final verification?
- Communicate errors/corrections with kindness.
- Use this as a training opportunity.
What is competence in final verification?
- Always open every bottle.
- Eliminate distractions.
What is pick up/patient counseling?
- Make sure you are giving the right medication to the right patient.
- Use the IHS open ended questions.
What is character in patient counseling?
- Correct any errors.
- Educate the patient with humility.
What is chemistry in patient counseling?
Communicate genuine care and concern for the patient.
What is competence in patient counseling?
- Verify patient and medication information.
- Ask open ended questions.
Example insulin vials?
Humalog and Humulin
What is example of U-500 insulin?
Extremely High risk
Humulin R
What is Humulin R?
500 units/mL (5x times as much as U-100)
Reserved for patients who use more than 200 units per day
Special syringes, however, most patients don’t have them
Patient should know how many units they are receiving and be able to show you on the syringe
Difference between insulin pens and vials?
- Pen: needles
- Vial: Syringes
All insulin users need what?
- Lancets
- Strips
- Alcohol swabs
- Glucometer
How much does a 3/10mL syringe draw out (insulin)?
30 units
How much does a 1/2mL syringe draw out (insulin)?
50 units
How much does a 1mL syringe draw out (insulin)?
100 units
What is a higher gauge syringe?
Thinner needle
What is a lower gauge syringe?
Thicker needle
What are the steps to draw up and inject insulin?
- Wash hands
- Get all supplies
- Roll insulin if cloudy
- Wipe the top of vial with alcohol
- Pull syringe plunger with desired unit
- Push syringe needle into vial
- Push the plunger down
- Turn vial upside down and pull the plunger down to withdraw insulin
- Remove all air bubbles and check dose
- Pick clean injection site and push needle in skin
- Push plunger and withdraw needle
What are the types of IV Bags?
- NS
- LR
- Ringers solution
- D5LRS
- D5W
- D10W
- D20W
What are non-PVC IV bags?
Made of non-PVC film
What are the advantages of non-PVC bags?
Safety and compatibility
Prevention of leeching of drug into plastic (Diazepam)
What are the IV bag sizes?
1000, 750, 500, 250mL