T3 - Transcribing Flashcards
What is transcribing?
- Act of writing down or copying from one place to another
- Entering prescription information into pharmacy software
- Take verbal prescription from a prescriber or their representative
What is the goal of transcribing?
Transform the prescription into a dispensed medication with correct instructions than can safely be interpreted by patients/caregivers
What are the requirements of a legend drug prescription?
- Patient name
- Date of insurance
- Name and address of prescriber
- Name, strength, dosage form, and quantity of drug
- Directions for use
- Refills
- Prescriber’s signature
What are the requirements of a control drug prescription?
- Patient address
- Prescriber DEA
What is the Article XII MSBOP Regulations?
Prescription drugs shall be dispensed only pursuant to a valid prescription or a valid order. A pharmacist shall not dispense a prescription which the pharmacist knows or should know is not a valid prescription. A Prescription Drug Order, to be effective, must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice
What is an electronic prescription?
Electronically, faxed, hand delivered to pharmacies
What are the errors associated with eletronic prescription?
- More than one set of directions
- Incompatible directions
- Inappropriate quantities
What are e-scribes?
“True” electronic prescribing, or “e-prescribing,” exchanges prescriptions directly between a prescriber’s computer system and a pharmacy’s computer system.
What are the benefits of e-scribes?
Improve medication safety
What are the disadvantages of e-scribes?
May be a lack of communication with changes in orders
What are the disadvantages of e-scribes?
May be a lack of communication with changes in orders
What are the practical points of telephone prescriptions?
- Make sure you get the name of the person calling – document.
- Make sure you have a phone number for the practice – document.
- Read back all information given to you – document.
- Document any follow up with prescriber’s office or patient.
What are the benefits of voicemail?
- Allows you to record necessary information at your own pace.
- Allows you to listen several times if necessary.
3.Allows you to keep a record.
What are some instances would you ask about a patients meds?
- Allergies
- Comorbidities
- Indication
- Duration
Who can accept an oral prescription?
- Federal guidance – pharmacists, technicians, or interns
- Mississippi law – only pharmacists or interns under supervision of a pharmacist
- Always follow the more stringent regulation
What are somethings to consider when typing a new prescription?
- Pharmacists, interns, or techs can enter prescription
- Pharmacists are responsible for performing DURs
- Pharmacists may use clinical support systems and guidelines in performing DURs
- Check patient’s profile and reported allergies/health conditions.
- Check prescription for indications.
- Pay attention to copay.
How do you fill a prescription?
- Can be completed by pharmacists, interns, and technicians.
- Check and double check NDC.
What is the best practice to fill a prescription?
- Complete one prescription at a time
- Separate family members
What are the benefits of a compounding prescription?
- allows for patient specific dose and dosage form.
- Beneficial for patients with allergies and sensitivities to common additives.
- Beneficial for patients requiring a strength or dosage form not already in mass production.
How do you verify a prescription?
- Ensure all the patient information is correct.
- Ensure medication, strength, and dosage form are correct.
- Ensure quantity is correct.
- Ensure all necessary medication information is included.
- Ensure auxiliary labels are appropriate.
What should you do before you dispense?
Verify two patient identifiers
What are things you can offer for dispensing?
- cousel
- automatic refills
- Delivery
- Text reminders
What are the challenges of prescriptions?
- Fraud prescription
- Prescribers writing outside their scope
- Prescribers writing for themselves/loved ones
- Drug seeking/Doctor shopping
What makes an effective prescription drug order?
must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice.
What are the characteristics of drug seeking and doctor shopping?
- Presentation of prescription
- Patient behavior
- Medication taking/supply
- Illegal
How is presentation of prescription an indication of doctor shopping?
- Too many patients with the identical Rx
- Too perfect
How is patient behavior an indication of doctor shopping?
- Typically wants to refill early.
- PMP search reveals multiple pharmacies/prescribers.
- Appears to be under the influence.
- Too friendly/talkative.
- Presents multiple Rx’s but only wants the control.
How is medication taking/supply an indication of doctor shopping?
- Large quantities of controls or multiple controls
- Highly abused “cocktails” (opioid, benzodiazepine and muscle relaxant).
How is doctor shopping illegal?
- Indicates medication will be shared/sold
- Prescribers DEA registration or state license is suspended or revoked.
- Altered prescription.
What is a DEA number?
A number issued to a practitioner to identify persons authorized by the state and Drug Enforcement Agency to prescribe controlled substances
What are the components of a DEA number?
- It consists of nine characters; the first two are letters, and the next seven are numbers
- Originally, the first letter was A or B and the second letter was the first letter of the registrant’s last name.
- The second group of characters consists of a set of numbers that are unique to each registrant.
How do you verify a DEA number?
- Add the first, third, and fifth digits.
- Sum the second, fourth, and sixth digits, multiply this sum by 2, and add the results to the first sum.
- The last digit of the sum should correspond to the ninth character of the DEA number.
What are the guidelines of transferring a prescription in MS?
Only done by pharmacist or supervised intern
No transfers for controlled substances
What info do you need to transfer a prescription?
- Phone and address of the pharmacy.
- Name of the transferring pharmacist.
- Date prescription was issued.
- Original and last fill date.
- Original and remaining refills.
What are the practical points of transcribing prescriptions?
- The pharmacy receiving the prescription makes the call.
- If the patient is transferring multiple prescriptions, consider faxing.
- Remember to introduce yourself.
- If you are giving a copy to another pharmacy, be mindful of how you present the necessary information.
