WEEK 4 Flashcards
refers to the sum of processes performed by a
pharmacist from:—-
Reading
validating and interpreting prescriptions
preparing, packaging, labeling
record keeping
dose calculations and counseling or giving information,
in relation to the sale or transfer of pharmaceutical
products, with or without a prescription
order
.
Dispensing
The manner in which a pharmacist processes a prescription order is important in fulfilling
his/her ____ and can enhance his/her____ with the physician and
the patient.
professional responsibility; image
covers all activities involved, from receiving the prescription to issuing
the prescribed medicine to the patient
dispensing process
It is desirable that the patient present the prescription order directly to the pharmacist
Receiving of the Prescription
prescription order directly to the pharmacist will yield:
enhancesthe pharmacist-patient relationship and (b) facilitatesthe
gathering of essential disease and drug information from the patient.
are trained to accept/receive the prescriptions
Pharmacy technicians
Pharmacist should:
–Cross –check.
–Confirm the name of the patient
Non-Pharmacists Personnel
According to R.A. 10918 (Philippine Pharmacy Act)
Pharmacy aide
Pharmacy assistant
Pharmacy technicians
Assist pharmacists in all areas, minimal degree
of independence, no patient interaction
Pharmacy aide
Assist pharmacists in all areas, minimum degree
of independence, interact w/ patients
(supervised by Pharmacist)
Pharmacy assistant
Assist pharmacists in compounding and
dispensing
Pharmacy
technicians
It is a legal requirement
to number the prescription order and to place same number
on the label.
Numbering
It serves to identify the bottle or package and to connect it with the original order for
reference
Numbering
Consecutive numbers are assigned by prescription ____ or manually
______
computers; numbering machines
- is also a legal requirement
.- This is important in determining the appropriate refill frequency and patient
compliance.
Dating
It is also an alternate means of locating the prescription
prescription number be lost by the patient.
Dating
The prescription order first should be read ____
and ____.
completely; carefully
Upon receiving a prescription, the staff member responsible should
confirm the
name of the patient.
This action is particularly important when the pharmacy is dealing with a large crowd of people and when there is
any risk that staff or patients may mix up prescriptions.
Reading, Checking & Interpreting the
Prescription
contribute to making sure the right patient
where many people share the same surname.
matching numbers or symbols
Read and check the prescription and check the following:
Age of the patient
Weight and condition of the patient
Dose and dosage form prescribed
Possible influence of the other drugs being taken (Drug-drug interaction)
Frequency of administration
Correctly interpret any ____ used by the Prescriber
abbreviations
is required on the prescription or medication order to provide
the necessary information to allow the pharmacist to evaluate the appropriateness of
the order.
Complete information
When the order is _____
, the pharmacist must obtain the required information
from either the patient
or the ____
.
incomplete; prescriber
If an incomplete prescription or one which requires
clarification
further
is received, attempts must always be made to
contact the prescriber:
If the prescriber can be contacted and is available on site_____ for such prescriptions should be discussed with the prescriber
prior to sending the prescription back to him/her.
Remedial action
If the prescriber cannot be contacted, patient should be _____
and the prescription must be _____ to the prescriber with
information on the clarification/action needed.
informed ; sent back
If the prescriber is not available to amend the prescription
himself/herself, _____ to make the change may be obtained
_____
through the phone.
authorization; verbally
Amending the prescription:- The amendments to the prescription should be ____ to the prescriber to ensure _____
.
repeated back; accuracy
The amendments should be documented the prescription and endorsed with:
- “PRESCRIBER CONTACTED” (PC)
- dated and
- initialed by the pharmacist/person dispensing.
The following should be considered during an evaluation: ——
1. Patient’s _____requiring treatment
2. Patient’s ______
3. The ______ of the prescribed product
4. The prescribed _____
5. Whether the prescribed product might result in a ____, ____, ____ interaction
6.____&____ are safe and likely
to meet the needs of the patient
disease or condition
allergies or hypersensitivities
pharmacological or biological action
route of administration
drug drug, drug-disease, or drug-food
Dose, dosage form, and dosage regimen
Whether the patient will have any adhering difficulties
to the regimen and the potential impact on the therapeutic outcome desired
Adherence
Whether the total quantity of medication
prescribed is sufficient
course of therapy
Quantity
Whether a physical or chemical
incompatibility might result (i.e., if the product requires
extemporaneous compounding)
Incompatibility
Whether a licensed practitioner
, acting in the
course and scope of practice, issued the prescription in
good faith, for a legitimate
Legitimacy
A good dispenser selects the item by reading the label and cross matching the
product name, strength, dosage form and quantity
The dispenser should check the stock to make sure
that it has not _____ and choose the oldest stock (______) or first expiry, depending on the stock rotation
method used.
expired; first in/first-out
Measure or count quantity from
stock containers
must be measured in a clean vessel and should be poured from
the stock bottle with the label kept upward.
Liquids
It can be counted with or without the assistance of a counting
device.
loose Tablets and capsules
The most important rule
to follow is that the dispenser’s hands must not
be in _____ with the medicine.
direct contact
Using the hands is bad practice for both _____ and product _____
reasons.
hygienic; quality
Counting should be done using one of the following:
- Clean piece of paper and clean knife or spatula–
- Clean tablet-counting device
- Lid of the stock container in use
- Any other clean, dust-free surface
Most well-trained staff members deliberately read the container label at least _____
during the dispensing process.
twice
Dangerous Practices:
a) Selecting according to the _____ OR ____ of the container, without consciously
reading the label, is poor dispensing practice and may have ____ consequences.
color or location; fatal