Patient records and profile

Question 1

Can patient records be held digitally

Answer 1

yes

Question 2

what must patient records include?

Answer 2

1. Name
2. address
3. telephone number
4. date of birth/age, and
5. gender of the patient
6. Individual history including allergies and drug reactions
7. Comprehensive list of medications and relevant devices
8. Pharmacist comments

Question 3

how long must patient records be kept?

Answer 3

12 months from the last date of entry

Question 4

who can request patient records

Answer 4

A Power of Attorney (if proof available)

Parents/guardians (if patient <18)

Question 5

Pharmacists must make a reasonable effort to obtain the following for a patients profile

Answer 5

1. Name
2. address
3. phone number
4. DOB
5. gender
6. Allergies, drug reaction
7. Comprehensive list of medications, and relevant devices
8. Any additional comments related to medication usage

Question 6

What Must RPh Review on Patient Profile Prior to Dispensing

Answer 6

● Overutilization or under-utilization

● Therapeutic duplication

● Drug-disease contraindication

● Drug-drug interaction

● Incorrect drug dosage or duration of drug treatment

● Drug-allergy interactions

● Clinical abuse or misuse

● Any significant change in drug, dose or directions

Question 7

When are pharmacists REQUIRED to check the PDMP

Answer 7

● Must use prior to each time a narcotic** Schedule II-III or a **benzodiazepine is issued

Question 8

what would be the exception(s) to the rule that RPh’s must check the PDMP prior to dispensing a narcotic or benzo?

Answer 8

1. Patient is in hospice
2. Patient is inpatient at a hospital
3. patient is <8 years old
4. RPh can only dispense C6