Dispensing Flashcards by Robea May Martin

Dispensing refers to the process of _ to a named
person on the basis of a prescription.

Preparing and giving

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Dispensing it involves a _ of the wishes of the prescriber and
the accurate preparation and labeling of medicines for use by the
patient.

Correct interpretation

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Administrative Order 63 s. 1989 does

○ Taking order
○ Compounding/ preparing
○ Provision of medication advice

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It includes all activities that occur between the time the prescription is
presented and used by the patient.

Dispensing

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Administrative Order 63 s. 1989 the act by a validly-registered pharmacist of __ a prescription
or doctor’s order on the patient’s chart

Filling

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dispensing the patient’s/buyer’s choice from among generic
equivalents, i.e., finished pharmaceutical products having the same
active ingredient(s), same dosage form and same strength as the
prescribed drug.

Generic Dispensing ( RA 6675 of 1988

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means dispensing less than the total number of units prescribed.

Portal Filling

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ensures that an effective form of the correct medicine is delivered
to the right patient in the correct dosage and quantity, with clear
instructions, and in a package that maintains the potency of the
medicine.

Good Dispensing practice

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Mission of Pharmacy Practice

To contribute to the health improvement and make the best use of
medicines.
ro.

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To contribute to the health improvement and make the best use of
medicines.
ro.

Mission of Pharmacy Practice

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Philippines Practice Standard for Pharmacist

Academe
Research
Manufacturing
Community
Hospital
Institutional
Public Health

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DISPENSING STEPS

1.Receiving and
validating the
prescription2.Interpreting
prescription
3. Packaging and
Labelling
4.Rechecking
5. Dispensing.
6.Medication advice
and patient
counsellin
g
7. Recording and
Filling

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Use of Cautionary Advisory Labels/Ancillary Labels
( CATEGORIES)

1) Those that warn against undesirable effects, including interactions
with other medications or foods
2) Those that are designed to optimize efficacy in the use of the
medication

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1) Those that warn against undesirable effects, including interactions
with other medications or foods
2) Those that are designed to optimize efficacy in the use of the
medication

Ancillary labels/ Cautionary advisory

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T or F Ancillary labels are to be
attached
container
to the immediate
of the dispensed
medicine whenever possible.

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Written order from registered_,,
specific drug to specific patient.

Prescription

Physician, Veterinary, Dentist

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a formula written on a piece of paper

Prescription

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It contains names and quantities of the desired substances, with
instructions for the pharmacist for the preparation of the medicine and
to the patient for the use of the medicine at a particular time.

Prescription

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Prescriptions are orders for medications, non-drug products, and
services that are written by a licensed practitioner or midlevel
practitioner who is authorized by state law to prescribe.

Prescription

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RESCRIPTIOn It contains _ and _ of the desired substances, with
instructions for the pharmacist for the preparation of the medicine and
to the patient for the use of the medicine at a particular time.

Names and quantities

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Prescriptions are __ , _ , and
_ that are written by a licensed practitioner or midlevel
practitioner who is authorized by state law to prescribe.

orders for medications,
non-drug products,
services

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may be written, presented orally (by telephone), or presented
electronically (i.e., via fax or computer network) to the pharmacist. The prescription
serves as a vehicle for communication from the prescriber to the pharmacist about
the needs of the patient.

Prescription

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Prescription Written by pharmacist in pursuant to the _ of the physician

telephoned dictation

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Prescription is an _ that direct use of certain drugs or call for the use of some
physical agent

Oral instructions

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Prescription is a Finished product compounded and dispensed by a pharmacist in pursuant to the _

instructions of a prescriber

Prescription _ are printed forms containing blank spaces for filling in the required information, usually supplied in pads

Blanks

T or F. Most prescription blanks are imprinted with the name, address, telephone number and other pertinent information of physician or his/her practice site

forms are used for in-patients (hospital, institutional setting)

Medication order form

Medication order form has a

Room number

Prescription forms contains

> Patient info > Date and time > Room number > Medication prescribed > Prescriber’s information

with only one ingredient, those written for a single component or prefabricated product and not requiring compounding or admixture by the pharmacist.

Simple prescription

with more than one ingredient, those written for more than a single component and requiring compounding

Compound prescription

these are prescriptions transmitted to a pharmacy by computer.

Electronic prescription

The use of electronic means for the generation and transmission of prescription is already accepted.

e- prescription

In the inpatient or outpatient setting, a medication order, for a patient is entered into an automated data entry system as a personal computer (PC) or a handheld device loaded with e-prescribing software and sent to a pharmacy as an e- prescription.

e- prescription

When received, a pharmacist immediately reduces the order to a hard copy and/or stores it as a computer file.

e- prescription

Prescription for control substances contains other substance or other habit forming drugs

Dangerous drug prescription

It has no refill but partial filling allowed and requires S2 license for doctors and S3 license for retailers or botika

Dangerous drug prescription

Dangerous drug prescription copy of the pharmacist

Yellow

Dangerous drug prescription copy of the physician

White

Dangerous drug prescription copy of the patient

Green prescription

Dangerous drug prescription can dispensing limit__ For cancer or epilepsy__

1 month 3 months

S2 number ######NM12-###R-L# meaning

N- New R- Renewal E- Exempt ( Government) M- Physician D- Dentist V- Veterinarian 12( Year issued) ### ( control number)

S2 number ######PNP122124-J meaning

PNP- Private New Physician PRP- Private Renewal Physician PN/RV- Private New/ Renewal Veterinarian PN/RD- Private New/ Renewal Dentist G- Government

with ten or more than two ingredients of the same therapeutic uses. Also called the shotgun preparation

Polypharmacy

is a prescription which is prescribed very often by the same doctor, of the same ingredients and compounded by the same pharmacist.

Magistral Prescription

also called the blind prescription and consists of word, symbols, to represent the names of the drugs. This is unethical practice.

Coded prescription

Also known as coded prescription

Blind Prescription

Parts of prescription

Patient information ( Superscription Date Rx information( superscription Inscription ( Medication prescribed) Subscription Signa( Transcription Refilled instructions Prescriber information

Tyoes of prescription

S2 number and yellow prescription

The full name and address of the patient are necessary on a prescription for identification purposes

Patient information

Failure of the physician to supply necessary information prompts the pharmacist to complete it.

Patient information

It is important in establishing the medication record of the patient.

Date

An unusual lapse of time between the date a prescription was written and the date it was brought to the pharmacy may be questioned by the pharmacist to determine if the intent of the physician and needs of the patient can still be met.

Date

_ A contraction of the Latin verb “recipe"

Rx or superscription

_ A contraction of the Latin verb “_" meaning you take or take thou

Superscription

Superscription Symbol originated from the _

sign of Jupiter (god of healing)

It forms the beginning of a direct order from the prescriber to the compounder

Superscription

Today, the symbol is both the representation of prescription and pharmacy itself

Superscription

The body or principal part of the prescription

Inscription/ medication prescribed

Contains the names and quantities of the prescribed medications (for fabricated medicines)

Inscription

Compounded prescriptions are orders requiring mixing of ingredients. It will include the names and quantities of each ingredients

Inscription

This is the dispensing direction to the pharmacist.

Subscription

Directions may be required for: a. Preparation (e.g., compounding) b. Labeling (i.e., information to be put on the prescription label)

Subscription

Subscription Directions may be required for: _, _

Preparation (e.g., compounding) b. Labeling (i.e., information to be put on the prescription label)

In common prescription, this may be the quantity to be dispensed or the dosage form of the drug

Subscription

In a compounded prescription, this is the part that gives direction to the pharmacist for preparing the prescription

Subscription

Chief, active ingredient

Basis or curare

Use to assist the basis

Excipient

Qualifies the action of basis and the adjuvant

Correctives/ tuto

What is the purpose of the correctives and tuto

To decrease Side effet s of the drug

added to dilute the active ingredients processing the prescription order

Vehicle

Direction to the patient

Signa Transcription

usually using abbreviated forms of English or Latin terms

Signa Transcription

“_ ” or mark thou

Signatura “_

Signa Transcription ” or mark thou

Signatura

this includes: method of administration, dose, frequency and special instructions

Signa Transcription

pharmacist transcribed these information onto the label of the dispensed medication

Signa Transcription

Writing as “As directed” is discouraged and pharmacist should confirm this with the physician

Signa Transcription

indicated by the prescriber and any refills should likewise be marked by the pharmacist

Refilled instructions

If refill information is not supplied, it is generally assumed that no refills are authorized.

“As needed” (pro re nata [prn]) refills are usually interpreted as allowing for refills for 1 year unless laws or regulations restrict the amount or time period in which a prescription is valid.

Refilled instructions

This should include the name, office address, signature of the prescriber, the S2 number (for controlled substances only) and the PTR number.

Prescriber information

are used in the inpatient or institutional health system setting.

Medication orders

Prescription outpatient, setting.

Medication orders

Prescription are used in the Outpatient or ambulatory setting

Medication order

Types of Medication Order

Copy of a written prescription 2. Written order on a consultation form signed by the practitioner 3. Written list of medication order signed by the practitioner 4. Copy of a pharmacy call in order, given to you by the pharmacist 5. A verbal order given to a licensed person 6. Electronic prescriptions signed electronically via a secured system

BASIC INFORMATION IN MEDICATION ORDER

Name of the panties address Physician Birthday birthday Date of admission Insurance

What are the types of orders and abbreviations

Start order Single order Standing order "Pro re nata". Or as neede)

A single dose of medication that should be administered immediately

Start order

One time medication. Drug is to be given at a certain time.

Single order

Drug is to be given for a certain number of doses or for a certain number of days

Standing order

Drug is administered when necessary or as needed based on the patient’s needs

Pro re nata or as needed

A pharmacist should never guess at the meaning of an indistinct word or unrecognized abbreviation.

ABBREVIATIONS

Unfamiliar or unclear abbreviations represent a source of error in interpreting and dispensing prescriptions.

ABBREVIATIONS

No official or standard list of prescription abbreviations exists. Many of those in use are derived from the Latin and generally are recognized. However, many others may be simply shorthand creations of the individual prescriber.

ABBREVIATIONS

In hospital practice, the Pharmacy and Therapeutics Committee may identify a list of approved abbreviations for the institution.

ABBREVIATIONS

In community practice, there is no such list. Pharmacy abbreviations may be found in the inscription, subscription, or the sig (signa) of the prescription.

ABBREVIATIONS

Brand name precedes to generic name

Erroneous

- Generic name is in parenthesis

Erroneous

- Brand name is not in parenthesis

Erroneous

Generic name is not written

Violative

- Generic name is written illegibly

Violative

- “NO SUBSTITUTION” is written

Violative

Both generic and brand name are not legibly written

Impossible

Generic name does not correspond to brand name

Impossible

Drug prescribed in not FDA registered

Impossible

Prescription error

WAYS TO AVOID DISPENSING ERROR: PRESCRIBERS

SPELL IT OUT PROPER SPACING Do not use trailing zeros for doses expressed as whole numbers. - Use a zero before a decimal point when the dose is less than a whole unit. - Use commas for dosing units at or above 1,000 or use words such as “100 thousand” or “1 million” to improve readability. - Place adequate space between the dose and unit of measure.

WAYS TO AVOID DISPENSING ERROR: PHARMACISTS

TALL MAN LETTER PLANOGRAM CONSTANT REMINDER Stop and double check

Retention periods

2 years 1 5

Simple or Ordinary prescriptions

2 years

Yellow prescription (DD Book)

1 yr

5 yrs. Poison Book

Dispensing Flashcards

(116 cards)