WEEK 5 Flashcards
(50 cards)
It is used in the inpatient or institutional health system setting.
Medication Order
When processing medication order, there are two major factors to be considered:
(1) Review order for clarity and completeness (2) Priority
The following are the methods in which hospital
pharmacy receives medication order:
Walk in (hand delivered)
Call in (original prescription of nonscheduled II controlled
substances may be telephoned in by the prescriber or his or
her representative. A patient may call in a refill on his or her
prescription.)
E-prescribing or CPOE
Fax
Basic inventory in hospitals with
more than 200 beds. Because they are the best solution
when long distances need to be covered and when seconds
count.
Pneumatic tube system
If information is missing—for example, the room number—the _____
may be allowed to clarify the order
without pharmacist intervention.
pharmacy technician
most clarifications must involve the
pharmacist
_____orders are filled out first. This ensures that the most
needed orders will be processed first.
MOST URGENT
Type of medication order:
STAT ORDER
SINGLE ORDER
STANDING
PRN
Evaluation on which should be prioritized (cont’d):
- The time of administration- ex: “ASAP, “start today”, “start this morning”,
- Instruction for administration
- Type of drug: medications for pain, fever, Nausea and Vomiting are given HIGH priority.
- Patient circumstances
If no specific designation about the urgency of a medication is
given in the body of the order:
Use critical thinking skills
Be familiar with their hospital’s specific policies
The patient profile provides the
patient’s health history
It is a fundamental tool that pharmacists use in reviewing orders
patient profile
Information contained in a patient profile may include:
Name, age, sex, race, occupation, address, weight
Medical history to include surgeries
Medication history to include current prescription medications, over-the counter (OTC) medications, vitamins, and herbal supplements
Drug and food allergies
aDVERSE DRUG EFFECTS
Before medication orders are entered into a patient’s profile, the
____ should be reviewed in relation to the changes indicated on
the new orders.
profile
The profile may contain information that changes how the order
will be
processed or prioritized
Interpreting & Processing the Order
a. Identify the name,
strength, dosage form,
and quantity
b. Identify the route of
administration.
c. Identify the
frequency of
administration.
e. Identify the number of
refills
f. When in doubt about
interpreting the prescription
When identifying the product consider
DAW (Dispense as Written) and DNS (Do Not
Substitute) codes.
brand name drug written must be dispensed
DAW
Some states require phrase
“Do Not Substitute” (DNS)
DAW CODES:
0 =
1 =
2 =
3 =
4 =
5 =
6 =
7 =
8 =
9 =
No product selection indicated
Substitution not allowed by provider
Substitution allowed- patient requested product
Substitution allowed- pharmacist selected product
Substitution allowed- generic drug not in stock
Substitution allowed- brand drug dispensed as generic
Override
Substitution not allowed- brand drug mandated by law
Substitution allowed- generic drug not available in marketplace
Other
Standard Administration Times (generally set by institution)
Daily:
bid:
q8h:
With food:
Before meals:
After meals:
0900
0900 (9am) and 1700 (5pm)
0600 (6am), 1400 (2pm), and 2200 (10pm)
0900 (9am), 1200 (12nn), 1700 (5pm)
0730 (730am), 1130 (1130am), 1630 (430pm)
0900 (9am), 1300 (1pm), 1800 (6pm)
When interpreting the frequency and duration of administration consider the
standard
administration time
When scheduling medication administration times for a new medication,
pharmacists also must consider other ______ the patient is taking.
medications
Pharmacists should enter the information of the received medication order in the
Pharmacy Compute System/ Pharmacy Information System (PIS)
