Module 1

Prescription

An order of medication issued by a physician, dentist, veterinarian or other properly licensed medical practitioners.

Rx

An abbreviation for the Latin word "recipere" or "recipe," which means "Take, thou.”

Heading

○ Date

○ Personal data of the patient

Body

○ Superscription

○ Inscription

○ Subscription

Transcription

Closing

Doctor’s info

○ Doctor’s signature

PARTS OF PRESCRIPTION

Simple

Compounded

Polypharmacy

• Magistral prescription

• Coded prescription (Blind Prescription)

• Yellow prescription

TYPES OF PRESCRIPTION

• Magistral prescription

• Coded prescription (Blind Prescription)

• Yellow prescription

Polypharmacy types

Simple

ordinary prescription.

Compounded

- includes formulation and extemporaneous preparations.

Polypharmacy

with ten or more than two ingredient of the same therapeutic use.

Magistral prescription

prescribed very often by the same doctor, of the same ingredients and compounded by the same pharmacist

Coded prescription (Blind Prescription)-

- it is consisting of word, symbols to represent the names of the drugs

Yellow prescription

contains controlled drug products.

• Date of the Prescription

• Patient’s Information ( Name, Age, Gender)

• Superscription (Rx symbol - “You take”)

• Inscription – medications prescribed by the physician (GN, BN, DF, DS)

• Subscription – direction of prescriber to the pharmacist

• Transcription – directions of the prescriber to the patient

• Prescriber’s Information – (name, license no., contact no., signature)

PARTS OF PRESCRIPTION:

Patient’s Information

( Name, Age, Gender)

Superscription

(Rx symbol - “You take”)

Inscription

– medications prescribed by the physician (GN, BN, DF, DS)

Subscription

direction of prescriber to the pharmacist

Transcription

directions of the prescriber to the patient

Prescriber’s Information

(name, license no., contact no., signature)

INSCRIPTION

This is the general content of the prescription.

SUBSCRIPTION

This part contains the prescriber’s directions to the pharmacist

SUBSCRIPTION

It includes type dosage form to be prepared and number of doses to be dispensed.

TRANSCRIPTION

This part contains the prescriber’s directions to the patient.

PRESCRIBER’S INFORMATION

Name, license number, contact number, signature ◎ Prescription must be signed with prescriber’s own hand

Basis

Adjuvant

Corrective

Vehicle

PARTS OF COMPOUNDED PRESCRIPTION

Basis

chief, active ingredient

Adjuvant

used to assist the basis

Vehicle

added to dilute the active ingredients processing the prescription order

Corrective

qualifies the action of the basis and the adjuvant

1. Review and interpretation of prescription

2. Identify the required elements in the prescription

3. Determine the weights and measurements of elements

4. Calculate the measurable quantity of all components 5. Compounding of prescription. Use appropriate techniques.

6. Package and label the product properly

7. Deliver the correct and complete product to patient

FILLING OF COMPOUNDED PRESCRIPTION

1. Check for the completeness and authentication of the prescription.

2. Check patient profile and drug use review

3. Prepare patient’s medication

4. Double check the medication before dispensing

5. File the prescription

FILLING OF SIMPLE PRESCRIPTION

• Violations

• Incompleteness

• Illegible prescription

• Abbreviations

COMMON PROBLEMS ENCOUNTERED WHEN PROCESSING PRESCRIPTIONS

GENERIC ACTS OF 1988 (RA 6675)

AN ACT TO PROMOTE, REQUIRE AND ENSURE THE PRODUCTION OF AN ADEQUATE SUPPLY, DISTRIBUTION, USE AND ACCEPTANCE OF DRUGS AND MEDICINES IDENTIFIED BY THEIR GENERIC NAMES.

Erroneous Rx

Violative Rx

Impossible Rx

PRESCRIPTION ERROR

Erroneous Rx

Brand name PRECEDES to generic name

• Generic name is in parenthesis

• Brand name is NOT in parenthesis

Violative Rx

• Generic name is not written

• Generic name is written illegibly

• “NO SUBSTITUTION” is written

Impossible Rx

• Both generic and brand name are not legibly written

• Generic name does not correspond with brand name

• Drug prescribed is not FDA registered

2 years

Simple or Ordinary prescriptions

Retention Period

1 year

Yellow prescription

Retention Period

PRESCRIPTION ORDER

Used in the outpatient, or ambulatory setting

MEDICATION ORDER

Used in the inpatient or institutional health system setting.

1. Written by the prescriber and given to the patient for presentation at the pharmacy.

2. Telephoned or communicated directly to the pharmacist by means of fax machine.

3. Electronically send from physician’s computer to pharmacist’s computer

PRESCRIPTIONS AND MEDICATION ORDERS MAY BE:

MEDICATION ORDER

is written directions provided by a prescribing practitioner for a specific medication to be administered to an individual.

○ Patient’s information

○ Date and time it was written

○ Name of the product

○ Dosage form and strength

○ Route, frequency and duration of administration

○ Allergies

○ Special considerations in administering the medication, if applicable, as directed by the prescribing practitioner or the pharmacist

○ Name and Signature of Physician

MEDICATION ORDERS includes

1. 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

MEDICATION ORDERS ARE:

Stat Order

Single Order

Standing

PRN

TYPES OF MEDICATION ORDERS:

Stat Order

– A single dose of medication that should be administered immediately

Single Order

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

Standing

Drug is to be given for a certain number of doses or for a certain number of days. It is administered routinely until order is cancelled by another order

PRN

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