Hospital vs. Community Pharmacy Prescription

What can Opticians and podiatrists order?

Prescription related to field

Who administers medications to patients in an institutional setting?

Nurses

This route:

The pharmacist or technician enters the order and completes the fill process

The medication order is filled by a technician and checked by the pharmacist or another technician as per hospital protocol.

Hospital Pharmacy

This route:

The technician enters patients, prescriber, and insurance information into the computer system.

The computer processes insurance/billing information.

The label is generated.

The technician prepares the prescription.

Pharmacist checks the prescription.

The patient receives the prescription.

Community Pharmacy

Define this:

An alert or message generated by the pharmacy or insurance company computer system notifying the pharmacist of a potential drug safety or payment concern.

DUR (Drug Utilization Review)

Define this:

1. Determine the exact name.

2. Always confirm the information on file is current.

3. Check with the pharmacist on all OTC prescriptions.

4. Check with the pharmacist on all Schedule II prescriptions.

5. Check with the pharmacist to determine if the prescription can be filled if it is more than a few days old.

6. Inform the patient if there may be a delay in filling the prescription

7. Alert the pharmacist to any potential forgeries.

Prescription Information Safety Checklist

Define this:

The on-demand preparation of a drug product according to a physicians prescription, formula, or recipe.

Extemporaneous Compounding

Define this:

Known to cause significant harm if an error is made. Examples include insulin, blood thinners, and cancer medications such as methotrexate. The ISMP maintains list.

High-alert Medication

What are the medications errors?

1. Wrong Medication

2. Wrong strength, dosage form or quantity

3. A prescription with wrong directions

4. Medication to wrong patient

Define this:

Labels regarding specific warnings, foods or medications to avoid potential side effects, and other cautionary interactions; paced on the prescription container.

Auxiliary Labels

Define this:

Mechanism by which a prescriber indicates that only the brand product, and not an equivalent generic, must be dispensed

DAW