medication order entry and fill process pdf

Medication order entry and fill process pdf

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Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

A medication is drug or any other substance that is used to treat or prevent from diseases or injuries. Prescription writing was not covered very well at my medical school. It is one mg tablet, taken at bedtime.

Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

This article will cover the following major concepts related to the medication order entry and fill process:. POCs are now mandatory for both Medicare and Medicaid patients and many other insurance companies require this as well. E-prescribing allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy.

CPOE systems are used for processing orders in institutional settings. The Rx symbol comes before the inscription. Also in the inscription you find the dose and dosage form, such as tablet, suspension, capsule, syrup. National Provider Identifier NPI - A National Provider Identifier is a unique digit identification number issued to health care providers physician, physician assistants, nurse practitioners, dentists, etc.

An NPI is a required identifier for Medicare services, and is also used by other payors, including commercial healthcare insurers. No actual bank is involved in this part of the process, the name is a hold over from early electronic banking jargon.

A DAW code of '0' applies to most prescriptions as they allow for generic substitution and patients are generally willing to receive the more affordable version.

If a physician requires a specific medication to be dispensed, they will typically note this on the prescription. This is considered a DAW code of '1'. Sometimes a patient may request that they receive a brand name product even if a prescriber allowed for generic substitution. This would be classified as a DAW code of '2'. Other DAW codes are less frequently used. Prescription intake, which is often the responsibility of a pharmacy technician, involves both the receipt of the initial prescription and, in a community pharmacy setting, gathering pertinent patient data.

With respect to prescription intake the first thing to address is the means by which the medication itself arrives in the pharmacy. Prescriptions may arrive on a traditional prescription form there are specific security requirements on this if the patient is using Medicaid , a fax or phone call from an appropriately licensed prescriber, e-prescribing in an outpatient setting, and computerized prescriber order entry CPOE in an institutional setting.

These various means have various federal regulations associated with them and individual states may place additional restrictions on how they are used. When a community pharmacy receives a prescription it is a requirement to note the source of the prescription if it is for a Medicare or Medicaid patient. As many individual insurance companies also require this information it has become a common practice for community pharmacies to track where all prescriptions come from.

These prescriptions are tracked using prescription origin codes POC which are commonly entered into the pharmacy management software. The prescription origin codes are as follows:. The Medicaid Tamper-Resistant Prescription Pad Law has placed additional requirements on written prescriptions to help ensure the legitimacy of the prescriptions being received in the pharmacy. Since October 1, all Medicaid scripts must contain one or more industry recognized features from each of three categories of security as specified by the Center for Medicare and Medicaid Service CMS.

Category One - One or More industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form. Category Two - One or More industry-recognized features designed to prevent the erasure or modification of information written on a prescription by the prescriber.

Category Three - One or More industry-recognized features designed to prevent the use of counterfeit prescription forms. Physicians may, and often do, use these tamper-resistant prescriptions for their other patients as well.

Prescribers may send prescriptions to the pharmacy via a fax machine. The same requirements listed on written prescriptions apply for faxed prescriptions although prescribers do not need to use tamper-resistant prescription pads for faxed orders , but their is an additional limitation.

Schedule II medications may not be faxed under ordinary circumstances. DEA has granted three exceptions to the fax prescription requirements for Schedule II controlled substances. The fax of a Schedule II prescription may serve as the original prescription as follows:. A phone order prescription also called a verbal order , should include all the same information as a written prescription as the pharmacist will need to reduce it to writing to later be filed with the other prescriptions.

Under ordinary circumstances, Schedule II medications may not be called in. For Schedule II controlled substances, an oral order is only permitted in an emergency situation. An emergency situation is defined as a situation in which:.

In an emergency, a practitioner may call-in a prescription for a Schedule II controlled substance by telephone to the pharmacy, and the pharmacist may dispense the prescription provided that the quantity prescribed and dispensed is limited to the amount adequate to treat the patient during the emergency period. The prescribing practitioner must provide a written and signed prescription to the pharmacist within seven days.

Further, the pharmacist must notify DEA if the prescription is not received. E-prescribing has become a very common practice. Since pharmacies have been allowed to transmit prescriptions electronically using properly certified software i. While this is a recent shift in federal law, some states may still prohibit e-prescribing for controlled substances. Through the requirement of using computer programs that communicate through SureScripts to electronically prescribe outpatient prescriptions, SureScripts has the responsibility of authenticating both the receipt and delivery of the electronic prescription.

E-prescribing also allows the prescriber to verify whether or not a particular medication is covered by the patient's pharmacy benefits manager PBM. Prescribers are required to provide a two tier authentication of prescriptions for controlled substance. For this two tier authentication, the DEA is allowing prescribers the use of any two of the following — something you know a knowledge factor , something you have a hard token stored separately from the computer being accessed , and something you are biometric information.

The hard token, if used, must be a cryptographic device or a one-time password device that meets the Federal Information Processing Standard Security Level 1. Some states may specify which tiers they specifically require for prescribing controlled substances.

Institutional settings are more likely to utilize CPOE computerized prescriber order entry, also called computerized physician order entry than e-prescribing. CPOE is a process of electronic entry of practitioner instructions for the treatment of patients under their care. These orders are communicated over a computer network to the medical staff or to the departments pharmacy, laboratory, or radiology responsible for fulfilling the order. CPOE decreases delay in order completion, reduces errors related to handwriting or transcription, allows order entry at the point of care or off-site, provides error-checking for duplicate or incorrect doses or tests, and simplifies inventory and posting of charges.

In an inpatient setting, while a pharmacy will still want all this information to be completed, it is typically the responsibility of other departments. Once the prescription has entered the pharmacy, it becomes the responsibility of the pharmacy staff to decipher and fill the medication for the patient. This will likely require the translation of various medical abbreviations and some calculation to ensure that the proper quantity is being dispensed.

Prescriptions have been obfuscated by a combination of Latin and English abbreviations sometimes they even throw in Greek words. They are commonly used on prescriptions to communicate essential information on formulations, preparation, dosage regimens, and administration of the medication. There are approximately 20, medical abbreviations; instead of providing an exhaustive and meaningless list, this section will focus on the most common medical abbreviations that are necessary for interpreting prescriptions and performing calculations.

The following lists are broken into five categories including route, dosage form, time, measurement, and a catch all category simply named "other. The format on these lists will be to provide the abbreviation, followed by its intended meaning. Some additional notes on these routes of administration are necessary. The abbreviation 'a. Also, subcutaneously can be abbreviated as 'SC' or 'SQ'.

While amongst health care professionals we would use the phrase sublingual as a route of administration, it may be necessary to translate 'SL' as 'under the tongue' for many patients.

The abbreviation 'cm' can be translated as either 'cream' or 'centimeter'. Use context clues from the rest of the prescription to determine which translation is appropriate. Traditionally, a prescription is a written order for compounding, dispensing, and administering drugs to a specific client or patient and once it is signed by the physician it becomes a legal document.

Prescriptions are required for all medications that require the supervision of a physician, those that must be controlled because they are addictive and carry the potential of being abused, and those that could cause health threats from side effects if taken incorrectly, for example, cardiac medications, controlled substances, and antibiotics.

So, if we look at a prescription for Patricia Pearson see below , we can see that it is for Lipitor atorvastatin Ca 20 mg tablets, and that the patient is to receive 30 of them with 2 refills. Other things of note include the date that the prescription is written for is August 31, Prescriptions for non-controlled substances are only good for one year, so Mrs.

Pearson will need a new script if she still needs this medication past August 31, , regardless of how many refills were written for. Another noteworthy item is that the physician signed permitting product selection i. The last significant item on this label is that the physician did not include their DEA number. A DEA number should only be used for controlled substances. Besides over the counter medications OTC such as aspirin and ibuprofen, behind the counter medications BTC such as Allegra-D fexofenadine with pseudoephedrine , and prescription medications Rx legend such as amoxicillin and digoxin, there is another group of medications to be concerned with called controlled substances.

Controlled substances are medications with further restrictions due to abuse potential. There are 5 schedules of controlled substances with various prescribing guidelines based on abuse potential, as determined by the Drug Enforcement Administration and individual state legislative branches. CI medications are not available via a prescription. CII medications may be written for a maximum 90 day supply excluding hospice patients. No refills are allowed on schedule II medications.

CV medications may be written for up to 1 year, although many states limit this to 6 months. Various calculations involved in correctly interpreting prescriptions frequently need to be performed to account for days' supply, adjusting refills and short-fills.

Prescribers often just include a quantity of medication to dispense and directions on how frequently to use it. They usually don't include the actual intended time frame.

When prescribers write these prescriptions they may have various time frames in mind which sometimes differ from the period of time required by a specific prescription benefits manager. Physicians often just include a quantity of medication to dispense and directions on how frequently to use it. As a pharmacy technician, you will need to translate that into Days' Supply.

In this chapter, Days' Supply is referring to how long a prescription order will last. Often it is not as simple as giving a tablet once a day for 30 days; you will frequently need to do calculations for oral liquid medications, injectables, nasal sprays, and inhalers, and make estimations for PRN's, ointments and creams, lotions, eye and ear drops, and ophthalmic ointments.

The first things to look at are tablets, capsules, and liquid medications because they're the most common and the most straight-forward to perform calculations with. Without wanting to over explain this process, let's look at some example problems. Example: A prescription is written for amoxicillin mg capsules 30 i cap t.

What is the days' supply? The item to be careful about when it comes to tablets, capsules, and liquid medications are PRN medications, especially ones with variable doses and variable frequencies. In general, you should perform the calculations using the shortest interval with the highest dose. This will provide the shortest span of time in which they could use all the medication dispensed.

Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

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This article will cover the following major concepts related to the medication order entry and fill process:. POCs are now mandatory for both Medicare and Medicaid patients and many other insurance companies require this as well. E-prescribing allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. CPOE systems are used for processing orders in institutional settings. The Rx symbol comes before the inscription. Also in the inscription you find the dose and dosage form, such as tablet, suspension, capsule, syrup. National Provider Identifier NPI - A National Provider Identifier is a unique digit identification number issued to health care providers physician, physician assistants, nurse practitioners, dentists, etc.

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1 Medication order entry and fill process · 2 Policies and Procedures · 3 Outpatient pharmacy · 4 Filling Process Video · 5 Step 1: receiving a prescription · 6 Hardcopy.


Presentation on theme: "Medication order entry and fill process"— Presentation transcript:

Джабба посмотрел на ВР. - Около двадцати минут. Их надо использовать с толком. Фонтейн долго молчал. Потом, тяжело вздохнув, скомандовал: - Хорошо.

Medication Order Entry and Fill Process Online Practice Exam

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2 comments

  • Orane G. 29.04.2021 at 02:58

    Order entry process; Intake, interpretation, and data entry; Calculate doses required; Fill process (e.g., select appropriate product, apply special.

    Reply
  • Huon F. 29.04.2021 at 13:30

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