02.C Core Competency: Dispense pharm products

• Dispensing


  Delivery of product-related and clinical services to patients/customers/clients and health care providers
• Dispensing


  Dispensing is a process/procedures performed in completing the filling of prescriptions (e.g., receiving, checking, compounding, pouring, counting, packaging, labeling, reviewing….etc.).
• Dispensing


  using of paper tags, process of pagtatanggal sa packaging and repacking (in loose form)
• Dispensing


  • The fundamental principle is to be able to give the right medication to the right patient, after proper verification and identification
• Dispensing


  Drugs should be dispensed at the right dose, right route of administration, right dosage form and right duration of treatment.
• Dispensing


  patient centered / ; product centered X
• minimum dispensing cycle


  receive prescriptions, evaluate, interpret, and verify prescription, selection of medicine, repackaging, provision of instructions, double check (verify), log sa logbook ng transaction

  
• Prescription

  A written order and instruction by a prescriber (doctor, vet, dentist) to the pharmacist for the use of drug product/s for a specific patient (AO 63 s 1989)
• R.A. 6675: The Generics Act of 1988


  “To promote, encourage and require the use of generic terminology in the importation, manufacture, distribution, marketing, advertising and promotion, prescription and dispensing of drugs”
• branded paracetamol


  tylenol
• parts of prescription

  Prescriber Information, Date, Patient Information, Superscription, Inscription, Subscription, Transcription, Prescriber Signature and Information (Signature, License No.)
• prescriber inforation


  needed to contact physician for clarifications
• patient information


  for verification/validation
• superscription

  "recipe" meaning, "you take"
• inscription


  drug medication, dosage form/strength
• subscription


  instruction to pharmacist
• transcription


  "signa" meaning, "you mark"
• Rx

  prescription
• parts of prescription

  
• Roles of the Pharmacist Assistant in Processing Prescription Medicines

  Ask for the prescription from the patient/client • Check for the price and show the generics menu card, list down the drugs ordered • Give the prescription to the pharmacist and let the pharmacist interview the patient/client • Assist in filling the prescription/Get the medicines ordered from the shelves during the interview • Give the medicines to the pharmacist and let him/her check the medicines before giving to the patient • Receive payment and give the change • Assist in the recording in the prescription logbook.
• Roles of the Pharmacist Assistant in Processing OTC Medicines

  Ask for the name of the drug from the patient/client • Check for the price and show the generics menu card, list down the drugs ordered • Let the pharmacist interview the patient/client • Fill the order/Get the medicines ordered from the shelves during the interview • Give the medicines to the pharmacist and let him/her check the medicines before giving to the patient • Receive payment and give the change. • Assist in the recording in the recording in the bins/stock cards.
• Prescription Medicines: prescription logbook


  OTC Medicines: recording in the bins/stock cards
• Important Tips in using OTC (over-thecounter) Medicines

  Children and the elderly (older patients) should take special care when taking over-the-counter medicines
• Important Tips in using OTC (over-thecounter) Medicines

  Ask if the patient is pregnant or breastfeeding
• Important Tips in using OTC (over-thecounter) Medicines

  Before giving the medicine, check: • If the symptom/complaint of patient is very bad • And determine the condition/symptoms • For Allergies • Long-term conditions or diseases • CALL THE PHARMACIST and LET THEM DISPENSE AND COUNSEL THE PATIENT
• Types of Incorrect Prescriptions

  Erroneous •Violative •Impossible
• Erroneous Prescription


  The brand name precedes the generic name. • The generic name is the one in parenthesis. • The brand name is not in parenthesis
• Violative Prescription


  The generic name is not written. • The generic name is not legible and a brand name that is legible is written. • The brand name is indicated and instructions added (such as the phrase “No substitution”) that tend to obstruct, hinder, or prevent generic dispensing.
• Impossible Prescription


  Only the generic name is written but is not legible. • The generic name does not correspond to the brand name. • Both the generic name and the brand name are not legible. • When the product is not registered with FDA.
• Procedures for Incorrect Prescriptions


  Erroneous prescriptions shall be filled. Such prescription shall be kept and reported by the pharmacist to the nearest DOH office for proper action.
• Procedures for Incorrect Prescriptions


  Violative or impossible prescriptions shall not be filled. They shall be kept and reported to the nearest DOH office for appropriate action.
• Erroneous prescriptions shall be filled.


  Violative or impossible prescriptions shall not be filled.
• Procedures for Incorrect Prescriptions

  
• proper/correct prescription

  generic name precedes the branded name, the branded name is the one in parenthesis, no "no substitution" is added, branded name is optional, handwriting is legible for generic and branded name, generic and branded name correspond with each other, product is registered to the fda