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The Pharmaceutical Agent Order
Prescription
• An oral or written record of a physician’s
order to pharmacist to dispense medication
to patient.
• who can write a medication rx???-• this is called prescriptive authority, varies
by state.
• most likely--MD DO DVM DDS PA NP
• DPM OD also maybe animal services,ect
origin of Rx
•
•
•
•
written out
fax
electronic--dr link to pharmacy
phone
Components of a Prescription –
Written Form
• prescriber’s name and title (MD, DDS, DMD,
DO, etc.)
• prescriber’s office address
• prescriber’s phone number
• patient’s name and address
• patient’s age
• date on which prescription was written
• Superscription, or the letters Rx – Latin for recipe
or “take thou”
• Inscription, the actual body of the prescription
indicating the drug name, strength and dosage
form
Components of a Prescription –
Written Form
• Signature, (sig)not to be confused with the
prescriber’s signed name; clearly written
and understandable instructions
• Subscription, the quantity of the drug to be
dispensed to the patient
• refill instructions
• prescriber’s signature
• prescriber’s DEA number
Physician’s Order
• Form to order medication for the
hospitalized patient
• If written by nurse then dr must sign within
• 2-3 days unless such is in medical staff
protocol.
Components of a Physician’s
Order
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Patient’s Name and hospital number
patient’s room or ward location
attending physician
patient’s date of birth
allergies or sensitivities to drugs, foods, and
other substances
• Diagnosis
• date of admission
• patient’s condition
Components of a Physician’s
Order
• Services to be performed(i.e. tests, activities, diet,
etc.)
• medications ordered
• strength of each medication ordered
• dosage form specified to avoid any questions
regarding the form to be administered – most drugs
come prepared in more than one dosage form;
patient’s condition often determines route of
administration
• directions for use or frequency of administration for
each drug nurse’s or physician’s signature with date
and time of entry on the physician’s order.
• These chart orders must be kept for 3 years for BOP.
Oral Prescriptions
• Phoned in – usually done by a prescriber
known to pharmacists. Not applicable to
schedule II drugs.
Components of an Oral
Prescription
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Doctor’s name
Doctor’s phone number
Patient’s name
Patient’s address
Patient’s phone number
Components of an Oral
Prescription
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DEA number
Name of drug
Quantity of drug
Directions
Refill instructions
Prescription Label
• An identification label placed on the outside
of the bottle.
• Pt name, rx number xxxx, date filled,
printed instructions, drug name, cpht initial,
dpharm initial, dr name, exp date, refills,
• Aux label
Components of a Prescription
Label
• a prescription serial number (referred to as
the RX number) and the date the
prescription was filled
• the patient’s full name
• clearly typed (or printed) instructions for
taking the medication
• the first word of the directions should infer
the route of administration
Components of a Prescription
Label
• name of the drug (labeling), unless specifically
requested by prescriber not to label
• pharmacist’s initials and initials of the tech preparing
the drug for dispensing
• prescriber’s name
• drug’s expiration date (usually can be obtained from
stock bottle, except in case of freshly reconstituted
medication according to manufacturer’s
recommendation
Components of a Prescription
Label
• number of refills left available, if any, or no
refills, if none
• additional labels, “strip labels”, accessory
labels, informing patient of particular way
to take medication assuring optimal effect