Download EO 003.05 - Provide a filled medication

Provide a Filled Medication
(Dari)
EO 003.05
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Purpose of Lesson
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The pharmacy technician student will
learn how to:
(1) Dispense a ready-form
medication/pharmaceutical to a
patient, caregiver or health care
professional.
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(2) Instruct patient, caregiver or
health care professional on the
use of homecare devices.
This topic will be taught using a lecture
format and students will be given a
chance to practice these skills
during an in-class assignment as
well as during a skills lab.
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Overview of Lesson
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(1) Dispense ready form
medication.
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(2) Home care devices
(3) In-class assignment
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Dispense a Ready-form
Medication
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Stepwise Approach to dispensing a ready-form medication
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Once you have filled the prescription
and it has been checked by a technician
and pharmacist (or two technicians),
the next step is to provide the
medication to the patient.
It is very important that you utilize
good communication skills when
speaking with a patient:
• Speak using words that the patient
understands – avoid complex medical
terminology.
• Allow the patient time to ask
questions.
• Refer any questions of a clinical
nature to the on-duty pharmacist.
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Step #1 Confirm Patient Identity
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Once the prescription has been checked and
is determined to have been accurately filled
it is now ready to be dispensed to the
patient.
You can notify the patient that their
prescription is ready by calling out their
name.
When they approach the pharmacy
counter/window the first thing you should
do is confirm their identity.
Note: It may not be the patient themselves
that is waiting for the prescription, it may
be a family member or another health care
professional. In this case you should still
confirm the identity of the patient.
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Step #2 Provide information to the patient
regarding their medication
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It is important that you speak to the
patient regarding the medication you
are dispensing to ensure that the patient
understands how to use the medication
properly.
The next slide will describe the
information that should be passed on to
the patient by a pharmacy technician.
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Step #2 Provide information to the patient
regarding their medication
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(1) Name of the Medication
(2) Indication - only if listed on the
prescription order.
(3) Instructions for use of the
medication
- Frequency and dose
- How to use the device
(4) Side effects - only if discussed with
the pharmacist ahead of time.
(5) Any storage requirements (i.e.
refrigeration).
This information can be found on
the package insert for the readyform medication
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Instructions for Use : Medical Devices
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Instructions for use can also include
the proper use of various medical
devices to include:
(1) Blood glucose (sugar) monitoring
device
(2) Insulin delivery device
(3) Inhalers
(4) Spacers
The slides that follow are generic
overviews of how to use these devices.
You should always refer to the product
insert for exact directions.
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How to Use a Blood Glucose Monitoring Device
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How to Use a Blood Glucose Monitoring Device
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How to Use a Blood Glucose Monitoring Device
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How to use an insulin delivery device
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How to use an insulin delivery device
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How to use an inhaler
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How to use a spacer
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A spacer is a device (often used
for young children) that
makes the use of an inhaler
much easier.
A spacer takes away the need to
time the spray of the inhaler
with the breathing in.
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Hint: It is very important that you
understand how to use these devices for
the upcoming skills lab
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Step #3 Ask the patient if they have any questions
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Once you have spoken to the patient
regarding their medication it is
important that you ask the patient if
they have any questions.
Sometimes patients may not fully
understand the information you have
told them and they may require
clarification.
Some patients may also have additional
concerns or queries that they would
like to have addressed.
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Step #3 Ask the patient if they have any questions
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Remember what you were taught
earlier in PO 001 regarding the types
of questions that are appropriate for
a pharmacy technician to answer
and which questions must be
referred to a pharmacist.
We will review this topic during the inclass assignment at the end of this
lecture.
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Overview of the Stepwise Process
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Inform the patient that their
medication is ready and confirm the
patient identity.
(Remember it could be a family
member or another health care
professional that is waiting for the
medication).
Provide the patient, caregiver or health care
professional with information regarding the
medication to include:
(1) Medication name
(2) Indication (if listed on the
prescription)
(3) Instructions for use of the medication
(4) Side Effects (only if discussed with
the pharmacist ahead of time)
(5) Storage requirements for the
medication
Ask the patient if they have any
questions regarding their
medication.
(Refer clinical questions to the onduty pharmacist)
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Role of a Nurse in medication administration
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Nurses will pick up in-patient
medications from the pharmacy and
take them to the ward to administer to
hospital patients.
Nurses are trained to provide basic
information to patients regarding
medications.
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Questions?
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In-class Assignment
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The in-class assignment will consist of 5 scenarios where
a patient will ask a question regarding their medication,
you must decide if you can answer the question as a
pharmacy technician or if it should be referred to a
pharmacist.
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Scenario #1
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You have just spoken with a
patient regarding their
prescription for prednisolone
eye drops.
The patient asks you when
the eye drops expire, can you
answer this question?
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Answer: Scenario #1
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You have just spoken with a
patient regarding their
prescription for prednisolone
eye drops.
The patient asks you when
the eye drops expire, can you
answer this question?
Yes, you can. You can find
this information on the
medication packaging.
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Scenario #2
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You have just spoken with a
patient regarding their
prescription for metoprolol.
The patient asks you if this
medication will interact with
the medication they take to
lower their cholesterol, can
you answer this question?
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Answer: Scenario #2
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You have just spoken with a
patient regarding their
prescription for metoprolol.
The patient asks you if this
medication will interact with
the medication they take to
lower their cholesterol, can
you answer this question?
No, this is a clinical question
and should be referred to the
pharmacist.
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Scenario #3
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You have just spoken with a
patient regarding their
prescription for an antiinfective.
The patient asks you how
long they should take this
medication for?
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Answer: Scenario #3
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You have just spoken with a
patient regarding their
prescription for an antiinfective.
The patient asks you how
long they should take this
medication for?
Yes, you can answer it – but
only if it says on the
prescription how to take it
for. If not you must refer the
question to the pharmacist.
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Scenario #4
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You have just spoken with a
patient regarding their
prescription for insulin.
The patient asks you what
symptoms to expect if they
take too much insulin. Can
you answer this question?
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Answer: Scenario #4
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You have just spoken with a
patient regarding their
prescription for insulin.
The patient asks you what
symptoms to expect if they
take too much insulin. Can
you answer this question?
No, this is a clinical question
and must be referred to the
pharmacist.
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Scenario #5
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You have just spoken with a
patient regarding their
prescription for a salbutamol
inhaler.
The patient asks you to
explain again how to use the
inhaler. Can you do this?
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Answer: Scenario #5
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You have just spoken with a
patient regarding their
prescription for a salbutamol
inhaler.
The patient asks you to
explain again how to use the
inhaler. Can you do this?
Yes, you can. If the patient
does not understand after a
second time explaining you
should refer the issue to a
pharmacist (they may need a
spacer).
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