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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 • • • • • 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 • • • • • Doctor’s name Doctor’s phone number Patient’s name Patient’s address Patient’s phone number Components of an Oral Prescription • • • • • 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