Transcript Pharmaceutical Prescriptions – Break the Code

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PRESCRIPTIONS
Ophthalmic Prescriptions
Pharmaceutical Prescriptions
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HOW MANY RX’S ARE WRITTEN
ANNUALLY?
1,000,000
500,000,000
1,000,000,000
3,000,000,000
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OPHTHALMIC PRESCRIPTION
Formulation for lenses in eyewear
Used to better visual task demands
2.50 -1.00 x 090
 -
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PHARMACEUTICAL PRESCRIPTION
Medication for health betterment
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WRITTEN PRESCRIPTIONS
Why should you have to understand what
it means?
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VERIFYING PRESCRIPTION
Comparing to previous
To the patient
To the pharmacist
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PATIENT SAFETY COMES FIRST
Tamper Resistant Security Paper is used to help prevent tampering
as well as unauthorized document duplication.
Tamper Resistant Paper CAN:
prevent unauthorized copying of a completed or blank prescription form;
help the viewer or recipient identify an original document;
act as a deterrent against unauthorized duplication;
prevent the erasure or modification of information written on the
prescription by the prescriber;
cause information modification to be visible to the recipient;
prevent accurate duplication and prevent the use of counterfeit
prescription forms.
www.aoa.org
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E-PRESCRIBING
is the ability to electronically send an accurate,
error-free and understandable prescription
directly to a pharmacy from the point of care.
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COMPONENTS OF
WRITTEN PRESCRIPTION
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SAMPLE PRESCRIPTION
Eyecare Associates
1234 Wellness Road · Anywhere, NE (555) 999-2020
Name Priscilla Promtly DOB 04/21/1978
Address124 Cream St Anywhere, NE
Date 03/14/2010
RX Doxycycline 100 mg
Disp #14
Sig: Take 1 capsule bid x 7 days
__________________
Timothy Romes, O.D. DEA #000
Dispense as Written Substitution Permissible
Refills
__0__
SUPERSCRIPTION
The Date the order is written
Name of patient
Address of patient
Age of the patient
Name Priscilla Promtly DOB 04/21/1978
Address124 Cream St Anywhere, NE
Date 03/14/2010
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INSCRIPTION
The body of the prescription
Containing
Name of pharmaceutical
Dosage
Dosage form
Amount or strength of ingredient
RX Doxycycline 100 mg
Disp #14
Sig: Take 1 capsule bid x 7 days
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Prescriber's
full name
address
telephone number
DEA number
Eyecare Associates
1234 Wellness Road · Anywhere, NE (555) 999-2020
__________________
Timothy Romes, O.D. DEA #000
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SUBSCRIPTION
Direction to the pharmacist
Example”
“dispense 15 capsules”
Disp #14
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SIGNATURA
Directions to the patient
Example ‘
“use ung OS q.h.s.”
Pharmacist translates into English for patient
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REFILLS
The prescriber indicates many refills are allowed
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IT’S NOT OFFICIAL UNLESS IT
CONTAINS
Signature of prescriber
Example:
 James L. Townsend, M.D.
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PROPRIETARY VS NONPROPRIETARY
Are generics allowed???
N.P.P. box
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LET’S READ LATIN
Abbreviation of the Latin word for “recipe”
“to take or take thus”
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DOSAGE
AMT
amount
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PRESCRIBED AMOUNT
mg
milligram
mL
milllitre
oz
ounce
g
gram
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WHAT FORM?
gtt
 drop
ung
 ointment
susp
 suspension
tab
 tablet
cap
 capsule
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HOW OFTEN?
qd
Every day
bid
Two times a day
tid
Three times a day
qid
Four times a day
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WHEN?
q
 every
qd
 Every day
qh
 Every hour
hr
 hour
hs
 At bedtime
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WHEN?
prn
as needed
pc
after meals
ac
before meals
wf
with food
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LET’S READ THESE
Ready?
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EXAMPLES
1 gtt bid OU
“1 drop twice a day each eye”
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2 tab po ac
“2 tablets by mouth before meals”
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1gtt OD bid
“1 drop right eye twice a day”
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1gtt OU qhs
“1 drop each eye before bed”
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Ung OU qhs
Ointment both eyes before bed
1 cap po wf
1 capsule by mouth with food
OK
Now, you write it
THE FICTITIOUS PHARMACEUTICAL
RAMICANI
ANOTHER FAKE MEDICATION
BRIFICOL
IF IN DOUBT,
ASK!!!!!
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ABBREVIATION
LATIN
MEANING
a.c.
ante cibum
before meals
agit
agita
stir/shake
amt
amount
aq
aqua
water
b.i.d. / b.d.
bis in die
twice daily
cap., caps.
capsula
capsule
cr., crm.
cream
dil.
dilute
g
gram
gtt(s)
gutta(e)
drop(s)
h, hr
hora
hour
h.s.
hora somni
at bedtime
mL
millilitre
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nebul
nebula
A spray
o.d.
oculus dexter
right eye
o.s.
oculus sinister
left eye
o.u.
oculus uterque
both eyes
oz
ounce
p.c.
post cibum
after meals
p.m.
post meridiem
evening or afternoon
prn
pro re nata
as needed
p.o.
per os
by mouth or orally
q
quaque
every
q.i.d.
quater in die
four times a day
q.d.
quaque die
every day
qqh
quater quaque hora
every four hours
q.h.
quaque hora
every hour
q.o.d.
every other day
qwk
every week
q.s.
quantum sufficiat
A sufficient quantity
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sol
solutio
susp
tab
solution
suspension
tabella
tablet
tbsp
tablespoon
tsp
teaspoon
t.i.d.
ter in die
top.
three times a day
topical
u.d., ut. dict.
ut dictum
as directed
ung.
unguentum
ointment
wf
with food (with meals)
w/o
Without
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PRESCRIPTIONS ARE WRITTEN BY LICENSED
DOCTORS
PHARMACISTS FILL PRESCRIPTIONS
YOU CAN BE A VALUABLE
INTERMEDIARY
BECAUSE…………………………..
You can break the code
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Ophthalmic Consulting and Training
Jill Luebbert
1975 ‘B’ Rd
West Point NE 68788-4582
Jill Luebbert, CPOT, ABOC
Independent Consultant
Phone: 402-372-2079
Cellular: 402-380-0775
E-mail: [email protected]
www.jjlconsulting.com
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