Dispensing prescriptions صرف الوصفات الطبية
Dispensing prescriptions
Steps of dispensing prescription :-
1- Receiving the prescription
2- Reading and checking prescription
3- Collection of medicines
4- Label production
5- Container
6- Rechecking
7- Handing over the medicine
1- Receiving the prescription :
the patient walks to the pharmacy and present the prescription which may be :-
- Paper prescription
- Electronic prescription (give the pharmacist no. code of patient)
2- Reading and checking prescription :-
-Prescription is reviewed to see which medicines are required and to note patient details .
-pharmacy staff should check :
1. patient’s name and address
2. age of patient if under 12 years .
3. name, dose and quantity of medicine.
4. Date .
5. prescriber’s name and address .
6. signature of prescriber .
7. legality and authenticity of document.
Examples of administration instructions
a.c. before food
b.d. to be taken twice daily
o.d. every day
o.m. every morning
o.n. every night
p.c. after food
p.r.n. as required
q.d.s. to be taken four times daily
stat immediately
t.d.s. to be taken three times daily
3 collection of medicines :This step may be carried out either :
1- manually, where the pharmacist or pharmacy assistant picks up the required product from the pharmacy storage section.
2- mechanically, where the pharmacist requests the product through a machine interface and the product is selected from the magazine and delivered at the dispensing bench.
During this step, pharmacist intervention to decrease occurrence of dispensing errors includes:-
1- care in selecting appropriate medicine; there are some medicines that have very similar names (e.g. amlodipine and amiloride, Lescol and Losec)
2- care in selecting the appropriate strength; there are medicines that are available in different strengths (e.g. amoxicillin 250 and 500 mg capsules, atenolol 25, 50 and 100 mg tablets)
3- care in selecting the appropriate dosage form; there are medicines that are available in different dosage forms (e.g. diclofenac gel, tablets, modified-release tablets, suppositories).
4- Label production :
- The label should be clear and legible to ensure that the patient takes the medicine as prescribed.
- The information presented has to be understood by the patient.
- Details to be included on label:
• patient’s name
• date of dispensing
• name of pharmacy
• name of medicine
• strength
• dosage form
• quantity dispensed
• dose with clear instructions
• cautionary labels.
5- Container :The appropriate container should be chosen for the medication should be :
1- Has stability of the product .
2- No interaction of the product with the material used for the container.
3- Usually repacking takes place in a controlled area under a quality assurance system .
4- Pre-packs are produced to be available for the pharmacist during the dispensing.
6-Rechecking:
1- Recheck that the prescription and the medicine prepared are consistent .
2- Recheck the right medicine in the right dosage form and strength has been identified .
3- Recheck the right label is attached .
4- Recheck the right patient instructions are provided.
7-handing over the medicine :
The pharmacist hands over the medicine and explains to the patient when and how to take the medication.
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