This document provides an overview of topics related to medication orders and labeling. It discusses the historical roots of prescriptions and medical terminology. The document outlines learning objectives and topics that will be covered, including medication orders, types of orders, order contents and processing, sterile compound labeling, and medical abbreviations. It provides introductory information on orders, root words, and signa language used for writing orders.
This document discusses medication orders, types of medication orders, essential parts of a medication order, communicating orders, calculating dosages, administering medications, and medication reconciliation. It provides details on physician and nurse practitioner ordering abilities, verbal/telephone orders, stat, single, standing, and PRN orders. It also outlines the 7 essential parts of orders, 2 methods for individualizing dosages, systems for dispensing medications, and the 5 rights of administration.
The document outlines the process and factors involved in good dispensing practice. It discusses receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, checking preparations, recording dispensed items, and issuing medicines to patients with instructions. Key factors that affect good dispensing include qualified staff, clean premises and equipment, and following proper procedures for each step of the dispensing cycle. The overall goal is to ensure patients receive the correct medication as prescribed.
Prescription and Drug prescription WritingEneutron
This document provides an overview of pharmacology and prescription writing. It defines pharmacology as the study of drugs and their effects on living organisms. Drugs can be natural, synthetic, or semi-synthetic and are classified as either over-the-counter or requiring a prescription. The structure of a prescription includes sections for the doctor's information, instructions to the pharmacist, directions for the patient, and identification of the patient. Prescriptions use standardized abbreviations and symbols to concisely communicate dosing instructions.
The document provides an overview of dispensing and medication counseling. It discusses the dispensing process which involves 6 steps: receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, making a final check, recording actions taken, and issuing medicine with instructions. Key aspects of each step are outlined such as selecting the proper stock, counting medications accurately, and ensuring quality control checks. The importance of environment, personnel qualifications, and following standard operating procedures are emphasized for ensuring safe and effective dispensing.
Interpretation Of Prescription or Medication order.Abubakar Fago
This document defines common abbreviations used in medication orders and prescriptions. It provides the meaning of abbreviations for things like dosage frequency (b.i.d., t.i.d.), routes of administration (p.o., I.M., I.V.), parts of a prescription, and practice exercises interpreting medication orders using these abbreviations. It aims to help with properly interpreting prescriptions and medication orders.
This document discusses good dispensing practices for pharmacists. It covers interpreting prescriptions, packaging and labeling medications, and ensuring quality control. Efficient management is key, such as prepackaging common drugs and organizing workflow. Accuracy is prioritized over speed. Packaging must preserve drug stability and quality using appropriate materials like glass or plastic. Labels must clearly provide dosing instructions and patient information. Auxiliary labels may provide additional guidance. Prepackaging multi-dose therapies ensures accurate dosing and simplifies dispensing of complex regimens. Quality checks are necessary when repackaging to maintain expiration dates and product quality.
The document describes the process for handling medication orders and prescriptions in both inpatient and outpatient settings. Key steps include verifying orders, selecting the appropriate drug and dose, generating labels, filling the order, and documenting administration. Important information is captured in the patient's profile. Labels contain required elements to ensure safe medication use. Pharmacists and technicians work to enter, prioritize, and fulfill orders accurately and in a timely manner.
what is patient counselling, objective of patient counselling, steps in patient counselling, patient counselling contents, process, conclusion, communicative skill for effective counselling, verbal communication, non verbal communications
This document discusses medication orders, types of medication orders, essential parts of a medication order, communicating orders, calculating dosages, administering medications, and medication reconciliation. It provides details on physician and nurse practitioner ordering abilities, verbal/telephone orders, stat, single, standing, and PRN orders. It also outlines the 7 essential parts of orders, 2 methods for individualizing dosages, systems for dispensing medications, and the 5 rights of administration.
The document outlines the process and factors involved in good dispensing practice. It discusses receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, checking preparations, recording dispensed items, and issuing medicines to patients with instructions. Key factors that affect good dispensing include qualified staff, clean premises and equipment, and following proper procedures for each step of the dispensing cycle. The overall goal is to ensure patients receive the correct medication as prescribed.
Prescription and Drug prescription WritingEneutron
This document provides an overview of pharmacology and prescription writing. It defines pharmacology as the study of drugs and their effects on living organisms. Drugs can be natural, synthetic, or semi-synthetic and are classified as either over-the-counter or requiring a prescription. The structure of a prescription includes sections for the doctor's information, instructions to the pharmacist, directions for the patient, and identification of the patient. Prescriptions use standardized abbreviations and symbols to concisely communicate dosing instructions.
The document provides an overview of dispensing and medication counseling. It discusses the dispensing process which involves 6 steps: receiving and validating prescriptions, interpreting prescriptions, preparing and labeling items, making a final check, recording actions taken, and issuing medicine with instructions. Key aspects of each step are outlined such as selecting the proper stock, counting medications accurately, and ensuring quality control checks. The importance of environment, personnel qualifications, and following standard operating procedures are emphasized for ensuring safe and effective dispensing.
Interpretation Of Prescription or Medication order.Abubakar Fago
This document defines common abbreviations used in medication orders and prescriptions. It provides the meaning of abbreviations for things like dosage frequency (b.i.d., t.i.d.), routes of administration (p.o., I.M., I.V.), parts of a prescription, and practice exercises interpreting medication orders using these abbreviations. It aims to help with properly interpreting prescriptions and medication orders.
This document discusses good dispensing practices for pharmacists. It covers interpreting prescriptions, packaging and labeling medications, and ensuring quality control. Efficient management is key, such as prepackaging common drugs and organizing workflow. Accuracy is prioritized over speed. Packaging must preserve drug stability and quality using appropriate materials like glass or plastic. Labels must clearly provide dosing instructions and patient information. Auxiliary labels may provide additional guidance. Prepackaging multi-dose therapies ensures accurate dosing and simplifies dispensing of complex regimens. Quality checks are necessary when repackaging to maintain expiration dates and product quality.
The document describes the process for handling medication orders and prescriptions in both inpatient and outpatient settings. Key steps include verifying orders, selecting the appropriate drug and dose, generating labels, filling the order, and documenting administration. Important information is captured in the patient's profile. Labels contain required elements to ensure safe medication use. Pharmacists and technicians work to enter, prioritize, and fulfill orders accurately and in a timely manner.
what is patient counselling, objective of patient counselling, steps in patient counselling, patient counselling contents, process, conclusion, communicative skill for effective counselling, verbal communication, non verbal communications
Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
The document summarizes information about drug storage and stability at United Hospital Ltd's pharmacy department. It discusses proper storage conditions and categories for drugs. Factors like temperature, humidity, light exposure etc. can affect drug stability over time. Expiry dates indicate the last date a drug should be used by. The document provides guidance on first-in-first-out practices and maintaining appropriate inventory controls for drug stock.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
Labelling and administration of medicinesArabaKendiel
This document discusses labelling and administration of medicines. It defines labels as slips of information attached to pharmaceutical products and outlines important information that should be included on manufacturer and dispensing labels like drug names, dosages, and expiration dates. Labels are important for identification and ensuring safe use of drugs. The document also defines medication administration and lists rights like the right patient and dosage that should be followed. It discusses factors to consider when administering drugs like side effects and different routes of administration.
The document outlines the key aspects of working in a community pharmacy, including processing prescriptions, customer service, common pharmacy types and roles of technicians. It describes the prescription filling process which involves validating prescriptions, entering information into the computer, generating labels, retrieving medications, pharmacist approval and storage. The document also discusses customer pick-up, cash registers, ordering supplies and disease management counseling.
A prescription is a written order from a physician directing a pharmacist to dispense medication. It contains 4 main components: superscription with the Rx symbol, inscription with drug name and dosage, subscription with instructions for the pharmacist, and signature with instructions for the patient. Prescriptions can be classified as outpatient or inpatient, pre-compounded or extemporaneous, and by the type of prescriber. Key elements of a prescription include prescriber information, patient information, drug name and strength, quantity, directions for use, refill information, and prescriber identification. Prescribing errors can occur due to omission of information, poor handwriting, inappropriate drug selection, or failure to consider patient history or interactions
This document outlines the requirements for obtaining and renewing a license to operate (LTO) for a drug establishment. It lists 11 documents required for an initial inspection, including documents proving ownership or lease of the establishment, permits, pharmacist qualifications, and standard operating procedures. An additional 13 documents are required for importers, wholesalers, or exporters. Reference materials and standard operating procedures must be presented at inspection. Reissuance of an LTO requires surrender of the original LTO, a picture of the establishment, and proof of renewal fees.
The document discusses good dispensing practices for pharmacists. It emphasizes that pharmacists have an ethical duty to ensure patients receive the right drug, dosage, and instructions to avoid harm. A good dispensing environment is clean, organized and provides a professional space for patients. When handling prescriptions, pharmacists must carefully check for completeness and accuracy before dispensing to avoid mistakes. They should also counsel patients thoroughly about their medication to ensure safe use.
The document outlines labeling requirements for pharmaceutical products in the Philippines according to Administrative Order No. 55 s. 1988. Key points include:
- The generic name must be the most prominently printed element and enclosed in an outlined box. For products with a brand name, the generic name must be above the brand name and one point size bigger.
- Labels must include the product name, dosage form and strength, category, manufacturer info, net contents, formulation, indications, warnings, batch/lot numbers, and expiration date.
- Specific formatting and font requirements are provided for different label elements and sections. Additional details may be included in package inserts.
- Biological and injectable products have additional labeling elements that
The document discusses guidelines for proper drug storage, maintenance, and security. Key points include:
- Drugs should be stored in a secure area under proper temperature, humidity, and light conditions to prevent contamination and deterioration.
- Drugs should be arranged alphabetically and by dosage on sturdy shelves. Older stock should be placed behind newer stock.
- Controlled drugs require double locking and regular counts by two licensed staff. All use and discards must be thoroughly documented.
- Proper expiration dating, cleanliness, and first in/first out practices help ensure effective and safe drug distribution.
This document discusses dispensing in pharmacy practice. Dispensing involves interpreting prescriptions to supply appropriate medicines to patients. It describes the key activities in dispensing like receiving prescriptions, checking for completeness and legality, filling prescriptions, and providing directions for patients. It emphasizes the importance of a well-organized dispensing environment and carefully checking prescriptions to avoid errors due to illegibility or similar drug names. Dispensers must concentrate to ensure the correct medicines are accurately dispensed.
To be considered valid, a prescription for a controlled substance must contain specific information including the patient and prescriber details, drug name and directions, quantity, and number of refills. Legally, prescriptions for Schedule III-V drugs allow a maximum of 5 refills and 90 days' supply per prescription, while Schedule II drugs permit no refills and a 30 day supply maximum. The document outlines the legal requirements for valid prescriptions regarding controlled substances.
This document defines patient counseling as a one-on-one interaction between a pharmacist and patient/caregiver to provide medication information. It discusses how counseling is undertaken during dispensing, disease management, and providing self-care advice. The pharmacist should educate patients on medication names, directions, interactions, intended effects, side effects and monitoring. Effective communication relies on active listening, questioning, responding, explaining and ensuring patient understanding. Counseling aims to improve patient outcomes and satisfaction.
The document discusses the labelling of dispensed medications. There are three main types of labels: main labels which indicate the brand name and logo; auxiliary labels which provide additional instructions for patients; and pictograms which use graphic images to convey safety information and proper usage instructions without words. Effective labelling of dispensed medications is important for communicating necessary information to patients and ensuring their safe and proper use of medicines.
This document discusses intravenous admixture drugs prepared in hospital pharmacies. It defines admixture preparations as sterile IV solutions compounded using one or more medications or electrolytes to be administered parenterally. The document outlines the pharmacist's role in preparing, monitoring, and administering IV admixtures and parenteral drugs. It also describes the key components of an IV admixture pharmacy system, including the preparation area, storage area, policies and procedures for ensuring quality, stability, compatibility and reducing errors.
Prescription is a written medication order to pharmacist by medical prescriber, for supply of medicine to a patient.
It has some parts which have been explained in this presentation.
The document discusses guidelines for proper storage of drugs and medications. Key points include storing drugs in a secure, temperature-controlled area under appropriate conditions to prevent deterioration. Medications should be arranged systematically for easy identification and access. Proper documentation and inventory management procedures like first expiration first out are important to ensure drug quality and safety.
This document provides information about prescriptions, including:
1. Definitions of key terms like "prescription" and an overview of the parts of a prescription such as the date, patient information, directions for use, and prescriber signature.
2. Descriptions of different types of prescriptions and methods of prescribing, both traditional compounding by pharmacists and modern dispensing of pre-made medications.
3. Details on properly receiving, reading, and handling prescriptions, including checking for errors and collecting ingredients accurately. Calculations for dispensing are also covered.
This document discusses the labeling of pharmaceutical products. Labeling provides important information for patients, including instructions for appropriate use of medicines. Labels must include the product name, quantity, patient name, dispensing date and pharmacy details. Labels also provide storage instructions, dosage information, potential drug interactions and warnings. Special labeling is required for different types of drug formulations and delivery methods, such as inhalers, capsules, creams and injections. The goal of labeling is to ensure safe use of approved pharmaceutical products and distinguish brands.
Cleaning the Horizontal Laminar Flow Hood Kdurant36
The document provides instructions for cleaning a horizontal laminar airflow hood according to USP Chapter <797> guidelines. It describes the various components of the horizontal hood and their functions in maintaining sterility. It outlines the necessary supplies, including sterile water, sterile 70% isopropyl alcohol, and lint-free wipes. It also provides a preview of the cleaning procedure, which involves first using sterile water to remove any residue, followed by sterile 70% isopropyl alcohol as the primary disinfectant. Upon completion, the technician must document the cleaning on the hood-cleaning checklist.
Aseptic Garbing, Hand Washing, and Gloving Kdurant36
The document provides an overview of aseptic garbing, hand washing, and gloving procedures according to USP Chapter <797> guidelines. It discusses learning objectives, topics that will be covered, and the importance of maintaining asepsis when preparing sterile compounded products. Specific procedures covered include self-assessment, use of personal protective equipment like gowns and gloves, essential supplies, and designated areas for aseptic hand washing. The goal is to avoid introducing pathogens while protecting both patients and healthcare workers.
Chapter 3_Prescription and prescription handling.pptxVinayGaikwad14
Definition, parts of prescriptions, legality of prescriptions, prescription handling, labeling of
dispensed medications (Main label, ancillary label, pictograms), brief instructions on medication
usage, Dispensing process, Good Dispensing Practices, dispensing errors and strategies to minimize
them.
The document summarizes information about drug storage and stability at United Hospital Ltd's pharmacy department. It discusses proper storage conditions and categories for drugs. Factors like temperature, humidity, light exposure etc. can affect drug stability over time. Expiry dates indicate the last date a drug should be used by. The document provides guidance on first-in-first-out practices and maintaining appropriate inventory controls for drug stock.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
Labelling and administration of medicinesArabaKendiel
This document discusses labelling and administration of medicines. It defines labels as slips of information attached to pharmaceutical products and outlines important information that should be included on manufacturer and dispensing labels like drug names, dosages, and expiration dates. Labels are important for identification and ensuring safe use of drugs. The document also defines medication administration and lists rights like the right patient and dosage that should be followed. It discusses factors to consider when administering drugs like side effects and different routes of administration.
The document outlines the key aspects of working in a community pharmacy, including processing prescriptions, customer service, common pharmacy types and roles of technicians. It describes the prescription filling process which involves validating prescriptions, entering information into the computer, generating labels, retrieving medications, pharmacist approval and storage. The document also discusses customer pick-up, cash registers, ordering supplies and disease management counseling.
A prescription is a written order from a physician directing a pharmacist to dispense medication. It contains 4 main components: superscription with the Rx symbol, inscription with drug name and dosage, subscription with instructions for the pharmacist, and signature with instructions for the patient. Prescriptions can be classified as outpatient or inpatient, pre-compounded or extemporaneous, and by the type of prescriber. Key elements of a prescription include prescriber information, patient information, drug name and strength, quantity, directions for use, refill information, and prescriber identification. Prescribing errors can occur due to omission of information, poor handwriting, inappropriate drug selection, or failure to consider patient history or interactions
This document outlines the requirements for obtaining and renewing a license to operate (LTO) for a drug establishment. It lists 11 documents required for an initial inspection, including documents proving ownership or lease of the establishment, permits, pharmacist qualifications, and standard operating procedures. An additional 13 documents are required for importers, wholesalers, or exporters. Reference materials and standard operating procedures must be presented at inspection. Reissuance of an LTO requires surrender of the original LTO, a picture of the establishment, and proof of renewal fees.
The document discusses good dispensing practices for pharmacists. It emphasizes that pharmacists have an ethical duty to ensure patients receive the right drug, dosage, and instructions to avoid harm. A good dispensing environment is clean, organized and provides a professional space for patients. When handling prescriptions, pharmacists must carefully check for completeness and accuracy before dispensing to avoid mistakes. They should also counsel patients thoroughly about their medication to ensure safe use.
The document outlines labeling requirements for pharmaceutical products in the Philippines according to Administrative Order No. 55 s. 1988. Key points include:
- The generic name must be the most prominently printed element and enclosed in an outlined box. For products with a brand name, the generic name must be above the brand name and one point size bigger.
- Labels must include the product name, dosage form and strength, category, manufacturer info, net contents, formulation, indications, warnings, batch/lot numbers, and expiration date.
- Specific formatting and font requirements are provided for different label elements and sections. Additional details may be included in package inserts.
- Biological and injectable products have additional labeling elements that
The document discusses guidelines for proper drug storage, maintenance, and security. Key points include:
- Drugs should be stored in a secure area under proper temperature, humidity, and light conditions to prevent contamination and deterioration.
- Drugs should be arranged alphabetically and by dosage on sturdy shelves. Older stock should be placed behind newer stock.
- Controlled drugs require double locking and regular counts by two licensed staff. All use and discards must be thoroughly documented.
- Proper expiration dating, cleanliness, and first in/first out practices help ensure effective and safe drug distribution.
This document discusses dispensing in pharmacy practice. Dispensing involves interpreting prescriptions to supply appropriate medicines to patients. It describes the key activities in dispensing like receiving prescriptions, checking for completeness and legality, filling prescriptions, and providing directions for patients. It emphasizes the importance of a well-organized dispensing environment and carefully checking prescriptions to avoid errors due to illegibility or similar drug names. Dispensers must concentrate to ensure the correct medicines are accurately dispensed.
To be considered valid, a prescription for a controlled substance must contain specific information including the patient and prescriber details, drug name and directions, quantity, and number of refills. Legally, prescriptions for Schedule III-V drugs allow a maximum of 5 refills and 90 days' supply per prescription, while Schedule II drugs permit no refills and a 30 day supply maximum. The document outlines the legal requirements for valid prescriptions regarding controlled substances.
This document defines patient counseling as a one-on-one interaction between a pharmacist and patient/caregiver to provide medication information. It discusses how counseling is undertaken during dispensing, disease management, and providing self-care advice. The pharmacist should educate patients on medication names, directions, interactions, intended effects, side effects and monitoring. Effective communication relies on active listening, questioning, responding, explaining and ensuring patient understanding. Counseling aims to improve patient outcomes and satisfaction.
The document discusses the labelling of dispensed medications. There are three main types of labels: main labels which indicate the brand name and logo; auxiliary labels which provide additional instructions for patients; and pictograms which use graphic images to convey safety information and proper usage instructions without words. Effective labelling of dispensed medications is important for communicating necessary information to patients and ensuring their safe and proper use of medicines.
This document discusses intravenous admixture drugs prepared in hospital pharmacies. It defines admixture preparations as sterile IV solutions compounded using one or more medications or electrolytes to be administered parenterally. The document outlines the pharmacist's role in preparing, monitoring, and administering IV admixtures and parenteral drugs. It also describes the key components of an IV admixture pharmacy system, including the preparation area, storage area, policies and procedures for ensuring quality, stability, compatibility and reducing errors.
Prescription is a written medication order to pharmacist by medical prescriber, for supply of medicine to a patient.
It has some parts which have been explained in this presentation.
The document discusses guidelines for proper storage of drugs and medications. Key points include storing drugs in a secure, temperature-controlled area under appropriate conditions to prevent deterioration. Medications should be arranged systematically for easy identification and access. Proper documentation and inventory management procedures like first expiration first out are important to ensure drug quality and safety.
This document provides information about prescriptions, including:
1. Definitions of key terms like "prescription" and an overview of the parts of a prescription such as the date, patient information, directions for use, and prescriber signature.
2. Descriptions of different types of prescriptions and methods of prescribing, both traditional compounding by pharmacists and modern dispensing of pre-made medications.
3. Details on properly receiving, reading, and handling prescriptions, including checking for errors and collecting ingredients accurately. Calculations for dispensing are also covered.
This document discusses the labeling of pharmaceutical products. Labeling provides important information for patients, including instructions for appropriate use of medicines. Labels must include the product name, quantity, patient name, dispensing date and pharmacy details. Labels also provide storage instructions, dosage information, potential drug interactions and warnings. Special labeling is required for different types of drug formulations and delivery methods, such as inhalers, capsules, creams and injections. The goal of labeling is to ensure safe use of approved pharmaceutical products and distinguish brands.
Cleaning the Horizontal Laminar Flow Hood Kdurant36
The document provides instructions for cleaning a horizontal laminar airflow hood according to USP Chapter <797> guidelines. It describes the various components of the horizontal hood and their functions in maintaining sterility. It outlines the necessary supplies, including sterile water, sterile 70% isopropyl alcohol, and lint-free wipes. It also provides a preview of the cleaning procedure, which involves first using sterile water to remove any residue, followed by sterile 70% isopropyl alcohol as the primary disinfectant. Upon completion, the technician must document the cleaning on the hood-cleaning checklist.
Aseptic Garbing, Hand Washing, and Gloving Kdurant36
The document provides an overview of aseptic garbing, hand washing, and gloving procedures according to USP Chapter <797> guidelines. It discusses learning objectives, topics that will be covered, and the importance of maintaining asepsis when preparing sterile compounded products. Specific procedures covered include self-assessment, use of personal protective equipment like gowns and gloves, essential supplies, and designated areas for aseptic hand washing. The goal is to avoid introducing pathogens while protecting both patients and healthcare workers.
Sterile Compounding as a Pharmacy Technician Kdurant36
The document provides an overview of sterile compounding and aseptic technique for pharmacy technicians. It discusses the historical roots of pharmacy and sterile compounding. It also outlines the key roles and responsibilities of pharmacy technicians in preparing sterile compounded preparations and defines important terms like aseptic technique. Maintaining aseptic technique is crucial for patient health and safety. The document reviews the training and certification requirements for pharmacy technicians set by organizations like USP and state boards of pharmacy.
This document discusses the sterile compounding environment, including the setup and characteristics of anterooms and clean rooms. It describes the ISO classification levels for particulate matter in these areas and different types of hoods used for sterile compounding. USP Chapter <797> guidelines for hoods and the four risk levels for sterile compounding are also summarized.
This document discusses various calculations used in sterile compounding. It covers learning objectives, types of calculations including basic formula, ratio and proportion, dimensional analysis, IV flow rates, IV drip rates, and alligations. It provides examples of how to perform each type of calculation and notes the specific scenarios where each method is best used. The goal is for readers to understand the principles and practice calculations to determine the correct method based on the medication and sterile compounding procedure.
This document provides an overview of chemotherapy products and procedures. It discusses the historical use of chemotherapy to treat cancer and identifies special considerations for preparing chemotherapy. Key topics covered include common chemotherapy drug categories, properties and compounding of chemotherapy CSPs, handling risks, training requirements, administration procedures, and USP Chapter <797> guidelines for chemotherapy preparation. The learning objectives, resources, and lab procedure are also previewed.
This document discusses total parenteral nutrition (TPN). It provides learning objectives about TPN preparation and administration. It introduces TPN as nutrition administered to patients who cannot absorb nutrients normally. It describes the types of parenteral nutrition as peripheral and total parenteral nutrition. It discusses indications for prescribing TPN, formulation of TPN solutions, guidelines for ordering TPN, and risks associated with TPN preparation.
Cleaning and Disinfecting iv Hoods and RoomsJerry Fahrni
There are plenty of rules regarding when and how pharmacy iv rooms should be cleaned and disinfected. This presentation gives a basic overview of those rules as found in USP Chapter <797>
This document provides an overview of ampule-based preparations for sterile compounding. It defines what ampules are and how they are designed to break open at the neck. It outlines the safety procedures that must be followed when opening ampules, such as using a filter needle to remove any glass fragments. The document discusses the types of medications found in ampules and how they are administered. It also reviews the risks associated with parenteral preparations and ampule-based preparations specifically. Finally, it provides guidance on following USP Chapter <797> guidelines and understanding the necessary resources and supplies for working with ampules.
This document discusses various supplies used for sterile compounding, including needles, syringes, IV bags, vials, and ampules. It describes the components and proper use of these supplies, emphasizing that critical sites must be touched only with sterile tools to avoid contamination. Most sterile compounding procedures use a regular needle that is 1 1/2 inches long and syringes to withdraw or inject solutions.
This document provides an overview of topics related to preparing narcotic compounded sterile preparations. It discusses the legal regulations for controlled substances, properties of narcotic CSPs, potential complications of parenteral therapy, storage and record keeping of controlled substances, guidelines for preparing patient-controlled analgesia, and USP Chapter <797> procedures. The objectives are to understand regulations and demonstrate proper technique for preparing narcotic CSPs.
This document provides an overview of pediatric compounding sterile preparations. It discusses how pediatric medicine considers the specific healthcare needs of children. Pediatric compounding involves preparing small volume sterile solutions and considering factors like pediatric dosing, formulations, administration routes, potential complications, and USP guidelines. The document outlines supplies and procedures for compounding a pediatric special dilution, including anteroom and clean room preparation steps.
Exercise No 3 The Medication Sheet And Cardsdunerafael
1) This document contains a patient drug profile and medication sheet for Thomas Anzalone, a 31-year-old male admitted to St. Luke's Hospital for an acute schizophrenic episode.
2) The patient was initially prescribed haloperidol 5-10 mg IM q4hrs and haloperidol 5 mg IM PRN for agitation, but was later discontinued from haloperidol and prescribed risperidone 2 mg PO BID.
3) The medication sheet and cards are important tools for pharmacists, physicians and nurses to properly document and track a patient's medications and medication errors.
The document provides instructions for nurses on transcribing doctors' orders accurately. It discusses interpreting drug orders, using color coding and sample medicine tickets to organize medications by frequency. Common errors like misinterpreting times or dosages are outlined. Keys to accurate transcription include never altering original orders, writing legibly, creating new tickets for new orders, clarifying uncertainties, and signing sheets only after administering medications. Proper transcription is important to ensure patients receive the correct treatments.
The document establishes guidelines for proper documentation in medical records to ensure effective communication between healthcare professionals and compliance with legal responsibilities, noting that orders must be clear, concise, organized, legible, and evaluated regularly for changes in patient condition. It outlines the roles and responsibilities of various professionals who can accept and document patient care orders, and provides standards for ensuring orders are appropriate, reasonable, and promptly questioned if issues arise.
Pharmacy CSP Preparation: Personnel Garbing and GlovingJerry Fahrni
Personnel garbing and gloving procedures are outlined to minimize contamination when compounding sterile preparations. Individuals are excluded if shedding particles at high rates from infections or wounds. Garbing begins with removing jewelry and outerwear then donning shoe covers, hair/beard covers, and a mask in the ante-area. Hands and forearms are washed to the elbows for 30 seconds followed by drying and donning a gown. In the buffer area, hands are scrubbed with alcohol-based sanitizer and allowed to dry before donning sterile gloves. Gloves are disinfected throughout compounding and replaced if breached. PPE is replaced or redonned as needed to maintain sterility when reentering the compound
The document discusses intravenous (IV) admixtures and preparations. Some key points:
- IV admixtures involve preparing mixtures of two or more drugs into an IV fluid bag or bottle, done under doctor's orders by a trained pharmacist to avoid errors.
- Characteristics like solubility, osmolality, and pH must be considered and adjusted to match blood levels.
- IV sets include spikes, drip chambers, clamps, tubing, and needles to administer fluids and drugs via IV. Proper sterile technique is crucial when preparing IVs.
The document discusses the history and development of parenteral nutrition, which began in the 1960s with lipid infusions and the development of parenteral nutrition for patients who had lost their small bowel. It then covers key aspects of parenteral nutrition including formulations, administration routes, indications, and complications. Total parenteral nutrition provides complete nutritional support through intravenous infusion and is indicated when enteral nutrition is not feasible or sufficient, such as in cases of severe gastrointestinal dysfunction.
This document provides an overview of small-volume parenteral (SVP) preparations, also known as intravenous piggybacks (IVPBs). It discusses the origins and uses of IVPBs, how they are compounded, potential complications, and United States Pharmacopeia (USP) Chapter <797> guidelines for sterile compounding. The document outlines learning objectives and topics to be covered, which include IVPB supplies, resources, compounding procedures using different techniques like milking or vented needles, and a preview of lab procedures. Superbugs and antibiotic-resistant bacteria are presented as growing health concerns with parental therapy.
The document summarizes key aspects of prescriptions, including the prescription process, elements of a prescription, pharmacy abbreviations, labels, and HIPAA regulations. It describes the roles of pharmacy technicians in receiving prescriptions, entering insurance and patient information, preparing and checking prescriptions, and providing counseling. Technicians must verify prescription accuracy and refer any issues to pharmacists. Labels contain required information and directions must use verbs and avoid abbreviations.
This document discusses dispensing in pharmacy practice. Dispensing involves interpreting prescriptions to supply appropriate medicines to patients. It describes the key activities in dispensing like receiving prescriptions, checking for completeness and legality, filling prescriptions, and providing directions for patients. It emphasizes the importance of a well-organized dispensing environment and carefully checking prescriptions to avoid errors due to illegibility or similar drug names. Dispensers must concentrate to ensure the correct medicines are accurately dispensed.
The document discusses the key components of a prescription, including the prescriber's information, date, patient details, medication prescribed, directions for use, and prescriber's signature. It describes the typical format of a prescription and explains the purpose and meaning of each section. Additionally, it covers legal requirements for valid prescriptions, common Latin terms and abbreviations used, procedures for handling prescriptions, and precautions for dispensing prescriptions accurately.
This chapter discusses various drug information resources available to pharmacy technicians. It covers primary, secondary, and tertiary literature references as well as common references like Drug Facts and Comparisons, USP DI, Martindale, and AHFS. Other reference types discussed include textbooks, newsletters, indexes, the FDA Orange Book, and Material Safety Data Sheets. The chapter also reviews resources available through the internet, personal digital assistants, and pharmacy technician organizations.
This document discusses key aspects of prescriptions, including their components, types, and interpretation. A prescription contains information about the patient, medication, and directions. It is issued by a medical practitioner and provides instructions for a pharmacist to prepare and dispense a medication to a specific patient. Prescriptions can be written or electronic. They must be accurately interpreted and filled to ensure patients receive the correct medication as prescribed.
FDA Guidance for Food and Drug Labelling
#peivandpirouzi #training #canada #pirouzi #international #funding #immigrants #refugees #canada #immigration #education
This document discusses understanding and interpreting medication orders. It covers the key components of a medication order including the patient's name, date, time, medication, dosage, route, frequency and prescriber signature. Common abbreviations used in orders are identified. The importance of clarifying any unclear aspects of an order is emphasized to ensure patient safety. Orders missing required elements should not be filled. Interpreting orders correctly requires understanding these order writing standards and components.
The document discusses eliminating error-prone abbreviations, symbols, and dose designations in medical communications and orders to prevent medication errors. Ambiguous notations commonly cause mistakes that can harm patients. It provides the Institute for Safe Medication Practices' "do not use" list of problematic abbreviations and recommends writing out drug names and doses clearly instead. The document urges healthcare professionals, industry, publishers and others to remove error-prone abbreviations from all forms of medical documentation and communications.
A prescription contains instructions from a medical practitioner for a medicine. It includes information like the prescriber, patient, medication, directions, and signature. The prescription allows communication between the doctor and pharmacist so the correct medicine is dispensed to the patient. When processing a prescription, the pharmacist will receive it, check for errors, collect and measure the materials, compound the medicine, package it, and apply a label. Mistakes can occur due to issues like illegible handwriting, distractions, or a lack of experience or focus from the dispenser.
The document discusses medication reconciliation, which is defined as a process to obtain and document a complete list of a patient's pre-admission medications and reference this list when writing admission, transfer, and discharge orders. It provides background on medical errors from medication issues and the importance of medication reconciliation. It then describes the medication reconciliation process, which involves verifying the patient's medication list with them and reconciling the list at discharge.
The document defines a prescription as a written order from a medical practitioner to a pharmacist for medications to treat a patient's condition. A prescription contains information like the prescriber's details, patient details, medication, dosage, and instructions. It discusses the parts of a prescription like date, patient information, medication prescribed, directions to the pharmacist and patient. The document also outlines how pharmacists should handle prescriptions by checking validity, collecting ingredients, compounding accurately, and labeling properly. It notes legal requirements for a valid prescription and how pharmacists identify potential drug interactions using screening tools, records, resources and clinical judgment.
The document discusses drug orders and medication administration. It defines the rights of medication administration and identifies the necessary elements of a complete physician's drug order or prescription. It also describes medication administration records and systems. Key elements that must be included are patient name, drug name, dosage, route, frequency, and prescriber information. Abbreviations must follow facility guidelines to avoid errors. Orders must be legible and complete for safe medication administration.
This document discusses medication orders and administration. It covers the rights of medication administration, interpreting physician orders, medication administration records, and reference materials. Key points include the basic rights being right patient, right drug, right dose, right time, right technique, and right documentation. Physician orders must include patient name, drug, dosage, route, frequency and prescriber information. Medication administration records must match orders and allow documentation of each dose given. Reference materials help ensure safe medication practices.
Here are the key steps to properly administer an inhaler:
1. Shake the inhaler well before each use. This ensures the medication is properly dispersed in the canister.
2. Have the resident exhale fully before breathing in the medication from the inhaler.
3. As the resident begins to inhale, press down on the canister to release the medication.
4. Have the resident hold their breath for 10 seconds to allow the medication to fully enter the lungs.
5. Wait at least 30 seconds between puffs if more than one puff is prescribed.
So the correct answer is A - an inhaler must be shaken before each and every time you use it
The document is a certificate stating that a student named Mr/Miss [name] with registration number [number] of the second year Diploma in Pharmacy program at Shri Sangameshwar College of Pharmacy has satisfactorily completed the required term work in Community Pharmacy & Management for the academic years [year] to [year] as prescribed in the curriculum. It is signed by the subject teacher and principal.
A medical prescription has seven main components: inscription, superscription, prescription, subscription, signature, name of physician, and name of patient. It provides instructions for preparing and dispensing medication to a specific patient. Prescriptions can be compounded, requiring mixing of ingredients, or noncompounded, using premade formulations. Prescriptions use abbreviations and measure drugs in metric units like grams and milliliters. Pharmacopeias are books that provide quality standards for drugs.
Introduction to Medical records and Documentation revised 01-13kbpennington
This document provides guidance on navigating a medical record to find pertinent patient information. It outlines the typical sections of a medical record including the initial physician assessment, progress notes, nursing notes, labs, medications, radiology reports, and documentation from other healthcare professionals. It emphasizes the importance of accurate and thorough documentation in medical records for legal and care purposes. Common documentation formats like SOAP, narrative, and problem-oriented records are also overviewed.
This document discusses the administration of medication presented by an assistant professor. It defines administration of medication as dispensing medicine to patients for therapeutic purposes. It outlines the rights and principles of medication administration including the right patient, drug, dose, route, time, documentation, and reason. It also discusses terminology related to pharmacology, pharmacotherapeutics, pharmacodynamics, pharmacokinetics, and components of prescriptions. Guidelines for safe administration and factors that can influence medication errors are presented.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
3. Topics3
Learning Objectives
Gain an awareness of the historical roots of prescriptions, the Rx symbol,
and the signa.
Recognize the influence of early Greek and Roman healthcare
practitioners on current medical terminology and abbreviations.
Understand the difference between a prescription and a medication
order.
Understand common medical and pharmacy terminology, abbreviations,
acronyms, and symbols.
Identify pharmacy directions written in signa language.
Recognize physician instructions and other pertinent information on a
medication order.
Identify the various components of a compounded sterile preparation
label.
2012 Paradigm Publishing
4. Topics4
Topics
Learning Objectives
Introduction
Medical Root Words, Prefixes, and Suffixes
Medical Abbreviations, Acronyms, and Symbols
Signa Interpretation
Medication Orders
Types of Medication Orders
Medication Order Contents and Processing
CSP Labeling
Sterile Compound Label Components
Sterile Compound Label Verification and Application
Chapter Summary
2012 Paradigm Publishing
In Slide Show view, click
the desired topic to the
left to link directly to the
related slide. To return
to this slide at any point
in the presentation, click
the Topics button below.
5. Topics55
Introduction
The origin of medical terminology is as old as
medicine itself
approximately 75% of medical terminology has its roots in
the Greek language
the remainder can be traced to Latin
2012 Paradigm Publishing
6. Topics66
Medical Root Words, Prefixes, and
Suffixes
Most medical terminology is based on a combination
of medical morphemes, or root words, prefixes, and
suffixes
A word’s meaning is derived from the root word
A combining vowel is sometimes added to the end
of the root word
when a root word contains this combining vowel, the word
is said to be in its combined form
2012 Paradigm Publishing
7. Topics77
Medical Root Words, Prefixes, and
Suffixes…/2
A prefix is a word element attached to the beginning
of a root word
a prefix often indicates time, location, direction, or
number
A suffix is a word element attached to the end of a
root word
the addition of a suffix further defines the meaning of a
root word
2012 Paradigm Publishing
8. Topics88
Medical Abbreviations, Acronyms,
and Symbols
Approximately 35,000 abbreviations, acronyms, and
symbols are used in medicine and pharmacy
Collectively, they are referred to as medical
abbreviations, or simply abbreviations
most abbreviations are developed to shorten the length of
words and word combinations related to health, medicine,
laboratory procedures or tests, and pharmacy
2012 Paradigm Publishing
9. Topics99
Medical Abbreviations, Acronyms,
and Symbols…/2
Common Medical Abbreviations
Indicate specific patient care facilities, units, or
departments or the titles of individual team
members
Refer to specific medical diagnoses and conditions,
procedures, treatments, patient directives/activities,
equipment/supplies, and tests
2012 Paradigm Publishing
10. Topics1010
Medical Abbreviations, Acronyms,
and Symbols…/3
Common Pharmacy Abbreviations
Typically seen on medication orders or other written
communications between providers and pharmacies
provide important information
might also include abbreviations to communicate specific
compounding directives
common for indicating the route of administration and the
dosing intervals for prescribed medications
2012 Paradigm Publishing
11. Topics1111
Medical Abbreviations, Acronyms,
and Symbols…/4
Common Pharmacy Symbols
In addition to knowing pharmacy abbreviations, you
need to recognize and understand a number of
symbols specific to pharmacy practice
symbols such as ↑ and ↓ are frequently placed on
medication orders to indicate “increase” and “decrease,”
respectively
another common symbol is the Greek delta symbol (Δ),
which is used to indicate a desired change
2012 Paradigm Publishing
12. Topics1212
Medical Abbreviations, Acronyms,
and Symbols…/5
The Official “Do Not Use” List of Abbreviations
In 2004, the Joint Commission was driven to create
The Official “Do Not Use” List of Abbreviations in
response to a number of sentinel events that had
been noted across the United States
list integrated into the Performance Standards for
Healthcare Accreditation
the nonstandard and potentially dangerous abbreviations
should not be used in any healthcare application
2012 Paradigm Publishing
13. Topics1313
Signa Interpretation
The signa component is a specialized language that
physicians or other prescribers place on a medication
order
provides the pharmacy with specific directions for
administering the medication order
may include dosage information, the route of
administration, the amount to be dispensed, the time
schedule or dosing interval, and any special instructions
2012 Paradigm Publishing
14. Topics1414
Signa Interpretation…/2
Signa language combines an assortment of
abbreviations, acronyms, and symbols
2012 Paradigm Publishing
Signa Interpretation of Signa
i packet in 2 oz. OJ PO q.i.d. ut dict Mix one packet in two ounces of orange juice and
give by mouth four times daily as directed.
aaa b.i.d. prn itching Apply to affected area twice daily as needed for
itching.
SSI Sub-Q p.c. and h.s. Sliding scale insulin, inject subcutaneously after
meals and at bedtime.
iii gtts au q8h Instill three drops into both ears every eight
hours.
15. Topics1515
Signa Interpretation…/3
Transcribing or interpreting a signa requires you to
seek the portions of the directive that address the
following questions:
What is the route of administration of the medication?
How much of the medication is the patient supposed to
take and how often?
What special instructions need to be followed when taking
the medication?
2012 Paradigm Publishing
16. Topics1616
Medication Orders
Medication orders are similar to prescriptions
exclusive to the institutional or hospital setting
Medication orders entered directly into a computer
by the physician are often called eMARs (electronic
medication administration records)
Just like other types of prescriptions, medication
orders are legal documents that must be filed,
usually based on the date the order was written, and
kept on hand for up to two years
2012 Paradigm Publishing
17. Topics1717
Medication Orders…/2
Upon receipt of the medication order, the pharmacy
determines what medications and dosages have
been ordered and then interprets the signa
directions
it is then transcribed, or interpreted, and then entered into
the pharmacy’s computer system through a process called
order entry
the pharmacist usually performs order entry, but specially
trained pharmacy technicians may also complete this task
A label is then prepared for each of the medications
2012 Paradigm Publishing
18. Topics18
Your Turn
2012 Paradigm Publishing
1) Approximately how many abbreviations, acronyms, and symbols are
used in medicine and pharmacy?
a. 350
b. 3,500
c. 35,000
d. 350,000
2) This component is a specialized language that physicians or other
prescribers place on a medication order.
a. delta
b. signa
c. alpha
d. omega
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19. Topics1919
During hospital treatment, a physician examines a
patient and then writes the first medication order on
the patient’s medical chart
the medical chart is commonly called the medication
administration record, the patient’s chart or, simply, the
chart
2012 Paradigm Publishing
Types of Medication Orders
20. Topics2020
The physician’s initial
order is called the
admission order and is
often written while the
patient is in the
emergency department
or has just been
admitted to a hospital
room
2012 Paradigm Publishing
Types of Medication Orders…/2
21. Topics2121
If applicable, the admission order includes a list of
the medications, including dosages and dosing
intervals, that the patient has been taking at home
These medications are commonly referred to as
home medications or home meds
in many instances, the physician orders the pharmacy to
continue home meds so that the patient will receive these
same medications while he or she is hospitalized
2012 Paradigm Publishing
Types of Medication Orders…/3
22. Topics2222
Every time a physician
examines a patient,
new orders, or changes
to existing medication
orders, are written
may be referred to as
daily orders
2012 Paradigm Publishing
Types of Medication Orders…/4
23. Topics2323
Some physicians whose
specialties involve
commonly prescribed
medical treatments take
advantage of preprinted
order forms called
standing orders, or
routine orders
2012 Paradigm Publishing
Types of Medication Orders…/5
24. Topics2424
The medical chart contains both patient
identification information and copies of all treatment
orders prescribed during the patient’s stay
Standard patient identification information is either
handwritten on the order, provided on a computer-
generated patient ID label affixed to the order, or
preprinted at the top of each medication order by
using an addressograph
2012 Paradigm Publishing
Medication Order Contents and
Processing
25. Topics2525
Access to protected health information (PHI), such
as that found on a medication order or in a patient
chart, is restricted and the information may be
viewed only by those departments that must see the
data in order to correctly treat the patient
pharmacy
laboratory
nursing
2012 Paradigm Publishing
Medication Order Contents and
Processing…/2
26. Topics2626
The treatment orders kept in the medical chart are
carbon copies of all medication, diagnostic,
laboratory, dietary, and other orders prescribed
the original copy remains in the chart, while the other
carbon copies are hand-delivered, faxed, scanned
electronically, or sent via pneumatic tube system to the
pharmacy or other relevant hospital departments
may be kept at the nursing station or maintained on a
computer record
2012 Paradigm Publishing
Medication Order Contents and
Processing…/3
27. Topics2727
Orders are most often written by hand, using a
combination of medical terminology and signa
instructions, but they may also be entered directly
into a hospital computer
facilities that depend on an eMAR system provide
computer terminals at the nursing station or near the
patient’s room
physicians use these terminals for direct order entry,
commonly referred to as computerized physician order
entry (CPOE)
2012 Paradigm Publishing
Medication Order Contents and
Processing…/4
28. Topics2828
A pharmacist or technician based in either the
central pharmacy or a satellite pharmacy enters the
order into the pharmacy’s computer system
specialized pharmacy software assists with the
identification of patient medication allergies and cross-
sensitivities, drug–drug or drug–food interactions,
appropriate medication dosage, duplicate therapy,
contraindications, and other information
if an issue or potential problem arises, a flashing caution or
warning screen (sometimes called a warning flag) appears
2012 Paradigm Publishing
Medication Order Contents and
Processing…/5
29. Topics2929
CSP Labeling
Upon completion of sterile compounding and
checking procedures, personnel must appropriately
label the sterile compound in its final container
Labels will most often be affixed by the IV technician
but may also be affixed by the pharmacist
Federal laws require that pharmacy labels accurately
identify the ingredients and the amount of each
ingredient in the final sterile compound
2012 Paradigm Publishing
30. Topics3030
Sterile Compound Label
Components
The CSP label provides general information
must also contain very specific information about the
product, its administration and storage requirements,
expiration date, and preparer
Product information on the CSP label specifies the
name, concentration, and amount of each base
solution used to prepare the compound
The label must also clearly identify each additive, or
medication or ingredient that has been added to the
base solution
2012 Paradigm Publishing
31. Topics3131
Sterile Compound Label
Components…/2
In general, only IV
push and IVPB
medications require
an administration
time, which is the
length of time over
which the drug is to
be given
2012 Paradigm Publishing
32. Topics3232
Sterile Compound Label
Components…/3
If the medication’s administration is not ordered by
the physician and the package insert is unavailable,
the pharmacist may find this information by
consulting one of the pharmacy reference manuals,
such as the Handbook on Injectable Drugs, or a
computerized pharmacy reference source, such as
Micromedex
2012 Paradigm Publishing
33. Topics3333
Sterile Compound Label
Components…/4
In contrast to an
administration time, an
infusion rate is specified
for large-volume
parenteral (LVP)
products, such as IV
bags and TPN solutions
2012 Paradigm Publishing
35. Topics3535
Sterile Compound Label
Components…/6
Personnel also add
auxiliary labels to clarify
special instructions or
highlight physician
directions for the nursing
staff
2012 Paradigm Publishing
36. Topics3636
Sterile Compound Label
Components…/7
Another required component
on the CSP label is the
expiration date of the sterile
compound, sometimes
referred to as the beyond-use
date (BUD)
2012 Paradigm Publishing
37. Topics3737
Sterile Compound Label
Components…/8
Several factors determine the expiration date,
including the stability of the drug in its
compounded form
storage requirements must also be included on the label
Every CSP label must also identify the pharmacy
personnel who prepared the compound
2012 Paradigm Publishing
38. Topics3838
Verifying the accuracy of the
medication order and the CSP
label is one of the most
important components of
ensuring the Five Patient
Rights
Sterile product labels must be
legible, pharmaceutically
elegant, and complete
2012 Paradigm Publishing
Sterile Compound Label Verification
and Application
39. Topics39
Your Turn
2012 Paradigm Publishing
3) The physician’s initial order is called this.
a. start order
b. begin order
c. check-in order
d. admission order
4) The CSP label provides all of the following information except
a. storage requirements of medication
b. administration rate of medication
c. patient diagnosis
d. patient identification number
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