e) Prescribed medication order and communication skills Prescribed medication order- interpretation and legal requirements Communication skills- communication with prescribers and patients.

1. Prescribed Medication Order and
Communication Skills
Mr. Ravinandan A P
Asst. Prof.
Department of Pharmacy Practice
Sree Siddaganga College of Pharmacy
Tumkur, Karnataka

2. Presentation Outlines…………………….
1. Introduction
2. Legal requirements
3. Communication skills- communication with
prescribers and patients.

3. Prescribed Medication Order
• Prescription medications are
dispensed only upon the clear,
complete, and signed order of a
person lawfully authorized to
prescribe.
• Verbal prescription orders are
received only by a licensed
pharmacist.
• Pharmacist shall maintain only
those medications prescribed by
their physician or authorized
prescriber.

4. Prescription/Medication Order
• It is written directions provided by a prescribing practitioner
for a specific medication to be administered to an individual.
• The prescribing practitioner may also give a medication order
verbally to a licensed person such as a pharmacist or a nurse.

5. Prescription/Medication Order
• Medication orders are inpatient
orders written in a patient’s
chart.
• May be in paper form or in an
electronic chart
• Each order entry includes:
patient name; current
date/time; signature of
physician and other details
specified in the next slide
number.

6. Medication orders (prescriptions) contain all of the elements
required by law, including {Legal requirements}
• Patient name
• Name of medication
• Strength of medication
• Dose
• Dosage form
• Time or frequency of
administration
• Route of administration
• Quantity to dispense or duration
of therapy
• Date
• Prescriber name and signature
• Refill authorization
• PRN (as needed) / SOS (save our
soul) medication orders should
specify the frequency of
administration, maximum daily
dosage, and condition for
which the medication is being
administered (e.g., pain, sleep)

7. Definition - Communication
• Communication may be defined as transmission or
exchange of information, feelings, opinions and thoughts
with others by various modes such as verbal, non verbal,
and written

8. Human communication is a process
of making sense out of the word and
sharing that sense with others
Interpersonal communication skills
are important
 counsel patients
 communicate with physicians
 interfacing with associates
Physical senses that affect day to day
communication are
 Sight
 Hearing
 Touch
 Taste
 Smell
Communication skill:
• The ability to
communicate clearly
and effectively with
patients, family
members, physicians,
nurses, pharmacists
and other health care
professionals

9. Pharmacist to be professionally effective, needs to be aware of
 The different messages they are sending
 How this could be perceived
 The ways in which we interpret these messages, which may be
inaccurate
 To ensure that communication is tailored to the situation and to
the audience, and supports good pharmacy practice and human
relations
Poor communication skill between pharmacist & patient
leads to:-
Inaccurate patient medication history
Inappropriate therapeutic decisions
Leads to patient confusion,
Patient disinterest
Patient non-compliance

10. WHY COMMUNICATION ?
•To give information
•To seek information
•To express feelings
•To state opinions
•To establish and maintain
relationships
•To regulate social interaction
TYPES OF COMMUNICATION
Verbal
communication
 Non-verbal
communication
Written
communication

11. VERBAL COMMUNICATION
• Verbal communication takes place using meaning of
words. It can be spoken.
“Words are of course, the most powerful drug used by mankind.”
• The meaning of words can however be altered by
non-verbal aspects of voice tone emphasis

12. Even if the words are appropriate, weariness or irritation can easily
be conveyed through tone of the voice without realizing it.
 Emphasis, too can create different effects
Writing is less sensitive than spoken language

13. NON-VERBAL COMMUNICATION
• Non-verbal communications are those messages expressed by other
than verbal means.
‘body language’

14. WRITTEN COMMUNICATIONS
There are different writing styles for different purposes and it is
important that the appropriate style is chosen
E.g. paper published in a professional journal

15. Communicating With The Health professionals:
• Effective communication between pharmacist and physicians, nurses
and other pharmacists is essential.
Pharmacist- Physician Communication:
• Be prepared with specific questions or facts and recommendations when
initiating a patient care-related conversation with physician
Communication With Patients:
• Medication History Interview: are required for making decisions. The
following information is recorded:
• 1) Currently or recently prescribed medicines.
• 2) OTC medicines purchased.
• 3) Vaccinations
• 4) Alternative or traditional remedies
• 5) Description of reactions and allergies to medicines.
• 6) Medicines found to be ineffective.

16. • One of the pharmacist mission which aim to develop a
formal relationship between pharmacist and the patients in
which the information is exchanged hold in confidence
• Used to optimize patients care
• Ensure safe and appropriate drug therapy
• By to improve therapeutic outcomes
Pharmacists can improve patients care by
Reduce medication errors
Improve the use of medications by patients.
Enhance patient adherence and the wise use of medication
through participating in activities.

17. Importance of Communication in Meeting Your
Patient Care Responsibilities
The communication process between you and your patients serves two
primary functions:
1. Establishes the ongoing relationship between you and your patients
2. Provides the exchange of information necessary to:
3. Assess your patients’ health conditions,
4. Reach decisions on treatment plans,
5. Implement the plans
6. Evaluate the effects of treatment on your patients’ quality of life.
• An effective relationship forms the base that allows you to meet professional
responsibilities in patient care.
• The purpose of the relationship is to achieve mutually understood and agreed
upon goals for therapy that improve your patients’ quality of life.

18. Effective / Good communication
Benefit for Pharmacist
1. You can avoid drug related problems
2. You can avoid medication errors
3. Improve your business
4. Patients will visit your pharmacy again
5. Patient will trust you
6. You can improve medication adherence