p.7
Electronic Prescribing (e-Prescribing)
How do e-prescriptions help with drug allergies?
They provide concurrent software screens for drug allergy checks.
p.2
Components of a Prescription
What component provides directions to the patient?
Directions to the patient.
p.3
Tamper-Resistant Prescription Pads
What happens to photocopies made from tamper-resistant prescription pads?
The word 'VOID' appears on them due to thermochromatic ink.
p.1
Definition of Prescription
What is a prescription?
An order for medication issued by a physician or licensed medical practitioner.
p.13
Use of Roman Numerals in Prescriptions
What quantities can Roman numerals indicate on prescriptions?
Quantity of medication to be dispensed and/or quantity to be taken per dose.
p.5
Electronic Prescribing (e-Prescribing)
How is a medication order entered in e-prescribing?
Into an automated data entry system using a personal computer or handheld device loaded with e-prescribing software.
p.4
Electronic Health Records (EHR)
What are the key features of an EHR?
Real-time, patient-centered records available instantly and securely to authorized users.
p.3
Tamper-Resistant Prescription Pads
What materials are used to create tamper-resistant qualities in prescription pads?
Security paper, erase-resistant paper, thermochromatic ink, and/or imbedded holograms.
p.9
Medication Order Accuracy and Verification
What should medication be for the patient?
Therapeutically appropriate.
p.9
Medication Order Accuracy and Verification
What information should be included on the medication label?
Complete instructions for the patient or caregiver.
p.1
Definition of Prescription
What specific details are included in a prescription written by a veterinarian?
The animal species, pet's name, and the name of the owner.
p.2
Components of a Prescription
What is the first component of a typical prescription?
Prescriber information and signature.
p.12
Medication Order Accuracy and Verification
What does the FDA require in hospital settings for pharmaceutical products?
Bar coding for accurate product dispensing and administration.
p.15
Best Practices for Prescription Writing
What is the correct way to format the space between numbers and units?
Leave a space between a number and the unit (e.g., 10 mg, not 10mg).
p.10
Medication Order Accuracy and Verification
What initial steps are involved in medication verification?
Careful reading, filling (including calculations), checking, and dispensing of the prescription.
p.9
Medication Order Accuracy and Verification
What is the pharmacist's responsibility regarding prescriptions?
To ensure each prescription is correct in form and content, appropriate for the patient, and accurately filled, labeled, dispensed, and administered.
p.1
Definition of Prescription
How can a prescription be transmitted to a pharmacy?
By computer (e-prescription), telephone, or FAX.
p.7
Electronic Prescribing (e-Prescribing)
How do e-prescriptions reduce the risk of prescription fraud?
They reduce the incidence of altered or forged prescriptions.
p.16
Best Practices for Prescription Writing
How should prescriber's directions be amplified on the prescription label?
Provide clarity, e.g., 'Swallow one (1) capsule with water in the morning' instead of 'one cap in a.m.'.
p.10
Medication Order Accuracy and Verification
How can technology enhance the medication verification process?
By matching a drug package bar code with the prescription order or a patient's coded wrist band.
p.4
Electronic Health Records (EHR)
What information can an EHR contain?
Medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory/test results.
p.7
Electronic Prescribing (e-Prescribing)
What efficiency benefit do e-prescriptions provide?
They improve efficiency for both prescribers and pharmacists.
p.2
Components of a Prescription
What might be included as special instructions in a prescription?
Handwritten language by the prescriber, such as 'Brand necessary.'
p.11
Errors and Omissions in Prescriptions
What authorization should the pharmacist check for refills?
Refill and/or generic substitution authorization.
p.5
Electronic Prescribing (e-Prescribing)
What is required for e-prescribing to occur?
Nationally accepted standards.
p.1
Definition of Prescription
What does a prescription designate?
A specific dosage to be prepared and dispensed by a pharmacist.
p.9
Medication Order Accuracy and Verification
In a healthcare facility, what must be ensured about medication administration?
Each medication must be administered to the correct patient, at the correct time, and by the correct rate and route of administration.
p.16
Best Practices for Prescription Writing
What is the recommended way to express 'every day' in prescriptions?
Spell it out instead of using 'g.d'.
p.12
Medication Order Accuracy and Verification
What should a pharmacist verify before dispensing a filled prescription?
The correct drug, strength, dosage form, and quantity.
p.12
Best Practices for Prescription Writing
Why might a pharmacist need to add clarity to labeled instructions?
To ensure the patient clearly understands how to use the medication.
p.15
Best Practices for Prescription Writing
What designations should be used for units of measure?
Use USP designations (e.g., use g for grams, not Gm or gas; use mg for milligrams, not mgs or mgm).
p.11
Errors and Omissions in Prescriptions
What date-related information must the pharmacist verify?
The date of the order and its currency for filling.
p.11
Errors and Omissions in Prescriptions
What should be listed for compounded orders?
Ingredients and quantities.
p.3
Tamper-Resistant Prescription Pads
What is the purpose of tamper-resistant prescription pads?
To prevent unauthorized copying, modification, or counterfeiting of prescriptions.
p.5
Electronic Prescribing (e-Prescribing)
In what settings can e-prescribing be used?
Inpatient or outpatient settings.
p.7
Electronic Prescribing (e-Prescribing)
What is one advantage of e-prescriptions over traditional paper prescriptions?
Reduced errors due to prescription legibility.
p.4
Electronic Health Records (EHR)
What is Computerized Physician Order Entry (CPOE)?
A system that allows physicians to order medications and provide other instructions for a patient's care electronically.
p.16
Best Practices for Prescription Writing
What should be done to distinguish between look-alike drug names?
Integrate capital or 'all man' letters.
p.12
Best Practices for Prescription Writing
Why is placing a medication's indication on the prescription label beneficial?
It helps patients, especially older ones and those on multiple medications, understand the use of their medication.
p.15
Best Practices for Prescription Writing
How should a whole number be expressed in prescriptions?
Without a decimal point and without a terminal zero (e.g., 4 mg, not 4.0 mg).
p.11
Errors and Omissions in Prescriptions
What should be clarified regarding abbreviations and symbols?
Clarity of any abbreviations, symbols, and/or units of measure.
p.8
Military Time in Healthcare
How is military time expressed for 11 PM?
Twenty-three hundred hours.
p.10
Medication Order Accuracy and Verification
What is medication verification?
A process to assure order accuracy in medication.
p.5
Electronic Prescribing (e-Prescribing)
What happens to a medication order after it is entered into the e-prescribing system?
It is sent to a pharmacy as an e-prescription.
p.9
Medication Order Accuracy and Verification
What must be ensured about the strength and dosage form of medication?
It must be dispensed in the correct strength and dosage form.
p.7
Electronic Prescribing (e-Prescribing)
What benefit do e-prescriptions offer regarding drug interactions?
They allow for checks on drug interactions through integrated software.
p.16
Best Practices for Prescription Writing
How should 'four times a day' be written to avoid misinterpretation?
Spell it out rather than using 'g.i.d'.
p.12
Best Practices for Prescription Writing
What should be specified in the directions for taking medication?
Whether the tablets are to be taken at once or at separate specified times.
p.15
Best Practices for Prescription Writing
How should 'units' be expressed in prescriptions?
Spell out 'units' (e.g., use 100 units, not 100 u or 100 U).
p.11
Errors and Omissions in Prescriptions
What patient identification information is important for dose determination?
Patient's age, weight, and/or other parameters.
p.6
Electronic Prescribing (e-Prescribing)
What can be approved in the e-prescribing system?
Prescription Requests/Renewals.
p.13
Use of Roman Numerals in Prescriptions
What is the primary use of Roman numerals in prescription writing?
To designate quantities of medication.
p.5
Electronic Prescribing (e-Prescribing)
What is electronic prescribing (e-prescribing)?
The computer-to-computer transfer of prescription information between authorized prescribers, pharmacies, intermediaries, and payers.
p.4
Electronic Health Records (EHR)
What is an Electronic Health Record (EHR)?
A digital version of a patient's paper chart.
p.4
Electronic Health Records (EHR)
How do integrated electronic health information systems benefit healthcare providers?
They allow appropriate access and secure sharing of a patient's vital medical information to improve speed, quality, safety, and cost of patient care.
p.16
Best Practices for Prescription Writing
What should be written out instead of using 'o.d.' or 'o.h.'?
'Right eye' or 'left eye'.
p.2
Components of a Prescription
What is referred to as the Inscription in a prescription?
The medication prescribed.
p.12
Components of a Prescription
What essential details must be included on the prescription label?
Patient and physician names, correct drug name, quantity, strength, pharmacist's initials, and number of refills.
p.15
Best Practices for Prescription Writing
What is the recommendation regarding drug names in prescriptions?
Use full names of drugs and not abbreviations (e.g., use phenobarbital, not PB).
p.6
Electronic Prescribing (e-Prescribing)
What information can be reviewed regarding a patient's insurance?
Patient Coverage Information.
p.8
Military Time in Healthcare
What is military time used for?
In military, civilian life, hospitals, law enforcement, and emergency services.
p.10
Medication Order Accuracy and Verification
What is bedside medication verification?
Matching the drug's bar code to a patient's coded wrist band in a patient care facility.
p.1
Definition of Prescription
What does the symbol 'Rx' on a prescription mean?
It means 'recipe,' 'take thou,' or 'you take.'
p.7
Electronic Prescribing (e-Prescribing)
How do e-prescriptions enhance convenience for patients?
Patients' prescriptions are likely ready for pickup upon arrival at the pharmacy.
p.2
Components of a Prescription
What does the Rx symbol represent in a prescription?
It is the Superscription, meaning 'take thou,' 'you take,' or 'recipe.'
p.6
Electronic Prescribing (e-Prescribing)
What details must be entered for medication use?
Sig (Directions for Medication Use).
p.8
Military Time in Healthcare
What is a key benefit of using military time?
It provides an unambiguous expression of time.
p.1
Definition of Prescription
What additional information does a prescription typically contain?
Name, address, number, and other pertinent information regarding the prescriber.
p.16
Best Practices for Prescription Writing
Why should 'd' not be used for 'day' or 'dose'?
Because of the profound difference between terms, such as mg/kg/day versus mg/kg/dose.
p.12
Best Practices for Prescription Writing
What may be required if a patient or caregiver has difficulty with language?
Verbal reinforcement of the instructions.
p.15
Best Practices for Prescription Writing
Why should the abbreviation I.U. be spelled out?
To avoid misinterpretation as I.V., meaning 'intravenous.'
p.11
Errors and Omissions in Prescriptions
What details about the drug prescribed should the pharmacist check?
Dose, preparation strength, dosage form, and quantity.
p.6
Electronic Prescribing (e-Prescribing)
What type of information can be reviewed for clinical support?
Clinical Decision Support Information & Alerts.
p.8
Military Time in Healthcare
How is military time recorded in healthcare institutions?
To record the time of a patient's admission, medication administration, and surgeries.
p.1
Definition of Prescription
What information is required for prescriptions for infants, children, or the elderly?
Age, weight, and/or body surface area.
p.2
Components of a Prescription
What does the third component of a prescription indicate?
The date the prescription was written.
p.12
Medication Order Accuracy and Verification
What information must match between the prescription label and the order?
The pharmacy-imprinted serial number.
p.15
Best Practices for Prescription Writing
What should be used instead of equivalent decimal fractions?
Whole numbers when possible (e.g., use 100 mg, not 0.1 g).
p.11
Errors and Omissions in Prescriptions
What prescriber information should be checked by the pharmacist?
Address, telephone number, DEA number, state license number, NPI, and signature.
p.11
Errors and Omissions in Prescriptions
What special labeling might be needed for prescriptions?
Expiration date, conditions for storage, and contraindications with foods or other medications.
p.6
Electronic Prescribing (e-Prescribing)
What can be searched for and selected in the e-prescribing process?
Patient's Preferred Pharmacy.
p.15
Best Practices for Prescription Writing
How should quantities smaller than one be expressed?
With a zero preceding the decimal point (e.g., 0.2 mg, not .2 mg).
p.11
Errors and Omissions in Prescriptions
What is the pharmacist's obligation regarding prescriptions and medication orders?
To review each prescription and medication order in a step-by-step manner to detect errors and omissions.
p.11
Errors and Omissions in Prescriptions
What directions must be clear for the patient or caregiver?
Clarity and completeness of directions for use.
p.6
Electronic Prescribing (e-Prescribing)
What type of education information is available for patients?
Patient Medication Education Information.
p.8
Military Time in Healthcare
How can colons be used in military time?
To separate hours and minutes, e.g., 13:31 hours.
p.11
Errors and Omissions in Prescriptions
What should a pharmacist do if there is a question regarding a prescription?
Seek clarification from the prescriber.
p.8
Military Time in Healthcare
What is the format for including seconds in military time?
e.g., 1331:42 or 13:31:42.
