CHAPTER 4: INTERPRETATION OF PRESCRIPTIONS & MEDICATION ORDERSDr. Bridg’ette Israel

CHAPTER 4: OBJECTIVES

Demonstrate an understanding of the format and components of a typical prescription.

Demonstrate an understanding of the format and components of a typical institutional medication order.

Interpret correctly standard abbreviations and symbols used on prescriptions and medication orders.

Differentiate between patient compliance and noncompliance and apply calculations to determine compliancy.

VOCABULARY

Prescription Medication Order Tamper-resistant Prescription Pads e-prescribing e-prescription Military Time Medication Scheduling Patient Compliance Patient Noncompliance

SAMPLE PRESCRIPTION

SAMPLE MEDICATION ORDER

SAMPLE PEDIATRIC PRESCRIPTION

SAMPLE PRESCRIPTION FOR A GENERIC DRUG

SAMPLE PRESCRIPTION REQUIRING COMPOUNDING

SAMPLE HOSPITAL MEDICATION ORDER

SAMPLE NURSING HOME MEDICATION ORDER

PRESCRIPTION & MEDICATION ORDER ACCURACY

Each medication should be: Therapeutically appropriate for the patient

Prescribed at the correct dose

Dispensed in the correct strength and dosage form

Correctly labeled with complete instructions for the patient or caregiver

The patient in a hospital or other health care facility: each medication must be administered to the correct patient , at the correct time, and by the correct rate & route of administration

REGULAR VS MILITARY TIME

PRESCRIPTIONS WRITTEN IN SI UNITS

ERRORS & OMISSIONS

ERRORS & OMISSIONS

ERRORS & OMISSIONS

Error: Drug name incorrect Omission: Directions incomplete

ROMAN NUMERALS ON PRESCRIPTIONS

Designate quantities of medication to be dispensed and/or

Medication to be take by patient per dose

ROMAN NUMERALS ON PRESCRIPTIONS

Designate quantities of medication to be dispensed and/or

Medication to be take by patient per dose

RULES FOR ROMAN NUMERALS ON PRESCRIPTIONS

A letter repeated once or more, repeats its value (ex: xx = 20, xxx = 30)

One or more letters placed after a letter of greater value increases the value of the greater number (ex: vi = 6, xij = 12, lx = 60)

A letter placed before a letter of greater value decreases the value of the greater letter (ex: iv =4, xl = 40)

ABBREVIATIONS & SYMBOLS

ABBREVIATIONS & SYMBOLS

PATIENT COMPLIANCE

PATIENT COMPLIANCE

Example:

What is the percent compliance rate if a patient received a 30-day supply of medicine & returned in 45 days for a refill?

PATIENT COMPLIANCE

Example:

What is the percent compliance rate if a patient received a 30-day supply of medicine & returned in 45 days for a refill?

PATIENT COMPLIANCE

Example:

What is the percent compliance rate if a patient received a 30-day supply of medicine & returned in 45 days for a refill?