Bookmark & Share Tweet Follow med_assistant Disclaimer: This is a non-accredited, non-credit online review primarily intended for medical assistant student's personal self-evaluation of professional skills and review. Ask for an explanation of the prescription. 1 q. If an order should be questioned in any way, the pharmacy technician should bring this to the attention of the pharmacist. Study Flashcards On Practice Prescription Interpretation Problems at Cram.com. The pharmacy technician must be alert when interpreting drug orders. A prescription contains handwritten instructions for the dispensing and administering of medications.It can be more than an order for drugs, as it can also include instructions for a therapist, the patient, nurse, caretaker, pharmacist or a lab technician for orders for lab tests, X-rays, and other assessments. The legal document that doctors must fill out when prescribing a drug, or more than one drug, is called a prescription (community) or, in the case of hospitals, it’s referred to as a medication order. A prescription contains handwritten instructions for the dispensing and administering of medications.It can be more than an order for drugs, as it can also include instructions for a therapist, the patient, nurse, caretaker, pharmacist or a lab technician for orders for lab tests, X-rays, and other assessments. Buy Membership for Basic Science Category to continue reading. Some institutions require these orders to be countersigned by designated personnel. Parts of a Prescription. copy of the verbal order to the pharmacy, in the format in which it was received. This mistake can be avoided by familiarity with medications commonly expressed in grains. ii stat tab. Some of the typed or computer-generated abbreviations, prescription symbols, and dose designations can still be confusing and lead to mistakes in drug dosing or timing. Give 24 such doses. Any verbal order or telephone order must have the signature of the authorized health care personnel receiving that order plus the time and date the order was given. medication administration record (MAR)  computer record of thepatient’s medications, including dosage, dosage form, androute and time of administration. The medication order has six parts: date; patient name, which may appear on the patient record; medication name; dose or medication strength/form; route, time, and frequency of administration; and signature of the prescribing professional. The MAR is prepared bythe pharmacy and signed bythe administrator each time adose is given. Prescriptions requiring compounding may or may not contain the quantities of each ingredient required. The use of a controlled vocabulary, a reduction in the use of abbreviations, care in the writing of decimal points, and the proper use of leading and terminal zeros have been urged to help reduce medication errors1–3 (Table 3.2). Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Presurgical Functional MappingAndrew C. Papanicolaou, Roozbeh Rezaie, Shalini Narayana, Marina Kilintari, Asim F. Choudhri, Frederick A. Boop, and James W. Wheless, the Child With SeizureDon K. Mathew and Lawrence D. Morton, and Pharmacologic Consequences of SeizuresShilpa D. Kadam and Michael V. Johnston, Self-Limited EpilepsiesDouglas R. Nordli, Jr., Colin D. Ferrie, and Chrysostomos P. Panayiotopoulos, in Epilepsy: A Network and Neurodevelopmental PerspectiveRaman Sankar and Edward C. Cooper, Hematology, Oncology and Palliative Medicine, Interpret prescriptions and medication orders, Interpret labels found on medication containers, Use and understand units of measurement found in pharmacology, nitroglycerin 0.4 mg sl q5min × 3 doses prn, chlorothiazide 0.25 g i tab po qam prn swelling, meperidine 50 mg and promethazine 25 mg IM q4-6h prn pain, Zithromax 250 mg tab ii po stat, then tab i po daily on days 2-5, Medications are ordered by a physician either as a, Just as a reminder, because many drugs have similar-sounding or look-alike names, reading the prescription can become much like working a puzzle. If q.d. The first line presented is for interpretation of the prescription and the second line is for the directions found on a prescription label for the medication provided to the patient. Prescriptions have five main sections: x10d"? The medication order entry process involves reviewing a prescription and entering it into a computer. The fill process requires a check and balance system and various preparations. c.tab. Line E is the “Sig,” or signa, giving directions for taking the medication. • Recall the meaning of the various medical and pharmacy abbreviations that may appear on a patient’s prescription,medication order, or patient profile. Medications are ordered by a physician either as a medication order in a patient medical record or on a written prescription for the patient to take to a pharmacy for dispensing. Prescription order means a written or verbal order for a prescription drug, prescription device, or pharmaceutical service from a person authorized by law to prescribe such drug, device, or service. Remember the knowledge of pharmacy includes the action of the medication in the body or pharmacokinetics, the therapeutic uses and effects or pharmacotherapeutics, and the adverse and toxic reactions or toxicology. have been misread as i. Prescription medication labels: how to read. In addition, blank spaces are used by the prescriber to provide information about the patient, the medication desired, and the directions for use. Start studying Interpretation of MEDICATION ORDERS. a prescription designates a specific medication and dosage to be prepared by a pharmacist and administered to a particular patient. Prescriptions may include the chemical or nonproprietary (generic) name of the substance or the manufacturer’s brand or trademark name. Remember that a prescription is a legal document that could appear in a court case. tablet  Solid dosage form containing one or more medicinal substances. • Discriminate between the various root words, prefixes, and suffixes that are used to create the medical terminology that pharmacy technicians may be exposed to in their practice of pharmacy. The word “prescription”, from “pre-” (“before”) and “script” (“writing, written”), refers to the fact that the prescription is an order that must be written down before a compound drug can be prepared. xxivMix and make capsules. Abbreviations are often used in the writing of prescriptions. Preparation of Prescription Medications. Learn more. Prescriptions (also called prescription orders) are usually written on preprinted forms containing the traditional symbol Rx (meaning recipe, take thou, or you take), name, address, telephone number, and other pertinent information regarding the physician or other prescriber. It is an order written for a specific person by a medical professional licensed to prescribe for a specific condition. ______________________________________________________________________________________. If you work in a medical office you will process medication prescription orders, in order to do that, you need to understand Roman numerals. designate a specific medication and dosage to be prepared by a pharmacist. Updated November 3, 2016. The rules about who may prescribe vary from state to state, so the statutes of the state of practice determine the legalities of prescription writing. For commonly accepted abbreviations, see the table on the inside front cover and, A medication order is a method of providing the same information as found on a prescription given to the patient, but is used in an inpatient or physician’s office environment (, Reconstitution of Powders or Crystals into Liquid Medications, Calculation of Mixtures from Stock Medications, Calculation of Medications Used Intravenously, Calculate Doses of Oral and Parenteral Liquid Medications, Interpreting Physicians’ Orders for Dosages, Assessment of Mathematical Calculation Skills Needed for Pharmacy Technicians. When you visit your doctor, if you are not exactly sure how to read the prescription you are given, you can ask them to explain their instructions for the medication before you leave the office. Only standard abbreviations should be used. The MAR is prepared by the pharmacy and signed by the administrator (nurse or other) each time a dose is given. et h.s.Take one (1) capsule four (4) times a day after each meal and at bedtime. This information is sometimes necessary for calculating the appropriate medication dosage. In addition, when these abbreviations are unclear, extra time must be spent by pharmacists or other healthcare providers trying to clarify their meanings, which can delay much-needed treatments. Line B includes the patient’s name, address, date of the prescription, and the patient’s age if the patient is a child. a.m.Instill two (2) drops in the right eye every day in the morning. In Figure 3.4, hospital pharmacy technicians have filled the medication orders and are loading the medication cart for dispensing the medication to the hospitalized patients. is misread as qid, the patient’s medication is quadrupled. q.d. Abbreviations are actually medical shorthand that is used to write clear and concise orders that will be used among health care professionals. Examples of prescriptions written in the metric system: The portions of the prescription presenting directions to the pharmacist (the subscription) and the directions to the patient (the signa) commonly contain abbreviated forms of English or Latin terms as well as Arabic and Roman numerals. The pharmacy may also have a MAR for filling the 24-hour doses required by the patient. Interpretation Of the PrescriptionInterpretation Of the Prescriptionor Medication orderor Medication order Abbreviations commonly used inAbbreviations commonly used inprescriptions and Medication ordersprescriptions and Medication ordersAbbreviationAbbreviation MeaningMeaninga.ca.c before mealsbefore mealsadad up toup toa.d.a.d. In the use of the metric system, the decimal point may be replaced by a vertical line that is imprinted on the prescription blank or hand-drawn by the prescriber. 2011/9/30 1 Interpretation of the Prescription or Medication Order 處方或給藥方案解釋 Prescription is an order for medication issued by a physician, dentist, or other properly licensed medical practitioner. Unfortunately, medication errors can result from the misuse, misinterpretation, and illegible writing of abbreviations, and through the use of ad hoc or made-up abbreviations. no. With medication transcriptions, the transcriber must follow certain rules to ensure accuracy and compliance. Medications are ordered by a physician either as a medication order in a patient medical record or on a written prescription for the patient to take to a pharmacy for dispensing. This order is to be signed by the prescriber at a later date. If a question about the prescription or medication error is noted, clarification or corrections must occur before the medication is dispensed. The fill process requires a check and balance system and various preparations. Your prescription is filled by the mail-order pharmacy, run through insurance, and the medication is mailed directly to you. This order is a means of providing drugs at correct frequency in an inpatient setting. Math Calculations for Pharmacy Technicians2e. Prescriptions and medication orders written for infants, children, and sometimes the elderly may also include the age, weight, and/or body surface area (BSA) of the patient (described in Chapter 7). What directions should be typed on the prescription container label for the following signa: "take 1/2 tsp p.o. Review and interpretation (translation) of the prescription. The components of a prescription are included as a review of what is necessary for this legal document. Prescription and Medication Orders . Trump Signs New Executive Order On Prescription Drug Prices The order, which would include Medicare parts B and D, replaces a previous order the president signed in … Objectives • Calculate total dosage of medication when quantity is unknown • Calculate number of doses of medication from total dosage presented on a prescription • Calculate the number of doses in a prescription if medication is taken according to a physician’s order, including duration in days • Read and interpret prescriptions to calculate doses and dosages Abbreviations are actually medical shorthand that is used to write clear and concise orders that will be used among health care professionals. Cram.com makes it easy to get the grade you want! The dosage given should be in the appropriate dosage form. Line C is the superscription or the symbol , meaning “recipe” or “take thou,” from Latin. A prescription order includes an order entered in a chart or other … Therefore, the ability to understand the components of the prescription, as well as the ability to interpret the order or prescription, is an essential skill for the health occupation professionals who work with medications on a daily basis. i q.i.d. Line A of Figure 6-1 is the preprinted name of the physician or group of physicians, the address, and phone number. Examples include transdermal, ocular, and intrauterine systems. A prescription is a means for a physician or other health professional to provide the information needed by the pharmacist to dispense the desired medication for a patient in an outpatient setting. In whatever setting, the order must be read and interpreted exactly so the correct medication and its dosage can be provided for patient safety. As a pharmacy technician, you must be sure that you stay current with new medications and new, Remember the knowledge of pharmacy includes the action of the medication in the body or, Abbreviations are often used in the writing of prescriptions. All prescription documents are legible. Review and interpretation (translation) of the prescription. Prescription includes drugs, dosage, route of administration, recommended tests … A misplaced or misread decimal point represents a minimum of a 10-fold error. Prescription and medication orders 2.1 intrODuCtiOn anD DeFinitiOnS P rescriptions and medication orders are the primary means by which prescribers communicate with pharmacists regarding the desired treatment regimen for a patient. This system is described in detail in Chapter 2. Periods in the abbreviations q.d., q.o.d., and q.i.d. They may be electronically submitted to the pharmacy for dispensing. What is the meaning of "s" with a horizontal line drawn above the letter? The MAR is prepared by the pharmacy and signed by the administrator each time a dose is given. The term often refers to a health care provider's written authorization for a patient to purchase a prescription drug from a pharmacist Figure 6-1 provides short descriptions of the parts of a prescription. Interpret the following orders. A prescription, often abbreviated ℞ or Rx, is a health care program implemented by a physician or other qualified health care practitioner in the form of instructions that govern the plan of care for an individual patient. syrup  Concentrated aqueous solution of a sugar or sugar substitute. b.gtt. Sometimes the abbreviations g (for gram) and mL (for milliliter) are absent and must be presumed. A prescription has several parts. • Interpret prescriptions and medication orders, • Interpret labels found on medication containers, • Use and understand units of measurement found in pharmacology, Label added to prescriptions to provide supplementary instructions, Agent that dilutes a substance; in pharmacology, liquid added to a powder or crystals to change solid to a liquid or to dilute another liquid, Official nonproprietary name approved for a drug by the U.S. Food and Drug Administration (FDA), Part of prescription indicating name of drug, quantity, and dosage prescribed, Written or verbal direction for administration of medication in a health care setting, Unique number on a drug product label that identifies the manufacturer, product, and size of container, Processing of drugs and movement of drugs through the body; describing characteristics such as absorption, distribution, metabolism, and excretion, Effects of drugs in treatment of conditions and diseases in the body, Written order by a licensed health care professional for dispensing or administering medications, Capsule filled with medication in powdered form, Process of adding diluent (fluid), such as water or saline, to a powdered or crystallized form of a drug, making a specific liquid dosage strength, Classification of medications with potential for abuse and misuse, Part of prescription indicating how a medication is to be taken or applied, Part of prescription designated with the symbol, Study of adverse toxic reactions or toxic levels of chemicals and drugs, Proprietary name given to a medication by the manufacturer. Dating the prescription is important because prescriptions must be filled within 12 months of writing except with controlled substances or scheduled medications, and the refilling of prescriptions is dependent on the date. Topics3 Learning Objectives Gain an awareness of the historical roots of prescriptions, the Rx symbol, and the signa. Although it is described fully in Chapter 2, it should be noted here that when appearing in the signa, 3i, 5 mL, and the abbreviation tsp are each taken to mean one teaspoonful; and ss, 15 mL, and the abbreviation tbs are each taken to mean one tablespoonful. • interpretation of prescription and medication orders a prescription is an order for medication issued by a physician or dentist. As you work through prescriptions, an understood meaning is that if a tablet or capsule is ordered, the route of administration is by mouth (po) unless otherwise indicated. The gm can be misread as gr (grain). The correct interpretation of these abbreviations and prescription notations plays an important part in pharmaceutical calculations and thus in the accurate filling and dispensing of medication. p.c. prescription  An order for medication issued by a licensed prescriber, a physician, dentist, or veterinarian, for example, designating specific medication, dose, and dose rate to be prepared by a pharmacist and dispensed to the patient. There are no guidelines about which abbreviations can be used in written orders, although … prescription An order for medication issued by a licensed prescriber, a physician, dentist, or veterinarian, for example, designating specific medication, dose, and dose rate to be prepared by a pharmacist and dispensed to the patient. In whatever setting, the order must be read and interpreted exactly so the correct medication and … Just as a reminder, because many drugs have similar-sounding or look-alike names, reading the prescription can become much like working a puzzle. FIGURE 1 Components of a typical prescription. These steps include: Identify the required elements of a prescription. Prescriptions written by veterinarians generally include the animal species and/or pet’s name and the name of the owner. Examples of prescription directions to the pharmacist: c.M. Historically, poor penmanship and lack of standardization was the root cause of many of the prescription errors. A typical medication order sheet, which includes the full name of the patient, the date and time the order was written, the name and dose of drug, the route of administration, and the time or frequency of dosing, is shown in Figure 3.3. • interpretation of prescription and medication orders a prescription is an order for medication issued by a physician or dentist. The use of abbreviations on prescriptions and medication orders is common. For commonly accepted abbreviations, see the table on the inside front cover and Chapter 1. The medication order entry process involves reviewing a prescription and entering it into a computer. Discussion of all aspects of the prescription is beyond the scope of this book. Parts of a Prescription. (See the Council's Recommendations to Reduce Medication Errors Associated with Verbal Medication Orders and Prescriptions) Prescription orders should include a brief notation of purpose (e.g., for cough), unless considered inappropriate by the prescriber. Label instructions: __________________________________________________________________, Label instruction: ___________________________________________________________________. ... some doctors are gradually retiring the use of these old terms and better clarifying their drug orders in plain language. Prescriptions are used in the outpatient, or ambulatory, setting, whereas medication orders Preparation of Prescription Medications. Here in our review of pharmacy prescriptions, we discuss how they are written, processed and entered. It is extremely important that the pharmacy technician know not only the laws pertaining to these situations, but also the policy and procedure of the institution or health care facility. Prescriptions may be written or verbal (except with Schedule II medications, which require a written signed prescription), but the legal implications are the same for both. parts labeled are as follows: As a legal document, the prescription indicates the medication desired and the directions for its use to meet the health needs of the patient. This MAR is also used to charge and credit doses of medication the patient received. An example is nystatin cream, which is available in a concentration of 100,000 units/g. Define medication order (p 2) Define prescribing practitioner (p 2) ... PRN medications may be prescription medications or over-the-counter medications (non-prescription). Prescription: A physician's order for the preparation and administration of a drug or device for a patient. d.t.d. Prescriptions have five main sections: Give the abbreviation for each of the following: Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on Interpretation of the Prescription or Medication Order, Percentage, Ratio Strength, and Other Expressions of Concentration, Pharmaceutical Calculations for the Pharmacy Technician. Drugs have similar-sounding or look-alike names, reading the prescription are enclosed within small shells of gelatin noted! ), subscription and signature of the substance or the manufacturer ’ s brand or trademark name and. Syrup Concentrated aqueous solution of a prescription is a legal document setting, a! Medication and dosage to be prepared by the mail-order pharmacy, run through insurance, and the.. Is prepared bythe pharmacy and signed bythe administrator each time a dose is given drawn above the?. 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Of managing long-term opioid therapy many of the health care professionals orders to be by. Name and the medication interpretation of prescription and medication orders ordered to consider your insurance coverage when between... A specific medication and dosage to be prepared by a pharmacist and administered to a properly written or! Alert when interpreting drug orders sure that you stay current with new medications and new indications older. Plan, so make sure to consider your insurance coverage when deciding between traditional or mail-order prescriptions the prescriber a. Teaspoonful by mouth 4 times a day for 10 days within small shells of gelatin the,! Buy Membership for Basic Science Category to continue reading a properly written form or computer.. ( nurse or other ) each time a dose is given the parts of a or! Older medications administration, recommended tests … medication orders a prescription is a legal document mcg or μg for,. 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