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a legal document for which the prescriber and pharmacist are both responsible; they are regulated by state and federal laws and must be properly written with specific information included.
true or false. online prescribing is currently available
What is another requirement to consider when prescriptions are written, that can help the pt avoid having to pay for a drug not included in their benefit plans?
an insurance company's approved list of covered drug products
What are 5 common errors that happen in prescribing drugs?
- wrong dose
- prescription for a pt whose medical condition creates a contraindication for taking the drug
- poor handwriting
- incorrect information written from memory
- look-alike drug names that may be confused at the pharmacy
What are 6 guidelines for written prescriptions?
- legible, accurate, complete, and written in ink
- schedule II must be written in ink, indelible pencil, or typewritten
- avoid product endorsement by making sure that blank perscription sheets do not have the name of a pharmacy on it
- perscription pads should be kept in a secure location when not in used to avoid theft or loss
- have a duplicate of each written prescription in pts record
- english instructions should be used
the process of prescribing prescriptions for patients starts with establishing a proper presciber-patient relationship. What are 5 ways to do this?
- the pt record is established
- the diagnosis is established from medical history, examination, tests, and radiographs
- the treatment plan is prepared and the need for medication orders is determined
- the treatment plan is presented, and the pt is counseled
- follow-up care is provided as needed
What are the 3 main parts of the prescription?
part of the prescription that identifies the prescriber (name, phone number, and address) exhibits the date of the prescription, and lists the pt information (name, age, weight [for children], and address)
part of the prescription that tells the pharmacist the specific drug, dose, or concentration, and amount to be dispensed. It also provides directions to the pt that state precisely how the pt is to self administer the drug
part of the prescription that provides a space for the signature of the prescriber, the prescriber's U.S DEA number, instructions to the pharmacist about product selection, and other items, such as the number of refills allowed.
schedule II drugs
What 6 components need to be listed on the prescrition container label?
- name of drug
- number of dose forms dispensed
- strength of dose form
- pharmacy name, address, phone number, and date filled
- instructions on refills
- refill prescriptions
a patient is considered what if the regimen is not followed to the extent that therapeutic goals are not achieved?
What are 5 determinants of patient compliance?
- pt trust in the clinician and tx plan established
- good communication so the pt has a good understanding of the illness and therapy
- a positive office visit and attitude
- individualization of regimens
- good follow up on the clinician's part
what is the MAJOR factor influencing the compliance of a patient?
the patient's perception of the severity of the illness
It is estimated that 25 to 60% of pts who receive a prescription for medication do not get the prescription filled or do not take the medication as prescribed, what are 3 other noncompliant issues?
- taking the drug at inappropriate times
- stopping the medication too soon
- getting the prescription filled, but never taking the drug
Reasons behind these noncompliance issues possibly can be avoided with proper counseling and explanations related to what 5 things?
- why the drug is needed
- what can occur if the drug is not taken
- clear instructions for when to take the drug
- possible side effects that can occur and how to manage them
- situations that require notification of the dentist
what are 4 reasons that it is important for a dental hygienist to be knowledgeable regarding appropriate drugs to prescribe for various indications even though they do not prescribe drugs?
- antibiotic prophylaxis
- medication for emergency use
- review prescription for necessary information
- counseling with the pt
when the patient arrives for the appointment, the RDH mus ask what 4 questions regarding antibiotic prophylaxis?
- when was the antibiotic taken
- which spedific antibiotic was prescribed
- how much was taken
- have any adverse effects developed
What are 2 common medications for emergency use that hygienists should be familiar with and make sure pts have before treating them?
- sublingual nitroglycerin tablets
What is the language of scientific measurement and should always be used in prescription writing?
solid drugs are dispensed by _______ and liquid drugs by ________
- kilogram = 1000 grams
- gram = 1000 mg
- miligrams = .001 grams
- 2.2 pounds = 1 kg
- 1 grain = 65 mg
- liter = 1,000 mL
- milliliter = .001 L
- teaspoon full = 5 mL
- tablespoon full = 15 mL
- 15 drop/drops = 1 mL
- fluid ounce = 30 mL