Orders vs Prescriptions
Obtaining Medication
The Pharmacy Label
Did We Receive The Right Medication?
Refill Requests/Tracking/Security
100
If there is not one of these at the site, you may not administer the medication.
What is an HCP order?
100
Once the HCP orders a medication, what is the expectation?
It is expected that the person will begin to receive the medication as ordered (same day, unless the HCP indicates otherwise).
100
An abbreviation for medical prescriptions used to obtain refills
What is the Rx #?
100
The 3 things you are comparing at the Critical Medication - Related Task when medication is received at the program
As soon as the medication is obtained:
- Compare the 5 Rights on the HCP order to the 5 Rights on the pharmacy label
- Then to the 5 Rights on the medication sheet.
The 5 Rights must agree between the HCP order, the pharmacy label, and the medication sheet.
100
Recommended time-frame for requesting a medication refill
When you are nearing a 7-Day Supply - there must always be no less than a 7-Day Supply on hand.
You will want to check the Back-Up Supply when you notice you are nearing a one-week supply.
For Cycle Meds (automatically delivered on a 28-day cycle), look for the next scheduled delivery date to see if you will have enough medication to last until that delivery.
200
These instructions are from the HCP, and are for staff at the site. The instructions include the 5 Rights of medication administration, and are used by certified staff when giving medication.
What is an HCP order?
200
Actions you are expected to take, to ensure the medication is obtained from the pharmacy in a timely manner.
Contact the pharmacy to ensure the prescription was received. Once the medication has been prepared by the pharmacy, you must
- Pick up the medication at the pharmacy or
- Confirm a date and time that the pharmacy will deliver the medication to the site
200
Two different dates you will see on a pharmacy label
Dispense date (sometimes called fill date): date the medication was filled/dispensed from pharmacy.
Expiration date (the last date the medication may be administered). Usually, the words expiration date are abbreviated on a label as ED or Exp. Examples of other words that may be printed on a pharmacy label instead of ‘expiration date’, include
- ‘Discard After’ or ‘Use By’ followed by the date.
200
These are the 5 Rights of Medication Administration
The 5 Rights of medication administration are the:
200
When this happens, you must immediately contact the person’s HCP, and request a new prescription be submitted to the pharmacy.
When the last medication refill is obtained, the number of refills on the pharmacy label will read '0'.
Contacting the HCP immediately will allow 30 days for the HCP to send a prescription to the pharmacy.
300
Instructions from the HCP to the pharmacist, that include the medication to prepare and the directions for use. The pharmacist uses the information on the prescription to print the pharmacy label.
What is a prescription?
300
Your responsibility when there's a delay in receiving medication that is ordered (out of stock, not covered by insurance/prior approval required, court or guardian approval).
Contact the prescriber to let them know the situation, and ask 'what do you recommend?'
This is how we avoid an Omission Occurrence
300
If this number, written at the bottom of a pharmacy label says '0', you need to take immediate action
What is Number of refills (how many remaining times the medication may be obtained from the pharmacy)?
You need to contact the prescriber to request a renewal prescription be sent to pharmacy.
300
What you must do if the medication you just received looks different in color, shape, size, or markings from the last time it was filled.
What is contact the MAP Consultant before administering it (call the Pharmacy)?
Pharmacy labels usually include a description of the medication on the container. If included, read the description of the medication, and compare it to the medication in the container.
300
An Ordering and Receiving Log or Medication Tracking Form used for this
To maintain a record of:
- When a prescription is ordered
- When a prescription is filled, and
- The quantity of medication dispensed by the pharmacy
- How many refills remain
- Was the same Strength received as we had been giving of the same medication
400
This is how you can tell the difference between an OTC medication, dietary supplement and a nutritional supplement
What is by reading the manufacturer label: it will either say 'Drug Facts', 'Supplement Facts', or 'Nutritional Facts'
400
A November 1983, Massachusetts Supreme Judicial Court decision that gives people who take antipsychotic medications certain rights. The rights help protect them from the overuse of these medications. In addition, the maximum daily dose that an HCP can order is limited.
What is a 'Rogers Decision'?
400
Who you would contact if you heard on the news that there was an FDA recall on a medication one of the individuals you support is taking
Call the pharmacy to speak to a pharmacist, and follow their recommendation
400
What to do if the dose ordered is 75mg and the pharmacy provides 50mg tablets
What is return the 50mg tablets to the pharmacy and obtain the correct strength?
400
Other examples of Medication Tracking Forms / Release Documents
- Pharmacy receipts
- Count Book
- Medication sheets
- Medication release documents such as:
- Leave of Absence (LOA) form
- When medication is administered away from a site
- Transfer Form
- When medication is moved from one location to another
- Leave of Absence (LOA) form
- Disposal records
500
If the HCP orders a medication using the Brand name (Prolosec), and Pharmacy sends the Generic equivalent (Omeperazole), what should the pharmacy include on the label?
What is the 'IC' or Interchange. For example, on the pharmacy label, under the name Omeprazole, it should say 'IC: Prolosec'
500
What you do when you know the pharmacy that normally dispenses a person's medications will not be able to get a medication delivered on the same day it's ordered, in time to administer (e.g. hospital discharge early Sunday evening, and a dose of a new medication will be due before bed).
Use an alternative pharmacy (maybe a local, 24-7 pharmacy that you can drive to on the way home)
500
The pharmacy label directions have changed because a different strength tablet is supplied by the pharmacy. What must you do?
The current transcription on the medication sheet must be marked through. This indicates that the transcription was rewritten to reflect the pharmacy label changes.
Notify your Supervisor - discard any remaining medication formerly supplied in a different strength.
500
While all medication is kept under lock and key, medication in this category are double-locked, packaged in tamper-resistant packaging, adn tracked in separate book.
What are Countable Controlled medications?
600
What must you do with the keys to the medication closet when you are assigned the duty of medication administration?
Keep them on your person!