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Writing a Prescription

Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

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Page 1: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Writing a Prescription

Page 2: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

The Basics

Patient’s name today’s date (+/- date of birth)

Line 1: drug name dose

Line 2: number to take route how often*

Line 3: number to dispense refills

*use only most basic abbreviations (BID, TID, QID or QHS)

or just use plain English (twice a day) and avoid using

UNC Prohibited Abbreviations

http://pharmacy.intranet.unchealthcare.org/directories-and-updates/abbreviations.pdf
Page 3: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Paul R. Smith DOB: 5/6/1978 6/29/09

enalapril 10mg

one PO every day for hypertension

#90 (ninety) 3 refills

John Hancock, MD

Page 4: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line
Page 5: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Writing a Prescription

• Legible, please

• Treat zeros with respect – use for 0.5mg but not for 5.0mg

• Write purpose of medication– “for high blood pressure”

• Write as needed for what– “prn for nausea”

Page 6: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Writing a Prescription

• Confirm allergies

• Confirm dose if not absolutely 100% sure

• Consider interactions – epocrates– warfarin– seizure meds– immunosuppressants

Page 7: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Writing a Prescription

• Think about QTc

• Pregnancy ?

• Monitoring – Baseline (need creatinine before metformin,

ALT before statin) – Later (need creatinine and K after Ace-i,

drug levels for lithium)

Page 8: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

Writing a Prescription

• # pills acceptable for given insurance (only 30 for Medicaid, 30 or 90 for Wal-Mart $4)

• Use generics whenever possible• Forgery issues

– microprinting on WebCIS– write out numbers (# thirty)– no mistakes on controlled substances

prescriptions

http://www.walmart.com/
Page 9: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

• Narcotics– Schedule I: no medical use (heroin, LSD)– Schedule II: medical use, high abuse/addiction

potential (morphine, oxycodone)– Schedule III: lower potential (codeine,

hydrocodone)– Schedule IV: even lower potential

(benzodiazepines, propoxyphene)– Schedule V: very low potential (codeine in

cough syrup)

• Keep records organized and detailed:– strength, how many, any refills, when/from

whom can get more

Page 10: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

• Narcotics– Schedule I: no medical use (heroin, LSD)– Schedule II: medical use, high abuse/addiction

potential (morphine, oxycodone)– Schedule III: lower potential (codeine,

hydrocodone)– Schedule IV: even lower potential

(benzodiazepines, propoxyphene)– Schedule V: very low potential (codeine in

cough syrup)

• Keep records organized and detailed:– strength, how many, any refills, when/from

whom can get more

Page 11: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

• Narcotics– Schedule I: no medical use (heroin, LSD)– Schedule II: medical use, high abuse/addiction

potential (morphine, oxycodone)– Schedule III: lower potential (codeine,

hydrocodone)– Schedule IV: even lower potential

(benzodiazepines, propoxyphene)– Schedule V: very low potential (codeine in

cough syrup)

• Keep records organized and detailed:– strength, how many, any refills, when/from

whom can get more

Page 12: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

• Narcotics– Schedule I: no medical use (heroin, LSD)– Schedule II: medical use, high abuse/addiction

potential (morphine, oxycodone)– Schedule III: lower potential (codeine,

hydrocodone)– Schedule IV: even lower potential

(benzodiazepines, propoxyphene)– Schedule V: very low potential (codeine in

cough syrup)

• Keep records organized and detailed:– strength, how many, any refills, when/from

whom can get more

Page 13: Writing a Prescription. The Basics Patient’s name today’s date ( +/- date of birth) Line 1: drug name dose Line 2: number to take route how often* Line

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