-
List rules for prescription writing
- make sure they are legible and written in ink
- schedule II drugs must be in ink, indelible pencil, or typewritten
- blank prescription sheets should not have name of pharmacy or pharmaceutical company
- pads kept in secure location
- duplicate of each prescription kept in pt record
- english instructions used rather than latin abbreviations
-
Which prescriptions require a written order?
schedule II
-
Which types of prescriptions must be written in ink?
all of them
-
which can be called in?
schedule III, IV, or V
-
In what location should printed prescription pads be kept?
in a safe place
-
How does the dentist know which prescriptions have been written for a pt?
a duplicate is kept in pt record
-
Which type of prescription is required to be signed by the prescriber?
all of them
-
Describe information included in the 3 parts of a prescription.
- heading - prescriber (name, phone number, and address) date of prescription, and pt info (name, age, weight, and address)
- body - drug, dose or concentration, amount dispensed, directions to pt
- closing - signature, DEA number, instructions to pharmacist, number of fills
-
What does Rx mean?
latin symbol for 'take thou'
-
What information should be included on the prescription label? How could this info be used during a dental hygiene appointment? How can one determine if a prescription is past its expiration date?
- name of drug, number of doses, strength of doseform, pharmacy name, address, phone number, and date it was filled.
- the DH can determine if the prescription is outdated or not
- the date is on the label
-
What are strategies in the dental office to ensure a properly written prescription has been given to the dental pt?
- pt trust inclinician
- pt must have a good understanding of the illness and severity
- tood communication
- positive attitude and good follow up
- nature of illness
-
What is the main factor for noncompliance regarding therapeutic medications in an adult? In a child?
- pt's perception of severity of the illness
- taste or smell of medication
-
Describe 5 principles to include when counseling a pt about a prescription.
- why the drug is needed
- what can occur if the drug is not taken
- clear instructions for when to take the drug
- side effects and how to manage them
- situations that require notifications to the dentist
-
What questions should be asked when a drug for antibiotic prophylaxis has been prescribed?
- When was the antibiotic taken?
- which antibiotic was prescribed?
- how much was taken?
- Have any adverse effects developed?
-
Identify the U.S. agency that governs prescriptions for controlled substances.
- congress and federal law
- controlled substance act of 1970
-
Describe how a dentist secures a DEA number. For what reasons would a DEA number be denied?
- the clinician registers
- if it is determined that the issuance of such registration would be inconsistent with the public interest
-
Identify drugs in each of the 5 DEA schedules.
- I - hallucinogens (LSD), marijuna, opiates (heroin, opium derivatives)
- II - amphetamines, opiates (morphine, congeners, cedeine, methadone)
- some barbiturates, oxycodone
- III - anabolic steroids, opiates (acetaminophen with codeine, hydrocodone mixes (vicoden)
- IV - benzodiazepines (diazepam valium), opiates (propoxyphene), barbiturates (phenobarbital)
- IV - opiates (cough and diarrhea)
-
Which schedule has the highest risk for abuse? Which has the lowest? Which is used for research only?
-
List the rules for writing prescriptions for controlled substances. What is done to discourage prescription alterations?
- rules:
- ink or typed
- bear full name and address of pt
- list full name, address, and DEA number of practitioner
- be dated
- manually signed by practitioner
- write out actual amount instead of abbreviations
-
What is the purpose of triplicate prescription? Which three individuals or agencies get copies?
- to make sure they are used correctly
- dentist gets one, pharmacist gets one, state gets one
|
|
