Pharmaceutical Prescriptions – Break the Code Jill J Luebbert, CPOT, ABOC Luebbert Consulting and Training

Luebbert Consulting and Training Prescriptions Ophthalmic Prescriptions Pharmaceutical Prescriptions Luebbert Consulting and Training

How many Rx’s are written annually? 1,000,000 500,000,000 1,000,000,000 3,000,000,000 Luebbert Consulting and Training

Ophthalmic Prescription Formulation for lenses in eyewear Used to better visual task demands -2.50 -1.00 x 090 Luebbert Consulting and Training

Pharmaceutical Prescription Medication for health betterment Luebbert Consulting and Training

Written Prescriptions Why should you have to understand what it means? Luebbert Consulting and Training

Verifying Prescription Comparing to previous To the patient To the pharmacist Luebbert Consulting and Training

Patient Safety Comes First Tamper Resistant Security Paper is used to help prevent tampering as well as unauthorized document duplication. Tamper Resistant Paper CAN: prevent unauthorized copying of a completed or blank prescription form; help the viewer or recipient identify an original document; act as a deterrent against unauthorized duplication; prevent the erasure or modification of information written on the prescription by the prescriber; cause information modification to be visible to the recipient; prevent accurate duplication and prevent the use of counterfeit prescription forms. www.aoa.org Luebbert Consulting and Training

Luebbert Consulting and Training E-Prescribing is the ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point of care. Luebbert Consulting and Training

Components of Written Prescription Luebbert Consulting and Training

1234 Wellness Road · Anywhere, NE (555) 999-2020 Sample Prescription Eyecare Associates 1234 Wellness Road · Anywhere, NE (555) 999-2020 Name Priscilla Promtly DOB 04/21/1978 Date 03/14/2010 Address124 Cream St Anywhere, NE     RX Doxycycline 100 mg Disp #14 Sig: Take 1 capsule bid x 7 days         __________________  Timothy Romes, O.D.  DEA #000 Dispense as Written Substitution Permissible      Refills     __0__    

Luebbert Consulting and Training Superscription The Date the order is written Name of patient Address of patient Age of the patient Name Priscilla Promtly DOB 04/21/1978 Date 03/14/2010 Address124 Cream St Anywhere, NE Luebbert Consulting and Training

Luebbert Consulting and Training Inscription The body of the prescription Containing Name of pharmaceutical Dosage Dosage form Amount or strength of ingredient RX Doxycycline 100 mg Disp #14 Sig: Take 1 capsule bid x 7 days  Luebbert Consulting and Training

Luebbert Consulting and Training Prescriber's full name address telephone number DEA number Eyecare Associates 1234 Wellness Road · Anywhere, NE (555) 999-2020 __________________  Timothy Romes, O.D.  DEA #000 Luebbert Consulting and Training

Luebbert Consulting and Training Subscription Direction to the pharmacist Example” “dispense 15 capsules” Disp #14 Luebbert Consulting and Training

Luebbert Consulting and Training Signatura Directions to the patient Example ‘ “use ung OS q.h.s.” Pharmacist translates into English for patient Luebbert Consulting and Training

Luebbert Consulting and Training Refills The prescriber indicates many refills are allowed Luebbert Consulting and Training

It’s not official unless it contains Signature of prescriber Example: James L. Townsend, M.D. Luebbert Consulting and Training

Proprietary vs Non-Proprietary Are generics allowed??? N.P.P. box Luebbert Consulting and Training

Luebbert Consulting and Training Let’s Read Latin Abbreviation of the Latin word for “recipe” “to take or take thus” Luebbert Consulting and Training

Luebbert Consulting and Training Dosage AMT amount Luebbert Consulting and Training

Luebbert Consulting and Training PrescRibed Amount mg milligram mL milllitre oz ounce g gram Luebbert Consulting and Training

Luebbert Consulting and Training What form? gtt drop ung ointment susp suspension tab tablet cap capsule Luebbert Consulting and Training

Luebbert Consulting and Training How often? qd Every day bid Two times a day tid Three times a day qid Four times a day Luebbert Consulting and Training

Luebbert Consulting and Training When? q every qd Every day qh Every hour hr hour hs At bedtime Luebbert Consulting and Training

Luebbert Consulting and Training When? prn as needed pc after meals ac before meals wf with food Luebbert Consulting and Training

Ready? Let’s read these Luebbert Consulting and Training

Luebbert Consulting and Training Examples 1 gtt bid OU “1 drop twice a day each eye” Luebbert Consulting and Training

Luebbert Consulting and Training 2 tab po ac “2 tablets by mouth before meals” Luebbert Consulting and Training

Luebbert Consulting and Training 1gtt OD bid “1 drop right eye twice a day” Luebbert Consulting and Training

Luebbert Consulting and Training 1gtt OU qhs “1 drop each eye before bed” Luebbert Consulting and Training

Ung OU qhs Ointment both eyes before bed

1 cap po wf 1 capsule by mouth with food

OK Now, you write it

The fictitious pharmaceutical RAMICANI

Another fake medication BRIFICOL

Luebbert Consulting and Training If in doubt, ASK!!!!! Luebbert Consulting and Training

Luebbert Consulting and Training ABBREVIATION LATIN MEANING a.c. ante cibum before meals agit agita stir/shake amt amount aq aqua water b.i.d. / b.d. bis in die twice daily cap., caps. capsula capsule cr., crm. cream dil. dilute g gram gtt(s) gutta(e) drop(s) h, hr hora hour h.s. hora somni at bedtime mL millilitre nebul nebula A spray Luebbert Consulting and Training

Luebbert Consulting and Training o.d. oculus dexter right eye o.s. oculus sinister left eye o.u. oculus uterque both eyes oz ounce p.c. post cibum after meals p.m. post meridiem evening or afternoon prn pro re nata as needed p.o. per os by mouth or orally q quaque every q.i.d. quater in die four times a day q.d. quaque die every day qqh quater quaque hora every four hours q.h. quaque hora every hour q.o.d. every other day qwk every week q.s. quantum sufficiat A sufficient quantity Luebbert Consulting and Training

Luebbert Consulting and Training sol solutio solution susp suspension tab tabella tablet tbsp tablespoon tsp teaspoon t.i.d. ter in die three times a day top. topical u.d., ut. dict. ut dictum as directed ung. unguentum ointment wf with food (with meals) w/o Without Luebbert Consulting and Training

Prescriptions are written by licensed doctors

Pharmacists fill prescriptions

You can be a valuable intermediary

Because………………………….. You can break the code

Jill Luebbert, CPOT, ABOC Independent Consultant Phone: 402-372-2079 Ophthalmic Consulting and Training Jill Luebbert 1975 ‘B’ Rd West Point NE 68788-4582   Jill Luebbert, CPOT, ABOC   Independent Consultant   Phone: 402-372-2079 Cellular: 402-380-0775 E-mail: jjluebbert@jjlconsulting.com www.jjlconsulting.com  Luebbert Consulting and Training