Good Dispensing Practice

GOOD DISPENSING PRACTICE

TOPIC OUTLINE

I. Introduction

II. Factors Affecting Good Dispensing Practice

III. Dispensing Process

IV. Points to Remember

V. Summary

GOOD DISPENSING PRACTICE

“No medicine, pharmaceutical or drug whatever nature and kind or device shall be compounded, dispensed, sold or resold, or otherwise be made available to the consuming public except through a prescription drugstore or hospital pharmacy….”

RA 5921, Section 25

What is Dispensing?

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• Refers to the process of preparing and giving medicine to a named person on the basis of a prescription.

• Involves the correct interpretation, accurate preparation and labeling of medicine for use by the patient.

• Vital elements of the rational use of medicines.

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What is Dispensing?

Administrative Order No. 63 s. 1989 known as

“Rules and Regulations to Implement Dispensing Requirements under the Generics Act of 1988 (RA 6675)”

Section 1.1. Dispensing is the act by a validly registered pharmacist of filling a prescription or doctor’s order on the patient’s chart.

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Factors Affecting Good Dispensing Practice

1. Staff/Personnel

– Good personal hygiene

– Knowledge about the medicines being dispensed

– Good calculation and arithmetic skills

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1. Staff/Personnel

– Skills in assessing the quality of preparations

– Attributes cleanliness, accuracy, and honesty

– Attitudes and Skills required to communicate effectively with patients

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“ No prescription shall be filled orcompounded except by a registeredpharmacist in the employ of thedrugstore or pharmacy.”

RA 5921, Section 30

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PHARMACIST

Provide the medication need of the patient

Fill prescriptions in a precise

manner

Provide the patient with information and guidance to ensure patient’s compliance to the medication prescribed

Advise the prescriber of drug substitutes the patient may have, or

other medications taken by the patient

Maintain trust of the prescriber and the patient

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2. Premises

– Physical Surroundings

(free of dust and dirt)

– Shelving and Storage Areas

FIFO , FEFO

– Surfaces used during work

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How to maintain a clean dispensing environment

• Regular routine of cleaning shelves

• Daily cleaning of floors and working surfaces

• Daily removal of waste (garbage)

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• Spills should be wiped up immediately

• Food and Drink must be kept out of the dispensing area

• Refrigerator used strictly for medicines ONLY

• Conduct regular monitoring of the refrigerator temperature


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3. Equipment and Packaging Materials Tablet Counter – for loose tablets

Graduated Cylinder

Spatula

Scissors

Containers

Red and White Labels

Rubber Stamp

Packaging Materials for Medicine Dispensing

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DISPENSING CYCLE

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DISPENSING PROCESS

1. Receive and validate the prescription

– Cross – checking

– Confirm the name of the patient

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Prescription

- An order for medication issued by aphysician, dentist, veterinarian or otherproperly licensed medical practitioner

- Designate a specific medication anddosage to be administered to a particularpatient at a specific time

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Parts of Prescription

1. Patient Information

2. Date- Time the prescription is written

A lapse of time more than a couple of days betweenthe date the prescription was written and the date itwas brought to the pharmacy may be questioned by apharmacist to determine if the intent of the physicianand the needs of the patient can still be met

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3. Rx Symbol or Superscription

– “take thou” or “you take”

4. Medication Prescribed or Inscription

- body or principal part of the prescription

- contains the name and quantity of the prescribed drug

5. Dispensing Directions to Pharmacist or Subscription

– Contains directions for the pharmacist for preparing the prescription

6. Directions for the Patient or Signa

– As indicated by the prescriber, the directions for the patient’s use of the medication

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7. Refill, Special Labeling or Other Instructions

- Indicate the number of authorized refills in the prescription by its prescriber

If no refill information is provided, it is understood that no refills have been

authorized.

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8. Prescriber’s Signature, Address and Other Pertinent Information

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Classification of Drugs1. Prescription or

Ethical Drugs

– these drugs can only

be dispensed upon a

written order of a

validly-registered

physician, dentist or

veterinarian.

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Classification of Drugs

2. Non-prescription or Over-the-Counter (OTC) Drugs – purchased without a prescription

2. Understand and interpret the prescription

– Read the prescription

– Correctly interpret any abbreviations used by the Prescriber

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– Confirm that the doses prescribed are in the normal range for the patient (sex and age)

– Correctly perform any calculations of dose and issue quantity

– Identify any common drug-drug interactions

3. Prepare and label items for issue

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4. Make a final check

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5. Record the action taken

– Three different methods can be used to keep a record of medicines dispensed

Prescription is retained

› the dispenser should initial and annotate the prescription with strength and quantities dispensed and either file it or enter the details into a record book as soon as time is available.

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Prescription is returned to the patient

› list of the medicines dispensed must be entered into a record book before the items are issued to the patient

Use of computers to record the dispensing details

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6. Issue medicine to the patient with clear instructions and advice

POINTS TO REMEMBER

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• Containers used in dispensing should beappropriate to the particular productbeing dispensed.

• It is important to open and close containers one at timeNote: air eventually deteriorate quality of medicines.

• Labels of medicinal products should belegible and clear.

• A prescription record book should beused for recording dispensedprescriptions. It should be open forinspection anytime when the pharmacyis open for business and must bepreserved for a period of two years afterthe last entry in it has been made.

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POINTS TO REMEMBER

POINTS TO REMEMBER• All fully served prescriptions must be

recorded in the prescription recordbook, numbered consecutively and shallbe put on file for two years.

• Smoking and eating should not bepermitted in the dispensing area.

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SUMMARY

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Patients should receive the appropriate medicine, in the proper dose, for an adequate period of time, and at the

lowest cost to them and their community.

THANK YOU FOR YOUR ATTENTION

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DISPENSING PROCESS

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Good Dispensing Practice

Health & Medicine