Prescribing And Ordering Of Drugs Policy

General practitioner can transcribe the order for the specialist or consultant in his or her absence, during prescribing he/she has to make sure all the elements of prescription are complete as mentioned above

• True

• False

An order in which drug administration of prescribed medication should be as needed / required as per patient condition: ________

NARROW THERAPEUTIC RANGE DRUGS: Drug Products containing certain drug substances subject to drug concentration or pharmacodynamics monitoring, and/or where product labeling indicates a narrow therapeutic range designation

• True

• False

Medication reconciliation is :

• Process of creating the most accurate list possible of all medications a patient is taking including drug name, dosage, frequency, and route and comparing that list against the physician’s admission, transfer, and/or discharge orders, with the goal of providing correct medications to the patient at all transition points within the hospital.

• It is equal to prescription approprietness review 

• Process of ensuring that a hospital patient's medication list is as up-to-date as possible. It is must be taken by pharmacist only and may include consulting several sources such as the patient, their relatives or caregivers, or their primary care physician.

• Pharmacy performs 100% or medication reconciliation properly , accurately by updating the patient`s own medications  form only .

Physician must document the reasons for prescribing a Brand-name Drug in the patient record, and must be able to give the reasons for prescribing a Brand-name Drug if requested to do so by DOH

• True

• False

Range orders are accepted in NMCRHKC

• Yes

• No

THERAPEUTIC SUBSTITUTE

• Known as drug switching and therapeutic interchange, is the practice of replacing a patient's prescription drugs with chemically different drugs that are expected to have the same clinical effect.

• Equal to replacing brands by generics of same chemical active ingredient 

• It can be done by pharmacist if doctor changed the order verbally 

• Drug which, in its relationship to a prescribed drug, is –within the same therapeutic category but chemically different (e.g. which has the same relationship to the prescribed drug as ranitidine has to cimetidine), or a different moiety of the same parent compound (e.g. which has the same relationship to the prescribed drug as ofloxacin has to ciprofloxacin

• A&D

Doctor can prescribe brand name in the following except :

• Herbal or homeopathic remedy

• Vaccine or insulin preparation

• Dietary supplement or food supplement

• Based on doctor`s preference and his experience 

• Over- the-counter’ drug or ‘general sale product’

Physicians must usually  prescribe Branded Drugs rather Generics Drugs to ensure quality of treatment 

• True

• False

Controlled prescription must include 

• Name of the patient and Medical record No, Gender and age ,diagnosis, Allergies , brand name (not mandatory) generic name and quantity required.

• Patient`s identification sticker ,diagnosis, Allergies ,drug and dosage form,generic name and quantity required., doctor`s stamp and signature 

• Name of the patient and Medical record No, Gender and age ,diagnosis, Allergies ,drug and dosage form, brand name (not mandatory) generic name .

Pharmacist can dispense restricted antibiotic after receiving the restricted antibiotic form filled and signed by the  prescriber :

•  Caspofungin , Anidulafungin , Ceftaroline

• .Amphotericin , Ertapenem, Linezolid

• Tigecycline ,Ceftolozane-Tazobactam

• Ceftazidime- Avibactam , Imipenem

Doctor can prescribe brand medications 

• Yes

• No

• Option 3

• Option 4

PRN order must include the following to be issued from pharmacy 

• Maximum frequency , route of administration , diagnosis

• Maximum dose , frequency , indication

• Daily dose, route of administration, indication 

• Quantity of required units, frequency , indication

BRAND-NAME DRUG definition and example ________

STAT order is :________