Jynon Miller
1.) What further questions do you, the allied health professional, need to ask Mrs. Kaplan when she calls for a refill?
Have you had any recent accidents or injuries?
Do you have any allergies?
Are you currently taking any medications?
2.) Dr. Ferrari will not be available until tomorrow. Do you need to wait to call in the prescription?
Yes you need to wait to call in a prescription. You must be seen by your provider before a medication is issued.
3.) Why MIGHT Dr. Ferrari want to see Mrs. Kaplan prior to prescribing her medication?
Mrs. Kaplan needs to be re-evaluated. Her condition is still unknown. The doctor may need to repeat any test ran to see if the medication is helping her condition.
4.) Document the phone call as you would in the medical record.
Mrs. Kaplan called at 4:45pm on Thursday July 7th, 2016 for a refill on her medication Aciphex 20mg. Chief complaint is heartburn issues. I recommend that she make an appointment with Dr. Ferrari tomorrow so they can further discuss her symptoms and treatment options.
Part 2.
What is your response to Annie’s mother?
Never give a child or take any medication that was not prescribed to the inividual. You can give her over the counter children’s Tylenol, ibprophen, or any medication the doctor prescribes for her.
Annie will be given an antibiotic. Her mother mentions that she is allergic to penicillin. What are some checks and balances that should be in place at the physician’s office and in the pharmacy to ensure that errors are not made with patients with allergies to certain antibiotics?
All medications in the “cillin” family must be re flagged so staff is aware that these medications are not to be given to a patient. Always double check when giving a patient medication to ensure that they are not allergic to what they will be taking.
Case 3.
Patient
#
Verbal prescription of medication/dose to be documented
Documentation of prescription
First dose
Next dose (international standard time)
1
Pain medication with the directions: i tab PO q6h
1 Tablet by mouth every 6 hours
9:30 am
1530
2
Aspirin: ii tab PRN
2 Tablets by mouth Twice as needed
12:00 pm
1800
3
Penicillin: ii caps PO q4h
2 Capsules by mouth every 4 hours
2:00 pm
1800
4
Pepcid: i tab PO q4-6h
1 Tablet taken by mouth every 4-6 hours
6:00 am
1000-1200
5
Ibuprofen: 800 mg PO TID
800 mg by mouth 3 times a day
9:30 pm
0330
Case 4.
What is the difference between a prescription and a medication order? Please be as thorough as possible. Hint use your textbook.
A medication order telling allied health professionals which drug or drugs to administer may be given verbally, but should be written. It should not be given to the patient for filling at a pharmacy, but should be used for administration of drugs in hospitals and ambulatory facilities. A prescription indicates the medication that was prescribed, the required dosage, the amount and duration take, directions, and warnings. Medicines are prescribed after the provider has seen the patient’s symptoms and has made a diagnosis of the disease or condition that requires medication.
Write a prescription for one medication covered in Chapter 17: Antimicrobials, Antifungals and Antivirals. The prescription must be believable. (10 points)
Be sure to include the following to earn full credit:
Correct drug name
Logical drug strength
Logical quantity
Logical directions
DEA included if controlled substance
Refills included and logical
Patient name included
Date
Jynon Miller, MD
567 Water Lane Washington, DC (202) 555-9999
Patient Name: Olivia Pope Date: 4/25/2017
Address: 1234 Sugar rd Apt 103, Washington, DC 20032 DOB:12/5/1990
Refills: Amoxicillin 250 mg tablets # 42
TT tablets p.o. T.i.d. X 7 days
Jynon Miller, MD
DEA#: 30356487