The general procedure of prescription deployment is to carefully examine prescriptions, accurately deploy drugs, correctly write medicine bags or paste labels, and mark patients' names and drug names, usage, dosage and packaging;
When delivering drugs to patients, instructions and instructions should be given according to prescription usage or drug instructions, including the usage, dosage and precautions of each drug.
(1) prescription review
1, review qualification
Licensed pharmacists or personnel with professional and technical post qualifications above pharmacists are responsible for prescription review, evaluation, verification, drug distribution and safe drug use guidance;
Those who have not obtained the corresponding qualifications are engaged in prescription preparation under the guidance of pharmacists.
2. Audit content
Pharmaceutical professional and technical personnel should carefully check whether the preface, text and postscript of the prescription are clear and complete, and confirm the legality of the prescription.
3, review the suitability of medication
Pharmacists should review the suitability of prescription drugs, including:
1 stipulates that drugs must be skin tested. Does the prescribing doctor indicate the allergy test and the judgment of the results?
2. Consistency between prescription medication and clinical diagnosis;
3. The correctness of dosage and usage;
Rationality of dosage form and route of administration;
5 Whether there is repeated administration;
6. Whether there are potential clinical drug interactions and incompatibility;
7. Other inappropriate drug use.
After reviewing the prescription, the pharmacist should inform the prescriber and ask him to confirm or reissue the prescription if he thinks that the drug is improper.
Pharmacists who find serious irrational drug use or drug use errors shall refuse to adjust, inform the prescriber in time, and record and report in accordance with relevant regulations.
(2) Drug deployment
Prescriptions can be prepared only after being reviewed by pharmacists;
The drugs listed in the prescription shall not be changed or substituted without authorization, and the drugs can be distributed only after the prescription is prepared and checked;
Prescription examination, deployment and verification personnel shall sign or seal the prescription, and keep the prescription or its copy in accordance with relevant regulations;
When selling drugs with short-term effects, patients should be informed of the expiration date.
Pharmacists must do "four checks and ten pairs" when dispensing prescriptions;
Investigator, subject, name and age;
Check the name, dosage form, specification and quantity of drugs;
Check compatibility contraindications, drug properties, usage and dosage;
Check the rationality of clinical diagnosis medication.
(3) prescription and medication instructions and guidance
After receiving the prepared drugs, the dispensing pharmacists check them, mark the information such as usage and dosage in an appropriate way, distribute the prepared drugs to patients one by one, and give medication guidance.
Instructions and instructions for drug use are the last link of dispensing. Pharmacists use comprehensive medical knowledge to guide patients to use drugs correctly in easy-to-understand language or other ways.
The contents of medication guidance include usage, dosage, appropriate medication time, correct use of drug dosage forms, precautions, contraindications, drug storage, adverse drug reaction information, etc.