1. Correctly prepare drugs according to the contents of the prescription

The pharmacist should correctly prepare the drugs according to the contents of the prescription, and shall not change or substitute the drugs listed in the prescription without authorization. After preparing the prescription, the pharmacist should prepare the drugs correctly. Sign or seal.

If special preparations are made according to the patient's individualized medication needs, the pharmacist should make temporary preparations of special dosage forms or doses in the pharmacy, and be careful to operate in a clean environment and keep records.

(1) Prescription preparation

1. Read the prescription carefully and prepare the drugs one by one according to the order

2. Register the narcotic drugs and other special management drugs separately on the account card

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3. After the drugs are prepared, check the drug name, dosage form, specification, quantity and usage with the prescription one by one, and write the label accurately and standardly

4. Prepare all the drugs for a prescription before mixing Next prescription to avoid errors

5. Put eye-catching labels on drugs that require special storage to remind patients to pay attention, such as "Save at 2℃~8℃"

6. Try to Labels on usage, dosage, storage conditions, etc. are respectively attached to the outer packaging of each drug

7. Sign or stamp after preparation or verification

8. Pay attention to laws, regulations, medical insurance, systems, etc. Implementation of relevant regulations

(2) Distribution of hospital orders

1. Distribution of medical orders

Generally, medicines with long-term medical orders are distributed on a daily basis. Temporary medical orders require Urgent delivery.

Oral medicines for hospitalized patients are packaged for each dose, and the patient’s name and time of taking the medicine should be marked on the package.

For drugs that require special usage and precautions, the pharmacist should add a warning label or provide special instructions to the nurse.

2. Prescription preparation for discharge medicines

Review the prescriptions for discharge medicines, including patient name, medical record number, drug name, dosage, usage and dosage, course of treatment, repeated use of medicines, incompatibility, etc. .

Add medication guidance labels. Gradually carry out medication education for discharged patients and provide written or face-to-face medication guidance.

Patients should be reminded on the outer packaging bag of the drug: When the efficacy is poor or adverse reactions occur, consult a doctor or pharmacist in a timely manner. Provide patients with hospital and pharmacy phone numbers.

2. Determine the drug by its name

The drug name can be expressed by generic name, trade name, etc., but each drug has only one generic name and can have multiple trade names. , should be distinguished when dispensing medicines to prevent dispensing errors.

(1) The trade name of a drug refers to the exclusive trade name of the drug used by a specific enterprise approved by the national drug regulatory department.

(2) Alias ??of drugs

Most of the aliases of drugs are commonly used common names. For example, chlorpheniramine maleate is aliased as chlorpheniramine.

3. Identify appropriate packaging and storage requirements

(1) Identify appropriate pharmaceutical packaging

Pharmaceutical packaging is divided into inner packaging and outer packaging.

Inner packaging refers to the packaging in contact with pharmaceuticals. The inner packaging should be able to ensure the quality of the drug during production, transportation, storage and use, and be convenient for medical use.

Outer packaging refers to packaging other than inner packaging, which is divided into medium packaging and large packaging from the inside out. The outer packaging should be unbreakable according to the characteristics of the medicine to ensure the quality of the medicine during transportation, storage and use.

The minimum packaging of pharmaceuticals often refers to the packaging of the smallest sales unit.

(2) Identify appropriate drug storage requirements

Drug storage temperature, light and humidity are important factors that affect drug quality. Therefore, drugs should be stored in strict accordance with drug storage requirements.

If it is marked for storage in a "cool and dark place", it should be stored in an environment not exceeding 20°C;

If it is marked for storage in a "cool and dark place", the storage temperature should not exceed 20°C. And store it in shade.

Medicines that need to be stored away from light or shaded should be protected from light during storage;

Medicines that need to be protected from moisture should be stored in an airtight container to prevent contact with air.

4. Single-dose dispensing

Single-dose dispensing means that the medicines required for hospitalized patients are prepared by the pharmacist into a single package, placed in a single-dose medicine box or bag, and given to the patient. .

Unit-dose formulation systems are also called unit dispensing or unit-dose dispensed drugs (UDDS).

5. Usage and dosage labels and special reminder labels

Pay special attention to the following points:

(1) Generic or trade name of the drug, dosage form, and specifications and quantity

(2) Usage and dosage

(3) Patient name

(4) Dispensing date

(5) Storage method and validity period

(6) Precautions for taking (such as before meals, after meals, before going to bed, refrigerated, drivers should not take, shaking and mixing before taking, etc.)

(7 ) The name, address and telephone number of the dispensing pharmacy

The medication label should state the usage and dosage in plain language; eye-catching labels can be added to drugs that require special storage conditions to remind patients to pay attention; they can also be added Labels with special reminders are attached; if conditions permit, the computer system can be used to print more detailed medication guidance labels for patients.

6. Verification and Dispensing

(1) Verification

After the prescription is prepared, another pharmacist will check it and review the prescription thoroughly and carefully again content, check one by one whether the prescription is consistent with the prepared medicines, specifications, dosage, usage, and dosage, and check one by one whether the quality of the outer packaging of the medicines is qualified (including shape, color, smell, and clarity), and the validity period, etc., should be confirmed and correct. Sign the prescription.

(2) Dispensing medicine

1. Check the patient’s name. It is advisable to use two methods to check the patient’s identity, such as name, age, and it is best to ask the department where the patient is visiting to confirm the patient’s identity. .

2. Check the compliance of the drugs with the prescription one by one, check the drug dosage form, specifications, quantity, packaging, and sign.

3. When errors in prescription dispensing are discovered, the prescription and medicines should be returned to the prescriber and corrected in a timely manner.

4. Explain the usage and special precautions of each drug to the patient when dispensing the medicine. When there are more than 2 boxes of the same drug, special instructions are required. When delivering prescription drugs to patients, patients should be given medication instructions.

5. Pay attention to respecting patient privacy when dispensing medicine.

6. If the patient has questions, he should try his best to answer them. For more complex questions, it is recommended to consult at the medication consultation window or consultation room.