Good Dispensing Practice On Pharmacy

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The key takeaways are that dispensing involves accurately preparing and labeling medication for patients based on prescriptions. It outlines factors like clean premises, trained staff, and proper procedures that affect good dispensing practice.

Dispensing refers to the process of preparing and giving medicine to a named person on the basis of a prescription. It involves correctly interpreting, accurately preparing, and labeling medicine for use by the patient.

Factors affecting good dispensing practice include having trained staff, clean premises, and following proper procedures. The staff must have good hygiene and skills. The premises must be clean and organized. Proper dispensing procedures must be followed.

YC Pharmacy Orientation

“Good Dispensing Practice”


September 27, 2019
Topic Outline

 Introduction
 Factors Affecting Good Dispensing Practice
 Dispensing Process
 Points to Remember
 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?

 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.
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.
Factors Affecting Good Dispensing
Practice
1. Staff/Personnel
- Good personal hygiene
- Knowledge about the medicines being dispensed
-Good calculation and arithmetic skills.
-Skills in assessing the quality of preparations
-Attributes cleanliness, accuracy, and honesty
- Attitudes and skills required to communicate
effectively with patients.
Factors Affecting Good Dispensing
Practice
“ No prescription shall be filled or compounded
except by a registered pharmacist in the employ
of the drugstore or pharmacy.”

RA 5921, Section 30
Pharmacist

 Provide the medication need of the patient


 Maintain trust of the prescriber and the patient
 Advise the prescriber of drug substitutes the patient may have or other
medications taken by the patient.
 Fill prescriptions in a precise manner
 Provide the patient with information and guidance to ensure patient’s
compliance to the medication prescribed
Factors Affecting Good Dispensing
Practice
2. Premises
- Physical Surroundings
(free of dust and dirt)
- Shelving and Storage Areas
FIFO, FEFO
- Surfaces used during work
Factors Affecting Good Dispensing
Practice
How to maintain a clean dispensing environment
• Regular routine of cleaning shelves
• Daily cleaning of floors and working surfaces.
• Daily removal of waste (garbage)
• 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.
Factor Affecting Good Dispensing
Practice
3. Equipment and Packaging Materials
 Tablet Counter- for loose tablets
 Graduated Cylinder
 Spatula
 Scissors
 Containers
 Red and White Labels
 Rubber Stamp
Dispensing Process

1. Receive and validate the prescription


-cross-checking
-confirm the name of the patient
Prescription
- An order for medication issued by a physician, dentist, veterinarian or
other properly licensed medical practitioner
- Designate a specific medication and dosage to be administered to
a particular patient at a specific time.
Parts of Presciption

1. Patient Information
2. Date
- Time the prescription is written
A lapse of time more than a couple of days between
the date the prescription was written and the date it was
brought to the pharmacy may be questioned by a
pharmacist to determine if the intent of the physician and
the needs of the patient can still be met.
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.
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.
8. Prescriber's Signature, Address and other pertinent
information.
Classification of Drugs

1. Prescription or Ethical Drugs


- these drugs can only be dispensed upon a written
order of a validly-registered physician, dentist or
veterinarian.
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.
- 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
4. Make a final check
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.
• 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.
POINTS TO REMEMBER
• Containers used in dispensing should be appropriate to
the particular product being dispensed.
• It is important to open and close containers one at time.
Note: air eventually deteriorate quality of medicines.
• Labels of medicinal products should be legible and
clear.
• A prescription record book should be used for recording
dispensed prescriptions. It should be open for inspection
anytime when the pharmacy is open for business and
must be preserved for a period of two years after the last
entry in it has been made.
• All fully served prescriptions must be recorded in the
prescription record book, numbered consecutively and
shall be put on file for two years.
• Smoking and eating should not be permitted in the
dispensing area.
SUMMARY

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.
Reference:

Drug Licensing Manual


DOH-RO IX 2015
Thank you!

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