Purdue Lessons I Learned from The Class Materials Reflection Bulleted List

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Option 2- Alternative Assignment: Reflective Assignment

While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.

Please include:

  • The main topics discussed.
  • Sub-topics and/or subsequent classroom discussion.
  • Points you found of interest.
  • Any additional reflections or suggestions.

Explanation & Answer length: 400 words

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How To Write Prescriptions Seminar /Unit 4 MN 569 Guidelines for Writing Prescritions For Nurse Practitioners A medical prescription is a legal document that should be prepared with care. While there are some variations from state to state, the prescription basically has 10 parts that will be discussed in this article. Use this information as a guide, but make sure you know the requirements in your own state. Also, be aware of the different requirements for prescriptions for controlled substances vs. noncontrolled substances. Prescriber Information Parts of a prescription Prescriber information: The Nurse Practitioners name, work address and phone number should be clearly written (or preprinted) on the of the prescription form. Some states require the Nurse Practitoners state license number to be on the form. It is not recommended that you preprint your Drug Enforcement Administration (DEA) number on the prescription pad. It becomes too easy for drug abusers to lift a few prescription forms for illicit use if that number is easily available. The DEA number is not required on noncontrolled prescriptions; however, many pharmacies may request the DEA number with a prescription to help when filing the patient's medication insurance claims. Patient Information Patient information: This portion of the prescription should include at least the first and last name of the patient and the age of the patient. Many names such as "Smith" and "Jones" should include the complete name and address to help distinguish patients with similar names. An address is required on schedule II controlled drugs and should be included on prescriptions for any controlled substance. When the exact age is unavailable the word "adult" may be used in the age slot. Children and the elderly may need the weight listed when oral medications are prescribed. Date Prescribed Date prescribed: The date is part of the legal document confirming when the prescription was written. Pharmacists are often presented prescriptions with dates that are well past the prescribing date. Some patients elect to save prescriptions for future use. This often includes antihistamines and antibiotics that may not be indicated or are even dangerous for the patient's present condition. Superscription/RX Superscription: This is the Rx symbol on the prescription form that designates the written document to be a prescription. Rx is an abbreviation for a Latin phrase that means "take thou." Inscription Inscription: An inscription includes the drug name, concentration and type of preparation. Drug names should not be abbreviated and correct spelling is important to assure that the correct medication is dispensed. Maxitrol (neomycin and polymyxin b sulfates and dexamethasone, Alcon) and Tobra Dex (tobramycin and dexamethasone, Alcon) are examples of drugs that are prepared in ointment (ung) or drop (gt) form. Cortisporin (neomycin and polymyxin B sulfates, bacitracin zinc and hydrocortisone, comes in ophthalmic and otic (ear drops) preparations. Specify which preparation you wish the me)patient to use. Drug names can be written using the chemical name, such as ciprofloxacin 0.3% (Ciloxan, Alcon) or the proprietary form that requests a specific brand name drug. This preparation is still under patent, so if you use either name the pharmacy will provide the product manufactured by Alcon. Subscription Subscription (Disp): Historically, this was an instruction to the pharmacist to compound medications.Today, most medications are pre-compounded preparations. Subscription now indicates the quantity of medication (number of capsules or tablets) or the size of the bottle to be dispensed (5 mL, 10 mL, 15 mL). Be as specific as possible to ensure patient compliance and proper use of medication. Signatura (Sig) Signatura (Sig): These are the doctor's instructions to the pharmacist indicating how the patient should use the medication. Typical instructions on the prescription would follow in this order: 2 gtt q2h OD for 3 days These instructions as used on a prescription for Ciloxan would be interpreted as follows: two drops every 2 hours instilled in the right eye for 3 days. 1 tab po BID for 14 days These instructions as used on a prescription for doxycycline would be interpreted as follows: one tablet by mouth two times per day for 14 days. 1 gt QID OU for 7 days, then BID for 14 days, for itchy eyes SHAKE These instructions as used on a prescription for Livostin (levocabastine HCl, Ciba Vision Ophthalmics) would be interpreted as follows: one drop of Livostin four times per day in each eye for 7 days and then decreased to two times per day for 14 days, for itchy eyes caused by allergies; shake drops before use. These instructions should be as specific as possible. Poor instructions given in the office and on the prescription lead to poor compliance and often improper use of the medication. It is appropriate to write what the medication is being prescribed for in the signatura to let the patient know the indications for the medication. Phrases such as "for eye pain" or "for itchy eyes" will help ensure that the medication is used appropriately. Refill Data Refill data: Provide the number of refills the patient should need to complete the cycle of drug treatment. Most antibiotic and steroid prescriptions need no refills or one refill. Hypertension medications usually have three refills, which allows the patient enough medication for 3 to 6 months, depending on the size of the bottles dispensed. Schedule II controlled substances have no refills. Schedule III through V controlled substances can have five refills or can be refilled for a maximum of 6 months, whichever comes first. Substitution Permitted Substitution permitted: Marking "Yes" allows the pharmacist to substitute a generic form of the medication prescribed. Some health plans request that the generic drug be used to save money. When writing the drug names remember that generic names are not capitalized and brand names are capitalized: Signature Signature: Your signature and degree finalize the legal document. A signature stamp can be used for noncontrolled substances. Prescriptions for controlled drugs require a handwritten signature and DEA number. Points To Remember!! Points to remember Always chart medications prescribed, dates written, length of treatment, concentration of medication and your diagnosis of the condition. Explain specifically to the patient how to use the medication and why it should be used. When possible, explain dosage, diagnosis and the reason for the treatment to the available care giver of the patient (spouse, parent, child, friend, nurse). Give written instructions to the patient in the office when the dosage schedule is complicated. When multiple medications are prescribed and tapering of dosage is needed, written instructions are especially important to achieve compliance. Illiteracy is the forgotten reason for noncompliance. If you suspect the patient cannot read or may not be able to understand written instructions, check for understanding by having the patient repeat the instructions verbally after you have explained how to use the medication. If possible, explain the dosage and treatment plan to a family member. Reference APRN Prescribing Law: A State-by-State Summary;Laura A. Stokowski, RN, MS; June 03, 2016 http://www.medscape.com/viewarticle/440315 Department of Health and Human Services;Postmarket Drug Safety Information for Patients and Providers; Last Updated: 11/01/2016 https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/default.htm Epocrates, Online Medication Information/2017 https://online.epocrates.com/rxmain GoodRX, OnlineMedication Information/2017 https://www.goodrx.com/ Porterfield,A; Engelbert,K. and Coustasse,A. DrPH, MD, MBA: Perspective: Health Information Management; Electronic Prescribing: Improving the Efficiency and Accuracy of Prescribing in the Ambulatory Care Setting http://perspectives.ahima.org/electronic-prescribing-improving-the-efficiency-and-accuracy-of-prescribing-in-the-ambulatory-care-setting-2/2014 U.S. DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION:2017 https://www.deadiversion.usdoj.gov/drugreg/practioners/ How To Write Prescriptions Seminar /Unit 4 MN 569 Guidelines for Writing Prescritions For Nurse Practitioners A medical prescription is a legal document that should be prepared with care. While there are some variations from state to state, the prescription basically has 10 parts that will be discussed in this article. Use this information as a guide, but make sure you know the requirements in your own state. Also, be aware of the different requirements for prescriptions for controlled substances vs. noncontrolled substances. Prescriber Information Parts of a prescription Prescriber information: The Nurse Practitioners name, work address and phone number should be clearly written (or preprinted) on the of the prescription form. Some states require the Nurse Practitoners state license number to be on the form. It is not recommended that you preprint your Drug Enforcement Administration (DEA) number on the prescription pad. It becomes too easy for drug abusers to lift a few prescription forms for illicit use if that number is easily available. The DEA number is not required on noncontrolled prescriptions; however, many pharmacies may request the DEA number with a prescription to help when filing the patient's medication insurance claims. Patient Information Patient information: This portion of the prescription should include at least the first and last name of the patient and the age of the patient. Many names such as "Smith" and "Jones" should include the complete name and address to help distinguish patients with similar names. An address is required on schedule II controlled drugs and should be included on prescriptions for any controlled substance. When the exact age is unavailable the word "adult" may be used in the age slot. Children and the elderly may need the weight listed when oral medications are prescribed. Date Prescribed Date prescribed: The date is part of the legal document confirming when the prescription was written. Pharmacists are often presented prescriptions with dates that are well past the prescribing date. Some patients elect to save prescriptions for future use. This often includes antihistamines and antibiotics that may not be indicated or are even dangerous for the patient's present condition. Superscription/RX Superscription: This is the Rx symbol on the prescription form that designates the written document to be a prescription. Rx is an abbreviation for a Latin phrase that means "take thou." Inscription Inscription: An inscription includes the drug name, concentration and type of preparation. Drug names should not be abbreviated and correct spelling is important to assure that the correct medication is dispensed. Maxitrol (neomycin and polymyxin b sulfates and dexamethasone, Alcon) and Tobra Dex (tobramycin and dexamethasone, Alcon) are examples of drugs that are prepared in ointment (ung) or drop (gt) form. Cortisporin (neomycin and polymyxin B sulfates, bacitracin zinc and hydrocortisone, comes in ophthalmic and otic (ear drops) preparations. Specify which preparation you wish the me)patient to use. Drug names can be written using the chemical name, such as ciprofloxacin 0.3% (Ciloxan, Alcon) or the proprietary form that requests a specific brand name drug. This preparation is still under patent, so if you use either name the pharmacy will provide the product manufactured by Alcon. Subscription Subscription (Disp): Historically, this was an instruction to the pharmacist to compound medications.Today, most medications are pre-compounded preparations. Subscription now indicates the quantity of medication (number of capsules or tablets) or the size of the bottle to be dispensed (5 mL, 10 mL, 15 mL). Be as specific as possible to ensure patient compliance and proper use of medication. Signatura (Sig) Signatura (Sig): These are the doctor's instructions to the pharmacist indicating how the patient should use the medication. Typical instructions on the prescription would follow in this order: 2 gtt q2h OD for 3 days These instructions as used on a prescription for Ciloxan would be interpreted as follows: two drops every 2 hours instilled in the right eye for 3 days. 1 tab po BID for 14 days These instructions as used on a prescription for doxycycline would be interpreted as follows: one tablet by mouth two times per day for 14 days. 1 gt QID OU for 7 days, then BID for 14 days, for itchy eyes SHAKE These instructions as used on a prescription for Livostin (levocabastine HCl, Ciba Vision Ophthalmics) would be interpreted as follows: one drop of Livostin four times per day in each eye for 7 days and then decreased to two times per day for 14 days, for itchy eyes caused by allergies; shake drops before use. These instructions should be as specific as possible. Poor instructions given in the office and on the prescription lead to poor compliance and often improper use of the medication. It is appropriate to write what the medication is being prescribed for in the signatura to let the patient know the indications for the medication. Phrases such as "for eye pain" or "for itchy eyes" will help ensure that the medication is used appropriately. Refill Data Refill data: Provide the number of refills the patient should need to complete the cycle of drug treatment. Most antibiotic and steroid prescriptions need no refills or one refill. Hypertension medications usually have three refills, which allows the patient enough medication for 3 to 6 months, depending on the size of the bottles dispensed. Schedule II controlled substances have no refills. Schedule III through V controlled substances can have five refills or can be refilled for a maximum of 6 months, whichever comes first. Substitution Permitted Substitution permitted: Marking "Yes" allows the pharmacist to substitute a generic form of the medication prescribed. Some health plans request that the generic drug be used to save money. When writing the drug names remember that generic names are not capitalized and brand names are capitalized: Signature Signature: Your signature and degree finalize the legal document. A signature stamp can be used for noncontrolled substances. Prescriptions for controlled drugs require a handwritten signature and DEA number. Points To Remember!! Points to remember Always chart medications prescribed, dates written, length of treatment, concentration of medication and your diagnosis of the condition. Explain specifically to the patient how to use the medication and why it should be used. When possible, explain dosage, diagnosis and the reason for the treatment to the available care giver of the patient (spouse, parent, child, friend, nurse). Give written instructions to the patient in the office when the dosage schedule is complicated. When multiple medications are prescribed and tapering of dosage is needed, written instructions are especially important to achieve compliance. Illiteracy is the forgotten reason for noncompliance. If you suspect the patient cannot read or may not be able to understand written instructions, check for understanding by having the patient repeat the instructions verbally after you have explained how to use the medication. If possible, explain the dosage and treatment plan to a family member. Reference APRN Prescribing Law: A State-by-State Summary;Laura A. Stokowski, RN, MS; June 03, 2016 http://www.medscape.com/viewarticle/440315 Department of Health and Human Services;Postmarket Drug Safety Information for Patients and Providers; Last Updated: 11/01/2016 https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/default.htm Epocrates, Online Medication Information/2017 https://online.epocrates.com/rxmain GoodRX, OnlineMedication Information/2017 https://www.goodrx.com/ Porterfield,A; Engelbert,K. and Coustasse,A. DrPH, MD, MBA: Perspective: Health Information Management; Electronic Prescribing: Improving the Efficiency and Accuracy of Prescribing in the Ambulatory Care Setting http://perspectives.ahima.org/electronic-prescribing-improving-the-efficiency-and-accuracy-of-prescribing-in-the-ambulatory-care-setting-2/2014 U.S. DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION:2017 https://www.deadiversion.usdoj.gov/drugreg/practioners/
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Explanation & Answer

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1

Reflection Unit 4 Seminar summary
Student’s Name
Institution Affiliation

2
Reflection Unit 4 Seminar summary
Introduction


There are different lessons I learned from the class materials. The topic in this discussion
included topics about how to write prescriptions and various sub-topics on the issues of
prescriptions.



Thus, in this document I outline the lessons I have learned.

Prescriptions


I learned the procedure involved in writing a prescription. The prescription has 10 parts
that one must study to understand how to effectively write one in nursing.

Various Parts of Prescriptions


The first part of prescription is to write down patient personal inf...


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