When my career as a pharmacist began, I thought that checking prescriptions was one of the most crucial tasks that pharmacists performed. Was I ever wrong! It is the most essential task that we carry out.
A mistake can potentially have disastrous results. Grossly misfilling just one out of 200 prescriptions (one half of one percent error) during the course of a shift could trigger you to loose your license or – even worse – a client to loose his/her life! Any giving error that surpasses the pharmacist and into the hands of a client will certainly take a minor miracle to prevent such occasions. High volume community pharmacists should take care of this immense pressure every day.
Early in my pharmacy career I was not totally knowledgeable about this pressure. It took my first day as a certified pharmacist to even resemble realizing this. My first shift working as a pharmacist was on a Sunday – I had arrived at the establishment good and early eager to start my upcoming career. I had just graduated near the top of my class, I knew the medications, I understood the best ways to counsel clients, I understood my shop’s inventory management system inside and out, I even knew how to work the register, but (I found rapidly) there was one thing I did not know – ways to examine a prescribed! Interns, by law, are not allowed to check prescribeds so I had no practice. It was this first day that I realized simply how vital it was to inspect prescribeds.
Since then I have dedicated myself to producing a system that would allow me to precisely validate a prescribed time and time again. What got me with that very first day though (and lots of others following) was a thought process that I still make use of today, virtually a decade later … I confirm prescribeds using the very same order that I would utilize to go into the information from the script into the computer system. All the other details referred trial and error that all stem off of this central thought process.
I continued with just this approach for a couple of years with success, however still, occasionally, I would miss something. It was not till I considered the sequence of comparing the script to the vial that I actually turned the corner – this was my very first huge breakthrough. I uncovered you need to look at the script, then translate it, then think of exactly what you would kind into the computer system, then, and only then, take a look at the identified vial. This system brought my dispensing errors to a fraction of where they were (to where they should be).
This sequence concept later rollovered into another area as well. The first step in checking any prescription is selecting which prescribed to inspect. I always take a look at the label on the script first, then find the corresponding vial by taking a look at the drug name printed on the vial, and not by taking a look at the contents of the vial (that’s the second step).
I have had another discovery when it pertains to checking prescriptions, and that is the concept of “minute” details and the client’s perception of you. Minute information are those errors that would not harm the client; however, the prescribed is still not 100 % proper (i.e. calling a capsule a “tablet” instead of a “capsule”, or grammatical mistakes). If the label (the only part of the prescribed filling process that a clients sees) looks good, checks out well, and satisfies all patient demands, then the pharmacist looks excellent in the eyes of the patient which, in turn, constructs a trusting relationship – that is the power of the client’s understanding of the pharmacist.
Being a really precise person by nature, I had made notes of everything that I did and learned. A 7 step treatment was produced where I jotted down everything that I think about and do while examining a prescription in order to train my interns and, from that source, published a book to pass along to new pharmacists. The best ways to Inspect Prescribeds with Precision and Ease in Less Than 1 Week is the product of my experience.
After years of trial and error, I now advise my specialists that if they are unsure about something with a prescribed, then they should simply think because I have such confidence in my procedure. No mistakes will certainly get by me and into the hands of my patients. For more information please visit physicianownedpharmacy.com.