Pharmacist Refill Request Case Study

As a pharmacist I would ask them to determine if their doctor has an emergency after hour’s line that I can call for a prescription. I could also require the patient to bring their prescription bottle as verification for a few day supply emergency refill. Later, I would fax the doctor’s office for a new prescription. When I receive the prescription I would subtract the emergency supply from the quantity to fill.

Regardless of what type of medication the patient is asking for, Jerry is still limited by his LPN and medical assistant scope of practice. If Dr. Williams does not prescribe the medication, Jerry can't call in a refill for the medication. Factors that may influence Jerry's decision to refill this medication include that the patient states he is a

I also work closely with local pharmacies and doctors around the changing of a person’s medication. It’s important that we work closely together to ensure that the service user is having the correct medication at all times.

A long-term risk is if patients have a negative experience, they won’t access care in the future. They may wait too long

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

Pharmacists have many different responsibilities to their patients, these include promoting patient’s safety through checking the patient’s medication and keeping good records every time a patient fills a new prescription or refills prescription filled (Leagle, 1994). Pharmacists should also improve

The patient also tells me she uses lorazepam very intermittently. She is almost out of that medication would like a refill today. I did write her for lorazepam 0.5 mg to use p.r.n. #20 with no refills.

In Texas medical doctors are allowed to authorize refills on controlled medications under certain limitations of the law. In compliance with the Texas State

As a result of implementing e-Rx for inbound prescriptions, patients would not need to carry prescriptions to get them filled back at the VA. Pharmacist would not have to enter the inbound prescriptions manually into the VistA, which can potentially present danger of medication errors, as reviewed in the secondary research in Chapter 2 above. Based on the qualitative

Ms. Okoro worked closely with the mental health clinical pharmacist on the medication refill project of the crises clinic; that reviewed the numbers of patients presenting to the mental health crises clinic for medication refills; it was determined that several of the patients did not know they had refills or the process of obtaining refills. Ms. Okoro worked with the pharmacists, the nursing staff and provided educational material for the patients, clinicians and the clerical staff and this decrease medication refill related visit.

It was confirmed through the study that online use of patient portals for refilling can contribute significantly to patient adherence across different ethnic/racial group. While many studies have talked about the use of patient portals helped in improving patient care, this study was first of its kind to demonstrate that patient portals have actually improved medication adherence. Whites improved adherence to medication by using an online refill function in patient portal

The standards outline clearly the eligibility criteria for prescribing physicians and participating pharmacies. The standards also inform participants on best practice in issues regarding refill prescriptions, cancellation of prescriptions and changes in prescription among other things. Moreover, the standards cover administrative guidelines regarding the operation of the system. The standards also cover the drugs covered by the benefits program of the E-Prescribing system. There is a standard on medical history that allows prescribers access information on drugs currently available to the patient so as to guide them in the prescription service. Fill Status Notification is a standard that allows prescribers follow up on the prescriptions status such as it’s been picked up or not (CMS, 2013). This standard serves to allow prescribers follow their patients’ adherence to prescriptions.

According to the Beth Lofgren’s article “Pharmacists Prepared to Implement MTM,” patients medicinal needs have been neglected. This negligence is often the result of primary care physicians’ or hospital physicians’ “continue without a second look” approach. Several patients are admitted to the hospital carrying a bag or a list of medications that they take at home; however, this list mostly remains unaltered after leaving the hospital. Physicians simply write for their patients to continue all medications, which can cause an increase in the duration of hospital visits, duplication in therapy, and medication interactions between home and hospital medications. Pharmacists, being the medication experts within the health care field, frequently intervene; however, with the current setup with distribution and clinical pharmacy, this error in patients’ medication needs slips through the cracks, thereby, causing the hospital to lose money and the patient receiving inadequate care. Pharmacists have adopted a way to reduce cost and improve patient care.

Yes, this refilling requires a medical judgment. A pharmacist or pharmacy technician has the knowledge and the medical judgment to

As a former employee of a mail-order pharmacy, I do not see the co-relation of direct clinical patient care to mail-order and e-pharmacies. My specific duties in this position included obtaining proper documentation from the patient’s providers as all insurances require patients to have direct clinical patient care before covering a prescription and most physicians will not give prescriptions without direct clinical patient care. The types of documentation obtained included, but was not limited to: patient vitals, lab results, office notes, nurse visits, physician’s orders, letters of recommendation explaining why the patient needed a specific treatment, and in some cases, a full list of previous treatments attempted along with their results.