TOPIC OUTLINE
I.Introduction
II.Factors Affecting Good Dispensing
Practice
III.Dispensing Process
IV.Points to Remember
V.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?
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•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.
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What is Dispensing?
Administrative Order No. 63 s. 1989known
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.
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Factors Affecting Good Dispensing
Practice
1. Staff/Personnel
–Good personal hygiene
–Knowledge about the medicines being
dispensed
–Good calculation and arithmetic skills
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Factors Affecting Good Dispensing
Practice
1. Staff/Personnel
–Skills in assessing the quality of
preparations
–Attributes cleanliness, accuracy, and
honesty
–Attitudes and Skills required to
communicate effectively with patients
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Factors Affecting Good Dispensing
Practice
“Noprescriptionshallbefilledor
compoundedexceptbyaregistered
pharmacistintheemployofthe
drugstoreorpharmacy.”
RA 5921, Section 30
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PHARMACIST
Provide the medication need of
the patient
Fill prescriptions
in a precise
manner
Provide the patient with
information and guidance to
ensure patient’s compliance
to the medication prescribed
Advise the prescriber of
drug substitutes the
patient may have, or
other medications taken
by the patient
Maintain trust of
the prescriber
and the patient
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Factors Affecting Good Dispensing
Practice
2. Premises
–Physical Surroundings
(free of dust and dirt)
–Shelving and Storage Areas
FIFO , FEFO
–Surfaces used during work
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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)
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•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
Factors Affecting Good Dispensing
Practice
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Factors 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
Packaging Materials for Medicine
Dispensing
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Packaging Materials for Medicine
Dispensing
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Packaging Materials for Medicine
Dispensing
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DISPENSING CYCLE
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DISPENSING PROCESS
1.Receive and validate the prescription
–Cross –checking
–Confirm the name of the patient
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Parts of Prescription
1.Patient Information
2.Date
-Time the prescription is written
Alapseoftimemorethanacoupleofdaysbetween
thedatetheprescriptionwaswrittenandthedateit
wasbroughttothepharmacymaybequestionedbya
pharmacisttodetermineiftheintentofthephysician
andtheneedsofthepatientcanstillbemet
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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
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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.
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8.Prescriber’s Signature, Address and
Other Pertinent Information
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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.
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Classification of Drugs
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
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–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
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4. Make a final check
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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.
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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
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6. Issue medicine to the patient with clear
instructions and advice
POINTS TO REMEMBER
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•Containersusedindispensingshouldbe
appropriatetotheparticularproduct
beingdispensed.
•It is important to open and close
containers one at time
Note: air eventually deteriorate quality of
medicines.
•Labelsofmedicinalproductsshouldbe
legibleandclear.
•Aprescriptionrecordbookshouldbe
used forrecordingdispensed
prescriptions.Itshouldbeopenfor
inspectionanytimewhenthepharmacy
isopenforbusinessandmustbe
preservedforaperiodoftwoyearsafter
thelastentryinithasbeenmade.
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POINTS TO REMEMBER
POINTS TO REMEMBER
•Allfullyservedprescriptionsmustbe
recordedintheprescriptionrecord
book,numberedconsecutivelyandshall
beputonfilefortwoyears.
•Smokingandeatingshouldnotbe
permittedinthedispensingarea.
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SUMMARY
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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.