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GOOD DISPENSING
PRECTICE
Dr. Maryam Idrees
Pharmacist
Lahore, Pakistan
DISPENSING PROCESS
Good Dispensing Practice ensures that the right
medicines of desired quality are delivered
correctly to the right patient with the right dose,
strength, frequency, dosage form and quantity,
together with clear instructions, both written
and verbal and with appropriate packaging
suitable for maintaining the quality and efficacy
of the medicine.
DISPENSING ENVIRONMENT
The dispensing environment
includes;
• Qualified / trained staff
• Appropriate physical
surroundings
• Adequate shelving and storage
areas
• Proper work surfaces
• Suitable equipment
• Necessary packaging materials
SCOPE
• 1. Applicable to Group B and C of Poisons Lists
2. Medicines for human use only
• 3. Applicable to public healthcare facilities
• 4. Applicable to the licensed private healthcare
facilities (clinics, hospitals, community
pharmacies, dental clinics)
PHARMACIST
Fill prescription in
precise manner
Advice the
prescriber of drug
substitutes the
patient may have,
or other medication
s taken by patient
Maintain trust of
prescriber and patient
Provide the
medication need
of the patient
Provide the patient with
information and
guidance to ensure
patient’s compliance to
the medication
prescribed.
ROLE OF PHARMACIST
SIX MAJOR ACTIVITIES OF DISPENSING
CYCLE
1. Receive and validate the prescription
2. Understand and interpret the prescription
3. Prepare and label items for issue
4. Make a final check
5. Record the action taken
6. Issue medicine to the patient with clear
instructions and advice
Step 1. Receive and validate the
prescription
• confirm the name of the patient.
• Cross-checking the name and identity of the
patient
• The use of matching numbers or symbols—one
attached to the prescription and one given to the
patient
Step 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 (noting sex and age)
 Correctly perform any calculations of dose and issue
quantity
 Identify any common drug-drug interactions
Step 3. Prepare and label items
It is done by following steps;
I. Select stock container or prepack
II. Selection from a shelf: Read the label
every time
III. Position label upward when pouring
liquids
IV.Counting methods
V. Pack and label medicine
Preparing and labeling Cycle
Read prescription carefully
Selection from a shelf: Read the
label every time
Measure quantity
accurately
Step 4. Make a final check
• the dispensed preparation should be checked
against the prescription.
• The final check should include;
a. checking for drug interactions
b. checking the identity of the medicine
dispensed
c. checking the labels
d. finally countersigning the prescription.
Step 5. Record action taken
• Three different methods can be used to keep a
record of medicines dispensed
• When the prescription is retained
• the dispenser should initial and annotate the
prescription with strength and quantities
dispensed
• either file it or enter the details into a record
book as soon as time is available.
Step 6. Issue medicine to the patient
with clear instructions and advice
• The medicine must be given to the named patient, or
the patient’s representative, with clear instructions
and any appropriate advice about the medicine.
• Advice should therefore concentrate on—
 When to take the medicine (particularly in relation to
food and other medicines)
 How to take the medicine (chewed, swallowed whole,
taken with plenty of water, etc.)
• How to store the medicine
• Warnings about possible side effects should be given
PROMOTING EFFICIENT MANAGEMENT IN
DISPENSING
• Good dispensing practices are most threatened
when dispensing staff face a crowd of patients
demanding immediate attention.
In dispensing, accuracy is more important
than speed.
• Organizing patient flow
gooddispensingprectice-191029120104.pdf

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gooddispensingprectice-191029120104.pdf

  • 1. GOOD DISPENSING PRECTICE Dr. Maryam Idrees Pharmacist Lahore, Pakistan
  • 2. DISPENSING PROCESS Good Dispensing Practice ensures that the right medicines of desired quality are delivered correctly to the right patient with the right dose, strength, frequency, dosage form and quantity, together with clear instructions, both written and verbal and with appropriate packaging suitable for maintaining the quality and efficacy of the medicine.
  • 3. DISPENSING ENVIRONMENT The dispensing environment includes; • Qualified / trained staff • Appropriate physical surroundings • Adequate shelving and storage areas • Proper work surfaces • Suitable equipment • Necessary packaging materials
  • 4. SCOPE • 1. Applicable to Group B and C of Poisons Lists 2. Medicines for human use only • 3. Applicable to public healthcare facilities • 4. Applicable to the licensed private healthcare facilities (clinics, hospitals, community pharmacies, dental clinics)
  • 5. PHARMACIST Fill prescription in precise manner Advice the prescriber of drug substitutes the patient may have, or other medication s taken by patient Maintain trust of prescriber and patient Provide the medication need of the patient Provide the patient with information and guidance to ensure patient’s compliance to the medication prescribed. ROLE OF PHARMACIST
  • 6. SIX MAJOR ACTIVITIES OF DISPENSING CYCLE 1. Receive and validate the prescription 2. Understand and interpret the prescription 3. Prepare and label items for issue 4. Make a final check 5. Record the action taken 6. Issue medicine to the patient with clear instructions and advice
  • 7.
  • 8. Step 1. Receive and validate the prescription • confirm the name of the patient. • Cross-checking the name and identity of the patient • The use of matching numbers or symbols—one attached to the prescription and one given to the patient
  • 9. Step 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 (noting sex and age)  Correctly perform any calculations of dose and issue quantity  Identify any common drug-drug interactions
  • 10. Step 3. Prepare and label items It is done by following steps; I. Select stock container or prepack II. Selection from a shelf: Read the label every time III. Position label upward when pouring liquids IV.Counting methods V. Pack and label medicine
  • 11. Preparing and labeling Cycle Read prescription carefully Selection from a shelf: Read the label every time Measure quantity accurately
  • 12. Step 4. Make a final check • the dispensed preparation should be checked against the prescription. • The final check should include; a. checking for drug interactions b. checking the identity of the medicine dispensed c. checking the labels d. finally countersigning the prescription.
  • 13. Step 5. Record action taken • Three different methods can be used to keep a record of medicines dispensed • When the prescription is retained • the dispenser should initial and annotate the prescription with strength and quantities dispensed • either file it or enter the details into a record book as soon as time is available.
  • 14. Step 6. Issue medicine to the patient with clear instructions and advice • The medicine must be given to the named patient, or the patient’s representative, with clear instructions and any appropriate advice about the medicine. • Advice should therefore concentrate on—  When to take the medicine (particularly in relation to food and other medicines)  How to take the medicine (chewed, swallowed whole, taken with plenty of water, etc.) • How to store the medicine • Warnings about possible side effects should be given
  • 15. PROMOTING EFFICIENT MANAGEMENT IN DISPENSING • Good dispensing practices are most threatened when dispensing staff face a crowd of patients demanding immediate attention. In dispensing, accuracy is more important than speed. • Organizing patient flow