Medicine Dispensing process

The dispensing of medicine involves interpretation of the prescription instruction, technical knowledge required to carry out the instructions and delivers with accuracy and safety to the patient by an authorized and qualified pharmacy professional.
In fact, for OTCs, dispensers may be involved in selection of medicines for their users.


There are a considerable variety of factors that require close attention in dispensing, and proficiency requires the establishment of a routine system which can be followed safely even under stress.  In fact, for OTCs, dispensers may be involved in selection of medicines for their users.

Step 1. Receive and validate prescription or verbal request

Upon receiving a prescription, the dispenser should confirm the name of the patient by asking the patient to give his/her name and check the name with that on the prescription. If in doubt ask for identification card.




Step 2: Evaluation and interpretation of a prescription

To make sure that all important parts of the prescription are correct and complete. Arrange prescriptions in order so as to prevent possibility of confusion

Step 3: Selection and manipulation of the medicine


Select stock container of pre-pack reading the label and cross matching the medicine name and strength against the prescription. Read the container label at least twice during the dispensing process. Do not select the prescribed medicine according to the color or location of container, without consciously reading the label. Do not open many stock containers at the same time. This trend will lead to errors and/or expose the medicines to air and eventually leads to deterioration in quality. Open and close containers once at a time.


The containers used for dispensing must be appropriate for the product dispensed. All containers intended for medicinal products must be protected and kept free from contamination. Medicines must be suitably contained, protected and labeled from the time of manufacture until they are used by the patient.

The container must maintain the quality, safety and stability of the medicine throughout this period. Labeling of dispensed medicines should be clear and legible, and a familiar language should be used. Use separate plastic boxes for different patient's requirements of medicines.

Step 5: The provision of information and instruction to client

All medicines should be dispensed with adequate and appropriate information and counseling. Information must be structured to meet the needs of individual patients and questions and answers should be used to check the patient understands.

Written information should be provided to supplement verbal communication as appropriate. Counseling should ensure that the patient has an unequivocal understanding of the instructions for use, and any distinct characteristics or requirements of the medicine.

Step 6: Recording the transaction

Prescriptions should be recorded and documented as proof of transaction between the patient and the dispenser. Prescriptions can therefore be traced back if any need arises. All dispensing units should have a standardized Prescription Registration Book (PRB) for recording every pharmaceutical issued to a patient.

A computerized dispensing and registration system may also be used, but should always be supported by paper back up. The registration book should be completed at the time of dispensing or at the close of the working day. The prescription registration book should be used both when prescriptions are retained in the pharmacy and when they are returned to the patient.

For a prescription which is returned to a patient because all the items in the original prescription could not be filled, the medicines that have been dispensed from the pharmacy should be copied on a blank prescription and the prescription should be filed appropriately.  On the original prescription, which is retained by the patient, the word “dispensed” should be stamped adjacent to those items which have been dispensed.

For prescriptions which are to be refilled on a later date, the dispensing information should be entered into the registration book before returning the prescription to the patient. The official seal of the pharmacy/Health institution, name and signature of the dispenser, the date of dispensing and the next refill date should be written on the back of the prescription.



Reference
https://www.msh.org/sites/msh.org/files/mds3-ch30-dispensing-mar2012.pdf
https://study.com/academy/lesson/the-medication-dispensing-process-for-pharmacists.html
https://www.guild.org.au/__data/assets/pdf_file/0020/5366/the-dispensing-process.pdf
https://psnc.org.uk/dispensing-supply/dispensing-process/
https://www.psa.org.au/wp-content/uploads/2019/06/The-dispensing-process_Final.pdf
https://www.pharmacy.gov.my/v2/sites/default/files/document-upload/gdsp-2016-final.pdf
https://www.pharmacyboard.gov.au/documents/default.aspx?record=WD10%2F2951&dbid=AP&chksum=WMyYdhKfX3%2BWGPiGUCLsMw%3D%3D
https://www.youtube.com/watch?v=FDf2I6kjvtI
Medicine Dispensing process Medicine Dispensing process Reviewed by gafacom on July 12, 2020 Rating: 5

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