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6710 Lab 1: PPCP in Outpatient Pharmacy Workflow
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The Pharmacists' Care Process in Outpatient Pharmacy Workflow
Pharmaceutical Care
The pharmacist assures the collection of the necessary subjective and objective information about the patient in order to understand the relevant medical/medication history and clinical status of the patient.
1. Demographic/Social History
Patient Information
2. Medical Conditions
3. Medications
Pre-lab Q1
Medical Condition Information
Pre-lab Q2a
Medication Information
Pre-lab Q2b
Collaborate Communicate Document
The pharmacist assesses the information collected and analyzes the clinical effects of the patient’s therapy in the context of the patient’s overall health goals in order to identify and prioritize problems and achieve optimal care.
Assessment of Medications
Pre-lab Q3a
Assessment of Prescriptions
1. Verification of the hard copy prescription
2. Best practice is to annotate or check mark each component verified
The pharmacist develops an individualized patient-centered care plan, in collaboration with other health care professionals and the patient or caregiver that is evidence-based and cost-effective.
1. Patient
2. Caregiver
Collaborate with others
3. Other health care professionals
Review Label Requirements for Outpatient Prescriptions
Prepare Rx Label
The pharmacist implements the care plan in collaboration with other health care professionals and the patient or caregiver.
Filling the prescription
Check for 5 elements:
1. correct drug
2. correct strength
3. correct dosage form
4. product is not expired
5. National Drug Code
Certification =
"double-check,"
"last-check," or
"final-check"
Certification and Documentation
Documentation =
"back label,"
"back tag," or
"QA label"
- Rx #
- NDC dispensed
- Date dispensed
- Initials of certifying pharmacist
Pre-lab Q4 & Q5
1. Compare original Rx to written record of dispensing..
Quality Assurance
Pre-lab Q5 & Q6
YES,
the same label as certification documentation
(not to be confused with certification process)
WITHIN 72 HOURS
2. Document on the "QA label" "back tag" or "back label" with QA RPh intials.
IF completed by the same certification pharmacist, must allow 2 hour time lapse.
Educating
the Patient
Patient education rubric
The patient education process also follows the PPCP
This is discussed more in-depth in Lab 3: PPCP in Patient Education
The pharmacist monitors and evaluates the effectiveness of the care plan and modifies the plan in collaboration with other health care professionals and the patient or caregiver as needed.
Teach-back method (Lab 3)
Monitor
1. Self-monitoring
2. Pharmacist Monitoring
3. Other provider monitoring