Demo Plan

Sofia Shaikh @ Shoppers Drug Mart

Date: November 25th

Time: 9 AM

Daily Routine

As a morning technician there are a few essential task that must be completed before the day is started. You will be walked through the basis of the task that you will be completing when you start your job here. In detail you will be shown two of the main task; filling a prescription and filling a prescription. There are certain organizational skills involved in sorting out all types of prescriptions and some very important steps taken when filling a prescription.

Rationale

I have chosen both of these task because I find them two of the most important ones. Filing the prescriptions is something I do on a daily basis and it is important to ensure you do this correctly as there are many to sort through some days. Secondly, filling a prescription is one of the main task that a pharmacy technician needs to do, especially when it gets busy and lots of prescriptions stack up you need to make sure you can work under the stress, but also make sure there are no errors. If you are under stress, so is you pharmacist. If you work carelessly and make silly errors and keep handing it over to your boss, he or she, although they are a trained professional, may not be able to catch all of the errors either. They are depending on us to our job correctly and the patients on depending on the pharmacist to give the correct medication to them.

Steps to Filing a Prescription

There are 3 types of prescriptions; a log, a narcotic and a regular prescription and the difference in these are that a log is a prescription that has been entered in the system but the patient may not want to fill it yet, a narcotic is a controlled drug and the regular prescription is for any other medication that is filled. We organize all of these according to their Rx/Tx number (Rx for logs and Tx for other 2).


  1. Get all of the regular prescriptions from the pile
  2. Look at the last four digits of the prescription, organize and pile them according to each 100 (ex. Tx: 11340500-0599) < any in that range get piled together in no specific order
  3. Once you have them all sorted out, open the drawer to see if the piles you have sorted already have been filed, if so file it away with the others.
  4. If not, then you get a new encasing sheet and write the Tx range (Tx: 13450500-0599) and the service date of these set of prescriptions.
  5. Elastic band and put away


Note* if it is a log, you are looking at the Rx number because it does not yet have a Tx number and these are organized in order 0-100 and up to 500 can be stacked together.


Note* If it is a narcotic prescription it's Tx number is different it starts with 70... and this is also organized in order 0-100 but only 100 are packed at a time.

Filling a Prescription

  1. A technician must attend to the customer and type up the doctors orders into the computer to print the prescription label.
  2. The prescription label prints and is then ready to be filled
  3. First you need to find the correct medication from the shelves and to ensure it is the correct one, check to see if the Din numbers match.
  4. Then using the computer program, healthwatch, go on the filling module and scan out the prescription and medication. This is necessary to do as it ensures you have picked up the correct medication, and quantity and also clears it from the system.
  5. If it is a narcotic, use the pill counter and double count it, if its a regular medication then scan the bar code on the auto weight machine and once the drug has been detected you can pour the correct amount into the scoop.
  6. Once you have the right amount of pills, choose an appropriate sized bottle and pour the pills in and shut it tight.
  7. Next paste the label onto the bottle
  8. Write the expiration date of the medication on the prescription
  9. Get an appropriate sized bag and paste the price tag on it
  10. Put everything into the basket, including the drug bottle you used to fill the mediation and leave it for the pharmacist to check.

Material Needed For Filling

1. A prescription from the doctor

2. A computer

3. The correct mediation

4. Prescription label

5. Weighting scale or prescription counter

6, An empty pill bottle

7. A paper bag

3 Common Drugs and their Uses

Lipitor

Generic Name : Atorvastatin



What is it?


It is a drug used to reduce the amount of bad cholesterol and increase high levels of good cholesterol.

Belongs to a group called HMG CoA reductase inhibitors or "statins"

Helps lower the risk of stroke, heart attack, or other heart complications in people with type 2 diabetes, coronary heart disease, or other risk factors.


How should you take it?


It should be taken once a day at the same time, with or without food.

It should not be taken if you have liver disease, kidney disease, history of strokes, or if you are pregnant.

Adults and children 10 years and older can take it.

The adult dosage is 10 mg to 80 mg a day.


Some common side effects:


  • Diarrhea
  • Upset stomach
  • Muscle or joint pain


Severe side effects:


  • Kidney problems; issues urinating
  • Liver problems; nausea, jaundice, clay-colored stool
  • Sign of stroke; weakness, numbness, headache, slurred speech

Nexium

Generic Name: Esomerprazole



What is it?


Nexium is a proton pump inhibitor that helps reduce the amount of acid produced in the stomach.

This drug is used to treat conditions causing excessive stomach acid, such as Zollinger-Ellison Syndrome


How should you take it?


You should take is with a full glass of water (8 ounces) an hour before you eat a meal.

It is usually prescribed for 4-8 weeks and should be taken as prescribed.

Do not crush or chew the capsule, but you can open and release the powder into pudding or applesauce.


Common side effects:



  • Headache, drowsiness
  • Mild diarrhea
  • Nausea, stomach pain
  • Dry mouth



Severe side effects:



  • Severe stomach pain
  • Diarrhea that is watery or bloody
  • Seizures
  • Kidney problem; blood in urination, swelling
  • Symptoms of low magnesium such as; dizziness, shaking, uneven heart rate

Plavix

Generic Name: Clopidogrel



What is it?


This medication is commonly used to prevent blood clots from forming (by platelets sticking together).

These blood clots may generally form after a certain heart condition such as a heart attack or stroke


How should you take it?


You should ensure that you do not take this medication if you have a head injury or stomach ulcers as it can cause you to bleed out easily even when you get a minor cut.

Follow whats prescribed and the correct dosage, with or without food.

If you are going into surgery or dental surgery you may need to stop Plavix 5 days in advance so let your doctors know

You should not stop this medication all of sudden.


Common side effects:



  • Chest pain; pain in general
  • blood under the skin
  • Deep, dark purple bruises
  • itching, pain, redness



Severe side effects:



  • Nose bleed that won't stop
  • bloody or tarry stool or coughing up blood
  • pale skin, weakness, jaundice
  • Easily bruising, unusual bleeding
  • Heart attack symptoms - chest pain or pressure, pain spreading down your arm, sweating
  • Signs of stroke - weakness, unbalanced, headache, dizzy, slurred speech
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