#9 – Calls in Prescriptions for Clients | Dental Practice Coaching

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#9 – Calls in Prescriptions for Clients

One of your important tasks will be to correctly call in client prescriptions.   Here is the process:

1.         Doctor reviews treatment and determines prescription(s).

2.         Assistant reviews health history for any allergies to prescriptions

3.         Assistant will bring client to front desk

4.         The assistant will tell you what medications are needed.

5.         You should:

a.         Again review the client’s health history for allergies.  If there is an allergy, make sure there is a red sticker indicating which medication the client is allergic to.

b.         Give the client a pink sheet describing the use of the prescription(s) and underline (or star) the medication(s) the client is to take.

c.         The list of the commonly used medications and the prescription for them as well as each doctors state BID number is located on the bulletin board behind the telephone.

d.         When calling: Ask which pharmacy the client would prefer.  Call the pharmacy.  Ask to speak to the pharmacist.  Identify yourself.  Give the prescriptions.

e.         Write down on the client’s yellow treatment sheet the date, which pharmacy, the number of refills, and the full prescriptions you called in and your initials.

6.         Look at your client while you are going through this sequence.  Could this client be chemically dependent?  If the pharmacy finds there is a history of too much of a drug prescribed through their store, the pharmacist will warn you.  Here are signs to look for:

a.         Client wants prescription, but no other treatment (too much pain, too big a hurry, no transportation, etc.).

b.         Client asks for a specific drug, i.e. the only on that “works” (usually Percodan, Percocet, Dilaudid).

c.         Again client can only take one drug (same list) because of severe allergies to everything else.

d.         Client asks for more than 20 pain killers.

7.         If a client calls and wants a refill of medication, record problem on treatment sheet and show Dr.  He may elect to have you call medication into pharmacy.  You record what the Dr says on the yellow treatment sheet.  After calling the pharmacy, send a pink medication form to the client, circling the particular medications that person will be taking.  Explain to the client that you’ll be sending this form with helpful hints (unless they have received on before and still have it), and if they have any questions to give us a call.

8.         NEVER call in a prescription for a member of your family or at the request of a staff member.  This is a violation of state and federal laws.

9.         If a pharmacy calls to request a prescription for a specific client, pull that chart and get a doctor’s approval.    (Make a copy of all prescriptions called in and bring with you)

 

(Premedication)

Antibiotic PreMed for Dental Patients

Pre Medication is required when completing the following procedures:

      Dental extractions

      Periodontal procedures – surgery, scaling & root planing, probing, recall maintenance, placement of antibiotic fibers

      Dental implant placement

      Root canal procedures or periapical surgery only beyond the apex

      Initial placement of orthodontic bands but not brackets

      Intraligamentary injections

      Prophylactic cleaning of teeth or implants when bleeding is anticipated

 

Pre Medication is not indicated when completing the following procedures:

      Restorative dentistry with or without use of retraction cord

      Local anesthetic injections

      Intracanal endodontic treatment, post placement and buildup

      Post operative suture removal

      Placement of rubber dam

      Placement of removable prosthodontic/orthodontic appliances

      Taking of oral impressions

      Taking of oral radiographs

 

You are expected to check the schedule 3 days in advance (same schedule as confirmations) for any patients in the schedule with a medical alert, check what the appointment is for and decide if a pre med is needed (use this page for reference), then call each patient to remind them to take their pre med and ask if they need us to call it in and where.  If they do, have the DDS give you the prescription information and call it in.

You must follow up with any patients you do not talk to.  When the pre med is confirmed, put a note in the appointment.

 

Suggested Antibiotic Regimens

Patients not allergic to penicillin

amoxicillin, cephalexin or cephradive

2 grams orally 1 hour prior to dental procedure

 

Patients allergic to penicillin

Clindamycin

600 mg orally 1 hour prior to the dental procedure

 

1 refill allowed

Please put premed sticker in patient’s Tx sheet, date, what pharmacy and your initials.

_________________________________                                   __________________

Team Leader                                                                                Date

Latin prescription abbreviations and what they mean

Abbreviation                        Latin Translation                               What it means

a.c.                                              ante cibum                                              before meals

b.i.d.                                           bis in die                                                  twice a day

c                                                   cum                                                          with

cap                                             capsula                                                      capsule

d                                                  dies                                                          day

h.s.                                             hora somni                                              bedtime

i.m.                                                                                                               into the muscle

i.v.                                                                                                                into the vein

mg                                                                                                                milligram

ml                                                                                                                 milliliter

p.c.                                             post cibum                                              after meals

p.o.                                            per os                                                       by mouth

p.r.n.                                         pro re nata                                             as needed

qh                                               quaque hora                                         every hour

qd                                               quaque die                                             daily

q.i.d.                                          quarter in die                                       four times a day

s                                                  sine                                                        without

tab                                             tabella                                                   tablet

t.i.d.                                          ter in die                                                  three times a day