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)
Antibiotic PreMed for Dental Patients
Pre Medication is required when completing the following procedures:
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
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
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
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