Computer In
Community Pharmacy
Dr A V Badari Nath
WARNING!!!
'Drug-Drug l11teractio11'
was fou11d i11 Prescriptio11!
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IBM
Micromedex
Drug
D Drug Interaction
Checker I
MedTap
IS Drug
Interactions
Interactions
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Community Pharmacy
Hospital Pharmacy
(Street Pharmacy shop)
(Pharmacy shop of hospital)
(Outside the Hospital)
(Inside the hospital)
Retail Pharmacy
(Mainly dealing with prescriptions)
Public Pharmacy
(Prescriptions+ Over the
Counter Medication)
Def: Conm11mity Phammcy
It is tl1e 111ost co111111011 type of
pl1ar111acy tl1at allows the
p11blic access to tl1eir
n1edications& advice abo11t
tl1ei1" healtl1.
It is tl1e l1ealtl1care facility tl1at
is respo11sible for the provisio11
of pham1ace11ticalserviceto a
specific ,conm111nity gro11p or
.
reg1011.
11 • ~ ■ ,
Def: Comn11mitypharmacist
He is tl1e person, wl10 is all
abottt helping patients and the
p11blic, assessing their
co11ditio11s a11d n1aking
decisions abo11t wl1icl1
111edicines they sl101tld take.
He will be it1volved m
dispensing n1edicines a11d
offeri11g yo11r patients advice
a11d practical help 011 keepi11g
l1ealtl1y.
[Link] Processing of Prescription ComputerR .
Receiving & reviewing the prescription
2 Patient identification
3 Checking for legality, Validity
4 Collecting and storing of patient contact details Yes
(To recall the medication in emergency)
5 Checking for drug-drug interaction, incompatibilities Yes
6 Checking for drug-food interaction Yes
7 Ensuring the con-ect therapeutic dose Yes
8 Dispensing of medications
9 Calculation and making the total bill Yes
10 Generation and issue of cash receipt payment Yes
11 Prescription entry into daily log Yes
12 Prescription audit Yes
13 Patient counselling Yes
Receiving & reviewitig the prescription
e Receive prescriptio11 witl1 little s111ile, do not give a11y
feel bad expressio11s like 'big la11gl1' , '011111y god'
e Review for tl1e followi1ig ite111s
, Prescriber il1for111atio11
, Dnte writte11
, Pntie11t ilifo11natio11
, h1scriptio11
, Sig11a
, Refill dntes
, Additio11al il1structio11s
, Sig11ah1re
Patient Identification
• It is tl1e proc ess of checki11g 0 PATIENT CARD
• It is a proc ess of "cor rect ly
n1atching and conf inni ng" that
pres crip tion belo ngs to tl1e righ t
0
pati ent
• Pati ent ide11tificatio11 q11estio11s
, Ful111nn1e
, Ide11tificati0111111n1ber '
, (e.g .. n1edical reco rd 11u1nber)
, Dnte of birtl1
, Pho11e 11111nber
, Social secu rity 11111nber
, Addt"ess
, Pl1oto
Checking for legality, Validity
• Legality: Is prescriber is
eligible and a11thorized?? I
• Prescription fro111 fake
doctors sho11ld not be
- r
accepted
• Following a1,,e a11thorized
.J M....,n;....-.uo Michul Coodm•n & Associ•tn .J M••"> o..... oo
►MBBS,MD .Ji - l,m,th o o Doctor of Optomt' lry .J ,-,.., 1,-_.., 1111
► Doctor of osteopathy 123 MJin Stn.,•t
Anyt.,wn. l.,SA IXml
► Dentists (BDS/MDS) lW-55~
► Veterinarians
Jessica Lee 11/16/2018
► Optometrists rrr,
► Ri\1P (Registered Medical Practitioners)
• Validity: Is prescription is
with in time bo11nd or not?
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Collecting a11d storing of patient contact det ·
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[RECALL]
e Sca11 the prescription a11d save in co111p11ter
e Enter the patient contact details in co111p11ter
e A dn1grecallocc11rs when a prescription or over-the-
co1111ter medicine is re111oved fro111 tl1e 111arket beca11se it is
fo11nd to be either defective or potentially ha1,,111f11l.
e In s11cl1 e111ergency dr11g recalls. phar111acist can co11tact
tl1e patient and tell hi111 to bring back tl1e 111edication to the
phar111acy i11u11ediately
Checking for drug-drug interaction, incompatibilitiJ
e There are number of dntg- drug. dn1g food interactions ~
• It is not possible for h11ma11 to recollect it iI1u11ediately
• Con1p11ter helps a lot in tl1is cn1cial process
• Following softwares are available:
• Sca11 the prescriptio11 or enter the prescription
medications in con1p11terand click on "Check"
• In case of dn1g-dn1g interactio11s, con1p11ter gives red
line wan1il1g signal
• Co111p11ter also s11ggests othertherape11tic eq11ivalents
• So, con1p11ter n1ake pharniacistjob very easy
Solving the Drug-Drug l11teractions
(i)The syste111 checks for any dn1gs interacting 'with other
dntgs' or 'witl1 food'
(i) If is there a11y i11teractions, systen1 asks either to s11ggest
therape11tic eq11ivalents or cancel the prescription
Ci) Pl1ar111acist sho11ld ask the sa111e to patie11t
Ci) If we click 011 s11ggestions, the11 syste111 gives the
alternative dn1gs
(i)If patient is not willit1g for alternative, click on 'no' and
send back the patie11t to the doctor
Dispe11sing of Medicatio11
Ci)TI1e phar111acist l1as to "check twice" before dispensing
111edicatio11 to patient
Ci)TI1e phar111acist l1as to "check thrice" in case of potent
n1edication/ psycl1iatric type n1edications
Twitt
Calculation & Maki11g Total Bill
CD Co111p11ter a11ton1atically calc11late & n1ake the" s11n1"
CD F11rtl1er, it a11ton1atically s11btract the disco1111ts if a11y a11
111akes "Total S11m To be Received" fro111 patie11t
CD It saves the tin1e and elinrinates loss of an1011nt d11e to
l111111an errors
CDTakebillprinto11t andgive to patie11tto collect the
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Ge11eratio11 & Issue of Cash Receipt Payme11t
Company Nam e RECEIPT
(i)Cash receipt is different front [Link] • ...... ont ,o.,,u
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bill _.. C. l "l =-
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(i) Bill is j11st total a11101111t of _ _ _ _ _ _ _ -::__J
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111edicatious cost
(i)Receipt is tl1e proof of
"received the money front
c1tston1er/ patient"
(i)co111p11terge11erates the casl1
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1,eceipt with digital sigi1ah1re of
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Accounting
Day Book
, \, Ledger Book
◄ Day is the maiJ.1 co11te11t ◄ Item 11ame is the mait1 co11te11t
◄ All activities of that day 1nust ◄ All activities belongs to that
be recorded item 1ni1st be recorded
◄ Ex; like p11rchase. sale of ◄ Ex; Dolo 650 sale, purcl1ase
diffe1"e11t items in that with all the dates
pa1ticular day