Steps of prescribing Item Done Sep 4, 2023 · Nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration. Patient’s Information Jan 1, 2019 · Find out more and learn the five steps to individualize deprescribing practices for each patient. a step wise approach. Optimising drug treatment for elderly people: the prescribing cascade. For example, if bevacizumab, which is licensed for the management of various cancers, is used to treat age-related macular degeneration, that is off-label prescribing. Prescribing An evolving process involving the steps of information gathering, clinical decision-making, com-munication and evaluation which results in the initiation, continuation or cessation of a medication (Adapted from NPS MedicineWise 2021). , prescribing an antiviral based on the result Mar 2, 2015 · Another popular framework to support rational prescribing decisions is known as STEPS (Preskorn, 1994). This is not the same as WHO has defined six steps to learn rational prescribing. apy education tool is the 6-step method of the World Health Organization’s guide to good prescribing (WHO-6-step). Unfortunately, a systematic review of junior doctors’ prescribing found sUMMArY Prescribing errors remain a significant cause of patient harm. What changes in drug Feb 22, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). Symptom management and a client’s overall well-being are strongly connected to the appropriate administration of medications prescribed in a client’s treatment plan. Identify unnecessarily costly drug therapy by Study with Quizlet and memorize flashcards containing terms like 1st step?, What maximizes the benefit of pharmacologic treatment, What are the 6 steps and more. Oct 16, 2024 · III Doman - Prescribing in context Competencies 7. How -set standards of education, training, conduct and performance and approve educational programs Who is the regulator The professional regulators are Indian Nursing Council and State Nursing Council. Medicines are used more than any other intervention by patients to manage clinical conditions. Appropriate opioid prescribing is essential to achieve pain control, to minimize societal harms from diversion, and to minimize patient risk of abuse Dec 28, 2024 · According to the United States Drug Enforcement Administration (DEA), drugs, substances, and certain chemicals used to make drugs are classified into 5 categories or schedules depending on the drug’s acceptable medical use and abuse or dependency potential. 1-3 NPS MedicineWise has recently launched a framework which can be used to guide education curricula, assessment, continuing professional development and credentialing of individual practitioners. [1] The only validated pharmacology and pharmacotherapy education tool is the 6-step method of the World Health Organization's guide to good prescribing (WHO-6-step). May 6, 2024 · The 2022 Clinical Practice Guideline for Prescribing Opioids for Pain (2022 Clinical Practice Guideline) is based on systematic reviews of the scientific evidence, considering benefits and harms, values and preferences, and resource allocation. It generally consists of the prescribing clinician’s name, office address, and contact information (usually the office’s telephone number). Physician perception of ineffective implementation of these policies, however, undermines their acceptability. [2] It is among the most common complaints in an outpatient clinic and the emergency department. The essential steps in achieving this are (a) careful attention to the history, examination, and investigation of the patient's condition and drug therapy, (b) accurate diagnosis, (c) detailed attention to prescribing the dosage regimen in the light of the therapeutic goal, (d) careful writing of the prescription and (e) regular monitoring of Guide to Good Prescribing 2 This book is primarily intended for undergraduate medical students who are about to enter the clinical phase of their studies. Within each step are several important points to remember Feb 1, 2004 · Antibiotics were associated with nearly 40% of the prescribing errors in one study, in part because of undocumented drug allergies. The reported incidence of medication errors in acute hospitals is approximately 6. 18. 19 Penicillin, ampicillin, amoxicillin, and Dec 19, 2024 · Step 1: Register for iPrescribe (group & individual) Step 3: Set up e-prescribing in iPrescribe (non-controlled substances) Step 4: Patient finder; Step 5: Activate e-prescribing of controlled substances (EPCS) in iPrescribe; Step 6: Add controlled substance tokens to your iPrescribe account; Minimum system requirements for iPrescribe Sep 23, 2021 · Nurse prescribing has become well established in the UK. The dangerous nature of prescription medicines means that the process of prescribing is heavily regulated through legislation, clinical guidelines, and local, regional and national protocols. See full prescribing information for Plan B One-Step. . E-prescribing allows for prescriptions to be delivered directly to a patient’s preferred pharmacy, eliminating the need for a paper prescription to be physically transferred between the provider and pharmacy. Postgraduate Oct 30, 2018 · At that time, it appeared that most prescribing programs were designed to teach single profession groups, with the exception of Robert Gordon University’s Non-Medical Prescribing program, which included two or more professional groups, 15 and Keele University’s prescribing studies, which included nonmedical professionals (currently, this Study with Quizlet and memorize flashcards containing terms like Five basic steps are required for filling a prescription within a community pharmacy. Gathering sufficient initial information to inform the prescribing process is a vital step and requires the establishment of a therapeutic relationship where the patient is invited by the prescriber to tell their health story. This course provides an overview of what the DEA expects from Dentists when prescribing. Establish an accurate diagnosis whenever possible (although this may often be difficult) Be clear in what way the patient is likely to gain from the prescribed medicines; 2. The article is supported by an algorithm and is the one recommended by the Jul 15, 2024 · The electronic prescribing (e-prescribing) landscape continues to evolve and many positive advances have been made over the past decade. S. OM Page 8 of 35 May 2013 DEA e-Prescribing Setup Installation and Configuration Guide 2 CPRS v29 DEA Set Up Preparatory Checklist The following activities should be completed in order. These eight steps, along with Nov 27, 2014 · Writing a safe, effective, and legal prescription Prescribing is an essential skill that medical students must learn. Be clear about the reasons for prescribing. The GGP is based on a normative 6-step model for therapeutic reasoning and prescribing, and provides a six-step guide for students to the process of rational prescribing. You prescribe antibiotics and oral steroids as follows: . Therefore, the APPG for 12 Step recovery repeat our call for strengthening the links between the worlds of 12 Step recovery and social prescribing. In addition, physicians can prescribe Nov 18, 2020 · In step 5, these factors need to be combined into an optimal individual selection of the drug and dosing schedule. 4 Our paper adds to this body of work. Driven by the current need for reducing health care costs and increasing patient adherence, economic and patient Feb 1, 2013 · With the expansion of prescribing rights to nonmedical prescribers, there is a need for an agreed set of national prescribing competencies for all prescribers. 46 The second step is delivering the ‘brief Jan 1, 2025 · Once ODs begin to see success in scleral lens prescribing, high-level education is routinely offered at annual meetings hosted by the Global Specialty Lens Symposium and the International Congress of Scleral Contacts, among other organizations. Details about the 2020 GINA treatment recommendations, and the Prescribing Nurse Bulletin Volume 1, Number 1, 1999 1 Signposts for prescribing nurses - general principles of good prescribing Seven principles of good prescribing. 5 In 2019, 12 of the 22 medical schools across Australia and New Zealand are preparing to implement the Prescribing Skills Assessment. The 10 Steps of Universal Precautions in Pain Medicine. All of these steps should be obliged by all the stakeholders involved during a complete prescription process. It lacks a universally agreed clinical definition, but is commonly referred to as the regular use of five or more drugs 1 . For more information and cautions regarding signage and distribution of the safe prescribing handouts, please read our safe prescribing Frequently Asked Questions. Dec 1, 2022 · The Six Steps to Insulin Safety has been developed by the Primary Care Diabetes Society and is a perpetually free Continuing Professional Development module for all Jul 2, 2020 · James is 65 years old and currently shielding. Rational Prescribing There is no universally agreed definition of good prescribing. The WHO Guide to Good Prescribing takes the student through a structured problem-solving, six-step process in choosing and prescribing a suitable drug for an individual patient . Method We reviewed the need to This is a step towards addressing graduates’ calls for more ‘hands-on prescribing’ in medical school. 4 In the present study, the prescribing skills which includes both the written aspect of a prescription as well as communicating the written prescription were taught and assessed using the WHO guide to rational prescribing. Prescribing is a complex task that requires interpretation of evidence from clinical trials in light of individual patient factors. 5 per 100 admissions. Prescribing is a complex process that requires in-depth Sep 23, 2024 · This is the third of a three-part series hosted by the ADA and the Drug Enforcement Administration (DEA). Plan B One-Step (levonorgestrel) tablet, 1. Activate e-prescribing of controlled substances (EPCS) for your account. The guide encourages rational pharmacotherapy, by requir- Jun 2, 2020 · This article aims to raise awareness of potential barriers to early adoption of paramedic independent prescribing in primary care and provides seven practical steps for paramedics considering pursuing non-medical prescribing training. The Controlled Substance Act (CSA) lists factors considered when determining which schedule a drug or other substance should be placed May 10, 2017 · Off-label prescribing. It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses (Department of Health and Social Security, 1986; Cope et al, 2016). 1997 Study with Quizlet and memorize flashcards containing terms like What is the first step in the drug prescribing process?, What is the second step in the drug prescribing process?, What does the second step in the drug prescribing process involve? and more. You undertake a telephone consultation at James' request and diagnose an infective exacerbation of chronic obstructive pulmonary disease. Steps 2 to 5), to reduce the risk of serious exacerbations and to control symptoms. Initial U. It teaches skills that are necessary throughout a clinical career. Prescribing is the most important tool used by physicians to cure illness, relieve symptoms and prevent future disease. Treatable causes for pain should be identified when they exist, and therapy should be directed to the cause of pain. Information Knows how to access relevant information. Safe prescribing is not just about writing a prescription, but involves many cognitive and decision-making steps. Avoiding prescribing any newer high-cost medications 2. This overview takes you step by step from problem to solution. Following are five major steps involved in each prescription or filling process. It is also a complex intellectual task that requires formulation of an appropriate treatment regimen from the many thousands available, taking into account the infinite variation in the patients they encounter. Step 1: Define the patient ïs problem Step 2: Specify the therapeutic objective Step 3a: Choose your standard treatment (P-drug) Key points. It includes some basic information, new information on regulations, and case studies concerning dental controlled substance prescribing practices. The WHO promotes the rational use of medicines, which requires “ patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community”. Safe prescribing is not just Prescribing safely is the desire of every clinician and according to Aronson ‘safe prescribing is a process that recommends a medicine appropriate to the patient's condition and ideally optimizes the balance of benefit to harm’. Nov 28, 2023 · History taking skills are fundamental for safe pharmacy practice and preparing to prescribe [1,2] . Evaluating for duplications in drug therapy and discontinuing any duplications Study with Quizlet and memorize flashcards containing terms like Principles of prescribing for older adults include: 1. MD and DO clinicians can prescribe medications, including controlled substances. [1] Over one-quarter of United States citizens suffer from chronic pain. Aug 5, 2021 · There are many important steps involved during a pharmacy prescription and filling process. Recent legislation granting . BMJ. Nov 6, 2024 · Medications — Characteristics of the medication regimen which should prompt consideration of deprescribing are presented in the table () and include: Use of potentially inappropriate medications for older adults – This term typically refers to consensus lists of medications such as the American Geriatrics Society Beers Criteria and the Screening Tool for Older Person's Prescriptions (STOPP Step 6: (Efficiency) Is drug therapy cost-effective? Opportunities for cost minimisation should be explored, but changing drugs for cost reasons should only be considered if effectiveness, safety or adherence would not be comprised. 7. 7-12 For example, a systematic review by Milosavljevic et al. 10 Since implementation of step therapy requires action by prescribing physicians, how physicians view step therapy policies, and whether such opinions differ across Inappropriate opioid analgesic prescribing for pain is defined as the nonprescribing, inadequate prescribing, excessive prescribing, or continued prescribing despite evidence of ineffectiveness . 36 41 This initial ‘assessment’ includes risk stratification in relation to undertaking the EP, assessment of readiness to change and self-efficacy, 42 as well as exercise preference. Is drug therapy cost-effective and environmentally sustainable? Process. The number and complexity of medicines are growing and prescribers are expected to develop and maintain prescribing competencies. After reading this chapter you will know that prescribing a drug is part of a process that includes many other components, such as specifying your therapeutic objective, and informing the patient. . Conclusions: Most physicians recognize the potential of step therapy to improve the quality and cost-effectiveness of prescribing, although interactions with industry may affect these opinions. Keeping the total dose at a lower therapeutic range 4. Introduction and background Prescribing is the main approach to the treatment and prevention of diseases in healthcare. Rational prescribing describes a logical approach that includes making a diagnosis, estimating prognosis, establishing the goals of therapy, selecting the most appropriate treatment and monitoring the effects of the treatment Nov 13, 2023 · Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances. Professional Issues Professional regulatory bodies guide the nonmedical prescribing by setting regulations for practice. You have managed this patient for many years in primary care and know his condition and treatment regime well. The STEPS model includes five criteria to consider when deciding on the choice of treatment: The STEPS model includes five criteria to consider when deciding on the choice of treatment: Jun 2, 2020 · This article aims to raise awareness of potential barriers to early adoption of paramedic independent prescribing in primary care. Approval: 1982 -----INDICATIONS AND USAGE----- than currently available options. Four of these steps relate directly to the technician; the fifth pertains directly to the pharmacist. Jul 26, 2024 · Introduction Polypharmacy is the concurrent use of multiple medications. Prescribing and the law, p. One component of good prescribing is deprescribing, which is defined as adjusting medications Jan 1, 2008 · Medication use is a complex process that comprises the sub-processes of medication prescribing, order processing, dispensing, administration, and effects monitoring. Each step is discussed in the following sections, including the panels and fields that must be completed. Feb 2, 2021 · There have been numerous studies and articles over the last few years looking at deprescribing in mental health. 13 showed that community pharmacist-led interventions improved patients’ medication adherence, blood pressure control, cholesterol management Oct 1, 2023 · Prescribing is “an iterative process involving the steps of information gathering, clinical decision making, communication and evaluation which results in the initiation, continuation or cessation of a medicine” [1]. Sustainability. Apr 5, 2021 · Proposing or prescribing remotely for patients in a care/nursing home or hospice; Proposing or prescribing remotely for patients based overseas; Shared care 73-81. This information is usually found at the top of the prescription. 6 Safe prescribing must include cognitive and decision-making steps before the prescription is generated. Polypharmacy is a significant global Jul 21, 2024 · 3. 1 General Information . Any comorbid conditions, including substance use disorders and other psychiatric illnesses, must also be addressed. Step 3: Patient. 19 About 10% to 13% of prescribing errors involve ordering drugs for patients with known allergies to those drugs (including potentially cross-reactive agents). Ensure prescribing is in line with current formulary recommendations Steps to avoid polypharmacy include: 1. 4). Encouraging the elderly patient to coordinate their care with all of their providers 4. [1] It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘five rights’ or Guide to Good Prescribing 2 This book is primarily intended for undergraduate medical students who are about to enter the clinical phase of their studies. For example, independent prescribing of certain medications in some instances may either be based on the result of a laboratory test (e. Take into account the patient’s medication history before prescribing Feb 12, 2024 · Medication errors are the most common and preventable cause of patient injury. This blog post showcases the rapid growth in e-prescribing, steps taken towards laying the essential groundwork for the current state of e-prescribing, and what remains to be accomplished. In clinical practice, the WHO-enforced six-step method has proven to be a valuable tool to systematically choose the best pharmacotherapy available and the most appropriate dose for each individual patient. If this is the case, then steps #3 through #6 must be repeated by the pharmacy. All of the above, Sadie is a 90-year-old patient who requires a new prescription. The practice of assessment Dec 2, 2014 · Electronic prescribing of controlled substances (EPCS) has many benefits for prescribers, patients, IT, and pharmacy and hospital administration. Quick Reference – General Information . 134. Jan 15, 2007 · These eight steps, along with ongoing self-directed learning, compose a systematic approach to prescribing that is efficient and practical for the family physician. It provides step by step guidance to the process of rational prescribing, together with many illustrative examples. Jun 21, 2019 · 15. These preparatory steps are to allow time for proper setup of providers prior to the installation of CPRS GUI v29. Before a student nurse reviews a medication order Study with Quizlet and memorize flashcards containing terms like With the Route of drug administration we can determine:, during the step of choosing treatment: we have to choose the drug which is:, if the patient isn't improved: and more. These guides, written for consumers and health care payers, complement our June 2008 report “Electronic Prescribing: Becoming Mainstream Practice”. Although these steps may seem simple, they require complete focus and concentration. The inter-relationships among these key elements Dec 30, 2014 · WHO-6-step of rational prescribing from the Guide to Good Prescribing Effect of WHO-6-step implemented in a medical curriculum Br J Clin Pharmacol / 79: 6/8 9 7 1. What changes in drug The concept of the WHO Guide to Good Prescribing The manual presents medical students with a normative model for therapeutic reasoning and prescribing, in the form of a 6-step model of rational prescribing (Table 1). It has the potential to improve health, but is associated with risk to patients. The report provides an update on progress made in e-prescribing over the last four years and a description of barriers that must be overcome Sep 25, 2024 · 3. These highlights do not include all the information needed to use Plan B One-Step safely and effectively. 5 mg, for oral use . Sees how own prescribing impacts on the wider healthcare community. The Key Elements of the Medication Use System™ which affect the medication-use process are listed below. 6 A good prescriber is a safe one. Postgraduate The authors add two additional steps: (7) consider drug cost when prescribing; and (8) use computers and other tools to reduce prescribing errors. Prescribing - physician OR self prescribing behavior - Key people: Physician, Nurse practitioner, Pharmacist - Steps involved: Drug choices, dosages, regimens - Documentation (medical records) - Order: Written, Verbal, or Electronic decisions are communicated. Finally, the patient will receive their medication once the prescription has been filled. This method specifically aims to improve the prescriber’s thinking process [10–13], (Figure 1) and seems to be a valuable prescribing tool for trainees. 1 Step therapy may therefore grow in prominence among insurers seeking to rein in phar-maceutical spending. A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. While the practice of dentistry is predominately about performing active dental treatment, as well as preventive, patient (step 1) sets the context within which all further decisions are made, namely on which medicines are essential (step 2) or unnecessary (step 3), whether therapeutic objectives that matter to the patient are achieved (step 4), which medicines are too risky or cause unacceptable adverse effects (step 5), which medicines are not 6. Examine the holistic needs of the patient. This encompasses the full range of substances, including over-the-counter, prescription, illicit and traditional or complementary medicines used by patients. Table 2 – General Information To make safe decisions regarding medication administration, the nurse must have a strong understanding of pharmacology, the science dealing with actions of drugs on the body. There are 41 patient scenarios covering a wide range of presentations, such as a patient with insomnia, a boy with pneumonia or a girl with watery diarrhoea. Rational treatment requires a logical approach and common sense. It identifies common pitfalls prior to training and provides seven practical steps for paramedics considering pursuing non-medical prescribing training. These meetings are excellent opportunities to connect with colleagues and find a mentor. May 1, 2011 · The legal differences between prescribing, administration, and dispensing, p. This post is our third in the “A Decade of Data Examined” blog Aug 8, 2024 · Co-prescribing of benzodiazepine or z-drugs for antidepressant induced insomnia is no longer recommended; Co-prescribing of two antidepressant agents for depression should be for specialist initiation only; Step: 6. 8. Paramedic practice is evolving and the number of advanced paramedics in primary care roles in the UK has risen dramatically. Reviewing a complete drug history every 12 to 18 months 3. Guide to Good Prescribing 2 This book is primarily intended for undergraduate medical students who are about to enter the clinical phase of their studies. Receiving and Reviewing Prescription; Translating the Prescription Study with Quizlet and memorize flashcards containing terms like Principles of prescribing for older adults include: 1. Make a Diagnosis With Appropriate Differential. Though it was only one exercise done on bronchial asthma, the May 3, 2020 · This is the easiest and quickest step of the process. If your organization endorses the attached safe prescribing guidelines, we ask that you contact our office to provide your logo and we will add it to the document. g. Table 1 CPRS v29 Preparatory Checklist No. This step is typically only slowed down if the patient requests for a prescription to be rebilled to a different insurance plan or alternative discount card from what was originally billed during step #3. Prescribing also carries significant risks related to adverse drug reactions and interactions, often caused by injudicious prescribing decisions Sep 25, 2024 · Prescribing is an important component of patient care, which can very easily go awry. The independent authority layer starts with ordering and interpreting tests, though the activities in this layer are interdependent rather than discreet steps. For example, Bjerre et al (2018) outline that the deprescribing of antipsychotics for adults with behavioural and psychological symptoms of dementia treated by decreasing the dose by 25–50% every few weeks. When prescribed and used effectively, medicines Study with Quizlet and memorize flashcards containing terms like According to the WHO what is the first step in the prescribing process?, WHO second step in prescribing process?, WHO third step in prescribing process and more. The first step in deprescribing is medication reconciliation, often centered around a “brown bag” review. This method specifically aims to improve the prescriber's thinking process 10–13, (Figure1) and seems to be a valuable prescribing tool for trainees. Aug 15, 2018 · How to write a prescription in 7 steps: Prescriber’s Information. Starting at a low dose and increasing the dose slowly 3. Add controlled substance tokens to your iPrescribe account to associate multiple EPCS authenticators that generate a one-time pin or one-time passcode (OTP) to your account. Postgraduate Jan 29, 2023 · Chronic pain and opioid use and abuse is a significant problem in the United States. Moreover, at this stage of rational prescribing, affordability (cost-effectiveness) and feasibility (compliance of the patient with the therapy chosen) should also be considered. From iPrescribe's main menu, you will initiate a multi-step process called Activate EPCS. The health care system Understands and works within local and national policies, process and systems that impact on prescribing practice. Consider the choice of product 4. ABSTRACT. But the DEA requirements for EPCS introduce complexities that need to be considered when developing a project plan. Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. The United States Pharmacopeia illustrates the process below: . 1. The role of the prescriber is to ensure […] Prescribing errors remain a significant cause of patient harm. Nurse prescribing is now an integral part of advanced level practice. 3); and minimise risk to patients by using processes that support safe prescribing in areas of high risk (competency 7. The Enrollment Process for an OPR consists of multiple steps that must be completed in order to accept and submit an enrollment application. The failure to manage chronic pain, as well as the possible complication of opioid dependence related to treatment, can result in significant e-prescribing and the steps involved in its adoption. Prescribing based on a proposal or recommendation by a colleague; Recommending and proposing medicines, treatments or devices for a colleague to prescribe; Shared care prescribing The process commences with an assessment that could be carried out by a trained physician or practice nurse. 3. Consider the appropriate strategy 3. Postgraduate 1. May 1, 2021 · Background and methods This opinion paper expanded on the WHO “six-step approach to optimal pharmacotherapy,” by detailed exploration of the underlying pharmacological and pathophysiological To ensure outcomes from medication are optimised, and prescribing is appropriate and safe, the 7-Steps medication review process provides a clear structure for both the initiation of new and the review of existing treatments, and places an emphasis on ‘what matters to the individual’? HIGHLIGHTS OF PRESCRIBING INFORMATION . If a licensed medicine is prescribed in a way that differs from the descriptions listed in the SmPC, that is off-label prescribing. Prescribing two or fewer drugs from each drug class 2. Is a prescription necessary? 2. Dec 16, 2022 · Background on solutions to reduce prescription drug misuse, abuse, and diversion, as well as information on national efforts to promote PDMP-Health IT integration, electronic prescribing of controlled substances and clinical decision support tools. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's Nov 8, 2022 · Pharmacist-led interventions have proven to be beneficial in managing chronic disease state management, improving patient medication adherence, and ensuring appropriate usage of medications. There are many paths to recovery from harmful drug and alcohol use, but the evidence is clear that 12 Step fellowships (AA, NA etc) deserve their place among the range of approaches that must be Prescribing medicines is the intervention that most doctors make to restore or preserve the health of their patients and is the major tool used by modern healthcare systems to improve public health. Introduction Twenty-five years ago, the World Health Organization (WHO) published the Guide to Good Prescribing (GGP), followed by the accompanying Teacher’s Guide to Good Prescribing (TGGP). prescribers should identify the potential risks associated with prescribing remotely, and take steps to minimise them (competency 7. One of the key principles of the WHO approach is to divide step 3 into two parts: first selection of the so-called p-drug, the prescriber’s Personal drug of first choice for the indication (step 3a), and then confirmation of its suitability for the patient in question (step 3b). What is the Medication Use Process? The medication use process involves several steps: 1) prescribing, 2) transcribing and documenting, 3) dispensing, 4) administering, and 5) monitoring. [1] These errors typically involve administering the wrong drug or dose, using the wrong route, administering it incorrectly, or giving medication to the wrong patient. egguh yysut bvzf end jtoc absnrm kvmtgzv bmugcz szgay aygsww