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pharmacy technician - Ontario College of Pharmacists

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FAQS<br />

a digitally scanned image <strong>of</strong> a<br />

paper-based prescription<br />

10. How can the authenticity <strong>of</strong><br />

a prescription inserted into the<br />

automated <strong>pharmacy</strong> system be<br />

established?<br />

In the case <strong>of</strong> an automated<br />

<strong>pharmacy</strong> system, the technology<br />

used to transmit the prescription<br />

must be approved by the <strong>College</strong>.<br />

Methods to ensure verification <strong>of</strong><br />

physician signature and authenticity<br />

<strong>of</strong> prescriptions remain consistent<br />

with all <strong>pharmacy</strong> practices.<br />

11. What are the audio-visual link<br />

requirements?<br />

Every RDL where a pharmacist<br />

is not physically present must be<br />

equipped with a live, two-way audiovisual<br />

link that permits dialogue and<br />

communication between the patient<br />

and a pharmacist who is physically<br />

present in the accredited <strong>pharmacy</strong>.<br />

In the event <strong>of</strong> a disruption in this<br />

link, all dispensing at the RDL must<br />

cease immediately and cannot<br />

resume until the link is restored.<br />

12. What are the requirements<br />

for marking <strong>of</strong> containers at<br />

RDL’s?<br />

In addition to what is required on<br />

all prescription labels, the container<br />

in which a drug is dispensed from a<br />

RDL must indicate both the name,<br />

address and telephone number <strong>of</strong><br />

the accredited <strong>pharmacy</strong> as well as<br />

the address <strong>of</strong> the RDL including<br />

a toll-free number at which a<br />

patient may contact the accredited<br />

<strong>pharmacy</strong>. The label must include<br />

a unique identifier, attached to the<br />

prescription number that identifies<br />

that the drug was dispensed<br />

from the RDL vs. the accredited<br />

<strong>pharmacy</strong>.<br />

RECORD KEEPING<br />

1. What is a Patient Record?<br />

A patient record is a complete<br />

reference <strong>of</strong> all documentation<br />

related to the care <strong>of</strong> a patient. It<br />

will include prescription information,<br />

scanned copy <strong>of</strong> the original<br />

prescription and patient pr<strong>of</strong>ile<br />

but also any documentation or<br />

information about the patient. This<br />

is consistent with patient records<br />

maintained by other health care<br />

providers. Examples <strong>of</strong> records and<br />

documents include:<br />

• MedsCheck documentation<br />

• Pharmacist refill authorization<br />

information<br />

• Pharmaceutical Opinion<br />

• Medication Management<br />

• Identified drug related problems<br />

• Consent forms<br />

• Dialogue with patients or<br />

• Any other information essential<br />

for continuity <strong>of</strong> care and<br />

• Any future record keeping<br />

requirements under the new<br />

expanded scope <strong>of</strong> practice.<br />

2. Where are the records<br />

described in the previous question<br />

to be filed and how long are<br />

they to be retained?<br />

The content <strong>of</strong> all patient records<br />

is to be maintained in a computer<br />

system where possible and where<br />

that is not possible, in a systematic<br />

manner that allows for easy<br />

retrieval. Other than the original<br />

prescription (see question #3), all<br />

records are to be retained for a<br />

period <strong>of</strong> at least 10 years from<br />

the last recorded pr<strong>of</strong>essional<br />

<strong>pharmacy</strong> service provided to the<br />

patient or until 10 years after the<br />

day on which the patient reached<br />

(or would have reached) 18 years<br />

whichever is longer.<br />

3. How long are prescription<br />

records to be retained?<br />

Original prescriptions are to be<br />

retained for 2 years as outlined<br />

in section 156 (2) <strong>of</strong> the DRPA<br />

. However scanned electronic<br />

copies <strong>of</strong> original prescriptions<br />

will become part <strong>of</strong> the patient<br />

record which must be retained<br />

for a period <strong>of</strong> at least 10 years<br />

from the last recorded pr<strong>of</strong>essional<br />

<strong>pharmacy</strong> service provided to the<br />

patient or until 10 years after the<br />

day on which the patient reached<br />

(or would have reached) 18 years<br />

whichever is longer. (see #2)<br />

4. When do I have to start scanning<br />

all original prescriptions?<br />

Effective immediately all new<br />

pharmacies must have equipment<br />

to allow for scanning <strong>of</strong> original<br />

prescriptions and documents and<br />

maintaining those scanned copies<br />

in the patient record. All existing<br />

pharmacies have until May 11,<br />

2012 to comply. It is recommended<br />

that all pharmacies plan how these<br />

records will be kept and begin<br />

scanning prescriptions as soon as<br />

possible.<br />

5. What type <strong>of</strong> scanners are<br />

recommended?<br />

Please contact your s<strong>of</strong>tware<br />

vendor for direction on scanners<br />

and how to integrate into your<br />

computer system.<br />

6. Do the records have to be<br />

retained on site?<br />

The records must be readily retrievable<br />

and stored securely to ensure<br />

that confidentiality and privacy <strong>of</strong><br />

the personal health information in<br />

the records is protected<br />

PAGE 18 ~ SPRING 2011 ~ PHARMACY CONNECTION

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