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Lessons · Pharmacy · the final check

The final check

The last look compares the finished prescription against the original, item by item: the patient, the drug, the strength, the quantity and the directions.

Hone is a place to practise a career, one idea a day. This is one of its lessons, written out in full and free to read without an account.

What it is for

Everything before this can be fixed. After this, the bag goes into somebody's hand. The check is short and it is only worth anything if it is done against the original script rather than against the label that was made from it.

How to think about it

Read in one direction, original first, finished product second, one item at a time, out loud if the room allows it. Never read the label against itself: a typing mistake reads perfectly when it is compared with its own copy.

Worked example

Patient name and date of birth
The right bag going to the right person is the first thing and the easiest one to get wrong at a busy counter.
Drug and strength against the stock bottle
Say the strength out loud. 50 mg and 500 mg look alike in a hurry.
Quantity counted against the quantity written
Thirty means thirty.
The label's directions against the sig, word for word
Not from memory, and not from the label alone.

Your turn

The final check reads the label's directions against which line of the prescription?

the label's directions against the 

The trap

Checking the label against the vial's own auxiliary label or the printout it came with. Both were made from the same entry, so both carry the same mistake. Only the original script is independent.

Practise the final check on HoneA question on it now, a coding challenge where there is one, and it is remembered for review. Free, no email needed.