1. are red flags in pharmacy practice.

1.     What comment regarding the video would you
leave on the website?

I would
like to say that this video is really good and beneficial to me. After watching
this video I learned about red flag behaviors or Drug Diverters. I came to know
that which type of situations are red flags in pharmacy practice. I came to
know about prescription drug epidemics or opioid epidemics. This type of videos
should be published so we will be very careful for the situations like Red
Flag.

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2.     Have been in (or observed) a “critical
moment” situation?

Yes,
after watching this video I recollected that during my volunteer experience in
pharmacy I observed this type of critical moment like which was red flag. I
realized today that which type of situation is red flag and how to handle that.

One day when I was working in the pharmacy and one person came to the pharmacy
with the prescription of Oxycodone 30 mg and 180 tablets. That prescription was
from the pain management clinic for 2 month supply. In addition to that when I
checked that patient profile I realized that he got that same medication last
month also for two month supply from the another doctor. I was confused that
how he can finish 2 month supply in one month except he was overdosing the
tablets. I immediately contacted pharmacist and he handled that situation.

 

3.     After this video, do you realize possible
critical moments you may have missed?

Yes,
after watching this video I realized that I missed some of the moments which
was red flags but at that time I was not aware about red flags in pharmacy
practice. There were many patients came with the prescription of oxycodone and
benzodiazepines together. But I didn’t know about the red flag situations in
the pharmacy. At that time pharmacist was consulted the situation very accurately
and then dispensed medication after he was ensured that prescription was right
and patient was not abuser.

 

4.     Do you agree with the “corresponding
responsibility” doctrine discussed in the video? Why or why not?

 

Yes, I
do agree with the corresponding responsibility of pharmacist who dispense the
medication. It is very important that pharmacist establish due diligence
process which includes checking prescription for its legitimate purpose,
checking prescription originality and checking on PDMP website and to identify
red flags. Pharmacist is the last stage to prevent the drug abuse and identify
the red flags in pharmacy practice.  There were so many cases where pharmacist were
held criminally liable for not following proper practice to identify red flags
in pharmacy practice. Pharmacist job is to evaluate the seriousness of the
prescription and identify red flags, and to make sure that right prescription
ends up in right hands. Pharmacist responsibility to ensure that patients are
receiving controlled substances for a legitimate purpose and engage in
counselling activities and to know patient who is taking controlled substance.

Pharmacist is a last level of defense who can prevent the controlled substance
abuse and to prevent drug going in wrong patient hand.

 

5.     How useful was this video to you? Why?

After
watching this video, I came to know about opioid epidemic which is going out of
control in USA. I came to know about various red flags in pharmacy practice and
what are the things that we have to look for to identify a red flags in
pharmacy practice. I came to know that there is a delicate balance between the
patient who seeks the controlled substance for its legitimate purpose and other
persons who use controlled substance for abuse. After watching this video I
realize that which are the signs that we have to look for red flags while we
are practicing in pharmacy. The warning signs are (1) Presentation of the
prescription: check the prescription for prescriber information and various
prescriber used more frequently and to verify patient information. (2) Patient
behavior: to identify signs and symptoms of abuse in patient. (3) Illegal: to
know prescriber’s valid DEA number. I realized that pharmacist has to establish
a due diligence process and according to that he can counter act red flags. I
learned that every control prescription should pass truth test. Pharmacist has
to identify that patient is a drug abuser or diverter. I also learned that
pharmacist has a corresponding responsibility to the prescriber to ensure
legitimate purpose of medication used.

 

6.     What other question(s) may be pertinent to
your reflection?

I also
have other questions about how to identify physical signs of drug abuser? How
to establish due diligence process for red flags? What other things to keep in
mind when we fill the control prescription? How is their body language when opioid
abuser come for control prescription?