Pharmacy DOTs:

What is it?
An organizational tool used to list patient findings, potential therapies and therapeutic
plans for individual disease states of complex patients.

Subjective (S):
Review subjective information obtained from the patient or caregiver – symptoms.
What is the patient’s chief complaint? What are the patient’s symptoms?
Only include information pertinent to the disease state for which you are currently
developing an assessment and plan.

Objective (O):
Review objective information obtained from verifiable sources – signs.
Review information obtained from direct observation of patient (physical exam
findings), vital signs or verifiable sources (lab values, outpatient prescription records,
medication administration record in hospital). Only include information pertinent to
the disease state for which you are currently developing an assessment and plan.

Current Meds:
List of medications the patient is currently on for the treatment of the particular
disease state and for which there may be possible specific issues (i.e. drug
interactions, toxicities).

Etiology:
Pathogenesis of the disease. (i.e. Listing of general causes for the disease state.)

Therapy Options:
Indications for therapy or changes to current therapy. (Does the patient require
therapy or additional therapy?) List various therapy options and their indications for
use.

Patient Specific Recommendations:

List your specific recommendations for drug therapy with justification. Include dose,
route, frequency and duration. Include rationale for not selecting other therapy
options for this patient.

Goals and Monitoring Plan (Providers List):

Efficacy: List specific goals of therapy. (i.e. subjective and objective criteria to
monitor therapy progress).
Toxicity: List specific side effects providers should be aware of as possible adverse
drug events and specific instructions for monitoring. (i.e. what tests, when to obtain)
Drug Interactions: List specific interactions your therapy selection may have with the
patient’s other medications, diet or disease states.

Patient Education:
List the information you would discuss with the patient when counseling about your
therapy selection. (i.e. administration, side effects and interactions.)