Case Study 10%

Paisley Johnson

Niagara College

COMM1230

Gianluca Agostinelli

Oct 4, 2023
1. I would first start of communicating with the prescriber by either fax or telephone if

needed ASAP. I would ask the physician what the strength of narcotic that they intended

to prescribe for John.

2. Another piece of information I would get from the prescriber would be to also confirm

the authorized quantity of the medication. I would also clarify if there were an interval

and or stop date. Being a registered pharmacy technician, we can take verbal orders over

the phone, but a narcotic is out of my scope of practice. The pharmacist should confirm

what the doctor has said to ensure patient safety. I would also alert the pharmacist that

this patient does have a history/past with substance abuse and go over a plan for ensuring

compliance.

3. The Ethical Principle that this case evokes would be number two, non-maleficence. This

code is put in place to ensure that all healthcare providers and professionals in the

industry guarantee that the public and society is 100% safe from any type of harm. In

case study number one, I made sure that the pharmacist was aware of Johns substance use

and abuse to ensure that everything is clinically and therapeutically safe. When imputing

a prescription using the Telus Kroll system, it will alert us if this prescription is a

duplicate and if it’s already been filled elsewhere. I would check to make sure that John

has not had this narcotic or something else similar that has been filled recently. We want

to confirm that the patient is using his medication properly. The Pharmacist should

counsel John and talk about compliance. If compliance is going to be an issue, we can

offer to put his narcotics into a blister pack for one week. Blister packs improve
compliance and has the intent to keep the patient safe, by administering a week at a time

this will help John to be compliant taking his medication. The second code of ethics

applies to the first case study the most.