c. If a trade name item is requested and a generic substitution is made, put a
single line through the trade name and write in the generic name above (figure 1-1, item
d. If an item is temporarily out of stock, place the letters temporarily out of stock
(TOS) in the column, asterisk the line, and note at the bottom of the form when the item
is expected in or suggest an alternate drug (figure 1-1, item #3).
e. If an item is not stocked by the pharmacy, place the letters DNS (do not
stock) in the column. Asterisk the line and suggest an alternate drug if possible (figure
1-1, item #2).
f. For controlled drugs or stock record items place a single line through the item
and place the letters CONT (controlled) in the column (figure 1-1, item #4).
The specialist who fills the order will place his initials in the block titled "For
Pharmacy Use Only" (figure 1-1). Information that might be helpful to nursing
personnel, or indicates special handling considerations, should be noted.
Section III. LABELING DRUGS
Certain medications may be sent to a ward in the original manufacturer's
container. In these situations, all the pharmacy has to do is pull the original container
from the shelf and send it to the ward. Many times, the original manufacturer's
container must be repackaged into smaller units for either ward use or reissue to
outpatients when the pharmacy is closed. In these cases the containers must be
labeled by the pharmacy. There are two types of label formats for repackaged
medications, depending on how they will be used. The first type is for repackaged
medications strictly for ward or clinic use. The second type is for medications sent to
the emergency room or clinics for reissue to outpatients (refer to MED Subcourse 809,
Introduction to Compounding and Manufacturing).
When medications are repackaged for ward or clinic use, the label should contain
the following information (figure 1-2):
a. Name of ward or ordering facility.