When a patient arrives for an appointment with an indication for antibiotic premedication and has not taken the antibiotic as prescribed, there is the option of dispensing the antibiotic on-site through the Office of Compliance rather than rescheduling the patient.
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Supervising faculty must authorize the dispensing of any antibiotic medication.
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Dental hygiene patients must have prescriptions entered by the supervising dental faculty.
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Dental students will add a new prescription into the eRx module in axiUm containing the drug name, dosage, number of pills/caps, and instructions such as "take all four capsules immediately”.
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Select the supervising faculty’s name as the provider and the COD as the pharmacy.
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The student will click the notification bell in the upper right corner of axiUm.
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Click on the prescription and a prescription dialog box will open.
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Click the "Print don't Send" button to send your prescription to the printer.
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Find your patient's prescription on the printer.
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Supervising faculty must sign the prescription.
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The treating student will take the signed prescription to room 234 or 238 to obtain the medication. Medications will only be dispensed to the assigned student.
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The student must chart-add the appropriate antibiotic code being dispensed and have supervising faculty approve the planned and completed code. There is a fee for on-site dispensing in the student clinics.
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R9600 Amoxicillin 500 mg x 4 ($6.00)
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R9601 Azithromycin 500 mg x 1 ($10.00)
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The students must comply with the recommended waiting period of 30-60 minutes before initiating invasive procedures
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Students will document in the PTP note the medication, amount, and time the premed was taken by the patient.
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If the patient cannot take amoxicillin or azithromycin, the patient must be rescheduled, and the appointment aborted.
Things to Know and Remember:
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If premedication is required, there must be a minimum of 10 days between appointments.
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If a procedure must be scheduled within the 10-day interval, an antibiotic of another class on the regimen should be selected.
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Repeated treatment sessions require alternative antibiotic regimens at each appointment or at least 4 weeks between treatment sessions.
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If premedication is indicated and the patient and student doctor/faculty forget or unanticipated bleeding occurs, the antibiotic may be given up to 2 hours following the completion of the procedure.
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On-site dispensing of antibiotic premedication is not a replacement for providing the patient with a prescription they should fill at their pharmacy.
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On-site dispensing is available if a patient forgets to take the antibiotic before coming or does not take the full dosage.
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There are also instances in which the patient arrives for urgent care and is unaware that they need to be premedicated. Ideally, pre-planning should occur, and a prescription written or called in for the patient in advance of the appointment.
