Family Practice of CentraState at Iron Bridge

Dr. Orlando F. Mills and Kasey Leung, APN

Medication Safety

The time is now

The best time to have your routine medications prescribed by Dr. Mills is during your office visit.  Medications are based on assessment of the following:

  1. Current weight and vital signs
  2. Physical exam and symptoms
  3. Laboratory blood testing

In addition, instructions will be provided on how to take the medication and symptoms to report.


Medication Reconciliation

Bring all your medications in original containers to every office visit including vitamins and other over the counter medications, medications prescribed by Dr. Mills and any provider.  This prevents errors in prescription writing and follow up monitoring.  Dr. Mills will review your medications and make adjustments if needed during your office visit


Why bring in the bottles?

The original containers contain important information including

  1. Generic and Brand names
  2. Dosage (ml, mg, mcg, etc.)
  3. Time(s) medication to be taken
  4. Number of tablets prescribed
  5. Number of refills and refill expiration date
  6. Date medication was prescribed
  7. Number of pills remaining

Dr. Mills considers this information when renewing or prescribing new medications.  If you forget to bring your medications or are unsure of your prescription needs at the time of the visit, there is potential for important prescribing details to be misunderstood. 


Electronic Prescribing:  During your office visit, most often Dr. Mills will send your prescription to a participating pharmacy through “Electronic Prescribing”.  There are times when the prescription does not get to the pharmacy and we suggest you call the pharmacy first before going to pick up your prescriptions.


What if I run out of medication before my next office visit?

You are required to have a visit on the office schedule before we can refill a medication.  If you cancel your office visit, you may “run out” of medications.  In these instances, call the office and Dr. Mills will always prescribe enough routine medication to make it to the next scheduled visit.  


Transitions: Discharges from the Hospital, ER or Rehab can be a very confusing time for patients. The providers at the facility may have prescribed different medications than those prescribed for you by Dr. Mills. Should you continue your prior medications? Should you take your new medications?  Dr. Mills can help. We may not be aware of your discharge from the hospital or Emergency Room.  Please call the office and make a post hospital or post emergency room or post rehab visit. If a visit is not possible, we can assist you by telephone. 


Automatic Prescriptions

Another confusing issue for patients are automatic prescription notices.  These are sent to patients as well as to our office when the pharmacy believes the patient may be due for a refill. However, the patient may no longer be on this medication.  To avoid confusion and errors, we always check with our patients first and do not automatically refill these auto-generated prescriptions.  It is possible that you or Dr. Mills has discontinued a medication due to a reaction or for some reason you do not want to take it any longer. To avoid confusion or errors, our Care Team will check with you first. 


Restricted medications. Narcotics and other restricted medications require an office visit and a paper prescription. These cannot be refilled electronically.


One Pharmacy. It is best to use one pharmacy so that your medication are closely monitored. The pharmacy may pick up discrepancies such as having a prescription for both a generic and brand name of the same medication. 
The pharmacy will call the office if they observe a potential error. 


Hospice and/or chemotherapy

Patients on Hospice and or chemotherapy may receive medications from the Hospice organization requiring you to safely dispose of medications you no longer need.  To find out where and how to dispose of medication or used needles contact NJ Consumer Affairs at (800) 242-5846.   


You are in control!

  1. Use a pill box or notebook to keep track of your medications, remember what you have taken for the day and what you still have to take.
  2. Create a list of your medications:
  1. Why you take the medication
  2. When you take the medication (every 4 hours, every 8 hours, in the AM, at bedtime, before meals etc.)
  3. How you take the medication (with food, empty stomach)
  4. How much you are to take

(1 tab, 2 tabs, 2 puffs, etc.)


You are the most important member of your healthcare team!  Take your medications safely!