Upload
regina-shelton
View
215
Download
1
Tags:
Embed Size (px)
Citation preview
Hospital Pharmacy
Payam Parchamazad, PharmDStaff Pharmacist
Capital Regional Medical CenterTallahassee, Fl
OwnershipGovernment Owned
◦ VA Hospitals◦ Hospital affiliated with
state universities◦ Non-Profit
Privately Owned◦ Responsible for own
funding◦ May be for profit or
non-profit
Care ProvidedAcutely IllChronically Ill
with acute illness◦Primary
Basic Care◦Secondary
Involves a specialist◦Tertiary
Requires specialized skill, technology or support services
Teaching AffiliationTeaching Hospital
◦ShandsTeaching affiliated
Hospitals◦TMH
Non-Teaching Hospitals◦CRMC
Pharmacy OrganizationFunctional
Divisions◦Administrative◦Clinical◦Distributive
Physical Locations◦Centralized◦Decentralized◦Combination
AdministrativeDirector of Pharmacy
◦Assistant Directors◦Clinical Coordinator◦Medication Safety Officer
Director of PharmacyResponsible for the
entire pharmacy department.
Responsible for◦Policies & Procedures◦Ensuring compliance
with Joint Commission Standards.
◦Pharmacy Budget◦Serves on various
committees
Assistant DirectorsMay be over
inpatient services or outpatient services.
Responsible for◦Staff◦Maintaining the
appropriate pharmacy license for the establishment.
Clinical CoordinatorSupervises
clinical pharmacists
Developing and maintaining clinical programs
Annual employee assessments
Participates in P&T
Medication Safety Officer Oversees all aspects of
medication safety. Coordinates medication
safety interventions. Responsible for
educating all health care professionals about medication safety.
Medication Safety Issues◦ Look-a-like◦ Sound-a-like◦ Illegible handwriting◦ Unapproved
abbreviations
ClinicalClinical pharmacists
◦Generally work in decentralized units
◦May round with physicians◦Work with physicians,
nurses, and other health care professionals to manage patient drug therapy.
◦May have to perform order entry.
DistributiveDeliver the
medications to the patient care units.
Pharmacy technicians & Pharmacists
Medications may be delivered through a tube system or they may be sent in bulk to the patient care units.
Classification According to Location Centralized
◦ Staff Pharmacist◦ Pharmacy Technicians◦ Distribute medications from a
central location Decentralized
◦ Clinical Pharmacist Clinical Services Order Entry
◦ Pharmacy Technicians (sometimes)
◦ Reside on nursing units or wards, may serve more than one unit.
Often times may be a combination of both.
Formulary Systems
List of medications approved by an expert panel of healthcare practitioners, predominantly physicians and pharmacists.
Each medication on the formulary is kept in-stock in the pharmacy.
The Formulary Book is a list of all the pharmaceuticals stocked in the pharmacy.
Continuously updated and revisedPhysicians may order medications that
are non-formulary if it is necessary.
Pharmacy & Therapeutics Committee
Evaluate pharmaceutical products and make the decision whether or not to include them on the formulary.
Products are evaluated based on efficacy, safety, ease of use and cost.
Provide educational materials and programs about drug products added to the formulary to all healthcare practitioners.
Pharmacy & Therapeutics Committee
Develop and monitor quality issues in regard to correct drug use for the organization.
Monitor adverse drug reactionsDevelop generic substitution policies and
procedures.Interact with quality assurance or medical
utilization committees in the development of treatment guidelines for drug therapy.
Subcommittees may be formed to address specific issues.
Automated Medication Dispensing Devices
What are they???
Drug storage devices or cabinets that electronically dispense medications in a controlled fashion.
Can be stocked by centralized or decentralized pharmacies.
Advantages
Allow for medications to be obtained for inpatients at the point of use.
Free pharmacists from labor-intensive distributive functions and help pharmacists provide pharmaceutical care.
Improve the accuracy and timeliness of distributive functions.
Assist with inventory control.
Pyxis Medstation
Units are kept on the patient care unitsComputer interfaces with pharmacy
computers.Physician orders are entered into the
pharmacy computer. This information is then sent electronically to the Medstation where it is displayed on the patient profile.
Nurses are given personal passwords or Bio ID.
Nurse selects a medication and the drawer containing the medication opens.
Pharmacy technicians restock the units.
Education and Training
Must have procedures for ensuring that all the staff members involved receive adequate education and training.
Should ensure that there are adequate resources for providing effective education and training on a continual basis are present.
Must evaluate staff to ensure competency in the use of automated machines.
Potential for Harm??
Refill errorsMedication shift from one drawer to
anotherReduction of medication errors
QuestionsDr. Payam
Parchamazadparchamp@gmail.
comCapital Regional
Medical Center850 325 5070
THANK YOU FOR YOUR ATTENTION