Download Pharmacy event - Dartford, Gravesham and Swanley CCG

Pharmacy Services in Hospital
Dartford and Gravesham NHS Trust
GB.DRO.09.10.05f, date of preparation: January 2010
GB.DRO.09.10.05f, date of preparation: January 2010
Outline
 What are the roles of the hospital pharmacy staff?
 Hospital Pharmacists
 Pharmacy Technicians
 Medicine reconciliation and green bags
 Discharge facilitation and (transfer of care)
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GB.DRO.09.10.05f, date of preparation: January 2010
Role of Hospital Pharmacist
 The main role of a hospital pharmacist is to
promote the safe and effective use of
medication by:
 working with the doctors to ensure the selection of the
best medication at the correct dose for an appropriate
duration
 monitoring and preventing or minimising side effects and
medicine interactions
 offering specialist advice to doctors, nurses and other
healthcare professionals on medicines
 manufacturing specialised medications such as
chemotherapy for cancer treatment
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GB.DRO.09.10.05f, date of preparation: January 2010
Role of Hospital Pharmacist……continued
 promote the safe and effective use of
medication by:
 providing medication counselling to patients
 dispensing medications for patients in wards, the
emergency department and those attending outpatient
clinics
 after discharge to ensure safe medication management,
and to prevent errors and readmission to hospital.
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GB.DRO.09.10.05f, date of preparation: January 2010
Role of Pharmacy Technicians
 Extended Roles
 Final accuracy checks on dispensed medicines
 Medication history taking
 Assessment of patients own medicines
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GB.DRO.09.10.05f, date of preparation: January 2010
Medicine on admission
 Ensuring complete list of medications, accurately
communicated to minimise prescribing errors
 When patients are admitted to hospital we ensure that;
 Current medications are not unintentionally omitted
 New medicines are prescribed, with a complete knowledge of
what a patient is already taking
 Review of current medication
 Process involves the participation of all healthcare professionals
caring for you
 Doctor
 Pharmacy Technician
 Pharmacist
 Nurse
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GB.DRO.09.10.05f, date of preparation: January 2010
Green Bag
 A ‘Green Bag’ is simply a clearly designated, easily identifiable
bag which can be used for transporting medicines between and
around care settings.
 The purpose is to keep all the medicines belonging to a patient
together in a readily identifiable container.
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GB.DRO.09.10.05f, date of preparation: January 2010
Bring your medicines when coming into hospital
 Medicines History on Admission
 An accurate history of pre-admission medicines helps to ensure
medicines are continued on admission to hospital
 Reduce errors and patient safety events
 Patients receiving their medicines on time
 Critical medicines e.g. insulin
 Reducing Waste
 Re-using the medicines during a hospital stay makes savings for the
health economy
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GB.DRO.09.10.05f, date of preparation: January 2010
Process for discharge medication
Discharge decision by Doctor on ward round
Pharmacy Team Informed
Electronic Discharge Prescription Written
Pharmacist checks prescription
Prescription sent to pharmacy for dispensing
Medicines Sent to ward
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GB.DRO.09.10.05f, date of preparation: January 2010
Discharge Facilitation and transfer of care
 Discharge medicine counselling
 Reminder chart
 Pharmacist or Pharmacy Technician or nurse
 Communication with Community Pharmacy
 New Medicines Services
 Medication Use Review
 Compliance aids (Dosett boxes, Medicine Cassettes)
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GB.DRO.09.10.05f, date of preparation: January 2010
Managing your Medicines
 New medication- ask your doctor
 What for?
 How long?
 Side effects/precautions?
 Always bring your medication and an up-to date list with
you to hospital- GREEN BAG
 Medicine Information Helpline 01322 428526
 Do not dispose off expired or unwanted medication in
domestic bins. Return to your community pharmacy for
safe disposal.
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GB.DRO.09.10.05f, date of preparation: January 2010
ANY
QUESTIONS?
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