Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
The Pharmacy Technician FOUNDATIONS AND PRACTICES Chapter 7 Health-System Pharmacy The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Figure 7.1 A health system pharmacy is often located within a hospital. The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Health System Pharmacy • Provided to residents of: – – – – Long-term care facilities (nursing homes) Hospitals Hospices Other residential facilities (prisons, etc.) • Provides around-the-clock delivery service • Provides prescription drugs in individually packaged blister packs The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Health System Pharmacy (cont.) • Often work with: – – – – – – Physicians Nurses Therapists Dietitians Laboratory personnel Other professionals The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Figure 7.6 The unit-dose system makes it very easy to track a patient’s medications. The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. The Unit-Dose System • The most efficient distribution system • Scanners may be used to track and bill for • • medications when they are dispensed Very easy to track a patient’s medications Unit-dose systems can be centralized, decentralized, or a combination The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. sample Click the image for a larger view of the worksheet. Figure 7.7 A sample medication order. The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Patient Information • Name • Room/bed number • Hospital ID number • Birth date/age The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Medication Information • Name • Dose • Frequency of administration • Route • Signature of prescriber • Date and hour the order was written The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Accepting a Medication Order • The medication order may arrive in the pharmacy in several different ways: – The order may be submitted electronically to the pharmacy, utilizing a point of entry (POS) or CPOE system – The order may be sent by way of a pneumatic tube device – The pharmacist may be handed the order directly The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Accepting a Medication Order (cont.) • The medication order may arrive in the pharmacy in several different ways: – The order may be faxed to the pharmacy – Orders may be sent through the institutional computer system – A technician may be assigned to collect medication orders from many sources throughout the institution The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Verification • Technicians may review the medication • orders for completeness These orders are called unverified The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Verification (cont.) • Unverified orders cannot be processed until they have been verified by a pharmacist – – – – – Correct order entry Potential interactions Allergies Drug utilization review Formulary utilization The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Comparing Centralized and Decentralized Unit-dose Systems • Centralized pharmacy system—all • pharmacy-related activities are performed from one location and medications are delivered to various patient care units throughout the facility Decentralized pharmacy system—consists of a central, or inpatient, pharmacy; multiple satellite pharmacies; and an outpatient pharmacy The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Filling a Medication Order • Filling prescriptions is one of the most basic duties of a pharmacy technician The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Filling a Medication Order (cont.) • Filling is more than counting and basic measuring – Pharmacy technicians are charged with maintaining the unit-dose system – Because many medications do not come in unit-dose form, it is the pharmacy technician’s responsibility to prepare all medications – Technicians preparing orders for IV medications or TPNs need specialized training The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Filling a Medication Order (cont.) • The final check is the sole domain of the • pharmacist No medications may be dispensed without the pharmacist’s final approval The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Pharmacy Technician Duties in HealthSystem Settings • Typically provide drug-related products • • and services 24 hours a day, 365 days a year Provide medications for emergency departments Many tasks once performed by the pharmacist are now delegated to pharmacy technicians The Pharmacy Technician: Foundations and Practices Mike Johnston, Karen Davis, and Jeff Gricar Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.