Download Chapter 7 Health-System Pharmacy

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:
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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:
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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
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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
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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
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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
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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
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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.