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  • Slide 1
  • Hospital Pharmacy Payam Parchamazad, PharmD Staff Pharmacist Capital Regional Medical Center Tallahassee, Fl
  • Slide 2
  • Ownership Government Owned VA Hospitals Hospital affiliated with state universities Non-Profit Privately Owned Responsible for own funding May be for profit or non-profit
  • Slide 3
  • Care Provided Acutely Ill Chronically Ill with acute illness Primary Basic Care Secondary Involves a specialist Tertiary Requires specialized skill, technology or support services
  • Slide 4
  • Teaching Affiliation Teaching Hospital Shands Teaching affiliated Hospitals TMH Non-Teaching Hospitals CRMC
  • Slide 5
  • Pharmacy Organization Functional Divisions Administrative Clinical Distributive Physical Locations Centralized Decentralized Combination
  • Slide 6
  • Administrative Director of Pharmacy Assistant Directors Clinical Coordinator Medication Safety Officer
  • Slide 7
  • Director of Pharmacy Responsible for the entire pharmacy department. Responsible for Policies & Procedures Ensuring compliance with Joint Commission Standards. Pharmacy Budget Serves on various committees
  • Slide 8
  • Assistant Directors May be over inpatient services or outpatient services. Responsible for Staff Maintaining the appropriate pharmacy license for the establishment.
  • Slide 9
  • Clinical Coordinator Supervises clinical pharmacists Developing and maintaining clinical programs Annual employee assessments Participates in P&T
  • Slide 10
  • 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
  • Slide 11
  • Clinical Clinical 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.
  • Slide 12
  • Distributive Deliver 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.
  • Slide 13
  • 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.
  • Slide 14
  • 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 revised Physicians may order medications that are non-formulary if it is necessary.
  • Slide 15
  • 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.
  • Slide 16
  • Pharmacy & Therapeutics Committee Develop and monitor quality issues in regard to correct drug use for the organization. Monitor adverse drug reactions Develop 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.
  • Slide 17
  • Automated Medication Dispensing Devices
  • Slide 18
  • What are they??? Drug storage devices or cabinets that electronically dispense medications in a controlled fashion. Can be stocked by centralized or decentralized pharmacies.
  • Slide 19
  • 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.
  • Slide 20
  • Pyxis Medstation Units are kept on the patient care units Computer 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.
  • Slide 21
  • 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.
  • Slide 22
  • Potential for Harm?? Refill errors Medication shift from one drawer to another Reduction of medication errors
  • Slide 23
  • Questions Dr. Payam Parchamazad parchamp@gmail. com Capital Regional Medical Center 850 325 5070
  • Slide 24
  • THANK YOU FOR YOUR ATTENTION