on behalf of scarborough hospital pharmacy...helen holdsworth and sarah woodcock on behalf of...
TRANSCRIPT
![Page 1: On behalf of Scarborough Hospital Pharmacy...Helen Holdsworth and Sarah Woodcock On behalf of Scarborough Hospital Pharmacy](https://reader033.vdocuments.site/reader033/viewer/2022042018/5e765be236350935d733e08b/html5/thumbnails/1.jpg)
Helen Holdsworth and Sarah Woodcock On behalf of Scarborough Hospital Pharmacy
![Page 2: On behalf of Scarborough Hospital Pharmacy...Helen Holdsworth and Sarah Woodcock On behalf of Scarborough Hospital Pharmacy](https://reader033.vdocuments.site/reader033/viewer/2022042018/5e765be236350935d733e08b/html5/thumbnails/2.jpg)
Part of York Teaching Hospitals NHS Foundation Trust
330 beds
Serves population of 200,000
40-50 admissions per day
12.6 wte pharmacists
5 medicines management technicians
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Reduced length of stay
Increasing admissions
Pressure to prioritise discharges
Shortages of pharmacists
Conflicting demands
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1. Reduce drug charts in pharmacy
2. Improve rates of medicines reconciliation/pharmacist initial review
3. Improve the number of follow up reviews
4. Improve the discharge process
5. Improve staff morale
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3 teams
Coordinators
Initial visits by 10.30
New patients seen by 1pm
Follow up reviews pm
Discharges by team
FLEXIBILITY, COMMUNICATION, CO-OPERATION, TEAM WORK AND RESPECT – PUTTING PATIENT CARE FIRST
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Nursing staff time
Reduced missed doses
Enable pharmacist review
Enable medical staff review
Less interruptions in the dispensary
Results
Pre – 25 per day
Post 1-2 per day
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Weekend clinical service
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High risk medicines
VTE
Antibiotics
Polypharmacy
On-going monitoring
Results
Pre 312
Post 414
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Results
Number supplied completely from ward level 28=> 90
Number with some involvement at ward level 73=>341
Reduced waste/duplication
Opportunity to discuss medication with pharmacy staff
Improved dispensary turn round times
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Happiness scale 6=>8
Impact on the dispensary
“My colleagues are less stressed which makes me happier”
“The system is more flexible and responsive, please continue to use it”
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Dispensary closed on time every night
More support for junior staff
Better quality of requisitions
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Increase follow up reviews
Role out of EPMA
Introducing medicines management assistants