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Pharmacy Services

Pharmacy Services. North Glasgow Trained Nurses Induction Talk. Location. GGH – lower ground floor WIG- Church street outpatients Stobhill- End of main medical corridor (next to canteen!) GRI – Basement of old building. Opening hours. Monday- Friday GRI 9.00-5.00 Stobhill 08.30-4.45

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Pharmacy Services

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  1. Pharmacy Services North Glasgow Trained Nurses Induction Talk

  2. Location • GGH – lower ground floor • WIG- Church street outpatients • Stobhill- End of main medical corridor (next to canteen!) • GRI – Basement of old building

  3. Opening hours • Monday- Friday GRI 9.00-5.00 Stobhill 08.30-4.45 WIG 08.30-5.00 GGH 08.45-5.00 • Saturday All 09.00-12.00 • Sunday GRI 09.00-12.00 Out of hours: Oncall pharmacist through switchboard

  4. Pharmacy Departments • Dispensary • Distribution • Sterile products • Medicines Information • Clinical Effectiveness • Formulary • Clinical Trials • Clinical Pharmacists

  5. Dispensary

  6. Dispensary (1) • Discharge Scripts 1. screen - ph´cist 2. label 3. dispense 4. check 5. return - porter • Outpatient Scripts

  7. Dispensary (2) • Controlled drugs • Check ward´s order-day • Print + sign order (recorded signature) • Envopak • Consignment note:  sign + return copy

  8. Distribution

  9. Distribution • Technician led • Indents – to top up ward stock • Non ward stock ind. • Technician ward top-ups • Resuscitation trays

  10. Sterile Products • TPN orders via nutritional team • Some IV antibiotics/ antifungals • Cytotoxic drugs • MAPs (e.g. Infliximab)

  11. Medicines Information • Information on medicines • Advice on drug administration • Bulletins • Formulary • Clinical effectiveness

  12. Clinical Pharmacists • Support safe + effective use of meds • Info on medicines • Confirm drug history • Patient education • Medicines Managem. • Screen Discharge Rx • Develop protocols • Pre-assessment clinics

  13. Drug-Kardex Checklist (1) • Right patient? • Pt‘s name on every page • Allergies? • Rx Signed? • Generic name Special preparations: • Diltiazem- Brand • Theophylline- Brand • Carbamazepine-Retard or not? … • Dose, digits • Route

  14. Drug-Kardex Checklist (2) • Duration • Time of administration • Frequency • Duplication • Nurse also to sign on separate sheet (Gentamicin, Vancomycin) • Additional instructions • If out of stock (4): CHASE ORDER!

  15. YOU ARE THE LAST CHECKER !!!-Discharge Medication Check- • COMPARE WITH KARDEXas items can have been: • MISSED when copied from kardex to script • STOPPED or • ADDED since writing of prescription

  16. Medicines management • Some wards have a service called medicines management run by pharmacy technicians • Patients own medicines are used in this service • Drugs are stored in lockers beside each patients’ bed instead of drug trolleys • You will be given specific training on this service if you work on a medicines management ward

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