Transcript Pharmacy Services

Pharmacy Services
North Glasgow
Trained Nurses Induction Talk
Location

GGH – lower ground floor
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WIG- Church street
outpatients
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Stobhill- End of main
medical corridor (next to
canteen!)
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GRI – Basement of old
building
Opening hours
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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
Pharmacy Departments
Dispensary
 Distribution
 Sterile products
 Medicines Information
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– Clinical Effectiveness
– Formulary
Clinical Trials
 Clinical Pharmacists
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Dispensary
Dispensary (1)
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Discharge Scripts
1. screen - ph´cist
2. label
3. dispense
4. check
5. return - porter
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Outpatient Scripts
Dispensary (2)
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Controlled drugs
– Check ward´s orderday
– Print + sign order
(recorded signature)
– Envopak
– Consignment note:
 sign + return copy
Distribution
Distribution
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Technician led
Indents – to top up
ward stock
Non ward stock ind.
Technician ward topups
Resuscitation trays
Sterile Products
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TPN orders via
nutritional team
 Some IV antibiotics/
antifungals
 Cytotoxic drugs
 MAPs (e.g. Infliximab)
Medicines Information
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Information on
medicines
 Advice on drug
administration
 Bulletins
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Formulary
 Clinical
effectiveness
Clinical Pharmacists
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Support safe +
effective use of meds
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Info on medicines
Confirm drug history
Patient education
Medicines Managem.
Screen Discharge Rx
Develop protocols
Pre-assessment clinics
Drug-Kardex Checklist (1)
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Right patient?
– Pt‘s name on every page
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Allergies?
Rx Signed?
Generic name
Special preparations:
– Diltiazem- Brand
– Theophylline- Brand
– Carbamazepine-Retard
or not? …
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Dose, digits
Route
Drug-Kardex Checklist (2)
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Duration
Time of administration
Frequency
Duplication
Nurse also to sign on
separate sheet
(Gentamicin, Vancomycin)
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Additional instructions
If out of stock (4):
CHASE ORDER!
YOU ARE THE LAST CHECKER
!!!
-Discharge Medication Check
COMPARE WITH
KARDEX as items can
have been:
– MISSED when copied
from kardex to script
– STOPPED or
– ADDED since writing of
prescription
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