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 Stobhill WIG GGH Saturday All Sunday GRI Out of hours: Oncall pharmacist through switchboard

Pharmacy Departments Dispensary Distribution Sterile products Medicines Information –Clinical Effectiveness –Formulary Clinical Trials Clinical Pharmacists

Dispensary

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

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

Distribution

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

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

Medicines Information Information on medicines Advice on drug administration Bulletins Formulary Clinical effectiveness

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

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

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!

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