1. GB.DRO.09.10.05f, date of preparation: January 2010 Dartford and Gravesham NHS Trust Pharmacy Services in Hospital

2. 2 GB.DRO.09.10.05f, date of preparation: January 2010 Outline  What are the roles of the hospital pharmacy staff? Hospital Pharmacists Pharmacy Technicians  Medicine reconciliation and green bags  Discharge facilitation and (transfer of care)

3. 3 GB.DRO.09.10.05f, date of preparation: January 2010 Role of Hospital Pharmacist  The main role of a hospital pharmacist is to promote the safe and effective use of medication by: working with the doctors to ensure the selection of the best medication at the correct dose for an appropriate duration monitoring and preventing or minimising side effects and medicine interactions offering specialist advice to doctors, nurses and other healthcare professionals on medicines manufacturing specialised medications such as chemotherapy for cancer treatment

4. 4 GB.DRO.09.10.05f, date of preparation: January 2010 Role of Hospital Pharmacist……continued  promote the safe and effective use of medication by: providing medication counselling to patients dispensing medications for patients in wards, the emergency department and those attending outpatient clinics after discharge to ensure safe medication management, and to prevent errors and readmission to hospital.

5. 5 GB.DRO.09.10.05f, date of preparation: January 2010 Role of Pharmacy Technicians  Extended Roles Final accuracy checks on dispensed medicines Medication history taking Assessment of patients own medicines

6. 6 GB.DRO.09.10.05f, date of preparation: January 2010 Medicine on admission  Ensuring complete list of medications, accurately communicated to m inimise prescribing errors  When patients are admitted to hospital we ensure that; Current medications are not unintentionally omitted New medicines are prescribed, with a complete knowledge of what a patient is already taking Review of current medication  Process involves the participation of all healthcare professionals caring for you Doctor Pharmacy Technician Pharmacist Nurse

7. 7 GB.DRO.09.10.05f, date of preparation: January 2010 Green Bag  A ‘Green Bag’ is simply a clearly designated, easily identifiable bag which can be used for transporting medicines between and around care settings.  The purpose is to keep all the medicines belonging to a patient together in a readily identifiable container.

8. 8 GB.DRO.09.10.05f, date of preparation: January 2010  Medicines History on Admission An accurate history of pre-admission medicines helps to ensure medicines are continued on admission to hospital Reduce errors and patient safety events  Patients receiving their medicines on time Critical medicinese.g. insulin  Reducing Waste Re-using the medicines during a hospital stay makes savings for the health economy Bring your medicines when coming into hospital

9. 9 GB.DRO.09.10.05f, date of preparation: January 2010 Discharge decision by Doctor on ward round Pharmacy Team Informed Electronic Discharge Prescription Written Pharmacist checks prescription Prescription sent to pharmacy for dispensing Medicines Sent to ward Process for discharge medication

10. 10 GB.DRO.09.10.05f, date of preparation: January 2010 Discharge Facilitation and transfer of care  Discharge medicine counselling Reminder chart Pharmacist or Pharmacy Technician or nurse  Communication with Community Pharmacy New Medicines Services Medication Use Review Compliance aids (Dosett boxes, Medicine Cassettes)

11. 11 GB.DRO.09.10.05f, date of preparation: January 2010 Managing your Medicines  New medication- ask your doctor What for? How long? Side effects/precautions?  Always bring your medication and an up-to date list with you to hospital- GREEN BAG  Medicine Information Helpline 01322 428526  Do not dispose off expired or unwanted medication in domestic bins. Return to your community pharmacy for safe disposal.

12. 12 GB.DRO.09.10.05f, date of preparation: January 2010 ANY QUESTIONS?