Pharmacy Services North Glasgow Trained Nurses Induction Talk.
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Transcript of Pharmacy Services North Glasgow Trained Nurses Induction Talk.
Pharmacy Services
North GlasgowTrained 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- FridayGRI 9.00-5.00Stobhill 08.30-4.45WIG 08.30-5.00GGH 08.45-5.00 SaturdayAll 09.00-12.00 SundayGRI 09.00-12.00
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
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