Unit dose system

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UNIT DOSE SYSTE Prepared by :- Ph . ABDULKAREM ALSUNAIDI Supervisor of In-Patient Pharmacy in BCH

description

unit dose system for in patient pharmacies in hospital ... this presentation for centralization distribution model

Transcript of Unit dose system

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UNIT DOSE SYSTEM Prepared by :-

Ph . ABDULKAREM ALSUNAIDISupervisor of In-Patient Pharmacy in BCH

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TYPE OF HOSPITAL PHARMACY :-

Hospital Pharmacy

In-PatientPharmacy

OPDPharmacy

Other ( DPIC , INVENTORY ,

TPN )

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What is In-Patient Pharmacy ?

• A pharmacy located in a hospital which services only those patients in the hospital

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unit dose system is one department of inpatient pharmacy

Inpatient Pharmacy

Floor Stock Inspections Unit Dose Discharge Rx

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WHAT IS UNIT DOSE SYSTEM ?

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Unit-dose medications have been defined as:

“Those medications which are ordered, packaged, handled, administered and charged in multiples of single dose units containing a predetermined amount of drugs or supply sufficient for one regular dose application or use.”

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Other definition :-

• One Unit dose Dispense (OUDD) is define as:- ( system for preparation and distribution of drug

served in a single dose and made ready to be consumed once )

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What is Drug Distribution?

• Manner in which medications are providedfrom the pharmacy to the clinical unit

• Includes the period of time from when thedrug is “dispensed” until it is“administered”

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- Type of Drug Distribution :-

Drug Distribution

Model

Centralized

Floor Stock

Cart Fill

Decentralized

Satellite Services

Automated Dispensing

Cabinets

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Current Models for Medication Distribution

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Unit Dose System

• First used in hospitals in 1960’s.

• Used to decrease medication administration errors by nursing staff, and reduce medication waste .

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What is advantage of unit dose system ?

1- Patients receive improved pharmaceutical service 24 hours a day and are charged for only those doses, which are administered to them.

2- All doses of medication required at the nursing station are prepared by the pharmacy thus allowing the nurse more time for direct patient care.

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3- Allow the pharmacists to interpret or check a copy of the physician’s original order thus reducing medication errors.

4- Elimination excessive duplication of orders and paper work at the nursing station and pharmacy.

5- Eliminates credits.

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6-Transfers intravenous preparation and drug reconstitution procedures to the pharmacy. (Return medicine)

7-Promotes more efficient utilization of professional and non- professional personnel.

8-Reduces revenue losses.

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9-Conserves space in nursing units by eliminating bulky floor stock.

10-Eliminates pilferage and drug waste.

11-Extends pharmacy coverage and control throughout the hospital from the time the physician writes the order to the time the patient receives the unit-dose.

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14- Central Location of Drugs.

15-Medications Ready for Administration.

16- Patient Safety.

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What is disadvantage of unit dose system ?

1- More pharmacy processing time and equipment cost

2- Requires more storage space

3- No cost savings to pharmacy

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Medication carts

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• Contain an individual drawer or tray for each patient

• Each individual drawer in a medication cart is filled daily to meet patient medication needs.

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How is the division of the trolley

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How is the work of Unit Dose ?

• Each drawer for one patient .• Each patient must have Medication Form

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Component of Medical Form :-

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Components of Medication Form

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1- Allergies:- (List of drug and/or food allergies and the

allergic response experienced (e.g., rash, anaphylaxis).

2- Weight . 3- Medication Order .

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Medication Order !!

Medication Orders

P.R.N Order Standing Order STAT Order

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Medication Orders :-

• Standing order :- A standard (Regular) medication order for

patients to receive medication at scheduled intervals (e.g., 1 tablet every 8 hours)

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• PRN order :- (pro re nata) An order for medication to be administered

only on an as needed basis (e.g., 1 tablet every 4 to 6 hours as needed for pain).

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• STAT order: An order for medication to be administered

immediately

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Packaging Machine

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A. Patient name B. Medication nameand strengths C. Time of administration D. Bar code.

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THANK YOU