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Colin Ward Lead Pharmacist – Cancer Services & Duane McLean Clinical Effectiveness Pharmacist Wireless Drug Ordering- Pilot project.

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Presentation on theme: "Colin Ward Lead Pharmacist – Cancer Services & Duane McLean Clinical Effectiveness Pharmacist Wireless Drug Ordering- Pilot project."— Presentation transcript:

1 Colin Ward Lead Pharmacist – Cancer Services & Duane McLean Clinical Effectiveness Pharmacist Wireless Drug Ordering- Pilot project

2 Background (1) Royal Derby Hospital comprises 4 satellite pharmacies undertaking aseptic and tablet dispensing –each with own dispensary stock holding stock checks stock top-ups –potential for economy of scale Main dispensary houses a robot –capacity to increase use

3 Background (2) Traditional method of ordering named patient medicines appears cumbersome –Delays getting orders from ward pharmacy team to dispensary –Legibility of orders Further delays Risk –Fixed delivery times to wards from satellite dispensaries

4 More background Chemotherapy satellite pharmacy has competing pressures related to day case chemotherapy –Oral dispensing –Aseptic dispensing Releasing Time to Care: The Productive Ward project showed that drug rounds were often extended as medicines not in bedside lockers –Medicines were on ward but had not been unpacked Does not help support self administration Right drug in the right place at the right time –May result in repeat dispensing activity ££ Time Pressure on OOH service

5 The Idea Order named patient medicines using JAC at ward level via laptop & wireless network Orders dispensed by robot Ward trained pharmacy team –deliver to ward –reconcile against in-patient chart –place directly in bedside locker –counsel patient (if appropriate)

6

7 Aims 1.To better understand flow of traditional method of ordering named patient medicines 2.To test an alternative model of ordering named patient medicines 3.To test the concept of remote ordering pre-EPMA 4.To test the concept of using the robot to dispense more of the in-patient workload

8 Traditional Workflow (PTS)

9 Time of Porters vs. Dispensing

10 Wireless Pilot Orders arrive in dispensary earlier & dispensing is instant

11 Comparison of Approaches

12 Issues during pilot 1.As only a pilot, staff unable to reconcile urgent orders late in the day 2.Competing workload/staffing pressures could cause delays in distribution 3.Pilot only one ward, so chemo satellite still functioning as a dispensary for other wards 4.Robot in-line labelling 5.Wireless black-spots 6.Need for a trolley for the laptop 7.Cant dispense specials remotely (need BN)

13 Pharmacy Staff Satisfaction

14 Summary Medication was dispensed by the robot by the time that order cards would arrive in the satellite dispensary under the traditional approach When other members of the team were asked whether we should revert back to the traditional model there was a resounding response of No which would imply that the pilot was successful Pilot demonstrated proof of concept for remote ordering –Potential to interface EPMA to pharmacy stock control system

15 The future… Recently rolled out across all three cancer wards –Looked at use of wireless terminals already on most wards (often under-utilised) but issues with installing JAC on these –Delay whilst approval to purchase toughbook laptops Reducing stock holding in chemo satellite now workload moved to robot Considering use of robot to dispense pre-chemo anti- emetics (planned workload) Potential to –Manage stock returns to JAC live –Top-up live Awaiting EPMA


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