6 Administrative Director of Pharmacy Assistant Directors Clinical CoordinatorMedication Safety Officer
7 Director of Pharmacy Responsible for the entire pharmacy department. Policies & ProceduresEnsuring compliance with Joint Commission Standards.Pharmacy BudgetServes on various committees
8 Assistant DirectorsMay be over inpatient services or outpatient services.Responsible forStaffMaintaining the appropriate pharmacy license for the establishment.
9 Clinical Coordinator Supervises clinical pharmacists Developing and maintaining clinical programsAnnual employee assessmentsParticipates in P&T
10 Medication Safety Officer Oversees all aspects of medication safety.Coordinates medication safety interventions.Responsible for educating all health care professionals about medication safety.Medication Safety IssuesLook-a-likeSound-a-likeIllegible handwritingUnapproved abbreviations
11 Clinical Clinical pharmacists Generally work in decentralized units May round with physiciansWork with physicians, nurses, and other health care professionals to manage patient drug therapy.May have to perform order entry.
12 Distributive Deliver the medications to the patient care units. Pharmacy technicians & PharmacistsMedications may be delivered through a tube system or they may be sent in bulk to the patient care units.
13 Classification According to Location CentralizedStaff PharmacistPharmacy TechniciansDistribute medications from a central locationDecentralizedClinical PharmacistClinical ServicesOrder EntryPharmacy Technicians (sometimes)Reside on nursing units or wards, may serve more than one unit.Often times may be a combination of both.
14 List of medications approved by an expert panel of healthcare practitioners, predominantly physicians and pharmacists.Each medication on the formulary is kept in-stock in the pharmacy.The Formulary Book is a list of all the pharmaceuticals stocked in the pharmacy.Continuously updated and revisedPhysicians may order medications that are non-formulary if it is necessary.Formulary Systems
15 Pharmacy & Therapeutics Committee Evaluate pharmaceutical products and make the decision whether or not to include them on the formulary.Products are evaluated based on efficacy, safety, ease of use and cost.Provide educational materials and programs about drug products added to the formulary to all healthcare practitioners.Pharmacy & Therapeutics Committee
16 Pharmacy & Therapeutics Committee Develop and monitor quality issues in regard to correct drug use for the organization.Monitor adverse drug reactionsDevelop generic substitution policies and procedures.Interact with quality assurance or medical utilization committees in the development of treatment guidelines for drug therapy.Subcommittees may be formed to address specific issues.Pharmacy & Therapeutics Committee
18 Drug storage devices or cabinets that electronically dispense medications in a controlled fashion. Can be stocked by centralized or decentralized pharmacies.What are they???
19 Allow for medications to be obtained for inpatients at the point of use. Free pharmacists from labor-intensive distributive functions and help pharmacists provide pharmaceutical care.Improve the accuracy and timeliness of distributive functions.Assist with inventory control.Advantages
20 Pyxis Medstation Units are kept on the patient care units Computer interfaces with pharmacy computers.Physician orders are entered into the pharmacy computer. This information is then sent electronically to the Medstation where it is displayed on the patient profile.Nurses are given personal passwords or Bio ID.Nurse selects a medication and the drawer containing the medication opens.Pharmacy technicians restock the units.Pyxis Medstation
21 Education and Training Must have procedures for ensuring that all the staff members involved receive adequate education and training.Should ensure that there are adequate resources for providing effective education and training on a continual basis are present.Must evaluate staff to ensure competency in the use of automated machines.Education and Training
22 Potential for Harm?? Refill errors Medication shift from one drawer to anotherReduction of medication errorsPotential for Harm??
23 Questions Dr. Payam Parchamazad parchamp@gmail. com Capital Regional Medical Center