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