Recaboots Hospi Phar

8/17/2019 Recaboots Hospi Phar

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UNIT DOSE PROCESS

Orders are written on the patient care area and sethe pharmacy through various methods. Some house couriers whie others use pneumatic tu!e sysdeivery "or order transmission. Some orders aredeivered to decentrai#ed pharmacy sateites oc

near or within nursing units. Increasingy$ physiciaorders are !eing sent to the pharmacist through tCPOE.


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%"ter receiving the medication order$ the pharcari&es any discrepancies with the prescri!er.the order is reviewed the medication is enteremedication pro&e in the pharmacy in"ormationsystem. The medication pro&e is the primary

used !y pharmacists to document patientmedications.


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%"ter each physician order$ the nurse,s medicationadministration record or -%R is updated on the nunit. The -%R is a record ocated on nursing unitsthe medications that are prescri!ed "or the patienincuding administration times. Prior to giving the

medication to the patient$ the nurse dou!e chec-%R against the patient order to ensure that it isappropriate. %"ter patient administration$ the nursinitias the -%R to denote that the drug was givenwhat time.


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/oth the P-P and -%R are ined within each eecmedication system in each institution. The -%R isupdated instantaneousy with each new order entthe medication pro&e. Some systems use hard coeach -%R in every () hours. Changes in the patie

medications are updated manuay on the nursingunti the ne't computeri#ed -%R is deivered.


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On the nursing unit$ medications are typicay stoeither automated dispensing ca!inets or ocedmedication carts. There are two sections in a medcart. One is a common are o" the cart where !umedications and *oor stoc can !e stored. The ot

section contains individua patient medication !inpatient !ed has a separate compartment where aindividua patient,s unit o" use medications are st These patient medication !ins are &ed !y the phand can ony !e accessed !y a nurse or other app

representative. Carts have whees !ut are usuay


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Each day the medications in this cart are e'changnew ones "or the day. The previous day,s medicatreturned to the pharmacy and medications that h!een given are evauated. The unused ones are cto the patient since many systems charge upon

dispensing.


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Narcotics$ PRN 0as needed1 medications and emedrugs "oow a di2erent process than the cassic usystem. Schedue II cannot !e stored in a medicat!ecause they do not provide enough security andthey are stored in a oced ca!inet with access im

a "ew individuas. Periodicay pharmacy personneinventory o" the controed medications on the nuunit to veri"y records and ensure that no diversiontaen pace. %nother more commony used optionautomated dispensing ca!inet


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3anding o" PRN medications varies in every instit!ut one method is to eep them in the pharmacy dispense upon re4uest. This one provides the moscontro over medication distri!ution !ut it is rarey!ecause o" the time !urden that might resut into

in dispensing and administration.


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%nother method is to send up a sma amount o" medications "or each patient in their medication d The downside to this process is that many doses adaiy to the nursing unit and returned unused. Thine5cient !ecause it adds time to the cart repen

process and reduces inventory turnover.


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-ost hospitas now use a imited *oor stoc systewhere medications with ow potentia "or misuse apatient harm 0a'atives$ antacids1 are stored in sm4uantities in the medication cart.


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Emergency medications are a seect num!er drugneeded to !e ept on site to respond immediateypatients who deteriorate 4uicy due to "aiure o" organ systems. These medications must !e avaiainstanty !ecause any deay can !e catastrophic

patient. These are avaia!e in tamper evident !o'carts.


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-edicationorders written

and sent topharmacy

Pharmacistreceives andreviews order

Order is enteredinto the drug

pro&e

Order is &ed !ytech and

checed !ypharmacist

-edication issent to *oor !y

courier$ !ypneumatic tu!eor with a nurse

New order isrecorded onto

the -%R

On thenurse c

the medagain

patient

Nuadminismedica

the pa

Nurse rwhen athe dru

administthe pa

-%


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-edication Deivery "rom Pharmto Patient Care Unit

Medication Category Delivery/Storage Method

Sta!e schedued medications % () hour suppy is ept in a patient spemedication cart in the unit

Unsta!e schedued medications %utomatic deivery o" medications to thadministration time

Schedued I89TPN soutions %utomatic deivery o" medications to thadministration time

PRN medications :imited suppy is ept in a patient specicart. Some PRN medications are ept insuppy and deivered !y the pharmacy i

the unit

Controed medications % imited patient speci&c suppy is secudispensing ca!inet or in a medication ca

ST%T medications Deivered !y the pharmacy in response

Emergency medications Emergency drug its are ocated on unitpharmacy in response to a re4uest "rom

Investigationa medications Per investigationa drug protoco


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Documents

Recaboots Hospi Phar