Focus Points On Pharmacy Unit-dose System

Awhile a go, I summarized our hospital policy for the unit-dose issuance system in the inpatient pharmacy, and Below are the listed focus points regarding set ot daily work parameters as mentioned in the guidelines and our standards of care.

#	SUMMARIEZED	FOCUS POINTS
1	Unit dose orders:	· Authorized licensed physician · Ready to be dispensed for admitted patients.
		There is prescribing Privilege of some medications based on the physician specialty.
		Radioactive Substances are handled and controlled completely by Nuclear Medicine Department only.
		Ordering of Non Formulary medication(s) must be through Formulary Exception Request Form.
2	STAT Order	20 minutes
3	New Order	new medication
4	Re-Order:	After reaching the stop date.
5	verbal order:	4 hours
		Received and documented by the following health care professionals registered licensed nurses, dieticians, respiratory therapists, radiology technicians, dental technicians, ECG technicians and laboratory technicians.
		only during extreme emergency when immediate action is required and the doctor is unable to write the actual order.
		Verbal orders are not permitted for: a) Narcotic / controlled medications b) High Alert Medications (except in ICU).
		• Dopamine inj. (Changing the infusion rate). Read morePatient and Family Rights (PFR) • Dobutamine inj (Changing the infusion rate). • Chlorpheniramine inj. • Atropine inj • Naloxone inj • Hydrocortisone inj • Labetaolol inj Read moreCONSULT / MEDICATION RECONCILIATION • Verapamil inj • IV fluids • Glyceryl Trinitrate inj
6	telephone order:	24 hours
		Received and documented by the following health care professionals registered licensed nurses, dieticians, respiratory therapists, radiology technicians, dental technicians, ECG technicians and laboratory technicians.
		Telephone orders are not permitted for: a) Narcotic / controlled medications b) High Alert Medication except in ICU
		• Analgesics/Pain Killer • Antipyretics. Read moreCombined management and MRP • Antispasmodic • Oral antihypertensive medication • Oral hypoglycemic agents • Laxative • NSAID • IV fluids Read moreHow To Provide Healthcare Solutions? 5 Signs • Anti flatulent drugs • Cough syrup. • Antiemetic
7	discontinue Order:	Stop the medication.
7	discontinue Order:	Medication Discontinue should be done Electronically and Signed stamped by Physician and return back to pharmacy with all patients medication plastics.
8	Out Patient medications prescribing:	· authorized by licensed physician · Outpatients.
9	Narcotic& Controlled medications ordering	· Narcotic & Controlled · Authorized licensed physician.
9	Narcotic& Controlled medications ordering	Physicians are not allowed to prescribe controlled drugs for them self or their families.
10	Floor stock medication ordering	· medications / IV Fluids and Nutrition · licensed registered nurse Read more6 IPSG - International Patient Safety Goals · Approved floor stock list.
11	All medication orders should have all patient’s information and the name of the nursing unit	· date and time ordered, · Diagnosis, · Allergies, · drug name, · dosage in metric units and per Wight for specific medication(s) in pediatric population, · route of administration, · frequency · Start and stop date (ASO).
12	PRN	· Instruction for the PRN medications use · frequency and the dose range · indications · No Administration time
13	Pharmacist	review, check and verified before dispensing for the following: • appropriateness of the drug, • dose, frequency, • rout of administration • Therapeutic duplication • allergies or sensitivities • drug-drug/drug-food • Patient weight and other physiological information • Other contraindication • Complying with hospital drug protocol (criteria for use) • All Orders must have all data completed.
14	Patient transfer	Different level of care
45	Going to surgery	Hold and revive
16	unclear, illegible and incomplete prescriptions/orders	Contact the physician