introduction to pharmacy practice ppt
Women were reported to be earliest gatherers of medicinal plants but the practice was taken up by men in the society. Turboprops . significant, Comparative Effectiveness Reviews and Evidence-based Practice - . Learning Outcomes •Compare & contrast technician & pharmacist roles •Understand licensing, certification, registration terms •Describe advantages of formal training for technicians •Describe a variety of pharmacy practice settings •Describe characteristics of a professional . overview. vitamins- folic acid spring 2006. folic acid study guide. Introduction to Pharmacy Practice. the applicable study guide, Introduction to Insurance Practice - . Hospital formulary. Pharmacy Practice. Early studies show that man used clay, mud, leaves and supernatural means for alleviating symptoms of various diseases. Learning Outcomes. Practical Methods for Pharmacy Practice Research - . ptce practice questions. Chapter 5: Home Care Pharmacy Practice . Pharmacology Free Course. • via facsimile machine • Rules & regulations for narcotics specific to state, Nurse & Pharmacist • Coordinate patient supplies • Develop plan of care • Monitor , document patient’s status • Communicate with physician • Coordinate physician orders • Make appropriate interventions • Assess & educate home care patients • Work jointly to perform organization’s clinical quality assurance activities, Nurse • Primary patient educator • Assesses • patient’s physical status • patient’s adherence to treatment plan • condition of catheter • psychosocial issues • Maintenance of intravenous catheters • Placement of peripheral catheter • Insertion of peripheral long-term catheters or PICC • Schedule & perform all blood work, Pharmacist • Responsible for proper acquisition, compounding, dispensing, & storage of drugs • Responsible for instructing patient & nurse on drugs being administered • Clinical pharmacy roles • pharmacokinetic dosing of vancomycin & aminoglycosides • nutritional support services • input in selection of most appropriate drug for patient • Pharmacist is drug information source for all other team members, Pharmacy Technician • Generates medication labels • Prepares & labels medications • Maintains clean room & drug storage areas • Coordinator of IV room • Works with pharmacist on • mixing schedule, ordering & maintaining drug & mixing supplies, performing quality assurance on compounding activities • Manage warehouse/inventory of non-drug supplies • Track of accounts receivable • Pick/pack supplies for shipment to patients, Reimbursement Specialist • Key to economic viability of company • Interface among insurer, home infusion company, & patient • Coordinate all billing for services • Negotiate price of services with insurers • Well-versed in public aid & government reimbursement programs (Medicaid & Medicare), Patient Service Representative • Controls patient’s inventory of supplies • Contacts patient or caregiver on routine basis • Coordinate pickup of supplies at end of therapy • Pharmacy technician may be responsible for this job, Patient and Caregiver • Involved in development of care plan • Patient has right to be involved • Clearly stated in rights & responsibilities document • Established on initial visit, Antibiotics • Account for 40% - 70 % of current home infusions • Cephalosporins • ceftriaxone (Rocephin) • cefazolin (Ancef) • cefepime (Maxipime) • low incidence of adverse reactions • require minimal monitoring • stable for 10 days -ideal for weekly deliveries • ceftriaxone is often prescribed-given once daily, • many cephalosporins can be administered as IV push, Penicillins • Common IV antibiotics • Difficult to use in home • frequency of dose • stability of medication • allergies • Phlebitis • Ambulatory pumps-often used with penicillins • Other systems used • ADD-Vantage® • Add-Ease®, Vancomycin • Red Man Syndrome • Individualized dosing • Irritating to veins, Other Antibiotics • Azithromycin (Zithromax) • Doxycycline • Fluoroquinolones • Carbapenems • Daptomycin (Cubicin) • Linezolid (Zyvox) • Quinupristin/dalfopristin (Synercid), Antifungals • Uses • transplant patient • immunocompromised patient • Common medications • Intravenous amphotericin B • premedication for reactions • oral acetaminophen and diphenydramine. learning outcomes. shhhhhhh …. Laboratory formularies: improving care, reducing costs. Introduction to the Pharmacy Profession is an independent publication and has not been authorized, sponsored, ... Research, clinical practice, and government regulations often change the accepted standard in this field. Learning Outcomes. View and Download PowerPoint Presentations on Introduction To Pharmacy Practice PPT. Introduction to Pharmacy Practice . Centralized Pharmacy Services • Central location • sterile preparation area (clean room) • aseptic preparation of IV medications • medication cart filling area • outpatient prescription counter; • storage area for medications and supplies • advantage of centralized services: fewer staff members • disadvantages : • lack of face-to-face interactions with patients/providers • Increased time to deliver medications to patient care areas. Scope of pharmacy ppt Deepak Sarangi. Pharmacy Practice Residency - . terms closely associated with standards of practice: quality quality, Pharmacy Tech Introduction - . … • Independent, not-for-profit organization • Accredits more than 15,000 health care organizations • Publishes guides to prepare for onsite inspections • Pharmacy staff including technicians need to know requirements /standards, Benefits of Accreditation • Strengthens community confidence • quality • safety • Competitive edge in marketplace • Improves risk management & risk reduction • Provides education on good practices • Provides professional advice & counsel • Helps staff education, recruitment, development, Technology • Wireless telecommunications • Cellular phones • Pagers • Fax machines • Computer networks • Built-in alarms to alert health care providers • Accurate record keeping (e.g., inventory control) • Decreased prep of medications due to unit dose forms • Reduced errors, waste, costs, Automation • Automated compounders • Automated medication dispensing system • Robotics • Inventory Control • Reduced diversion • Data mining opportunities • Surveillance of health care information • Technicians play key & innovative roles, Computer Systems • CPOE=Computerized Physician Order Entry • Prevents extra step of transcription (error prone) • Pharmacist can more quickly review & verify order • label will automatically print in pharmacy to be filled • or nurse removes drug from automated medication cabinet, © 2020 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. Lecture Notes in Pharmacy Practice comprises 70 concise chapters covering clinical pharmacy in both community and hospital settings, as well as the practice of pharmacy in other areas. Pharmacy Mcqs. Pharmacy: An Introduction to the Profession is an ideal resource for orientation or introduction to pharmacy courses on both the professional and the preprofessional level. Development of hospital formulary for a tertiary care teaching. Pharmacy Practice Definition The applications of knowledge and skills of pharmacists, and the infrastructure of pharmacy, to meeting the health needs of the population. Disease continues to trail man since the “Fall of Man” and he has continued to seek ways of curing them. Good pharmacy practice guidelines. jeffery d. evans, pharm.d . Hospital Pharmacy - . pharmacy technicians. S. I programme ppt. Pharmacy practice and extended role of the. Chapter 1. introduction to pharmacoepidemiology. compare & contrast. steve riddle, bs pharm, bcps qi and medication utilization lead hmc, Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success - . This most likely developed from the observation of very poor business practices used by some firms. perry, Radiopharmaceutics - . Yule's [full text] promoting evidence-based practice in pharmacies | iprp. Pharmacy Practice Model Initiative - . I nutritional practices I medical practices 11/19. radiopharmacy = nuclear pharmacy nuclear pharmacy is a specialty area of. yvonne thomas december 2011. community of practice. clinical pharmacy Sohan Patel. Presentation Title: Introduction To Pharmacy. Create stunning presentation online in just 3 steps. pharmacy announcements. Field Pharmacy Practice - . 77mb. Introduction to Pharmacy Practice. identify the, INSTITUTIONAL PHARMACY PRACTICE STANDARDS - . Introduction to pharmacy practice. Opoid poisoning lamrin33. personal, Pharmacy 483: QI and DUE in Pharmacy Practice - . Introduction to Pharmacy Practice - . 4. Introduction ix Part I. The practice of pharmacy within the hospital under the supervision of a professional pharmacist is known as hospital pharmacy. Gpp v1 2010 ev a. Indd. Incompatibility. Introduction •Definitions •Pharmacy education •Clinical pharmacist degree •Departments of pharmacy college •Pharmacy education fields •New trends in pharmacy education. Loosened Physicked Unmeaning Turbojets GU Cheep. We pride ourselves on providing our customers with the best experience possible. underwriting & claims reserving. Drug formulary development &. Describe differences between centralized & decentralized pharmacies List at least 2 types of services provided by hospital pharmacy departments Slideshow 1278186 by niveditha This pharmacy course, learn about the principles of pharmacy practice, including the responsibilities of the pharmacy technician and medication safety. 280-300) pharmacy is “self-regulated” profession, Consultation skills for pharmacy practice Where did it start ? Naloxone admin timmct. chief. - . Clinical pharmacy is a branch of pharmacy that involves the provision of patient care with the use of medications to optimize the health outcomes of patients. Community pharmacy also decides the proper regimen of drug to the patient. this presentation will probably involve audience, Introduction to PGIS Practice - . Voodooing. objectives. This … It also gives the knowledge to how to administer the drug to the patient. Download introduction to pharmacy PPT for free. In this manner, clinical pharmacy is totally patient oriented and deals with rationale of drug therapy. Pharmacy & formulary. tablets, capsules, inhalers, creams etc.) Pharmacy Practice - . luc soete unu-merit, university of maastricht the netherlands. Chapter 5: Home Care Pharmacy Practice . Definitions •Pharmacy: The health science which deals with drug preparation and dispensing •Pharmacist (druggist): The person who is licensed to prepare and dispense drug. Pharmacists in the health care team: a policy perspective 1 1 New paradigm for pharmacy practice 3 1.1 Introduction 3 1.2 Main learning objectives 5 1.3 What is health? Decentralized Pharmacy • Services provided from patient care areas • Pharmacy satellites • on patient care units • drugs are stored, prepared, & dispensed for patients • may be staffed by 1+ pharmacists & technicians, Decentralized Pharmacy • Advantages • pharmacist interacts with patients • more opportunities to discuss the plan of care, answer drug information • technicians -close to medication storage used by nurses • Disadvantage • require additional resources • personnel to staff a decentralized satellite • equipment (laminar flow hoods, computers, and printers) • references & second inventory of medications, Clinical Practitioners • Involved in all aspects of drug therapy • ensure appropriate, safe, cost-effective care • ensure problems requiring drug therapy are treated • check appropriateness of medication • check dose, dosage form, administration technique • monitor effects of medication • laboratory results • patient-specific parameters, Committee Participation • Pharmacy and Therapeutics (P&T) Committee • standing committee • multidisciplinary • makes decisions about use of medications • makes decisions for the institutions’ formulary • Computer implementation committee • example of ad hoc committee, Policy & Procedure Manuals • The Joint Commission requires policy & procedure manual • Contains • descriptions of all of pharmacy functions & services • policies for operations • procedures explaining how to execute policies • Allows for standardized procedures • method for communication & education • Many policies & procedures in hospitals are multidisciplinary, Drug Distribution Services • Steps required to get drug to patient • Methods vary in each hospital • Pharmacy is responsible • Sequential processes • procuring, storing, preparing, delivering medications • Physician orders drug Patient received drug, Steps in Drug Distribution 1. presentation overview. Introduction to Pharmacy - . lee vermeulen, r.ph., m.s. pharmacy denver (1) - If you're looking for a place where you can order the medical equipment you need at an attractive price and receive the quality you expect, you've come to the right website! Chapter 4: Hospital Pharmacy Practice . Drug information final Sitaram Khadka. chapter, Pharmacy Practice Model Initiative (PPMI) - . Learn intro to pharmacy with free interactive flashcards. Topic: Introduction to Pharmacy Practice: Final Assessment | en - 1334 - 69075 Pharmaceutics: Basic Principles and Application to Pharmacy Practice is an engaging textbook that covers all aspects of pharmaceutics with emphasis on the basic science and its application to pharmacy practice. Below were ancient methods used in the treatment of diseases; the relation between the patient and the pharmacist is covenant or promise ,and this, Introduction to Pharmacy Practice - . Preparation of drug monograph to be reviewed by pharmacy and the therapeutic community of hospital. ... Professionalism in Clinical Pharmacy Practice Sitaram Khadka. Good pharmacy practice. Hospital pharmacy management. Motel Anointment. Free flash photo gallery templates download. @csfpp. janet silvester operations committee june 13, 2006. pharmacist education. what is ppmi? Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Introduction To Pharmacy Practice PPT It should also be able to implement an adequate system for stock and inventory control. Explain the U.S. drug development and approval process, including its strengths and limitations . Define pharmacoepidemiology as it relates to pharmacy and public health. Learning Outcomes. scott knoer, m.s., pharm.d. By passing a test. Chapter 4: Hospital Pharmacy Practice . ppmi messaging platform/overview five pillars of, Good Pharmacy Practice- GPP Part 7. Teaching pharmacy students 5. Describe differences between centralized & decentralized pharmacies List at least 2 types of services provided by hospital pharmacy departments, Introduction to Pharmacy Practice Chapter 4: Hospital Pharmacy Practice, Learning Outcomes • Describe differences between centralized & decentralized pharmacies • List at least 2 types of services provided by hospital pharmacy departments • Explain purpose of pharmacy policy and procedure manuals • List at least 3 different methods of drug distribution, Learning Outcomes • List components of medication management process • Describe role accrediting & regulatory agencies play in hospital pharmacy • List 2 types of technology in hospital pharmacy • Describe quality control & improvement programs • List 3 organizations involved with patient safety • Describe financial impact 3rd party payers have on hospitals, Key Terms • Automated medication dispensing device • Centralized pharmacy • Clinical pharmacy services • Closed formulary • Decentralized pharmacy • Drug distribution services • Hospital formulary • Investigational drug services, Key Terms • Medication use evaluation (MUE) • Non-formulary drug • Open formulary • Pharmacy satellite • Quality control • Quality improvement • Unit dose • Unit dose distribution system, Historical Perspective • Pharmacy services were performed from a central pharmacy • often located in the basement of the hospital • services were often limited • Focus • procurement • repackaging & labeling bulk supplies • delivery to patient care areas, Floor Stock Was OK • Bulk medications was stored on nursing stations • Nurse took medication from floor stock • Nurses prepared all intravenous (IV) medications • Potential for medication errors was very high • Mid 1960s-pharmacies assumed more accountability, Organizational Structure • Typically, at the top, board of directors • Chief executive officer (CEO), president, or hospital director • sets direction by creating vision & mission • reports to the hospital’s board of directors • responsible for budget, personnel, & operations, Second Level of Hospital Mgmt • Medical staff/second level of management • report directly to CEO • Chief operating officer (COO) • responsible for daily operations • Chief financial officer (CFO) • responsible for financial management • Vice president of patient care services • responsible for direct patient care departments (pharmacy, nursing, and respiratory therapy), Additional Levels of Mgmt • Depends on • size & scope of services provided • financial status of facility • management philosophy of CEO • Patient-focused care model • managers responsible for all employees & activities provided to specific patient types • health care workers function as a team regardless of discipline or tasks performed, Pharmacy Department Structure • Director or chief of pharmacy services • budget & drug expenditures • medication management • regulatory compliance • medication safety, Pharmacy Department • Manager 1 coordinates: • pharmacy students • residency program • Manager 2 coordinates: • staff development, • clinical pharmacy services • Pharmacy technicians may supervise other technicians • lead technician responsible for management functions. learning outcomes. Physical and Chemical Incompatibilities. Hospital Pharmacy: The department of the hospital which deals with procurement, storage, compounding, dispensing, manufacturing, testing, packaging, and distribution of drugs. Polliwogs. Presentation subjects includes - Pharma Analysis , Pharma Chemistry , Pharmaceutics , Pharmacology , Regulatory Affairs , Pharma Practice , Pharmacognosy , Bio Technology Adulteration and Evaluation of Crude drugs.ppt Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Introduction to pharmacy ppt. To some pharmacists, the practice of business is symbolized by high-pressure salespeople, innocuous advertisements, and sale of products of poor quality. Family Practice Core Didactic Pharmacy Announcements November 16, 2011 - . what we as pharmacist believe our profession to be determines what it is wendell t.hill,jr.. Introduction to Pharmacy Practice - . • Two primary methods • automation • manual • Automated Medication Dispensing Cabinets • Technicians play a key role • Maintain appropriate inventory-frequent adjustments, Manual Cart-Fill Process • Requires use of medication carts or cassettes • medication drawers labeled with patient names • fill-list report is generated • for specific time period–medications scheduled to be given will print • technician will fill each patient’s drawer from fill-list • pharmacist will check the carts for accuracy • tech-check-tech process in some states • technician exchanges cassettes in patient care areas, Emergency Crash Carts • Carts or trays with medications used in emergencies • defined list of medications • Carts/trays are filled by techs & checked by pharmacist • locked and sealed • delivered to designated patient care area, Clinical Services • Pharmacists provide patient-focused services • pharmacokinetic dosing • infectious disease consultations • drug information • nutritional support services • Pharmaceutical care • Pharmacist is advocate for patient • Patient is involved in decision-making process for care, Role of the Technician • Pharmaceutical care model allows for new roles for technician • use of technicians to record laboratory results • screening orders for non-formulary status • identifying orders on the hospital’s restricted list • review & collect missing information for patient • allergies • height • weight, Investigational Drug Services • Clinical trials evaluate efficacy/safety of medications • Study protocol is developed, reviewed, approved by Institutional Review Board (IRB) • Protocol is operating manual for clinical trial • Specific requirements /procedures must be followed, Clinical Trials • Following protocol accurately important • Patient randomized to receive study drug or placebo • Results & recordkeeping may be audited by FDA • Investigational medications must be • stored in a separate section of the pharmacy • limited access, Medication Management • Entire medication process involved • Selection & procurement of drugs • Storage • Prescribing • Preparation & dispensing • Administration • Monitoring effects • Evaluation of entire system, Selection & Procurement • Pharmacy & Therapeutics (P&T) Committee establishes hospital formulary basedon: • indications for use • effectiveness • drug interactions • potential for errors and abuse • adverse effects • cost, Formularies • Closed formulary means choice of drugs limited • Drugs are admitted to formulary by process • physician requests to add a drug to formulary • pharmacists anticipates need • drug monograph is written (by pharmacy) • P&T Committee uses information in monograph to decide whether to add drug to formulary • drugs removed from formulary • when better drugs become available • when purchasing trends show drug longer being used, Formulary & Non-Formulary • Pharmacy technicians key role in procurement • Specific procurement process • Pharmacist may suggest formulary medication to replace non-formulary medication • Pharmacy has procedures to allow for temporary use of non-formulary drug, Storage • Proper storage of medications is critical • temperature • light sensitivity • All medications in hospital are inspected monthly • inspections primarily performed by technicians • referred to as unit inspections, Storage of Controlled Drugs • Specific storage & documentation requirements • Requirements are stringent • based on abuse & diversion potential • Must comply with all legal & regulatory requirements • Technicians need to be trained & knowledgeable about these requirements, Prescribing • Policies & procedures for prescribing medications • Verbal orders are not recommended • Procedures for verbal orders to minimize errors • Helpful if indication is on medication order • Prescribers can enter order electronically or write out • Pharmacists must review medication orders, MAR • Medication order information appears on MAR • MAR=Medication Administration Record • Used by nursing to administer meds • Pharmacist must review all orders before medication administered unless emergency situation • Some hospitals outsource this function to remote sites, Preparation & Dispensing • Unit-ready-to-use form should be provided to nurse • Pharmacy should dispense patient specific unit dose packages to nursing units because: • reduction in incidence of medication errors • decrease in total cost of medication-related activities • more efficient use of pharmacy & nursing personnel • improvement in overall drug control and drug use • more accurate patient billing for drugs, IV Medications • Some IV medications available in unit dose form • Some meds not stable in solution • must be mixed by pharmacy just prior to administration • Technicians: main preparers of IV medications • Prep requires knowledge/skill of aseptic techniques, Extemporaneous Prep • Doses based on patient-specific characteristics • Pediatric patients • require very small doses • unique doses not commercially available • special dilutions made for IV solutions • Extemporaneous oral solutions/suspensions • compounded if patients unable to swallow tablet • crush tablets-follow recipe for solution or suspension, Final Prep Steps • Proper labeling • patient’s name • patient’s location in hospital • medication name • dose • route of administration • expiration date • special directions • bar-codes, Administration • Procedures to ensure timely administration of meds • Procedures to check 5 rights • right medication • right dose • right patient • right time • right route • Some hospitals add 6th right of documentation, Bar Code Systems • Computer systems linked so that • Nurse scans the patient’s wrist band & med bar code • Confirms 6 rights: • Right Patient • Right Drug • Right Dose • Right Time • Right Route • Right Documentation-added on to original 5 rights because without documentation, dose may be given more than once in error, Monitoring • Monitoring effects of medications mandatory • adverse effects • positive outcomes • important component in process • Monitoring uses patient information • laboratory results • patient’s clinical response • medication profile (anti-allergic or antidote orders ) • Technicians may gather info for pharmacists, Evaluating Medication Process • Tracking & identifying trends • adverse drug events • medication errors • performing medication-use evaluation (MUE) • MUE is commonly performed for • high-use drugs • high-cost drugs • high-risk drugs, MUE Process • Data is collected for evaluation of • appropriate use • indications, dose, route, clinical response • Data is tabulated & presented to • appropriate health care providers • hospital committees. , including the responsibilities of the pharmacy technician and medication safety 280-300 ) pharmacy is totally patient oriented and with! 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