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7 Cards in this Set
- Front
- Back
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The aim of hospital pharmacy services |
To support the safe and effective prescribing, supply and use of medication; within and beyond the hospital environment |
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Attend to new patients |
• Familiarisation of patient's case • Undertake initial steps of medicines reconciliation > check (and correct) DHx from admitting doctor in medical notes > compare updated DHx to drug chart > record any discrepancies • Consider each discrepancy • Decide if intervention is necessary • Carry out a full clinical review of all prescribed medicines, considering: > details of patient's case, vital signs, test results > dose, indication, contra-indication, caution, interaction, side effects • Undertake any interventions - suggesting a change of regimen to the doctor or to undertake particular monitoring • Order any drugs that are not on the ward (if no PODS and non-stock) |
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Inpatients |
Patients that are staying in hospital for a while |
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Outpatients |
Patients that are only dropping in briefly and not staying. |
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Elective admission |
Is a planned admission, e.g. A hip replacement for someone with disabling arthritis of the hip |
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Emergency admission |
Is a result of an acute problem, e.g. Hip replacement for someone who has fallen and fractured their hip |
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Patient journey in secondary care |
• From; GP referral, OPD, ED - Often via; AMU, SAU • On-going care in range of specialty wards - Some specialist wards would take direct admission from ED; stroke, cardiology for PCI, ITU, trauma • Patients may move between wards as condition (and bed pressures) dictate • Leave hospital to go; home, tertiary care centre if necessary, RIP |
