unit dose system for in patient pharmacies in hospital ... this presentation for centralization distribution model

1. Prepared by :-
Supervisor of In-Patient Pharmacy in BCH

2. TYPE OF HOSPITAL PHARMACY :-
Hospital
Pharmacy
In-Patient
Pharmacy
OPD
Pharmacy
Other ( DPIC ,
INVENTORY ,
TPN )

3. What is In-Patient Pharmacy ?
• A pharmacy located in a hospital which
services only those patients in the hospital

4. unit dose system is one department of
inpatient pharmacy
Inpatient Pharmacy
Floor Stock Inspections Unit Dose Discharge
Rx

5. WHAT IS UNIT DOSE SYSTEM ?

6. Unit-dose medications have been
defined as:
“Those medications which are ordered,
packaged, handled, administered and
charged in multiples of single dose units
containing a predetermined amount of drugs
or supply sufficient for one regular dose
application or use.”

7. Other definition :-
• One Unit dose Dispense (OUDD) is define as:-
( system for preparation and distribution of drug
served in a single dose and made ready to be
consumed once )

8. What is Drug Distribution?
• Manner in which medications are provided
from the pharmacy to the clinical unit
• Includes the period of time from when the
drug is “dispensed” until it is
“administered”

9. - Type of Drug Distribution :-
Drug
Distribution
Model
Centralized
Floor Stock
Cart Fill
Decentralized
Satellite
Services
Automated
Dispensing
Cabinets

10. Current Models for Medication Distribution

11. Unit Dose System
• First used in hospitals in 1960’s.
• Used to decrease medication
administration errors by nursing staff,
and reduce medication waste .

12. What is advantage of unit dose system ?
1- Patients receive improved pharmaceutical
service 24 hours a day and are charged for only
those doses, which are administered to them.
2- All doses of medication required at the nursing
station are prepared by the pharmacy thus
allowing the nurse more time for direct patient
care.

13. 3- Allow the pharmacists to interpret or
check a copy of the physician’s original
order thus reducing medication errors.
4- Elimination excessive duplication of
orders and paper work at the nursing
station and pharmacy.
5- Eliminates credits.

14. 6-Transfers intravenous preparation and
drug reconstitution procedures to the
pharmacy. (Return medicine)
7-Promotes more efficient utilization of
professional and non- professional
personnel.
8-Reduces revenue losses.

15. 9-Conserves space in nursing units by
eliminating bulky floor stock.
10-Eliminates pilferage and drug waste.
11-Extends pharmacy coverage and control
throughout the hospital from the time the
physician writes the order to the time the
patient receives the unit-dose.

16. 14- Central Location of Drugs.
15-Medications Ready for Administration.
16- Patient Safety.

17. What is disadvantage of unit dose system ?
1- More pharmacy processing time and
equipment cost
2- Requires more storage space
3- No cost savings to pharmacy

18. Medication carts

19. • Contain an individual
drawer or tray for
each patient
• Each individual
drawer in a
medication cart is
filled daily to meet
patient medication
needs.

20. How is the division of the trolley

21. How is the work of Unit Dose ?
• Each drawer for one patient .
• Each patient must have Medication Form

22. Component of Medical Form :-

23. Components of Medication Form

24. 1- Allergies:-
(List of drug and/or food allergies and the
allergic response experienced (e.g., rash,
anaphylaxis).
2- Weight .
3- Medication Order .

25. Medication Order !!
Medication
Orders
P.R.N
Order
Standing
Order
STAT Order

26. Medication Orders :-
• Standing order :-
A standard (Regular) medication order for
patients to receive medication at scheduled
intervals (e.g., 1 tablet every 8 hours)

28. • PRN order :- (pro re nata)
An order for medication to be administered
only on an as needed basis (e.g., 1 tablet
every 4 to 6 hours as needed for pain).

29. • STAT order:
An order for medication to be administered
immediately

30. Packaging Machine

32. A. Patient name
B. Medication name
and strengths
C. Time of
administration
D. Bar code.

33. THANK YOU