Unit dose system


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

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Unit dose system

  1. 1. Prepared by :- Supervisor of In-Patient Pharmacy in BCH
  2. 2. TYPE OF HOSPITAL PHARMACY :- Hospital Pharmacy In-Patient Pharmacy OPD Pharmacy Other ( DPIC , INVENTORY , TPN )
  3. 3. What is In-Patient Pharmacy ? • A pharmacy located in a hospital which services only those patients in the hospital
  4. 4. unit dose system is one department of inpatient pharmacy Inpatient Pharmacy Floor Stock Inspections Unit Dose Discharge Rx
  6. 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. 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. 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. 9. - Type of Drug Distribution :- Drug Distribution Model Centralized Floor Stock Cart Fill Decentralized Satellite Services Automated Dispensing Cabinets
  10. 10. Current Models for Medication Distribution
  11. 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. 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. 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. 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. 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. 16. 14- Central Location of Drugs. 15-Medications Ready for Administration. 16- Patient Safety.
  17. 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. 18. Medication carts
  19. 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. 20. How is the division of the trolley
  21. 21. How is the work of Unit Dose ? • Each drawer for one patient . • Each patient must have Medication Form
  22. 22. Component of Medical Form :-
  23. 23. Components of Medication Form
  24. 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. 25. Medication Order !! Medication Orders P.R.N Order Standing Order STAT Order
  26. 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)
  27. 27. • 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).
  28. 28. • STAT order: An order for medication to be administered immediately
  29. 29. Packaging Machine
  30. 30. A. Patient name B. Medication name and strengths C. Time of administration D. Bar code.
  31. 31. THANK YOU