2. SUMMARY OF OBJECTIVES
Describe the mechanism and approaches
that can be used to improve patient
experience.
Describe patient interventions undertaking
during employment.
The future??
3. USING THE HEALTHCARE
STRUCTURES & RESOURCES
TEAM is a word that can be taken as a
pneumonic as below:
T- Together- only as a unit can task be achieved.
E- Evaluate- continually look at what you want to
achieve.
A- Achieve- to arrive at target
M- Maintain- to keep or better the set standard
4. USING THE HEALTHCARE
STRUCTURES & RESOURCES 2
Take an active role in the ward area Multi-
disciplinary team (MDT), raising concerns
or asking questions on behalf of a clinical
pharmacist or the patient.
When assessing medicinal care, there are
three elements which must overlap, these
are, achieving the task, maintaining the
patient’s awareness of their treatment and
communicating with the MDT.
5. WHY ARE PHARM TECHS IN THIS
EXTENDED ROLE
To maintain Patients’ own drug schemes
according to localised policy.
To assess and oversee self-administration.
To provide discharge planning & liaison with
carers, nursing homes, district nurses,
community pharmacies, General
Practitioners and the patient.
To take accurate drug histories and
medicines reconciliation.
6. WHY ARE PHARM TECHS IN
THIS EXTENDED ROLE 2
To allow effective delivery of better patient
care, than a pharmacists alone could
provide .
To provide a better experience for the
patients, due to more interventions taking
place. (Totton JS, Hunt P, Pritchard K. Joint-effort clinical
pharmacy services in rural hospitals. Can J Hosp Pharm.
2008;61(2):133–137).
7. HOW DOES DELIVERY OF AN
IMPROVED SERVICE OPERATE
Holding regular team meetings to discuss and
implement ideas.
Effectively communicating with patients,
introducing yourself, allaying their concerns
about being in hospital.
Encouraging and facilitating MDT staff to engage
with the patients over their medicines
Keep staff well informed on changes to
trust/department or team dynamics
8. HOW DOES DELIVERY OF AN
IMPROVED SERVICE OPERATE 2
Involve the patient as much as possible.
Give clear instructions and guidance to be
followed.
Follow up on suggestions/requests made by
others.
Find the cause of common complaints and
eliminate them as quickly as possible.
Use research and education for the continual
optimisation of pharmacy services.
9. PATIENT FOCUSED
INTERVENTIONS 1 (PRISONS)
PROBLEM: Patients not receiving meds in
a timely manner.
INTERVENTION: An MMT conducting an
early morning chart collection and ordering
service.
OUTCOME: Medicines to wings in a timely
manner. Supply delays minimised.
PATIENT EXPERIENCE: Reduced anxiety
and anger, thus better for all concerned.
10. PATIENT FOCUSED
INTERVENTIONS 2 (PRISONS)
PROBLEM: Late Friday afternoon a terminal
cancer patient arrives on hospital wing with 4 large
carrier bags full of different medicines, in differing
quantities, including Oxycontin and Oromorph.
No accompanying copy of patients PMR or valid
prescription for supply of controlled drugs or
administration of any of the 15 different medicines.
Nursing staff and Duty Doctor require assistance
to reconcile the medicines with a treatment plan
and assess the suitability of the patients own
medicines (PODs).
Staff unable to retrieve information from System 1.
11. INTERVENTION: Established that all medicines
were suitable for reuse and that each containers
held the correct contents.
Then all medicines adjudged to be unsuitable for
reuse were set aside for destruction.
Logged into System 1 and began to look for
current medications lists and the patients
treatment plan, to find very little information.
Ran a free text and a read code search to double
check the correct medications were prescribed.
PATIENT FOCUSED
INTERVENTIONS 2 (PRISONS)
12. PATIENT FOCUSED
INTERVENTIONS 2 (PRISONS)
Conducted a medicines reconciliation and
provided the duty doctor with a confirmed
list of current medications to be charted.
Assisting nurses in receiving the controlled
drugs into stock for the patient.
Pharmacy advised to re-order medications
for Monday am.
13. OUTCOME: Duty Doctor charted
medications accordingly.
Nursing staff able to administer medicines
safely and timely over the weekend and
beyond.
Patient experienced no delays in treatment
or omitted doses, furthermore anxiety and
distress minimised.
PATIENT FOCUSED
INTERVENTIONS 2 (PRISONS)
14. THE FUTURE ??
Integration of MMTs within community
MDTs, to provide follow-up/review of
medicine adherence after discharge as a
reactive measure.
As a proactive measure to reduce the
incidence of medicines-related admissions
embed MMTs in locality assessment teams
to address medicines issues for example
concordance and side-effects,
