The document provides guidelines for inspecting hospital wards with regards to drug storage and administration. It outlines responsibilities for securing medicine stocks, ordering and record keeping, receipt of medicines, storage on wards, authorization for administration, administering to patients, and disposal of medicines. Proper procedures and record keeping are important to ensure safety, security and accountability of medicine handling in hospital wards.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Hospital and Clinical Pharmacy | Hospital | D. Pharmacy Second YearSHIVANEE VYAS
HOSPITAL is an organization that provides a special facility and working for the care of patients through the physicians, surgeons, and team of technical staff. It also provides facilities for diagnosis, therapy, prevention, education, and research.
This document is about the use and misuse of controlled substances and the role and responsibilities of the pharmacist in providing these substances. The storage conditions and the drug act about the misuse of the substances.
Hospital and Clinical Pharmacy | Hospital | D. Pharmacy Second YearSHIVANEE VYAS
HOSPITAL is an organization that provides a special facility and working for the care of patients through the physicians, surgeons, and team of technical staff. It also provides facilities for diagnosis, therapy, prevention, education, and research.
This document is about the use and misuse of controlled substances and the role and responsibilities of the pharmacist in providing these substances. The storage conditions and the drug act about the misuse of the substances.
Pharmacy Practice (BP703T) Unit-2.pptxSagarpamu123
This PPT Covers B. Pharm Pharmacy Practice Unit-II with topics 1. Drug Distribution System in a hospital, 2. Hospital Formulary, 3. Therapeutic Drug Monitoring, 4. Medication Adherence, Patient Medication History Interview, 5. Community Pharmacy Management
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma.
Medications are a critical component of the care provided to patients and are used for diagnostic, symptomatic,
preventive, curative, and palliative treatment and management of diseases and conditions. A medication
system that supports optimal medication management must include processes that support safe and effective
medication use. Safe, effective medication use involves a multidisciplinary, coordinated effort of health care
practitioners applying the principles of process design, implementation, and improvement to all aspects of
the medication management process, which includes the selecting, procuring, storing, ordering/prescribing,
transcribing, distributing, preparing, dispensing, administering, documenting, and monitoring of medication
therapies
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
4. 1) INTRODUCTION
2) SYSTEM FOR SECURITY OF MEDICINES
3) RESPONSIBILITY
4) MEDICINES BROUGHT INTO HOSPITAL BY
PATIENT
5) MEDICINE SUPPLIED BY PHARMACY
DEPARTMENT
6) ORDERING AND RECORDS
7) RECEIPT AND RECORDS
5. 8) SAMPLE AND CLINICAL TRIAL MATERIALS
9) SECURITY OF WARD MEDICINE STOCKS
10) STORAGE OF MEDICINE ON WARDS
11) AUTHORIZATION FOR ADMINISTRATION
OF MEDICINES
12) ADMINISTRATION OF MEDICINES TO
PATIENTS
13) DISPOSAL OF MEDICINES
14) RISK MANAGEMENT
6. Introduction
An inspection of wards is, most generally, an
organized examination or formal evaluation
exercise performed in wards with reference to
drug storage and administration.
The guidelines provided for this purpose are
intended to apply to all wards.
However, the system for maintaining the
security of medicines will need to be tailored to
meet particular needs and to reflect specific
risks.
7.
8. All wards should have standard operating
procedures (SOPs) covering each of the
activities concerned with medicines use to
ensure the safety and security of medicines
stored and used in them .
Appropriate pharmaceutical advice must be
sought in the development of systems for
the safe and secure handling of medicine.
The procedures for handling Controlled
Drugs should take account of the additional
legal and good practice requirements for this
category of medicines
9.
10. The responsibility for establishing and maintaining a
system for the security of medicines should be that of a
Senior Pharmacist in consultation with appropriate
medical staff and senior nursing staff. Where no
pharmacist is employed by the organization, the
Registered Manager or manager with designated
responsibility for the unit should take responsibility and
seek pharmaceutical advice when necessary.
The Appointed Nurse in Charge should have the
responsibility for ensuring that the system is followed
and that the security of medicines on the ward is
maintained. Where no nurse is employed by the
organization, the Registered Manager or manager with
designated responsibility for the unit will take
responsibility.
11.
12. Patients may bring their current and/or old
medicines with them on admission. This may
be hospital policy so that the health care
practitioner/ Registered Manager can see
what treatment regimen the patient is
following .There should be a local policy for
managing the medicines that patients bring in
with them.
Local policies should be drawn up in
consultation with an appropriate pharmacist
and should take into account the current
guidance on consent and that :
13. 1. These medicines are the property of the
patient, and should not, therefore, be
destroyed or otherwise disposed of
without the agreement of the patient or
the patient’s agent.
2. Medicines brought in by the patient
should only be used in the hospital when
they can be positively identified, meet
defined quality criteria and are
appropriately labelled. They should be
approved for use by appropriately-trained
staff.
14. One of the following procedures should be followed and all actions
should be recorded :
The medicines may be retained on the ward, for the sole use of
the patient. Responsibility and arrangements for security are the
same as with all ward medicine stocks.
The medicines may be securely stored by the organization until
returned to the patient prior to or upon discharge.
If the patient or the patient’s agent agrees, medicines may be
sent to the pharmacy for destruction. The pharmacist should
take responsibility for their destruction.
If the patient insists, the medicines may be returned home via an
identified adult. Responsibility for security is given to that adult.
The patient and/or patient’s agent should be advised if the
medicines are not safe and/or appropriate for use.
15.
16. A list of stock medicines to be held on the
ward should be decided by a pharmacist in
consultation with appropriate medical staff
and the Appointed Nurse in Charge.
Pharmacy staff should determine the
amount of each stock medicine to be held
at any time from usage patterns. This
amount should be stated on the record of
ward orders. This may be done
automatically using computer-controlled
systems and electronic orders
17.
18. The Appointed Nurse in Charge or a
member of the pharmacy staff (e.g a
designated pharmacy technician) should
be responsible for ordering medicines from
the pharmacy for maintaining ward stocks
and for individual patients.
Orders should be in a permanent record
and any requisition book locked away.
Electronic ordering systems should be
designed is uch a way that a permanent
record of orders is kept.
19.
20. Medicines coming on to the ward should be received
by a Designated Person who should check them
against the requisition and record that a check has
been made.
Receipt and record-keeping for Controlled Drugs
should follow the agreed local procedures that
comply with the current legal framework. The senior
pharmacist should be responsible for devising such
local procedures .
Medicines intended for patients to take home on
discharge and which have been obtained directly
from the pharmacy on the authorisation of an
authorised prescriber should be securely stored on
the ward in a way that allows them to be readily
identified and separated from ward stocks.
21.
22. Samples and clinical trial materials should be
received from the manufacturer or his
representatives only by a pharmacist. They
should not be accepted on the ward, but if
found there they should be sent to the
pharmacy department. Wards may participate
in clinical trials with appropriate staff and
training.
Properly-labelled clinical trial medicines
brought in by a patient on admission, as part
of current medication, can be checked by an
authorized prescriber in the ward setting,
noted, prescribed and administered as
directed.
23.
24. The security of hospital ward stocks
should be checked by pharmacy staff
periodically, in accordance with locally
agreed procedures. They should carry
out inspections of ward stocks, with
reconciliation where necessary.
25.
26. On the ward the responsibility for the
safekeeping of the medicines rests with the
Appointed Nurse in Charge.
There should be separate lockable ward
cupboards as follows:
a. Controlled Drugs Cabinet
b. Internal Medicines Cupboard
c. External Medicines Cupboard
d. Refrigerator/freezer for medicines
and separate storage should be
provided as follows:
27. e. Cupboard for diagnostic reagents,
including urine testing
f. Area for intravenous fluids and
sterile topical fluids
g. Areas (separate) for flammable
fluids and gases.
28. Drug cupboards to be used for internal and
external medicines should comply with the current
British Standard(s) (The current British Standard is
BS2881 (1989)
Medicine trolleys should be lockable and
immobilised when not in use.
The Appointed Nurse in Charge of a ward should
be responsible for controlling access (by keys or
other means) to the medicine cupboards and
trolley.
The responsibility remains with the Appointed
Nurse in Charge even if he/she decides to
delegate the duty.
29. A second set of keys should be kept in an
appropriate, secure location.
For clinical emergencies, e.g. cardiac arrest, all
wards should have a source of urgent medicinal
products.
These should be held in boxes clearly marked
"for emergency use".
These boxes should be tamper-evident and
should not be held in a locked cupboard, but at
strategic and accessible sites.
Once a box has been opened, a replacement
should be provided by the pharmacy and the
opened box returned to the pharmacy.
30.
31. The authorization of a suitably qualified
practitioner should be obtained before
medicines can be administered to patients
.This authorization is given by ;
• an instruction written by a medical
practitioner/authorized prescriber on an
official chart, or in the electronic
prescribing system.
32.
33. Sufficient information about the medicine
should be available to the staff and/or patient to
enable identification and correct use of the
product.
If there are any risks associated with handling or
administration of a medicine, then there should
be a procedure to minimize the risks and
suitable equipment. Staff should also have
undertaken the necessary training.
Administration to the patient should be in
accordance with locally agreed procedures, and
will be accomplished in one of four ways:
34. 1. Administration by Authorized Nurses in
accordance with authorization by an
appropriate practitioner or on their own
responsibility within local guidelines.
2. Administration by a suitably qualified
practitioner.
3. Self-administration by an in-patient.
4. Administration by a suitably-trained
person.
35. Where a system of one-nurse administration is used, the
nurse should follow full, locally-agreed checking
procedures.
A record of administration should be made, and the
administering nurse identified.
Medication that is not given due to refusal, wastage or
lack of availability should be recorded.
Where a second nurse checks the administration of a
medicine, the identity of the checking nurse should also
be recorded; however, the ultimate responsibility
remains with the administering nurse.
For continuous administration (e.g. via intravenous
infusions, or syringe drivers) there should be a record of
those involved in setting-up the medication and of those
involved in monitoring the administration.
36.
37. Out-of-date medicines and any stock no longer required
should be returned to the pharmacy with appropriate
security precautions.
The Assigned Nurse in Charge or pharmacy staff should
be responsible for their return.
Controlled Drugs
Disposal of Controlled Drugs should follow the agreed
local procedure that complies with the current legal
framework. The senior pharmacist should be responsible
for devising such local procedures.
Other Medicines Liable to Diversion
Any medicine liable to diversion should be disposed of in
a safe and secure manner.
38.
39. Risk assessments should be carried out (in
accordance with the local risk
management policy) in connection with
the drug products and procedures
(including the use of delivery devices) to
determine potential risks to patients and
staff.
A risk assessment should be carried out
on each occasion when a new product or
procedure is introduced to the ward.