HOSPI - Pharmacist's Responsibility

Identify the pharmacist responsible and what area

Central Pharmacist - Dispensing

Ambulatory - Dispensing

Ensures that established policies and procedures are followed

Central Pharmacist - Dispensing

Checks for accuracy of dose prepared:

• IV Admixture

• unit dose

Central Pharmacist - Dispensing

Provides proper drug control:

• Ensures that drugs are stored and dispensed properly

• ensures that all drug laws are followed

Central Pharmacist - Dispensing

Ensures that good techniques are used in compounding IV admixtures and extemporaneous preparations

Central Pharmacist - Dispensing

Provides for proper records keeping and billing:

• patient-medication records

• extemporaneous compounding records

• IV admixing records and billing

• investigation drug records

• reports

Central Pharmacist - Dispensing

Maintains professional competence, particular knowledge of drug stability and incompatibilities

Central Pharmacist - Dispensing

Ambulatory - Dispensing

Ensures the new personnel are trained properly in the policies and procedures of the dispensing area

Central Pharmacist - Dispensing
Ambulatory - Dispensing

Coordinates the activities of the area with the available staff to make the best possible use of personnel and resources

Central Pharmacist - Dispensing

Keeps the dispensing area neat and orderly

Central Pharmacist - Dispensing

Communicates with all pharmacy staff regarding new developments in the area and assists in employee evaluations

Central Pharmacist - Dispensing

Provide drug information as necessary to the pharmacy, medical, nursing staff

Central Pharmacist - Dispensing

Coordinated the over-all pharmaceutical needs of the patient-care areas with the dispensing area

Central Pharmacist - Patient Care

Reviews and interprets each unit dose and IV admixture medication order to ensure that it is entered accurately into the unit dose or IV admixture system

Central Pharmacist - Patient Care

Confirm periodically that administered doses are noted correctly on the patient’s chart

Central Pharmacist - Patient Care

Ensures that records from administered narcotics are kept correctly and that the physician is informed of all automatic stop orders

Central Pharmacist - Patient Care

Ensures that proper drug administration techniques are used

Central Pharmacist - Patient Care

Acts as liaison between the pharmacist and the nursing and medical staff

Central Pharmacist - Patient Care

Communicates with nurses and physicians concerning medication-administration problems

Central Pharmacist - Patient Care

Periodically inspect the medication area on the nursing units to ensure that adequate levels of floor stock drugs and supplies are maintained

Central Pharmacist - Patient Care

Ensures that drugs and supplies are procured from the dispensing area are required

Central Pharmacist - Patient Care

Ensures that the other supportive services performed by the department of pharmacy are carried out correctly

Central Pharmacist - Patient Care

Coordinates all pharmacy services on the nursing unit-level

Central Pharmacist - Patient Care

Ensures that the medication area is neat and orderly

Central Pharmacist - Patient Care

Ensures that proper security is maintained in the medication area to prevent pilferage

Central Pharmacist - Direct Patient Care

Identifies drugs brought into the hospital by patients

Central Pharmacist - Direct Patient Care

Obtains patient medication histories and communicates all pertinent information to the physician

Central Pharmacist - Direct Patient Care

Assist in drug-product and entity selection

Central Pharmacist - Direct Patient Care

Assists the physician in selecting dosage regimens and schedules, then assigns drug-administration times for these schedules

Central Pharmacist - Direct Patient Care

Monitors patient’s total drug therapy for

• effectiveness

• side effects

• toxicities

• allergic drug reactions

• drug interactions

• appropriate therapeutic outcomes

Central Pharmacist - Direct Patient Care

Counsels patients on

• medications to be self-administered in the hospital

• discharge medication

Central Pharmacist - Direct Patient Care

Participates in cardiopulmonary emergencies by:

• procuring and preparing needed drugs

• charting all medication given

• performing cardiopulmonary resuscitation, if necessary

Ambulatory - Dispensing

Checks for accuracy in the work of supportive personnel

Ambulatory - Dispensing

Ensures that proper techniques are used in extemporaneous compounding

Ambulatory - Dispensing

Provides

• adequate record keeping and billing

• patient medication records

• investigational drug records

• outpatient billing

• reports

• prescription files

Ambulatory - Dispensing

Maintains professional competence (only)

Ambulatory - Dispensing

Keeps the ambulatory pharmacy area neat and orderly at all times

Ambulatory - Patient Care

Inspect the medication areas on the nursing unit periodically to ensure an adequate supply of stock drugs and their proper storage

Ambulatory - Patient Care

Identifies drugs brought into the clinic by patients

Ambulatory - Patient Care

Obtains patient-medication histories and communicates pertinent information to the physician

Ambulatory - Patient Care

Assists physicians in selecting dosage regimens and schedules

Ambulatory - Patient Care

Monitors the patient’s total drug therapy for

• effectiveness

• side effects

• toxicities

• allergic drug reactions

• drug interactions

• appropriate patient outcomes

Ambulatory - Patient Care

Counsels patients on the proper use of their medication

Ambulatory - Patient Care

Prepares medication for IV administration

Ambulatory - Patient Care

Provides medication and/or supplies for patient home care