PSBP MOD 4.1 4.2 4.3

community hospital 4.1

• nonfederal acute care

• most common hospital in US

• teaching or nonteaching

academic medical centers 4.1

• training programs

• research/clinical trials

• rare or complex diseases

• may be affiliated with med school or other health profession college

federal government hospitals 4.1

• approximately 200 in US

• run by the DOD, DOHHS, or VA

OTHER TYPES OF HOSPITALS

psychiatric hospitals & long-term care facilities

critical access hospitals 4.1

located in more rural areas

health-systems 4.1

provide inpt/otpt services

multiple hospitals, clinics, & community pharmacies

THINK UF HEALTH

hospital lvl of care 4.1

1. medical units “floor” 1 nurse : 8pts

2. intermediate care 1 nurse : 4pts

3. intensive care unit 1 nurse: 1 pt

pharmacy dept 4.1

• safely & efficiently provide medications to pts

• manages medication use in the hospital

  -selection & procurement

  -order verification

  -prep

  -dispensing

  -administration

  -monitoring

medication use system 4.1

includes the medication prescribing, order, processing, dispensing, administration, & monitoring of a medication

pharmacy dept cont 4.1

the dept of pharmacy may utilize a centralized, decentralized, or hybrid model to deliver medications to pts

medication reconciliation 4.2

process of comparing meds a pt is taking with newly ordered meds

hospital formulary 4.3

updated list of meds and related info, representing the clinical judgement of physicians, pharmacists, and other experts in the diagnosis, prophylaxis, or treatment of disease and promotion of health

formulary must include strength & dosage, therapeutic interchanges, and generic substitutions

pharmacy services provided by hospital pharmacists 4.3

• medication use system

• medication safety

• drug policies

• education & training

• clinical services

• drug info

De-prescribing 4.2

recommend to discontinue med when it is no longer working or causing harm

5 Rs 4.2

RIGHT PT

RIGHT DOSE

RIGHT DRUG

RIGHT TIME

RIGHT ROUTE

Unit dosing 4.2

preferred method to distribute drugs

dispensed in ready to administer form

dispense 24 hr supply to pt care area

advantages:

• drug identifiable

• med integrity is protected

• may be returned and re-dispensed if not administered