Date post: | 22-Nov-2014 |
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Healthcare |
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UNIT DOSE SYSTEM Prepared by :-
Ph . ABDULKAREM ALSUNAIDISupervisor of In-Patient Pharmacy in BCH
TYPE OF HOSPITAL PHARMACY :-
Hospital Pharmacy
In-PatientPharmacy
OPDPharmacy
Other ( DPIC , INVENTORY ,
TPN )
What is In-Patient Pharmacy ?
• A pharmacy located in a hospital which services only those patients in the hospital
unit dose system is one department of inpatient pharmacy
Inpatient Pharmacy
Floor Stock Inspections Unit Dose Discharge Rx
WHAT IS UNIT DOSE SYSTEM ?
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.”
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 )
What is Drug Distribution?
• Manner in which medications are providedfrom the pharmacy to the clinical unit
• Includes the period of time from when thedrug is “dispensed” until it is“administered”
- Type of Drug Distribution :-
Drug Distribution
Model
Centralized
Floor Stock
Cart Fill
Decentralized
Satellite Services
Automated Dispensing
Cabinets
Current Models for Medication Distribution
Unit Dose System
• First used in hospitals in 1960’s.
• Used to decrease medication administration errors by nursing staff, and reduce medication waste .
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.
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.
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.
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.
14- Central Location of Drugs.
15-Medications Ready for Administration.
16- Patient Safety.
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
Medication carts
• Contain an individual drawer or tray for each patient
• Each individual drawer in a medication cart is filled daily to meet patient medication needs.
How is the division of the trolley
How is the work of Unit Dose ?
• Each drawer for one patient .• Each patient must have Medication Form
Component of Medical Form :-
Components of Medication Form
1- Allergies:- (List of drug and/or food allergies and the
allergic response experienced (e.g., rash, anaphylaxis).
2- Weight . 3- Medication Order .
Medication Order !!
Medication Orders
P.R.N Order Standing Order STAT Order
Medication Orders :-
• Standing order :- A standard (Regular) medication order for
patients to receive medication at scheduled intervals (e.g., 1 tablet every 8 hours)
• 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).
• STAT order: An order for medication to be administered
immediately
Packaging Machine
A. Patient name B. Medication nameand strengths C. Time of administration D. Bar code.
THANK YOU