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WHAT YOU NEED TO KNOW ABOUT
HEALTH SCIENCES
NORTH
Orientation to Pharmacy
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Overview
Health Sciences North
Pharmacist Rotations
Medication Orders & Pharmacy Communication Forms
HSN Formulary
The Robot ‘Picksy’ & PickRings
Pyxis
Medication Administration MAR: Medication Administration Record
Patient Charts
MEDITECH
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Health Sciences North
Main Pharmacy: 3rd Floor Centre Tower
Pharmacist (ext. 5511) 8:00 - 21:00
Pharmacy technician on-site 24 hours daily
Pharmacist on-call 24 hours (ext. 3196)
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Pharmacist Rotations
L1: Desk A: Emergency Department B: ICU C: Oncology D: E: Evening G: M: N: R: S: 4th & 5th Floor South Tower X: Cardiology
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Medication Orders
Orders can be written by: Physician: MD or Medical Resident with privileges Clinical Clerk : 3rd or 4th year medical student , co-signed by
physician RN Extended Class/Nurse Practitioner Physician Assistant (PA) under a medical directive , which must
be written in the order 2nd year PA students, co-signed by physician
Complete orders include: Patient identification
Name & SH/SI # Date & time Clear legible directives Signature of ordering provider
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Medication Orders
Medication Order sheets consist of 3 sections per page 1 white page that remains in the patient chart 1 yellow carbon copy page that is processed
by pharmacy
Orders may be handed to a pharmacist if on the floor or tubed to the pharmacy to be reviewed at the desk
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Pharmacy Communication Forms
Pharmacy completes a Pharmacy Communication form when suggesting a change in drug therapy e.g., Initiate, Discontinue, Change
Yellow carbon copy is processed by pharmacy after MD has reviewed suggestion
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HSN Formulary
Medications on the HSN Formulary are found using Lexicomp Open Internet Explorer > HSN Intranet > Click ‘LexiComp’
If available the drug will be listed & automatic substitutions as well
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The Robot ‘Picksy’ & PickRings
Many Medication Orders that are processed by pharmacy & entered into MEDITECH are assembled by the robot onto plastic PickRings
Picksy, the robot, is located across the hall from the main pharmacy
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The Robot ‘Picksy’ & PickRings
PickRings help organize medication administration & prevent omitted or extra dose errors
Medications on the PickRing are organized by administration time & are listed in alphabetical order by generic name
PickRings contain patient medications for a 24 hour period
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Pyxis
Pyxis units are used when medications are: missing from PickRings dropped or wasted new orders/first dose
Depending on when the patient arrives to the floor & the bin delivery time, there may not be a PickRing until next delivery time (bins exchanged every 24 hours at specified time for each floor)
STAT orders narcotics benzodiazepines
Pharmacy will send medications not stocked in Pyxis
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Medication Administration
Medications are given to patients by the nurse preparing the medication
The nurse administering the medication must confirm patient is wearing a current armband the armband’s patient account number (SI#) & full name
matches the information listed on Medication Administration Record (MAR) prior to administering the medication
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Medication Administration
As soon as possible after medication administration, the Medication Administration Record (MAR) should be signed
If medication refused/held/not available, reason for omission recorded in MAR
An asterisk (*) beside an entry in the MAR directs reader to interdisciplinary note for more detailed information
The MAR is a useful toolo e.g., Dosing of sliding scale insulin can be found in the MAR
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Patient Charts
Sections:
Emergency Miscellaneous
History / Consults Cardiology
Notes – M.D. Respiratory
Orders Laboratory
Operating Room Blood Bank
Medication ECG
Care Trends Telemetry
IN & OUT Imaging
History / Patient Assessment Legal Issues
Care / Activity
Orders: Physician Order Sheets, Admission Medication Order Record (AMOR)Medication: Medication Administration Record (MAR) (if not in separate binder)Miscellaneous: Long-term care MAR, community pharmacy list
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MEDITECH
MEDITECH is the computer program used at HSN for electronic patient records
MEDITECH contains: Patient Demographics Location in Hospital Reason for Visit Allergies Current Medication Orders Laboratory Results Microbiology Results Imaging Reports Notes & Other Reports etc.
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MEDITECH
To access information on MEDITECH: Login Pharmacy > Pharmacist Desktop Rounding: allows you to view patients in a specific unit My List: allows you to add patients for quick access
Add > Last name, First name (only partial name needed)
Once a patient is selected, can choose: Patient Profile: demographics, location, allergies, current
orders, etc. EMR: lab results, MD notes, etc. Interventions: to document
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MEDITECH
Drug Name
Dose, Route, Frequency
Active, Hold, Discontinued
Start Date
Stop Date
NOTE: This is more of an accounting system, to be sure if patient is receiving medication refer to the MAR
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Welcome to Health Sciences North