medication management
DESCRIPTION
Medication Management. John Karwoski, RPh, MBA JDJ Consulting, LLC [email protected] June 11, 2014. New Administrative Director. Brittney Cammarota, MPH (609) 384-5620 [email protected]. Medication News. - PowerPoint PPT PresentationTRANSCRIPT
Medication News
• Ofirmev price will increase due to sale of Cadence Pharmaceuticals to Mallinckrodt• Price increase could be 300%• $11 per vial to $36 per vial
• Phenylephrine Ophthalmic no longer available through AKORN
• Dexamethasone Shortage
Product AvailabilityJCB Laboratories
• Phenylephrine Ophthalmic 2.5% in combo eye drops
• Omnipaque Re-packaging
• Dexamethasone• Dexamethasone Sodium Phosphate Solution for
Injection 10mg/ml Preservative Free 2-ml Single Dose Vial
Dexamethasone Sodium Phosphate Solution for Injection 4mg/ml Preservative Free 2-ml Single Dose Vial
NJ Prescription PadsChange in Regulations
Changes Include
• Color Changing Ink
• 0.5-point micro-printing
• Hollow “VOID” hidden word feature
• Unique 15-digit ID number
• A Barcode
• List of security features will be printed on back of prescription blank
• Green on front, blue on back
When?
• May 18, 2014: State approved endors must stop selling, printing, or delivering old form
• August 18, 2014: All state-licensed prescribers must stop using old forms
Compounding Pharmacies503A vs. 503 B
503A
• Compounders not registered as outsourcing facilities
• Only exempt from certain aspects of 503B
• Still must meet all applicable conditions of the FDCA
503B• Compounding entity that may
register as an outsourcing facility
• Must compound in compliance with CGMP or under direct supervision of a licensed pharmacist in a registered facility
• Must also report information to the FDA about compounded drugs such as source of ingredients
• Must adhere to new quality standards
Tighten Up!(On Medical Record Documentation)
Current Focus of Medical Record Audit:
•Documentation of Allergies and Reactions
•Completion of Medication Reconciliation, if applicable
•Physician order to accompany all administered meds
•Use of unapproved abbreviations
Medical Record AuditEarly Findings
• Unapproved abbreviations most commonly used:• “cc” is being used instead of “ml”• “qd” being used
• Continued use of AM/PM rather than 2400
• Documentation of allergies, but no documentation of sensitivities
Unapproved Abbreviations
http://med.stanford.edu/shs/update/archives/JAN2006/abbreviations.pdf
Syringe labeling
Vial Labeling
JDJ Launches New Website
• Same web address:
www.jdjconsulting.net
• Features:• “About” page with employee information• “JDJ News” page with up-to-date information
on medication management news• “Services” page• “Trusted Associates” page• “Contact” page
For More Information
John Karwoski, RPh, MBA(609) 313-7572
[email protected]@gmail.com
Brittney Cammarota, MPH(609) 384-5620