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