Republic of the Philippines

Provincial Government of Pampanga

Diosdado P. Macapagal Memorial Hospital
Jose Abad Santos Avenue, San Matias, Guagua, Pampanga
Phone: 0459004672, 0459002586, 0459000172
Philhealth Accredited

QAC ROUNDS (September 19, 2014 3pm & September 21, 2014 4pm)

CONCERNS OF THE
PHARMACY
DEPARTMENT
PLAN OF ACTION /
ACTIONS TAKEN
POINT
PERSON
REMARKS

List of Available
Medications


Inform all areas including ER, Medical
Ward I & II, OB-Surgical Ward that the
updated list of available medications at
the pharmacy is already posted in their
respective areas. Nurses must review
the updated list.


Ms. Karen
Garcia; Head
Nurses

Distribution of updated list
of available medications -
9/17/14 and 9/18/14.

Defective Supplies







There will be guidelines or protocols in
the returning of defective supplies. A
form will be formulated and utilized to
monitor incidence of defective
supplies.

Pharmacists

There is already a form
available to monitor
complaints of items/supplies
/medications. However, the
said form is very broad and
thus it will be modified and
utilized once approved.

Medical
Prescriptions:


Failure of
Obtaining
Doctors
Signature


Proper
Segregation of
Prescriptions



Completion of
Patient's
Information




There will be strict implementation of
hospital policies.


Nurses must secure the doctors
signature in the prescription. Forgery
of doctors signature is strictly
prohibited.


Doctors



Nurses


It is recommended to clarify
medication prescriptions
during MANCOM meeting.

Nurses will be reminded of the need to
separate drugs/medications and
medical supplies/equipment.



Nurses will be reminded of the need to
accomplish all of the patients
information in the prescription
including the case number and
category (4PS, POC, NHTS, w/
PhilHealth, w/o PhilHealth, etc.)



Patient for
Discharge








Home
Medications



Nurses will be reminded that they
should inform the Pharmacy
Department promptly for MGH patients
and at the same time inform the
patient & SO to return ALL unused
medicines to deduct from hospital bills
prior accomplishment of hospital
clearance.


Patient or SO must be
instructed to get their home
medications ASAP, as soon
as patient is tagged MGH.

Instruct patients the status /
availability of home
medications at the
Pharmacy.

Nurses are advised to prescribe
separate prescriptions with at least 2-3
days medication from the prescriptions
for full regimen. Proper instruction /
clarification that NOT ALL home
medications are dispensed by the
pharmacy.


Effectiveness of
Drugs / Medications






There will be a proposed meeting with
the pharmacy department and the
therapeutic committee regarding
drugs/medications in terms of brands
and its effectiveness. The meeting will
also include clarification of certain
medications


Therapeutic
Committee;
Ms. Karen
Garcia; Dra.
Capati; Dra.
Martin



Prepared by:


Arnold L. De Guzman Jr., RN
Member: Quality Assurance Committee



cc: EDDIE G. PONIO, MD, FICS, CESE
Provincial Health Administrator I
Hospital Administrator

KAREN ANNE S. GARCIA, RPH
Pharmacist I
OIC- Chief Pharmacist