Escolar Documentos
Profissional Documentos
Cultura Documentos
WalGreen Online
Pharmacy Offering huge
Variety of USA-FDA
Approved Medications.
diagnosis,
Pharmacist;
Nurse ;
Perceptions of Pharmacists
How do others see us?
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
A bunch of shop-keepers
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
Counter-prescribing
https://www.walgreenonlinepharmacy.com/
-Residency programs
-Continuing Professional Development
https://www.walgreenonlinepharmacy.com/
History
Until the mid 1960s ; Traditional role.
The development of clinical pharmacy started in USA.
More clinically oriented curriculum were designed with the award of
PharmD degree.
These developments influenced the practice of pharmacy in U.K.,
Initially prescription and drug administration records were introduced followed
by an increasing pharmacy practice in hospital wards. Master degree programs
in clinical pharmacy were introduced for first time in 1976.
The progress of clinical pharmacy development remained at low profile in the
first decade after its birth in U.K. However, Nuffield report in1986 geared up the
momentum for progression of clinical pharmacy.
https://www.walgreenonlinepharmacy.com/
Knowledge of
the disease
Knowledge of
laboratory
and diagnostic skills
Therapeutic
planning
skills
Patient care
Drug Information
Skills
Physical
assessment
skills
Communication
skills
Patient
monitoring
skills
Clinical trials
Formularies
Drug information
Drug-related policies
https://www.walgreenonlinepharmacy.com/
Community pharmacists can also make prescription decisions directly, when over
the counter drugs are counselled.
https://www.walgreenonlinepharmacy.com/
Medication-related Problems
Untreated indications.
Improper drug selection.
Subtherapeutic dosage.
Medication Failure to receive
Medication Overdosage.
Adverse drug reactions.
Drug interactions.
Medication use without indication.
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
2. Patient Education
3. Patient care
4. Formulation and management of drug policies
5. Drug information
Objective
Define clinical pharmacy
Differentiate between traditional pharmacists role and
Clinical Pharmacist
Explain the qualification required for clinical pharmacists
List the clinical pharmacists responsibility
Describe the daily work activity of clinical pharmacists
Define what is Therapeutic Drug Monitoring
Discuss the different types of Therapeutic Drug
Monitoring
https://www.walgreenonlinepharmacy.com/
Ambulatory care
Critical care
Drug Information
Geriatrics and long term
care
Internal medicine and
subspecialties
Cardiology
Endocrinology
Gastroenterology
Infectious disease
Neurology
Nutrition Support
ADR/DUE
Transplant
Investigational Drugs
Pharmacoeconomics
Nephrology
Obstetrics and gynecology
Pulmonary disease
Psychiatry
Rheumatology
Nuclear pharmacy
Pediatrics
Pharmacokinetics
Surgery
https://www.walgreenonlinepharmacy.com/
Anticoagulation Management
Cholesterol Management
Renal Management (CKD)
Oncology Services
Home Health Pharmacy Services
Impact Pharmacy Services (Drug Conversion Program)
Neonatal ICU
Hypertension Management
Integrated Coronary Vascular Disease (CVD)
HIV/ID
New Member Program (assist new MD in prescribing NF
to formulary drugs)
Heart Failure Management
Asthma Management
https://www.walgreenonlinepharmacy.com/
Hospital Pharmacist Vs
Clinical Pharmacist
https://www.walgreenonlinepharmacy.com/
"Every drug is poison, its the dose that differentiate poison or drug the
substance is."
"To kill ill by pill, not by bill"
The last person to be involved in health care team with the patient;
Pharmacist, so the system has to rely upon him/her.
https://www.walgreenonlinepharmacy.com/
"In developing countries like Nepal; Physicians are incompetent, Nurses are careless,
Pharmacists dont know anything(??), System is corrupted, Public is foolish, Patient load is
high."...Prof Furqan Hashmi
"Medicine is for those who need them, not for those who want them."
"If your medicine is not working it may not be your medicine, it may be you"
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
Pharmaceutical care
A practice in which a practitioner takes responsibility for a
patients drug related needs and holds him or herself accountable
for meeting these needs........ Linda Strand 1997
It describes specific services & activities through which an
individual pharmacist cooperates with patients and other health
care professionals in designing, implementing & monitoring a
therapeutic plan that will produce specific outcomes for the
patient.
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
Dosage adjustment
Identify patients at high risk for exaggerated or
subtherapeutic response
Apply pharmacokinetic principles to determine patient
specific dosing
Prescriptive authority
In designated practice site and positions
https://www.walgreenonlinepharmacy.com/
Effective drug
therapy
Improve
quality of life
Safe drug
therapy
Aims of
Pharmaceutical
Care
Economic drug
therapy
A case
44 year old lady with fever and green sputum and cough no known
previous medical history Diagnosed with URTI, Prescribed:
Co-Amoxiclav 1 tds
Doxycycline 100mg D
Prednisolone 40mg D
Theophylline 200mg bd
Omeprazole 20mg D
Metoclopramide 10mg tds
Salbutamol 2 puff inhale prn
Pharmaceutical problems
Common organisms for URTI?
History of asthma risk vs benefit?
Need for acid suppression?
https://www.walgreenonlinepharmacy.com/
Question?
Think of someone in your family or a friend that has had
something go wrong with their medicines?
Caused an adverse or unwanted effect ?
Had medicines stopped when should have continued?
Not worked?
What happened ?
Could it have been avoided ?
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
Human Error
(Mistakes, Slips, Lapses)
Error is inevitable due to our limitations:
-
The System:
Only as safe as its designed to be!
Latent
Conditions
Error
producing
conditions
https://www.walgreenonlinepharmacy.com/
Active
Failures
- Slips&lapses
- Mistakes
Accident
Defences
Sources of Error
Prescribing error - selecting the wrong or inappropriate
drug/dose/formulation/duration etc
Communicating those instructions
https://www.walgreenonlinepharmacy.com/
.1
https://www.walgreenonlinepharmacy.com/
Opportunity
For Error
Formulary
Prescribing protocols
Allergy check
Prospective review
Administration instructions
Clinical pharmacy
Drug distribution
system
Opportunity
For Error
https://www.walgreenonlinepharmacy.com/
https://www.walgreenonlinepharmacy.com/
Todays pharmacists
Competent
Motivated/Enthusiastic
Teamwork spirit
Good communication skills
Responsible
Problem solver
Dedicated
https://www.walgreenonlinepharmacy.com/
The End
https://www.walgreenonlinepharmacy.com/
Any Questions?
https://www.walgreenonlinepharmacy.com/