SJMH Pharmacy Services. Chris Manthey, Pharm D Director, Clinical Pharmacy Services

Transcription

1 SJMH Pharmacy Services Chris Manthey, Pharm D Director, Clinical Pharmacy Services

2 Where is the Pharmacy Department? 1 st floor of hospital (Inpatient) - Near (across from) Physician Zone, hallway off of Woodward corridor (follow signs) SJMH-Pharmacies (Outpatient): Reichert, Towers - Available for discharge prescriptions - Inpatient pharmacy does not process discharge prescriptions - Please print ID# clearly

3 Whom do I contact with questions? Staff pharmacists are available in the Central (Inpatient) Pharmacy ( ) 24 hours-a-day, 7 days-a-week. Clinical pharmacists/specialists are assigned to each patient care unit. Assignments are posted on the units and include their pager numbers.

4 Will the Pharmacy contact YOU YES! with questions/clarifications? Please respond to Pharmacy Department pages and requests as quickly as possible. Delays in returning pages can lead to delays in patient care. NONE of us wants to delay patient care.

5 What is a pharmacy protocol? Pharmacy protocols are approved by interdisciplinary committees and permit pharmacists to make interventions independent of consultation with a physician. Examples: laboratory tests, renal dose adjustments, aminoglycoside and vancomycin dosing, IV to PO conversions

6 What is pharmacy-to-dose? Entering a pharmacy-to-dose order means that a pharmacist will dose the medication. This option is available for aminoglycosides and vancomycin. NOTE: Pharmacists will monitor and intervene on all aminoglycoside and vancomycin orders (even in the absence of a pharmacy-to-dose order).

7 What are the hospital s most costly drugs? Eptifibatide (Integrilin ) Epoetin alfa (Procrit, Epogen ) Enoxaparin (Lovenox ) Antimicrobial agents (e.g., Zosyn, meropenem, linezolid, daptomycin) Antifungal agents (e.g., caspofungin, voriconazole)

8 What is a restricted formulary drug? Physician-restricted drug: A formulary drug that may only be prescribed by authorized physicians (e.g., IV esomeprazole [GI]). Criteria-restricted drug: A formulary drug which when prescribed is evaluated for appropriateness and monitored by the Pharmacy Department based upon predefined criteria (e.g., vancomycin). Some drugs are both physician- and criteria-restricted (e.g., drotrecogin alfa, voriconazole, linezolid)

9 How do I order a non-formulary drug? The attending physician must obtain authorization from the Department Head/Chief of Staff to prescribe a nonformulary medication. All orders for non-formulary antimicrobials require authorization by the Infectious Diseases Section Head.

10 What is permitted as patient s own medications? Permitted: non-formulary topical agents, ophthalmic agents, oral inhalers, nasal sprays, estrogen (hormonal) products, clinical research protocol medications. NOT permitted: dietary supplements, controlled substances, medications that can not be identified, formulary medications Order must be complete: generic drug name, dose, schedule, and route of administration

11 What is therapeutic interchange? The interchange of various therapeutically equivalent/alternative drug products by pharmacists in accordance with previously established and approved policies and procedures within a formulary system. Examples: PPIs, HMGs, ACE-Is, ARBs, H2RAs, non-sedating antihistamines, beta blockers

12 Are there conduct standards for pharmaceutical representatives? YES! No catering outside the Education Center. Must include education (formulary drugs only). Not permitted in patient care areas. No samples for inpatient use. Must verify all questions with the Pharmacy Department.

13 Pharmacy Infonet Site Pharmacy-related information is available on the Pharmacy Infonet site ( including: - Drug Information - Formulary Information - Guide to Antimicrobial Therapy - Coagulation Management - McAuley Support Information - Pharmacy Newsletters