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Communication with doctors and nurses
Importance of communication in a health care facility
Importance of communication in a health care facility
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Millcreek Community Hospital (MCH) was my first IPPE rotation site in the summer 2016. At the beginning, with two years of experience at Veteran Affairs Medical Center in Baltimore, Maryland, I’m very confident and comfortable with the hospital and pharmacy settings. I was not surprised the pharmacy’s setting in hospital when I arrived at MCH.
Everyday, I first walking through the door of pharmacy, I saw a front counter on the right where pharmacist and pharmacy technician communicated with patients and MCH health care employees through the window. This is where pharmacist and pharmacy technicians also gave medications to patients and MCH healthcare employees. Then, there is a section for inhalers and eyes medications on the left and it’s
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Also, there is a section for all liquid medications on the shelves and also in alphabet orders. Next to liquid medications, there is a computer where pharmacist can look over patient’s profile, medications list, and verify the order. As I continued to walk straight down, I saw lots of medications on the shelves. These medications called fast movers where popular medications that hospital used a lots. All of these medications all located in one area so that it can be easy for pharmacist and pharmacy technicians to look through when there is an order. For medications that are not fast movers, it located next to fast movers medications so that it can be easy and convenient for pharmacy technicians to look through when physician prescribed the order of medications. As I turned left, I saw that there is an IV room in the back of the pharmacy where IV products are being made to supply to entire hospital upon requested. The room is sanitized and cleans monthly to prevent bacterial contamination from outside. As I walked through IV room, there are two seats for staff pharmacist to seat and preview patient’s profile and their medication list, verify, and answer the phone calls from the floors. Also, in the back, there are IV products
I attended the Saturday Lab 1 session discussing the Denison Specialty Hospital case study. In our session, we had a through discussion into the different budget terminology. I learned about the difference between accrual and cash accounting methods, which is based on the timing of when the revenue and expenses are recognized. I also learned about responsibility centers as an organizational unit under the supervision of a manager, who is responsible for its activities and results. In addition, the manager is accountable for the budget of the department that they head. Therefore, a centralized form of management in developing the budget because it makes easier to because the information for the department budget is located
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
Since I have been worked in Veteran Affairs Medical Center in Baltimore, Maryland, I was not surprised with the work load and the hospital setting at Millcreek Community Hospital (MCH). With a goal of enrichment my knowledge in a hospital pharmacy setting, I am enthusiastic in accomplishing the assigned duties. I have very high expectation during these four weeks of IPPE rotation; I expect to learn beyond what I already know in the past and apply what I learn during the past year in to pharmacy practice. Arriving at Millcreek Community Hospital, I was not surprised the pharmacy's setting in hospital but I'm surprised the different types of work I received. At Veteran Affairs Medical Center, all I ever did are filling the prescriptions, stocking, and managed automated machines but at MCH,
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
...vacy screen on the computer and/or turning the computer away so customers cannot see what’s on the screen, and use a secure network to receive new prescriptions or request refills. A patient must be notified and give authorization to allow a list of their drugs be given to a marketing company. The authorization must say what the data disclosure and use is being planned for and the date when the authorization will expire. In a community practice a pharmacist cannot discuss treatment with anyone unless patient signs authorization. In an institutional practice the patient can call the pharmacist and give permission to talk to a doctor if able to speak. In case of an emergency, such as a heart attack or car accident, the doctor can call the pharmacist to get the information without patient consent. A patient must give a written authorization in a community pharmacy.
trained individuals. Imagine a family member is admitted to the University of South Alabama Hospital with an acute case of pneumonia, which will require oral and intravenous medications.
To provide appropriate care, long-term care admissions must be well thought-out and explicit tasks fulfilled prior to the patient’s arrival. There should be a smooth transition between facilities to promote continuity of care (LaMantia, Scheunemann, Viera, Busby-Whitehead & Hanson, 2010). If discharge planning is inadequate, patient safety and health can be compromised. For example, scheduled drug regimens, such as antibiotics and controlled medications, must be available within a timely manner. Most long-term care facilities do not support an in-house pharmacy. In addition, many pharmacies require original hard scripts before filling controlled medications. If admitting orders are inadequate or cannot be carried out within the appropriate time span, the admitting facility may be unable to meet critical needs. I have experienced this first hand on more than one occasion. The most recent o...
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of the nursing profession, taking up to forty percent of a nurse’s time in providing nursing care (Fowler). Consequently, nurses are commonly held accountable for medication errors. To improve the safety of a vital aspect of nursing care, bar code scanning was introduced to reduce errors in medication administration. Although bar code scanning has its advantageous aspects, there are also disadvantageous qualities.
Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.
Lorna works hard to raise her pharmacy’s profile within Kenora in order to attract new customers. She is constantly scanning the horizon to offer new healthcare services to customers, and implement government compensated services. Lorna’s ongoing challenge is to have her entire team embrace the rapidly changing landscape of pharmacy practise with the confidence to succeed.
First, here is some important background information about Pharmacists. A Pharmacist is someone who is trained and licensed to distribute medicinal drugs and to advise on their use. According to the Occupational Outlook Handbook Pharmacists do all of the following: "Fill prescriptions, verify proper amounts of medication to give to patients, check whether the prescription will interact negatively with other drugs that a patient is taking or conditions the patient has, instruct patients on how to and when to take a prescribed medicine, Advise patients on potential side effects they may experience from taking the medicine, Advise patients about general health topics, such as diet, exercise, managing stress, and on other issues, such as what equipment or supplies would be best for a health problem, Keep records and do other administrative tasks, Complete insurance forms and work with insurance companies to be sure that patients get the medicine they need, Teach other healthcare practitioners about proper medication therapies for patients, and lastly oversee the work of pharmacy technicians and pharmacists training."() Some pharmacists participate in compounding, where they create medications by mixing ingredients themselves. Pharmacists tha...
Nowadays, there is increasing number of people take pharmacy as their profession. As everyone knows, there is many practice area for pharmacists like community pharmacist, hospital pharmacist, industrial pharmacist and academic pharmacist. Other than that, there are few specialties in pharmacy ...