70810 : Hospital Pharmacy Placement

70810 : Hospital Pharmacy Placement

Free Samples

70810 : Hospital Pharmacy Placement

.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}

70810 : Hospital Pharmacy Placement

0 Download10 Pages / 2,347 Words

Course Code: 70810
University: James Cook University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question:
Section ONE: Orientation to the Hospital Pharmacy
 
a). Describe the services provided at The Townsville Hospital, including the scope of the area that the hospital seryices and the number of patient beds.
b). Describe the function of the Main Dispensary and the Pharmacy Distribution Centre. What general seruice does each department provide? 
c). How many staff are employed in the Pharmacy?
d). How are medications stored within the pharmacy? What are the advantages of this system?
e). What is an imprest supply ?
f). What is a Pyxis Machine? What is an advantage and disadvantage of these machines?
g). Where does the hospital pharmacy get supplies of the medications from? What is an advantage and disadvantage of this system? 
h). Describe the different roles of a hospital pharmacist (using the web resources listed) and your obseruations on the placement.
 
Section TWO: Outpatient Services 
 
1.Queensland Health prescriptions have three copies associated with them. What is the purpose of the largest’red’copy of the prescription?
 
2. The’SHPA Standards of Practice for Clinical Pharmacy Seruices’Chapter 12 outlines the practice standards to which Pharmacy Assistants and Technicians suppott Clinical Pharmacy Seruices. This document will assist you when answering the followingquestions:a. What duties are suitable for a pharmacy technician to pelform? 
b. What duties would not be suitable for a pharmacy assistant to perform? 
 
3. Highly Specialised Drugs are very expensive and patients must meet strict criteria to be eligible to be treated with these medications.a. Give TWO examples of typical medical conditions that require ongoing treatment with medications supplied through the outpatients depaftment. 
b. Give ONE example of a Highly Specialised Drug and a condition it is used to treat. 
 
Section THREE: Clinical Pharmacy Seruices
 
1. What are the THREE clinical pharmacy activities that should be completed when a patient is transferred to a healthcare provider (e.9. Hospital)? (Hint: Refer to Figure 2 in the’SHPA Standards of Practice for Clinical Pharmacy Overuiew).
 
2. List FOUR examples of information that should be obtained during a medication history interview. 
 
3. What is a Discharge Medication Record? What are the advantages of these? 
 
4.  Give an example of an abbreviation that should never be used in medical tfd communication. Explain the potential errors that could result if this abbreviation is used.
 
Section FOUR: Specialty Area of Practice: Oncology
 
1. What does the term’cytotoxic’ mean?
 
2. Why are chemotherapy drugs prepared in cytotoxic cabinets?
 
3. What sort of Personal Protective Equipment (PPE) should be worn when preparing lU l chemotherapy?
 
4.  List the details required for the safe labelling of chemotherapy (Hint: Refer to the tl:J Clinical Oncological Society of Australia guidelines listed in the resource section) 
 
Answer:
Section 1: Orientation to the hospital pharmacy

a). Townsville is a public tertiary care hospital situated in Douglas, Townsville, Queensland, Australia. It is the largest health care facility in the Townsville HHS. It comprises of 20 facilities including a community health, aged care facility and rural hospital. It is the only tertiary hospital of Northern Queensland. It has got a cardiac surgery unit, coronary care unit, diabetes unit, domiciliary care unit, hospice care unit and infectious disease care unit.  It sees 336 people in the emergency department, 1913 people through the specialist outpatient clinic and almost performs 40 operations. Currently Townsville hospital has about 775 beds (1).
 
b). The hospital pharmacy is responsible for the dispensing of the outpatients and discharge prescriptions, supply and the distribution of the inpatient mediations and maintenance of the medication needed in the hospital ward, for providing a clinical pharmacy review services to the inpatient areas. They are responsible for the preparation of specialized sterile medications, reconstitution of the cytotoxic drugs and also support the conduction of any clinical trials of medication(1).
 
c. Staffs employed in the pharmacy

Pharmacist

 

Intern-pharmacist

 

Pharmacy assistant

34

Support staffs

7

 

d. Storage of medications- Themedications are stored within the pharmacy in an alphabetical order or  by the generic drug name. The schedule 2, 3 and 4 drugs are stored together on the shelves while the schedule 8 drugs are stored in the safe. The stock in the pharmacy is adequate for one week.
Advantages and disadvantages of storage of medications- One of the advantage of storing medicine in this way is that it eases the way to locate the drugs. One of the disadvantage is that, since the drugs are stored together, any electricity malfunction and temperature fluctuation might affect all the stored drugs at once, especially the ones that are heat sensitive.
e. An imprest system is a process by which the medicines are supplied from the pharmacy of a clinical setting such as a hospital or by any authorized seller to a licensed health service or wards, departments of clinics in containers of the original manufacturers for establishing and maintaining a stock of medications at a predetermined level. An imprest license is normally granted to the facilities where patients resides for greater than one day (3).
 
f. Pyxis machine-Pyxis machine is an automated system for dispensing medications supporting the decentralized medication management with various features for the efficiency and safety (4).
Advantages-The system helps in the accurate dispensing of the medications supporting the workflow of the pharmacy. It also reduces the turnaround time of the orders. A study had also shown that such machines reduces the time to the first dose and the number of the missing doses. It helps the hospital to keep a track on what is being used, keeps a close monitoring on the controlled substance and keeps an accurate documentation of the medications (4).
Disadvantages- The main disadvantages are long queues to get the medications, medications not used within the timeframe, easy overriding of the controlled substance.
g. The Townsville hospital pharmacy gets its supply of medication from the central medication pharmacy in Brisbane (1).
The advantage in using this pharmacy is that this pharmacy is approved to supply the subsidized medicines under the Pharmaceutical Benefits Scheme (PBS) and provides a wide range of medicines required for s full-fledged hospital pharmacy (1).
One of disadvantage is in relation to the transport cost. The transport cost for the medicines are quite high and the time consumed in the transportation is also more.
h. Different roles of a hospital pharmacist

As a hospital pharmacist one needs to check the prescriptions for the errors, ensuring that they are appropriate and safe for each and every patient.
To provide advice on the medicine dosages and the appropriate route for administration (1).
To participate in the inward rounds for taking the drug history of the patients.
To make sure that the medications are stored securely and appropriately.
To remain updated and contribute to the research and development by searching and evaluating the current pharmaceutical and the medical journals for providing answers to the enquiries from the doctors, nurses, patients and their families (6).
Pharmacist are often responsible for the coordination and the monitoring of the clinical trials.
Give information regarding the expenditure on medications, prepare and quality check he sterile medications (7).

Apart from this, hospital pharmacists are scientific minded and have excellent communication skills for engaging with the public and focus on the details while working in a lab (6).
References:
The Townsville Hospital. Hospital profile. 2013. https://www.myhospitals.gov.au/hospital/310000200/the-townsville-hospital
SHPA Committee of Specialty Practice in Clinical Pharmacy. SHPA standards of practice for clinical pharmacy. Journal of Pharmacy Practice and Research. 2005 Jun;35(2):122-48.
Martin ED, Burgess NG, Doecke CJ. Evaluation of an Automated Drug Distribution System in an Australian Teaching Hospital: Part 1. Implementation. The Australian Journal of Hospital Pharmacy. 2000 Jun;30(3):94-7.
Vottero BA. Proof of concept: virtual reality simulation of a Pyxis machine for medication administration. Clinical Simulation in Nursing. 2014 Jun 1;10(6):e325-31.
SHPA Standards of Practice for Clinical Pharmacy Services[cited 21 October 2018]. Available from: https://www.researchgate.net/publication/286802694_SHPA_Standards_of_Practice_for_Clinical_Pharmacy
de Clifford JM, Blewitt P, Lam SS, Leung BK. How do Clinical Pharmacists spend their Working Day? A Time?and?Motion Study. Journal of Pharmacy Practice and Research. 2012 Jun;42(2):134-9.
Mak VS, Clark A, Poulsen JH, Udengaard KU, Gilbert AL. Pharmacists’ awareness of Australia’s health care reforms and their beliefs and attitudes about their current and future roles. International Journal of Pharmacy Practice. 2012 Feb;20(1):33-40.
 
Section 2: Outpatient services
 
1. Red prescription-
2. a) Duties of a pharmacy technician

The duties of a pharmacist technician includes medication reconciliation, medication management , detecting the admission of the new patients, screen them communicate about the medicine supply information, ensuring all the medicines are available in the store, communicating with the external health professional and the community pharmacist.
They are responsible for checking the orders in compliance with the legal and the local requirements, annotation of the medication chart, accessing and recording the patient specific laboratory data and access for any abnormal results (1).
They are also responsible for therapeutic drug monitoring , providing medication information to the patient and about their contraindications and the preventive measures
Assist the pharmacist with the documentation and the processing of the ADR reports (1)
Gathering of information about the consumer medicine information.
Identification of the patients requiring further supply of the medications on discharge.
Assisting the patient in the preparation of the medication list (1).

2. b) Duties not suitable for the pharmacy assistants

Pharmacists are not accountable for interviewing patients to obtain medication history.
Interview the patients to obtain information about allergies.
Investigate about any medication related problems (1).
They should not decide any changes in medication without consulting with the physician.
Assessment of the medications
Educate the medical staffs about writing of the prescriptions
They are not liable to ensure that the medication order is appropriate with respect to the previous medical history of the patient.
They are not accountable to provide any information about medicines other than the supply.
They are not accountable to label the drugs Standards of Practice for (1)

3. a) TWO examples of typical medical conditions that require ongoing treatment with medications supplied through the outpatients department are-

Pain management- pain management are often categorized as outpatient services where patients do not have to stay overnight and are discharged within a day (2).  
Drug rehabilitation treatment often are included in outpatients services involving prescribing of medications and counselling. For severe cases the patient has to be admitted (2).

3. b) Example of a highly specialized drug- Azithromycin (4).
It is used for treating a number of bacterial infections like bronchitis, pneumonia, lung sinuses, and infections of skin, throat and reproductive organs.  It does so by interfering with the protein synthesis in the bacteria, by binding to the 50 S subunit of the ribosome of the bacteria. This leads to the inhibition of the translation of the mRNA, thus inhibiting the protein synthesis (3).
References:
SHPA Standards of Practice for Clinical Pharmacy Services[cited 21 October 2018]. Available from: https://www.researchgate.net/publication/286802694_SHPA_Standards_of_Practice_for_Clinical_Pharmacy
McQuay HJ, Moore RA, Eccleston C, Morley S, Williams AC. Systematic review of outpatient services for chronic pain control. Health technology assessment (Winchester, England). 1997;1(6):i-v.
Bakheit AH, Al-Hadiya BM, Abd-Elgalil AA. Azithromycin. In Profiles of Drug Substances, Excipients and Related Methodology 2014 Jan 1 (Vol. 39, pp. 1-40). Academic Press.
Department of Human Services Australia. .Highly specialized drugs. 2015. https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/highly-specialised-drugs
 
Section 3 : Clinical Pharmacy Services

 
1. The three activities that are being carried out when a patient is transferred to the health care provider are as follows-

Compiling the medical history of the patient accurately (1)
Reconciliation of the medications between the currently prescribed medicines and the medications used in past (1).
Assessing the current medications given, the medical history of the patient and the current health status of the patient (1).

2. Four information that should be obtained at the time of medication history interview are:-

Type of medications obtained over time (1)
Duration of the use  of  the medication
History of any past adverse drug reaction.
History of any change in the prescribed medication and the reason for the change.

3. Discharge medication record- Reconciliation of the medicines in a form before the transition of care from one facility to the other or at the time of the discharge is discharge medication record (2).
Advantages: One of the advantage of this is that such a record provides a complete instruction of medications in use or that had been withdrawn, or information regarding the occurrence of any adverse drug reaction or the treatment carried out before the discharge. Such a record serves useful to the next care setting where the patient has been transferred (2).
4. Abbreviations that should never be used in medication communication are- QD whose intended meaning is every day but Period after the Q is mistaken for I and the O is mistaken for I (3).
Errors that might occur- Wrong abbreviations might lead to medication error related to the dosage and the duration of application of the medications. Over dosage of medications can not only cause adverse reactions and can also cause mortality and morbidity. Wrong abbreviations can be confusing for the informal caregivers or the personal carers, having no prior knowledge of medical abbreviations and jargons (4).
References:
SHPA Standards of Practice for Clinical Pharmacy Services[cited 21 October 2018]. Available from: https://www.researchgate.net/publication/286802694_SHPA_Standards_of_Practice_for_Clinical_Pharmacy
 
Pronovost P, Weast B, Schwarz M, Wyskiel RM, Prow D, Milanovich SN, Berenholtz S, Dorman T, Lipsett P.Medicationreconciliation: a practical tool to reduce the risk of medication errors. Journal of critical care. 2003 Dec 1;18(4):205.
 
Institute for Safe Medication Practices (ISMP). List of Error-Prone Abbreviations. 2016. https://www.ismp.org/recommendations/error-prone-abbreviations-list
 
Australian Commission on Safety and Quality in Healthcare. Recommendations for terminology, abbreviations and symbols used in medicines documentation. https://www.safetyandquality.gov.au/wp-content/uploads/2017/01/Recommendations-for-terminology-abbreviations-and-symbols-used-in-medicines-December-2016.pdf
 
Section FOUR: Specialty Area of Practice: Oncology
 
1. The term “cytotoxic” can referred to something that is toxic to the living cells. Cytotoxic drugs are drugs that are used to destroy the unprecedented proliferation of the cancer cells. The cytotoxicity of the chemotherapeutic agents not only destroy the cancer cells but also the immune cells and thus impairs the ability of the adaptive immunity of the body (1).
 
2. Chemotherapeutic drugs are often found to have adverse effects upon the research professionals or the health care professionals. Diffusion of the drugs through direct skin contact or inhalation of the aerosolized drugs might give rise to cytotoxicity. Furthermore, the unique demand of the cytotoxic drugs requires specialized cabinets hat is exhausted through the HEPA filters to the outer atmosphere that prevents any recirculation in the inside area. It has got an exhaust and a ventilation system that remains in operation for a sufficient period of time for ensuring that the contaminants do not escape the biologically safety cabinets. It also contains a continuous monitoring device that detects the performance of the cabinets and continuous airflow (1).
 
3. Due to the associated cytotoxicity with chemotherapy, personal protective equipment should be worn during the preparation. The PPE recommendations include gowns, gloves, face shield and goggles. Gowns made up of high density polyethylene has been found to effective against any kind of spillage or aerosolization of the cytotoxic drugs. Surgical nitrile gloves can be used. Other suitable materials are polyurethane and neoprene. Plastic face shields can be useful, safety glasses should be used. The eye protectors should be cleaned after using each time (2).
 
4. Safe labelling of the chemotherapy drugs
The general components of the chemotherapy drugs are- The identifying information such as the names of the patient, the drug name, the amount of drug present in a containers, the route of administration, the amount of the drug to be used per dose, the volume of the chemotherapeutic agent to be administered, the duration of the infusion, instructions for supplemental administrations, the numbering of the containers, the rate of the administration in mL/hour. In relation to the general formatting the labels, the color of the labels should be readable. Differently colored labels can be used to draw attention towards high alert chemotherapy drugs. Regarding the printing of the abbreviations and the dosage designation, Institute for Safe Medication Practices (ISMP) guidelines for abbreviations and dose expressions should be followed (3). Proper space should be provided between the name of the drug, dosage form, and the strength. The label information can be used in the following format- generic name, brand name, patient dose, dosage units, and route of administration.
References:
Galioto M, Bonelli KR, McCorkle MR. American society of clinical oncology/oncology nursing society chemotherapy administration safety standards. InOncology nursing forum 2009 Nov (Vol. 36, No. 6, p. 1).
 
Rizalar S, Tural E, Altay B. Nurses’ protective measures during chemotherapy preparation and administration in Turkey. International journal of nursing practice. 2012 Feb;18(1):91-8.
 
The Clinical Oncology Society of Australia (COSA). Guidelines for the Safe Prescribing, Dispensing and Administration of Cancer Chemotherapy’. The role the pharmacist.2015https://www.cosa.org.au/publications/guidelines/

Free Membership to World’s Largest Sample Bank

To View this & another 50000+ free samples. Please put
your valid email id.

E-mail

Yes, alert me for offers and important updates

Submit 

Download Sample Now

Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.

UploadUnique Document

DocumentUnder Evaluation

Get Moneyinto Your Wallet

Total 10 pages

PAY 6 USD TO DOWNLOAD

*The content must not be available online or in our existing Database to qualify as
unique.

Cite This Work
To export a reference to this article please select a referencing stye below:

APA
MLA
Harvard
OSCOLA
Vancouver

My Assignment Help. (2020). Hospital Pharmacy Placement. Retrieved from https://myassignmenthelp.com/free-samples/70810-hospital-pharmacy-placement/townsville-is-a-public-tertiary.html.

“Hospital Pharmacy Placement.” My Assignment Help, 2020, https://myassignmenthelp.com/free-samples/70810-hospital-pharmacy-placement/townsville-is-a-public-tertiary.html.

My Assignment Help (2020) Hospital Pharmacy Placement [Online]. Available from: https://myassignmenthelp.com/free-samples/70810-hospital-pharmacy-placement/townsville-is-a-public-tertiary.html[Accessed 18 December 2021].

My Assignment Help. ‘Hospital Pharmacy Placement’ (My Assignment Help, 2020) accessed 18 December 2021.

My Assignment Help. Hospital Pharmacy Placement [Internet]. My Assignment Help. 2020 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/70810-hospital-pharmacy-placement/townsville-is-a-public-tertiary.html.

×
.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}

×

Thank you for your interest
The respective sample has been mail to your register email id

×

CONGRATS!
$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1
month.

Account created successfully!
We have sent login details on your registered email.

User:

Password:

With time, MyAssignmenthelp.com has become one of the best college essay writing services. Our all rounded services give students the confidence to overcome assignment related issues. Our services are fast enough to meet most urgent deadlines. We are capable of delivering fast essay writing services with the help of our specially designed provisions and writers’ teams. Our urgent essay help services guarantee most rapid delivery of assignment solutions. Some of our most popular essay services are application essay help, exploratory essay help, literary review essay help and argumentative essay help.

Latest Healthcare Samples

div#loaddata .card img {max-width: 100%;
}

5N1794 Safety And Health At Work
Download :
0 | Pages :
13

Course Code: 5N1794
University: University College Cork

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Ireland

Answer:
Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Read
More
Tags:
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration 

400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :
14

Course Code: 400837
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Introduction
Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Read
More
Tags:
Australia Minchinbury Management University of New South Wales 

PUBH6304 Global Health
Download :
0 | Pages :
8

Course Code: PUBH6304
University: The University Of Newcastle

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
Read
More
Tags:
United States Newark Management University of New York Masters in Business Administration 

CON 321 Health Related Research
Download :
0 | Pages :
3

Course Code: CON321
University: University Of Southern Maine

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Answer:
Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
Read
More

BL9412 Public Health
Download :
0 | Pages :
35

Course Code: BL9412
University: University Of The West Of England

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United Kingdom

Answer:
Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Read
More
Tags:
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 

Next

Our Essay Writing Service Features

Qualified Writers
Looming deadline? Get your paper done in 6 hours or less. Message via chat and we'll get onto it.
Anonymity
We care about the privacy of our clients and will never share your personal information with any third parties or persons.
Free Turnitin Report
A plagiarism report from Turnitin can be attached to your order to ensure your paper's originality.
Safe Payments
The further the deadline or the more pages you order, the lower the price! Affordability is in our DNA.
No Hidden Charges
We offer the lowest prices per page in the industry, with an average of $7 per page
24/7/365 Support
You can contact us any time of day and night with any questions; we'll always be happy to help you out.
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$3.99 Outline
$21.99 Unlimited Revisions
Get all these features for $65.77 FREE
Do My Paper

Frequently Asked Questions About Our Essay Writing Service

Academic Paper Writing Service

Our essay writers will gladly help you with:

Essay
Business Plan
Presentation or Speech
Admission Essay
Case Study
Reflective Writing
Annotated Bibliography
Creative Writing
Report
Term Paper
Article Review
Critical Thinking / Review
Research Paper
Thesis / Dissertation
Book / Movie Review
Book Reviews
Literature Review
Research Proposal
Editing and proofreading
Other
Find Your Writer

Latest Feedback From Our Customers

Customer ID:  # 678224
Research Paper
Highly knowledgeable expert, reasonable price. Great at explaining hard concerts!
Writer: Raymond B.
08/10/2021
Customer ID: # 619634
Essay (any type)
Helped me with bear and bull markets right before my exam! Fast teacher. Would work with Grace again.
Writer: Lilian G.
08/10/2021
Customer ID: # 519731
Research Paper
If you are scanning reviews trying to find a great tutoring service, then scan no more. This service elite!
Writer: Grace P.
08/10/2021
Customer ID: #499222
Essay (any type)
This writer is great, finished very fast and the essay was perfect. Writer goes out of her way to meet your assignment needs!
Writer: Amanda B.
08/10/2021
Place an Order

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
$0.00
×

Powered by WhatsApp Chat

× How can I help you?