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Prioritisation
PP4 Prioritisation Clinical Decisions
| Question | Answer |
|---|---|
| Why is prioritisation important for pharmacy in a hospital setting? | Limited resources (i.e staff) Limited working hours High turnover of patients entering/exiting Not possible to give comprehensive pharmacy services to all patients |
| List some examples of clinical pharmacy services | Med rec, counselling, patient education, medication supply, therapeutic drug monitoring, drug info queries, education and training, research, adverse drug reaction reporting |
| How do go about prioritising the different clinical services? | Think about prioritising tasks that have been shown to have a major benefit to patients (med rec, interventions for med related issues, assessment of med orders, clinical review, tdm, adr management, provision of meds) |
| What does prioritisation look like day to day? | Identify patients most at risk of medication related problems (who will get the most help from a pharmacy service) Choose the appropriate range of services to provide to these patients (med rec, counselling, supply, tdm) |
| In terms of risk, what needs to be considered from the patient perspective? | Age, living status (from home or nursing home facility), cognition, dosage aids |
| What are the medication considerations to consider when determining risk? | High risk meds (APINCH) Time critical meds (antiepileptics, parkinsons etc), specific administration instructions, not stocked on the ward |
| What are the considerations for medical conditions in determining risk? | What are the expectations for that condition, is this condition time critical, is the admission medication related to their hospital admission, renal and liver function |
| List some scenarios where patients are most at risk of a medication related problem | Med related admission, 5+ meds, 12+ doses in a day, med that requires monitoring, on a high risk med, significant change recently, suboptimal control/treatment with meds, difficulty managing, impaired renal/liver function, poor compliance, drs x, hosp rec |
| List the time critical medications | Antiarrhythmics, antocaogs, antiepileptics, antineoplastics, corticosteroids, antiretrovirals, drugs for diabetes, immhno-supressants, opioid analgesics, anti parkinsons, reversal agents |
Created by:
LDM
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