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Pharmacy Services. North Glasgow Trained Nurses Induction Talk . Location. GGH – lower ground floor WIG- Church street outpatients Stobhill- End of main medical corridor (next to canteen!) GRI – Basement of old building. Opening hours. Monday- Friday GRI 9.00-5.00 Stobhill 08.30-4.45

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Pharmacy services l.jpg

Pharmacy Services

North Glasgow

Trained Nurses Induction Talk


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Location

  • GGH – lower ground floor

  • WIG- Church street outpatients

  • Stobhill- End of main medical corridor (next to canteen!)

  • GRI – Basement of old building


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Opening hours

  • Monday- Friday

    GRI 9.00-5.00

    Stobhill 08.30-4.45

    WIG 08.30-5.00

    GGH 08.45-5.00

  • Saturday

    All 09.00-12.00

  • Sunday

    GRI 09.00-12.00

    Out of hours:

    Oncall pharmacist through switchboard


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Pharmacy Departments

  • Dispensary

  • Distribution

  • Sterile products

  • Medicines Information

    • Clinical Effectiveness

    • Formulary

  • Clinical Trials

  • Clinical Pharmacists



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Dispensary (1)

  • Discharge Scripts

    1. screen - ph´cist

    2. label

    3. dispense

    4. check

    5. return - porter

  • Outpatient Scripts


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Dispensary (2)

  • Controlled drugs

    • Check ward´s order-day

    • Print + sign order (recorded signature)

    • Envopak

    • Consignment note:

       sign + return copy



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Distribution

  • Technician led

  • Indents – to top up ward stock

  • Non ward stock ind.

  • Technician ward top-ups

  • Resuscitation trays


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Sterile Products

  • TPN orders via nutritional team

  • Some IV antibiotics/ antifungals

  • Cytotoxic drugs

  • MAPs (e.g. Infliximab)


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Medicines Information

  • Information on medicines

  • Advice on drug administration

  • Bulletins

  • Formulary

  • Clinical effectiveness


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Clinical Pharmacists

  • Support safe + effective use of meds

    • Info on medicines

    • Confirm drug history

    • Patient education

    • Medicines Managem.

    • Screen Discharge Rx

    • Develop protocols

    • Pre-assessment clinics


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Drug-Kardex Checklist (1)

  • Right patient?

    • Pt‘s name on every page

  • Allergies?

  • Rx Signed?

  • Generic name

    Special preparations:

    • Diltiazem- Brand

    • Theophylline- Brand

    • Carbamazepine-Retard or not? …

  • Dose, digits

  • Route


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Drug-Kardex Checklist (2)

  • Duration

  • Time of administration

  • Frequency

  • Duplication

  • Nurse also to sign on separate sheet (Gentamicin, Vancomycin)

  • Additional instructions

  • If out of stock (4): CHASE ORDER!


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YOU ARE THE LAST CHECKER !!!-Discharge Medication Check-

  • COMPARE WITH KARDEXas items can have been:

    • MISSED when copied from kardex to script

    • STOPPED or

    • ADDED since writing of prescription


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Medicines management

  • Some wards have a service called medicines management run by pharmacy technicians

  • Patients own medicines are used in this service

  • Drugs are stored in lockers beside each patients’ bed instead of drug trolleys

  • You will be given specific training on this service if you work on a medicines management ward


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