Ward control alignment for Patient's Anemia: Planning, constructing, staff-training, implementation and follow-up. Ronice Wagner 1 Igor Semhaev 1 Department of Nephrology and Hypertension, Rabin Medical Center, Beilinson Hospital, Israel 1. Background.
Ronice Wagner1 Igor Semhaev1
Department of Nephrology and Hypertension, Rabin Medical Center, Beilinson Hospital, Israel 1
Erythropoietin is a glycoprotein hormone that controls and regulates red blood cell production. It is produced and secreted in the kidney. Chronic renal failure is associated with various degrees of anemia due to erythropoietin deficiency resulting from multiple factors
The reasons that this procedure was never smooth and effective were :
In order to reduce the burden and relieve the patients from this tedious procedure we decided to make the ward responsible for the monthly drug supply.
On December 2009 a new role was established :
2 - Creating a monthly Erythropoietin and Iron. personal physicians’ tabledisplaying his/hers patient blood tests results and present medical treatment leaving empty space forchanges.
Create a registration formwhich checks indicates and updates the expiring dates of drug supply confirmation, given by the Central Pharmacy:
1. Fill in the new Laboratory Results in the Monthly table , Personal physicians’ table and Ward Medication Supply List .
2. Give every physician his personal patients list. Get new medical orders and add them to the patient's files.
3.Send the corrected Ward Medication Monthly Supply Listto the Central Pharmacy
4.Upon medical supply arrivel, storeit according to the hospital and medical regulations.
5. Give proper instructions and guidanceto the ward team.
Since appointing an Anemia
Coordinator we have observed –
1.Improved stability in ward Hemoglobin.
Observing the positive results of the new method we recommend other units to implement this management concept
in order to improve