Challenges and Innovations in A&E Pharmacy Practice at Wye Valley NHS Trust

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By Amy Like
Senior Pharmacy Technician for Accident and Emergency
Wye Valley NHS Trust
 
Misplaced medications
 
Medication histories
 
Prescription errors
 
Workload
 
Delayed discharge prescriptions
 
Compliance
 
Relationship with Pharmacy
 
A&E based Pharmacy Technician
During the hours of 9 to 5
Available to staff via Bleep if not in department
Working from AMU (Acute medical ward) pharmacy
Currently no capacity for Pharmacist or ATO
support for the Accident and Emergency
department.
 
Medication histories
 
Medication related problems
 
Ordering, supply and delivery of medications
 
Safe storage of medications
 
Ward transfer of medications
 
Counselling patients
 
Complete discharges
 
Improve patient flow
 
Reduction of missed doses
 
Support for medical and nursing staff
 
Improved relationship with pharmacy
 
Medication related problems resolved
 
Nursing and medical staff time being use more efficiently.
 
Improved stock list
 
Improved relationship with A&E
 
Medication histories completed within 24 hours of
admission
 
Decrease in missed doses
 
Prescription errors identified, reducing administration
errors
 
Reduction of workload in dispensary
 
Timely discharges
 
 
 
 
 
Service hours are limited
 
Nature of working environment
 
No pharmacist/ATO support
Co-carledopa
25/100 (half
sinemet)
prescribed as ½ a
tablet
Fluoxetine
prescribed as
125mg Twice a day.
Actual dose 20mg
Once a day
Clonazepam
prescribed as 1g
Three times a day.
Actual dose 1mg
Three times a day
Care company
duplicating
Felodipine dose in
error, patient then
admitted following a
fall
 
Savings from October to February
£8,753.09
 
How savings were achieved :
 
Encouraging nursing staff to use patients own medications
 
Asking relatives to bring medications into hospital
 
Stopping unnecessary supply of medications
 
Reviewing stock lists
 
My feelings about the
role
Positive aspects
 
Learning new skills
 
Working in a different
environment
 
Improved clinical
knowledge
 
Improving patient care
Job satisfaction
Negative aspects
 
Feeling isolated
 
Working environment
 
Pressure
 
Negative perception
towards pharmacy
 
 
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As a Senior Pharmacy Technician in the Accident and Emergency department at Wye Valley NHS Trust, Amy faces challenges such as misplaced medications, prescription errors, and workload delays. Despite limitations in pharmacist support, she plays a crucial role in improving patient care by addressing medication-related issues, completing histories promptly, and enhancing staff relationships. Innovations like improved stock management and timely discharges have led to more efficient workflow and better patient outcomes.


Uploaded on Jul 31, 2024 | 0 Views


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  1. By Amy Like Senior Pharmacy Technician for Accident and Emergency Wye Valley NHS Trust

  2. Misplaced medications Medication histories Prescription errors Workload Delayed discharge prescriptions Compliance Relationship with Pharmacy

  3. A&E based Pharmacy Technician During the hours of 9 to 5 Available to staff via Bleep if not in department Working from AMU (Acute medical ward) pharmacy Currently no capacity for Pharmacist or ATO support for the Accident and Emergency department.

  4. Medication histories Medication related problems Ordering, supply and delivery of medications Safe storage of medications Ward transfer of medications Counselling patients Complete discharges

  5. Image result for accident and emergency symbol Improve patient flow Reduction of missed doses Support for medical and nursing staff Improved relationship with pharmacy Medication related problems resolved Nursing and medical staff time being use more efficiently. Improved stock list

  6. Improved relationship with A&E Medication histories completed within 24 hours of admission Decrease in missed doses Prescription errors identified, reducing administration errors Reduction of workload in dispensary Image result for capsules Timely discharges

  7. Service hours are limited Nature of working environment No pharmacist/ATO support

  8. Care company duplicating Felodipine error, patient then admitted following a fall Care company duplicating Felodipine dose in error, patient then admitted following a fall Clonazepam prescribed as 1g Three times a day. Actual dose 1mg Three times a day Clonazepam prescribed as 1g Three times a day. Actual dose 1mg Three times a day dose in Co 25/100 (half sinemet prescribed as a tablet Co- -carledopa 25/100 (half sinemet) prescribed as a tablet carledopa Fluoxetine prescribed as 125mg Twice a day. Actual dose 20mg Once a day Fluoxetine prescribed as 125mg Twice a day. Actual dose 20mg Once a day )

  9. Savings from October to February 8,753.09 Savings from October to February 8,753.09 How savings were achieved : Encouraging nursing staff to use patients own medications Asking relatives to bring medications into hospital Stopping unnecessary supply of medications Reviewing stock lists

  10. My feelings about the role Positive aspects Positive aspects Negative aspects Negative aspects Learning new skills Learning new skills Feeling isolated Feeling isolated Working in a different environment Working in a different environment Working environment Working environment Pressure Pressure Improved clinical knowledge Improved clinical knowledge Negative perception towards pharmacy Negative perception towards pharmacy Improving patient care Improving patient care Image result for unhappy smiley face Image result for smiley face Job satisfaction Job satisfaction

  11. Thank you all for listening Do you have any questions?

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