Challenges and Innovations in A&E Pharmacy Practice at Wye Valley NHS Trust
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.
- A&E Pharmacy Practice
- Medication Management
- Patient Safety
- Healthcare Innovation
- Staff Collaboration
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Presentation Transcript
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
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
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
Service hours are limited Nature of working environment No pharmacist/ATO support
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 )
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
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
Thank you all for listening Do you have any questions?
