Materi Ibu Difa - Pelayanan Resep

12/11/2014
PELAYANAN RESEP
12/11/2014
Tujuan kuliah
Memberikan gambaran tentang peran
farmasis di dalam memberikan pelayanan
obat resep mulai penerimaan resep sampai
penyerahan obat.
American Pharmacists Association
12/11/2014
Outline
1. Medication Management
2. Patient Safety: Medication error
3. Dispensing Process
4. Compounding process
Medication Management
Medication management is defined as patient-centred care to
optimize safe, effective and appropriate drug therapy
Prescribe, dispense, and administer medications appropriately
(safely)
Collaborate with patient and health care professionals to
maximize the benefit of prescribed medications
Routinely assess the effectiveness of prescribed regimens
Help avoid or minimize drug interactions and medication-related
adverse reactions
Improve medication adherence
12/11/2014
Patient Safety: Medication Error

Medication error is any preventable event that may cause
or lead to inappropriate medication use or patient harm
while the medication is in the control of the health care
professional, patient, or consumer.
Such events may be related to prescribing, order
communication, compounding, product labeling,
packaging, dispensing, administration, education,
monitoring, and use.
Patient Safety: Medication Error

Prescribing error
Dispensing error
Administration error
12/11/2014
Need of Quality Care Standards
Dispensing
12/11/2014
Dispensary design & workflow

Ideal dispensary: bersih & rapi
Minimum standards:
penampilan/ dekorasi dinding, atap dan cat yang cukup baik
lantai mudah dibersihkan
mempunyai perabot yang cukup
kulkas yang bersih
wastafel yang bersih
tempat penyimpanan dan pembuangan barang yang baik.
Workflow is Important
to offer an efficient and safe
dispensing service
12/11/2014
Advantages of having an efficient

workflow
ekonomis dan meminimalkan SDM
mengurangi waktu tunggu pasien
meningkatkan waktu untuk berinteraksi
dengan pasien
mencegah dispensing error
meningkatkan kenyamanan bagi orang
yang bekerja
7 stages of Dispensing Process

1. Prescription reception
2. Legal and Clinical check
3. Labelling of items
4. Assembly of items
5. Checking of items
6. Final check
7. Hand to patient/ counselling
12/11/2014
1. Precription reception
Mengenal resep yang diterima
Memastikana nama dan alamat pasien
Verifikasi usia pasien jika anak-anak
Mengetahui apakah resep tersebut diambil oleh pasien atau
untuk orang lain
access PMR system
Memperkirakan waktu yang diperlukan dan menginformasikan
kepada pasien
2. Legal & Clinical check

This process must be perform by the
pharmacist
In Indonesia: program TATAP
Legal check: illegal R/, narcotics
12/11/2014
Clinical check
Name, strength and form of the drug. Is it clear what is
intended?
What dose form is required?
Is the dose appropriate for indication and age of the
patient?
Is it an intended unlicensed off-label R/?
Are there any allergies, CI or possible interactions?
Is the quantity appropriate?
Role of the Pharmacist

Pharmacist is using their clinical and
pharmaceutical knowledge to ensure
that the patient receives the best
possible pharmaceutical care and
receives the correct drugs in
appropriate formulation and dose.
12/11/2014
Barriers
Pharmacist is not always aware of the
diagnosis
Pharmacist does not have access to
PMR
Pharmacist is not always available
(mostly in this country!!)
In the case of problem

prescriptions, pharmacist
should communicate directly
with the prescriber
and not delegate this task.
10
12/11/2014
3. Labelling of items
correct spelling of the name
awareness of drugs with similar names
Dose or quantity changes from previous R/
4. Assembly of items
be aware of look alike and sound alike
drug names.
Contoh:
Celebrex, Celexa, Cerebra
Inderal, Isordil
Bupropion, Buspirone
Seroquel, Serzone, Serentil
Zosyn, Zofran
Paxil, Plavix
Lamisil, Lamictal
11
12/11/2014
5. Checking the items

to reduce number of problem
should be checked by staff who assemble
the product and re-check by other staff
before handed to the patient.
12
12/11/2014
6. Final check
HELP mnemonic:
H: how much has been dispensed
E: expiry date check
L: label checks for the correct patients
name, product name, correct dose and
correct warning
P: product check to ensure that the
correct medication and strength has been
supplied
7. Hand to patient/ Counselling
13
12/11/2014
Compounding
Compounding Process
1. Menentukan keamanan penggunaan resep dan dosis.

2. Melakukan perhitungan umlah bahan yang diperlukan
3. Menggunakan peralatan yang tepat dan bersih.
4. Pakaian yang bersi dan mencuci tangan.
5. Tempat dimana proses peracikan dilakukan bersih.
6. Mengumpulkan semua bahan yang diperlukan dalam dan dibungkus
dengan rapi.
14
12/11/2014
Compounding Process
7. Compounding the prescription according to the Formulary record or the
prescription, according to the art and science of pharmacy.
8. Checking, as indicated, the weight variation, adequacy of mixing, clarity,
odor, color, consistency and pH.
9. Entering the information in the compounding log.
10. Labeling the prescription.
11. Signing and dating the prescription, affirming that all the indicated
procedures were carried out to ensure uniformity, identity, strength, quality,
and purity.
12. Cleaning and storing all equipment.
13. Cleaning the compounding area.
Standard for Extemporaneous

Product
Personal hygiene:
hygiene standard should be as high as, or higher
than those found in food kitchen.
Personal protective equipment:

clean white coat
safety glasses
safety equipments (face mask, gloves)
long hair should be tied back
15
12/11/2014
Standard for Extemporaneous Product

Clean work area & equipment:
risk of contaminating the final product with
microorganism from previous preparation.
Work area:
cleanliness
lighting
ventilation
16
12/11/2014
Standard for Extemporaneous Product

Label preparation:
the product should be labelled as soon as it has been
manufactured & packaged, to prevent from possibility
of being mislabelled & given to the wrong patients.
Weighing & measuring procedure:

accidental cross-over ingredients.
17
12/11/2014
References
Community Pharmacy Handbook,
Pharmaceutical Press, London, Chapter 7.
FIP, Good Pharmacy Practice in Developing
Countries.
18

Materi Ibu Difa - Pelayanan Resep

Uploaded by

Copyright:

Available Formats

Materi Ibu Difa - Pelayanan Resep

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Materi Ibu Difa - Pelayanan Resep

Uploaded by

Copyright:

Available Formats

12/11/2014

American Pharmacists Association

Patient Safety: Medication Error

Patient Safety: Medication Error

Need of Quality Care Standards

Dispensary design & workflow

Advantages of having an efficient

7 stages of Dispensing Process

2. Legal & Clinical check

Role of the Pharmacist

In the case of problem

5. Checking the items

7. Hand to patient/ Counselling

1. Menentukan keamanan penggunaan resep dan dosis.

Standard for Extemporaneous

Personal protective equipment:

Standard for Extemporaneous Product

Standard for Extemporaneous Product

Weighing & measuring procedure:

You might also like