TITLE

Pharmacy on wheels: bringing pharmaceutical care to the childs bedside

AUTHOR(S)
Naeem, Q.; Tomlin, S.; Thornhill, W.; Hayes, P.
PUB. DATE
April 2011
SOURCE
Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, pe1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives The ward based satellite pharmacies at the Evelina Children's hospital, based in the main drug room on the ward, were designed to supply one-stop-medicines on a daily basis to children's electronically controlled bedside lockers. Utilisation of this room caused interruptions to nurses preparing medicines, removal of drug charts from the child's bedside and a service that was time limited for interaction with children and their carers. The aim was to put a mobile dispensing station,1 equipped with a fully networked live dispensing computer and medicines storage cupboard on each ward to provide bed to bed dispensing. The objective was to reduce nurse interruptions,2 increase pharmacy time at the child's bed and make the dispensing process interactive with the child/carers in terms of the information provided about them.3 Method A time-motion method was used to make observations of ward based activities of the pharmacy team in a preintervention (running the static satellite pharmacy system) and post intervention (pharmacy on wheels service) in order to make comparisons. Satisfaction questionnaires were used to identify the perceptions of key stakeholders of the new service. Results Interruptions of nurses by pharmacy staff, decreased by 65%. The dedicated time at the bedside meant that the time to take a drug history decreased by 16%, but the patient contact time increased by 30%. Time that the pharmacy team spent walking round the ward was reduced by 44%. 86% of children/carers thought the service was 'good or excellent⇔(tm), with 100% saying it was a 'better service⇔ (tm). 85% of nurses 'agreed⇔(tm) that the new service was a safer way of providing medicines at ward level. Conclusion The introduction of this new bedside service has shown many benefits. The relocation of pharmacy to the bedside has meant a more visual patient focused service has been established. With nurse interruptions being reduced and drug charts kept by the bedside, the new service shows good promise for the future. The pilot showed that the pharmacy team could make better use of their time at ward level, with less walking to and from the satellite pharmacy and more time spent with the individual children and their carers. More work is required on the interruptions of the pharmacy team during the dispensing process at the bedside; although the visual focus of the trolley seems to help avoid this and interruptions are medicine and patient specific.
ACCESSION #
61211351

 

Related Articles

  • Clinical trials of medicines in children. Choonara, Imti // BMJ: British Medical Journal (International Edition);11/04/2000, Vol. 321 Issue 7269, p1093 

    Editorial. Focuses on the lack of scientific data related to the use of medicines in children. Reluctance of the pharmaceutical industry to conduct clinical trials of medicines in children; Efforts of the United States Food and Drug Administration (FDA) to encourage such studies; Practical...

  • Sharing prescription medicines: results of a survey of community pharmacy clients in Auckland, New Zealand. Gascoyne, Alexandra; Beyene, Kebede; Stewart, Joanna; Aspden, Trudi; Sheridan, Janie // International Journal of Clinical Pharmacy;Dec2014, Vol. 36 Issue 6, p1268 

    Background The practice of medication sharing, the lending (giving) or borrowing (taking) of prescription medicines, has been reported increasingly in the literature. Aim This study aimed to investigate prescription medication sharing practices among adults in Auckland, New Zealand. Setting...

  • Development of a single paediatric infliximab administration guideline. Kasuji, S.; Wood, M.; Lilley, R.; Collins, S. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, pe1 

    Objective Three separate infliximab prescribing and administration guidelines were being used within the paediatric departments at LTHT. Over a 6 month period this caused selection errors which resulted in a number of administration rate errors. The aim of this project was to develop a single...

  • A descriptive retrospective study into pharmacy led paediatric commissioning services when processing individual funding requests for PCTs. Ubhi, H. K.; Terry, D. R. P. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, pe1 

    Objective To quantify the success of a Pharmacist led paediatric commissioning service in securing individual funding requests (IFR) to Primary Care Trusts (PCTs). Methods Descriptive, retrospective study over a 4 month period by review of IFR sent to PCTs. The IFRs were completed by the lead...

  • Clinical and laboratory features of viral hepatitis A in children. Blechová, Zuzana; Trojánek, Milan; Kynčl, Jan; Částková, Jitka; John, Jerry; Malý, Marek; Herrmannová, Kristýna; Marešová, Vilma // Wiener Klinische Wochenschrift;Feb2013, Vol. 125 Issue 3/4, p83 

    Recent outbreaks of viral hepatitis A in non-endemic European countries and the potential outbreak risk in susceptible populations has led us to evaluate the clinical characteristics of children hospitalised with hepatitis A. Retrospective study included 118 children (68 boys and 50 girls) with...

  • An evaluation of clinical pharmacist contributions in paediatrics. McArtney, R. J.; McArtney, R. G.; Postle, J. A.; Williams, R. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, pe1 

    Objective To collect clinical pharmacists interventions to profile pharmacy services, evaluate training needs and support business planning for the service; to classify these interventions by severity and stage of medication use process; and to demonstrate the financial value of pharmacists...

  • Assessing the competence of junior doctors to prescribe for children. Isaac, R.; Marcus, R.; McLellan, N. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Apr2011, Vol. 96 Issue 4, pe1 

    Objective The National Services Framework for Children states that persons involved in handling medicines for children should be competent to do so. This report describes the development of a process to assess the competence of doctors to prescribe for children while proving educational support....

  • Signalling Paediatric Side Effects using an Ensemble of Simple Study Designs. Reps, Jenna; Garibaldi, Jonathan; Aickelin, Uwe; Soria, Daniele; Gibson, Jack; Hubbard, Richard // Drug Safety;Mar2014, Vol. 37 Issue 3, p163 

    Background: Children are frequently prescribed medication 'off-label', meaning there has not been sufficient testing of the medication to determine its safety or effectiveness. The main reason this safety knowledge is lacking is due to ethical restrictions that prevent children from being...

  • Can smartphones and tablets improve the management of childhood illness in Tanzania? A qualitative study from a primary health care worker's perspective. Flexson Shao, Amani; Rambaud-Althaus, Clotilde; Swai, Ndeniria; Kahama-Maro, Judith; Genton, Blaise; D'Acremont, Valerie; Pfeiffer, Constanze // BMC Health Services Research;2015, Vol. 15 Issue 1, p1 

    Background: The impact of the Integrated Management of Childhood Illness (IMCI) strategy has been less than anticipated because of poor uptake. Electronic algorithms have the potential to improve quality of health care in children. However, feasibility studies about the use of electronic...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics