Summary of personal work in intravenous drug dispensing center
Before the hard day of this year began, I had made a plan to work hard and make continuous progress. Sure enough, as soon as the report was over, the work began immediately.
The first stop is the intravenous dispensing center of our department, where I will work and study for the next two weeks. I am both familiar and unfamiliar with this place. The workflow here is still the same as before. The external window is used for pharmacists to preliminarily check prescriptions and prepare drugs, and the internal vein configuration group will aseptically configure the drugs prepared by the window pharmacists. No matter whether the medicine is distributed or not, the medicine rack is still there, just like in previous years, but the original teachers have gone to other departments for rotation, and the new faces are still busy here, and their work is very fulfilling and happy every day.
Just two weeks, one week at the window and one week at the liquid distribution center. This is really not a long time in the course of one year's study, but there are many places to learn. Although I was familiar with this workflow before, I found many new things this time, such as the update of the system, which is more convenient for pharmacists to review and allocate prescriptions, such as the interaction between pharmacists and clinics, which is more timely and efficient, such as the management of dispensing personnel, which is more strict and standardized. The work order and initiative here are worth learning and learning from in primary hospitals. The existence of intravenous drug dispensing center is of great significance to drug quality management and prevention of drug errors. At the same time, it can reduce the workload of nurses, which is very important for the efficient operation of hospitals. At the same time, the working process of the staff in the liquid distribution center was closely observed. Liquid preparation personnel need to wear sterile operating clothes for a long time every day, while pharmacists outside the liquid preparation room need it.
It is necessary to check the prepared drugs in time. Sometimes pharmacists want to have more hands and work with the whole body. The work intensity is high and the time is long, but everyone is good at self-regulation. The atmosphere in the liquid distribution center is tense and positive. Here, what they can feel is the responsibility of every pharmacist.
Two weeks have passed quickly, and several of our classmates have forged friendship with the teachers on the eighth floor of 1 building. I will keep in mind the experience and teaching of teachers and be strict with myself in my future work and study. I believe we will have a complete receipt this year.
Summary of personal work in intravenous drug dispensing center
Intravenous drug dispensing center is a sterile operation institution concentrated in hospitals according to drug characteristics. It is mainly responsible for the configuration of intravenous drugs and parenteral nutrition drugs in hospitals, and is an important part of hospital pharmacies. With the great attention of hospital leaders, the strong support of Director X of Pharmacy Department and the close cooperation of relevant departments, the work of static distribution center has been carried out smoothly. At present, there are 6 pharmacists and 4 nurses in the center, and the developed departments include neurology, respiratory department I, respiratory department II, nephrology, gastroenterology and hematology. At the same time, the parenteral nutrient solution of the first department of general surgery is also placed in the center. In the coming year, * * * deployed 238,809 packages, with an average of about 700 packages per day. The work report for xx years is as follows:
I. Progress of work
The center has achieved "zero difference rate" from the beginning of operation to now, and with the growth of pharmacists, the center has further standardized and refined the workflow. According to the requirements and standards of superiors, under the leadership and personal guidance of hospital leaders and director X, the center separated antibiotics from commonly used drugs in six wards, which strengthened the occupational protection of deployment personnel to the maximum extent. Nurses are responsible for the deployment of all antibiotics, general chemotherapy drugs and half of the hematology wards. Pharmacists undertake the check, recheck and logarithm of each ward, and strictly implement the double-check system.
Second, the optimization of internal management
In order to better realize the service tenet of PIVAS: "Give back the time to the nurses and the children", all the work of distributing medicines, labeling and rechecking in the afternoon will be undertaken by the center staff. With the surge of workload and relative shortage of staff, we have broken the "big pot" mode of integrating medical care in the past, and implemented a work mode in which medical care has its own responsibilities and clear posts. The "assembly line" working mode is realized, and the working efficiency is greatly improved. The department holds regular meetings every month to discuss the existing problems, seek solutions to frequent problems, and further improve and optimize new methods and ideas through practice.
Third, strengthen foreign exchanges.
Problems found in the process of configuring infusion, such as color change of drugs and matters needing attention in preparation, are reflected by nurses in time and solved by pharmacists in time. In the case that some drugs are about to be in short supply, actively inform the ward. At the same time, call the ward if there are some drugs to be replenished. When there is a lot of water in the ward, pharmacists help nurses deliver water to the ward in time to ensure the safety of children's medication. Attend lectures and continuing education held by departments and hospitals regularly. Keep the room clean, tidy and dry, count the colonies regularly, and check the purification level of the purification equipment regularly to ensure that the environment meets the requirements.
Fourth, take standardized income generation as an opportunity to standardize the management of static distribution centers.
Since the establishment of the demonstration static distribution center, under the leadership of the dean in charge and Director X, the center has overcome all kinds of difficulties, and Qi Xin has made concerted efforts to actively participate in the work of welcoming its establishment. Everyone learns every item in the evaluation standard repeatedly, and compares it? Rectification? Compare again? It is being rectified. Resolutely rectify those who fail to meet the standards and achieve the consolidation and strengthening of the goals. If you can't finish your working hours, you will give up working overtime at noon, at night and on weekends. Through this rectification, our relevant systems, responsibilities, operational norms, quality standards and work processes are more sound and standardized, and the work level and quality of the center have been comprehensively improved.
In a word, in the past year, the center still has some shortcomings. In the new year, we will strive to improve and gradually improve, wholeheartedly serve the clinic and contribute to the better development of pharmacy.
Summary of personal work in intravenous drug dispensing center
In order to adapt to the international health trend, our hospital plans to open an intravenous drug dispensing center, and the preparatory work began last year. In July this year, the hospital sent Mai, pharmacist and outpatient nurse Chen Shaoni to study in Yan 'an Hospital in Kunming, Yunnan for one month. In August this year, the hospital intravenous drug dispensing center was renovated, with the first-class building layout and hardware facilities in China, and equipped with seven clean laminar flow tables with advanced domestic level for dispensing ordinary drugs; There are 7 biosafety cabinets, including 6 antibiotic dispensing cabinets and 1 cytotoxic drug dispensing cabinet/kloc-0, which can provide intravenous drug dispensing service for more than 200 beds in the hospital/kloc-0.
Intravenous drug dispensing center is a sterile operation institution concentrated in hospitals according to drug characteristics. It is mainly responsible for the configuration of intravenous drugs and parenteral nutrition drugs in hospitals, and is an important part of hospital pharmacies. Its significance lies in: (1) The intravenous infusion configuration center can improve the management level of the hospital and be close to the modern management system of the hospital. (2) Reduce drug waste and increase hospital income. ⑶ The intravenous infusion configuration center can ensure the sterility of the solution and minimize the medical disputes caused by infusion reactions. ⑷. Promote the development of clinical pharmacy, popularize rational drug use, and reduce manual prescription and medication errors. 5], prevent medical staff from contacting cytotoxic drugs and antiviral drugs against normal human body, realize effective occupational exposure protection, and reflect the humanistic care of hospital management. (6) PIVAS optimizes the allocation of human resources: it saves nursing staff and "returns time to nurses and nurses to patients".
In September, xx, with the great attention and support of hospital leaders and department leaders, the intravenous drug dispensing center finally began to operate. At present, there are 4 pharmacists and 3 nurses in the center, and the developed departments include neurology, neurosurgery, respiratory medicine, cardiovascular medicine and orthopedics. In the first few months of operation, the total infusion configuration of the configuration center was 34,809 bags, with an average of about 500 bags per day.
I. Progress of work
Up to now, from the first two departments to the present five departments, the system program has gradually matured and improved, and the workload has gradually increased. With the increase of workload, the pressure of each work link is increasing, so the working hours are also adjusted accordingly, and each link is arranged as reasonably as possible. Quality and safety issues are reiterated at every meeting. At the same time, the staff of the configuration center actively communicate with the clinic and get clinical feedback in time, such as the order of medication, the batch of medication, the number of each batch, etc. , and coordinate with each ward as much as possible. There are more and more drug consultations in the ward. Pharmacists should seek truth from facts, check information, turn over manuals, control the use of drugs well, reduce potential risks, find problems, analyze them in time, inform them in time and replace them in time.
The clinical work of pharmacists is also further developed, and clinical medication guidance and collection of adverse reactions have become the main tasks of pharmacists. In the process of reviewing prescriptions, pharmacists communicate with doctors in time when there are compatibility problems in medical orders, which reduces the repeated work of doctors and nurses in wards; In terms of medication, doctors can know the best use, usage and dosage, precautions and so on. This is also of positive significance for the formulation of medical orders.
Second, the optimization of internal management
The department holds regular meetings every month to discuss the existing problems, seek solutions to frequent problems, and further improve and optimize new methods and ideas through practice. Timely feedback and communicate with each other on the problems in prescription review and drug verification, so as to minimize possible errors; Some improvements have been made in daily scheduling. With the surge of workload and relative shortage of personnel, teamwork spirit has become an important content of every meeting, and the configuration center has formed an atmosphere of clear position, mutual cooperation and unity.
Strengthen communication with nurses in our center, and find problems in the process of configuring infusion, such as the change of drug color, precautions in preparation, etc. The nurse will report it in time and the pharmacist will solve it in time. Attach importance to health work and strictly control cleaning standards.
Third, the next work plan
Further strengthen internal management, strengthen quality and risk awareness, minimize errors and daily losses, and achieve "zero" errors; The problems brought about by the change of schedule also need to be solved urgently. Based on the inconsistent medication time in clinical departments, we have coordinated with the departments and will try our best to meet the requirements of the departments. It is planned to strive for the development of clinical departments in the whole hospital next year. By then, the total infusion configuration of the configuration center will be about 3000 groups per day, which can save a lot of consumables and medicines for the hospital and make the configuration center better serve the clinic and the hospital. After the Guangdong Provincial Price Bureau approves the collection of allocation fees, it is expected to bring huge economic benefits to the hospital.
(1) Improve the management system 1, improve the target responsibility system, strengthen the management of departments through the target responsibility book, achieve the purpose of encouraging and promoting the development of departments, and become the teaching base of the future deployment center in northern Zhongshan; 2, improve the quality management system, strengthen the sense of responsibility, improve the quality control and quality evaluation system, the implementation of total quality management; 3. Improve the cost accounting system and implement cost quantification management; Use drugs safely, reasonably and economically to improve patients' satisfaction.
(2) Building a high-quality talent team is the core issue. If a department wants to have a high level of development, it is necessary to build a team of high-quality talents who understand technology, management and excellent professional level. The development of a department must attach importance to the cultivation of talents, strengthen the introduction of talents, and pay attention to high-level, high-skilled and innovative talents; In addition, do a good job in training young and middle-aged talents in departments, establish and improve a fair competition mechanism, select the best candidates, highlight key points, and ensure the realization of talent training objectives. For every pharmacist, receiving pharmaceutical education is a lifelong process, which consists of different and interrelated education stages, namely basic education, post-graduation education and re-education in pharmaceutical colleges, which is called "continuous integration of pharmaceutical education". Only through the introduction of talents and the re-education of pharmaceutical personnel can we cultivate excellent pharmaceutical talents.
Summary of personal work in intravenous drug dispensing center
1, business work completed
The working state of the vein configuration center is shown in the following figure:
In the first quarter, the total infusion allocation of the allocation center was 2724 14 bags, with an average daily allocation of 3026 bags. The total number of drug return patches is 15075 bags, and the daily average number of drug return patches is about 167 bags.
2. New progress in work
Since 2007, the daily infusion volume of the deployment center has increased significantly compared with the same period of last year, and the work and rest time has been adjusted accordingly, from the past continuous shift system to the current two-shift system to meet the clinical requirements as much as possible. With the increase of workload, the pressure of each work link increases, and the quality and safety issues are repeatedly reiterated at the weekly meeting. At the same time, the staff of the configuration center actively communicate with the clinic and get clinical feedback in time, such as the order of medication, the batch of medication, the number of each batch, etc. , and coordinate with each ward as much as possible. There are more and more drug consultations in the ward. Pharmacists should seek truth from facts, check information, turn over manuals, control the use of drugs well, reduce potential risks, find problems, analyze them in time, inform them in time and replace them in time.
The clinical work of pharmacists is also further developed, and clinical medication guidance and collection of adverse reactions have become the main tasks of pharmacists. In the process of ward rounds, pharmacists communicate with doctors in time when there are compatibility problems in medical orders, which reduces the repeated work of doctors and nurses in wards; In terms of medication, doctors can know the best use, usage and dosage, precautions and so on. This is also of positive significance for the formulation of medical orders. In addition, for some patients' medication, our pharmacists will also follow up and write a medication calendar.
3. Internal management optimization
From irregular meetings in the past to regular meetings once a week now, we discuss the solutions to frequent problems in the meetings, and further improve and optimize new methods and ideas through practice. Timely feedback and communicate with each other on the problems in prescription review and drug verification, so as to minimize possible errors; Some improvements have been made in daily scheduling. With the surge of workload and relative shortage of staff, teamwork spirit has become an important part of every regular meeting, and the configuration center has formed an atmosphere of clear position, mutual cooperation and unity.
Strengthen communication with nurses in our center, and find problems in the process of configuring infusion, such as the change of drug color, precautions in preparation, etc. The nurse will report it in time and the pharmacist will solve it in time. Attach importance to health work and strictly control cleaning standards.
4. Work plan for the next step
Further strengthen internal management, strengthen quality and risk awareness, minimize errors and daily losses, and achieve "zero" errors; The problems caused by the change of work schedule also need to be solved urgently, and the application of audit software to the current his system should be accelerated. Based on the clinical hope that the first batch of drugs will arrive earlier, we will try our best to meet the demand, narrow the gap between the first three batches, ensure the first batch to arrive as soon as possible, and let the configuration center better serve the clinic.
Intravenous drug dispensing center is a sterile operation institution concentrated in hospitals according to drug characteristics. It is mainly responsible for the configuration of intravenous drugs and parenteral nutrition drugs in hospitals, and is an important part of hospital pharmacies. Its significance lies in:
(1), the intravenous infusion configuration center can improve the management level of the hospital and move closer to the modern management system of the hospital.
(2) Reduce drug waste and increase hospital income.
(3) The intravenous infusion configuration center can ensure the sterility of the solution and minimize medical disputes caused by infusion reactions.
(4) Promote the development of clinical pharmacy, popularize rational drug use, and reduce the mistakes of manual prescription.
(5) To prevent medical staff from being harmed by cytotoxic drugs and antiviral drugs, to realize effective occupational exposure protection, and to reflect the humanistic care of hospital management.
(6) PIVAS optimizes the allocation of human resources: it saves nursing staff and "returns time to nurses and nurses to patients".
Summary of personal work in intravenous drug dispensing center
From 2065438 to May 2006, with the great attention and support of hospital leaders and department leaders, the intravenous drug dispensing center finally started to operate. At present, there are 4 pharmacists and 8 nurses in the center, and the developed departments include oncology department I, oncology department II and radiotherapy department. .
I. Work Progress Since the operation, from the initial 1 department to the current three departments, the system program has gradually matured and improved, and the workload has gradually increased. After the workload increases, the pressure of each work link increases, so the working hours are adjusted accordingly, and each item is arranged as reasonably as possible.
Links, quality and safety issues are reiterated at every meeting. At the same time, the staff of the configuration center actively communicate with the clinic and get clinical feedback in time, such as the order of medication, the batch of medication, the number of each batch, etc. , and coordinate with each ward as much as possible. There are more and more drug consultations in the ward. Pharmacists should seek truth from facts, check information, turn over manuals, control the use of drugs well, reduce potential risks, find problems, analyze them in time, inform them in time and replace them in time.
The clinical work of pharmacists is also further developed, and clinical medication guidance and collection of adverse reactions have become the main tasks of pharmacists. In the process of reviewing prescriptions, pharmacists communicate with doctors in time when there are compatibility problems in medical orders, which reduces the repeated work of doctors and nurses in wards; In terms of medication, doctors can know the best use, usage and dosage, precautions and so on. This is also of positive significance for the formulation of medical orders.
Second, the internal management optimization department holds regular meetings every month to discuss the existing problems, seek solutions to the frequent problems, and further improve and optimize new methods and ideas through practice. Timely feedback and communicate with each other on the problems in prescription review and drug verification, so as to minimize possible errors; Some improvements have been made in daily scheduling. With the surge of workload and relative shortage of personnel, teamwork spirit has become an important content of every meeting, and the configuration center has formed an atmosphere of clear position, mutual cooperation and unity.
Strengthen communication with nurses in our center, and find problems in the process of configuring infusion, such as the change of drug color, precautions in preparation, etc. The nurse will report it in time and the pharmacist will solve it in time. Attach importance to health work and strictly control cleaning standards.
Third, the next work plan
Further strengthen internal management, strengthen quality and risk awareness, minimize errors and daily losses, and achieve "zero" errors; The problems brought about by the change of schedule also need to be solved urgently. Based on the current clinic
We have coordinated with all departments and will try our best to meet their requirements. It is planned to strive for the development of clinical departments in the whole hospital next year. By then, it will save a lot of consumables and medicines for the hospital and make the configuration center better serve the clinic and the hospital. After the Anhui Provincial Price Bureau approves the collection of transfer fees, it is expected to bring huge economic benefits to the hospital.
I believe that the static dispensing center will continue to be highly valued by leaders at all levels in the hospital. With the close cooperation of the clinical departments of the hospital and the team of our center, the work of our center will be recognized and welcomed by more departments, and our work will be carried out better and better, contributing to the construction of pharmacy department!