Practice summary of outpatient pharmacy 1. Mastered the classification and display of drugs.
1, classification of drugs
First of all, drugs are separated from non-drugs, prescription drugs are separated from over-the-counter drugs, and oral drugs are separated from external drugs. Then, they are classified according to dosage forms or uses. According to the dosage form, it can be divided into tablets, capsules, injections, powders, ointments and drugs that are easy to taste. According to the use, it is divided into: antibiotics, respiratory system, cardiovascular and cerebrovascular diseases, digestive system, easy-to-escape drugs, etc.
2, the display of drugs
There should be medicine cabinets and Chinese medicine cabinets, medicines should be put on shelves in an orderly manner, and there should be counters and basic tools for disassembling medicines. The requirement of disassembling medicine is to keep the original packaging as much as possible. If it cannot be preserved, the name, specification, production batch number and expiration date shall be indicated on the label, and a list of the expiration date of the drug shall be provided.
Toxic drugs should be managed by special counters, double persons and double locks.
Second, be familiar with the principle of prescription deployment.
The names (chemical names, aliases, trade names), pharmacological effects, uses, dosage forms, specifications, dosage, usage, adverse drug reactions, compatibility taboos, etc. of commonly used drugs should be mastered during prescription preparation. For example, Shuanghuanglian injection and ribavirin injection, Qingkailing injection and ligustrazine injection cannot be mixed. Prescription shall be made according to the procedures of examining the prescription, drawing the price and formulating the prescription. Those who fail the examination have the right to refuse to allocate prescription drugs.
The main points of this period are as follows:
First, the placement of drugs: similar drugs are put together, so that the first-in first-out is achieved.
Second, see the prescription: first see the doctor's number, then look at the age, and finally look at the usage and dosage.
Third, pick up the prescription and carefully pick up the prescription to see if there are any drug compatibility taboos.
Fourth, prescription pricing charges.
Summary of the practice of outpatient pharmacy Fan worked in the outpatient pharmacy of Tianshan Chinese Medicine Hospital for three months and got a preliminary understanding of the daily work of the pharmacy. In the process of placing drugs and formulas, I am familiar with the placement of drugs. Correct memory and fixed placement of drugs are the most effective ways to avoid prescription errors. Monthly overdue statistics, when placing different batches of drugs, the order of placing the same drugs should be checked or adjusted according to the batch number and expiration date. Drugs that are about to expire in the near future should be specially marked or treated separately. Strictly following the first-in first-out principle is an important way to prevent unnecessary losses caused by overdue.
The system of four checks and ten pairs should be strictly implemented when distributing medicines. Investigator, subjects, names and ages; Check drugs, drug names, dosage forms, specifications and quantities; Check compatibility contraindications, drug properties, usage and dosage; Check the rationality of clinical diagnosis medication. However, it takes time to complete a series of actions quickly and accurately in the actual operation process. Really is the premise of everything. After taking the medicine, tell the patient how to use it, especially for external use and taking half a tablet. Patients should also be informed that sedative and hypnotic drugs, such as estazolam and alprazolam, and anti-allergic drug levocetirizine should be taken at night. Pharmacists need to master the daily dosage of common prescription 7 and emergency prescription 3, and the prescription dosage of elderly patients with chronic diseases should not exceed one month according to different prescriptions. Psychotropic drugs should be prescribed separately. Penicillins can only be used after the skin test is negative. After dispensing, pharmacists should divide prescriptions into Chinese patent medicine prescriptions, western medicine prescriptions and antibacterial drugs prescriptions according to prescriptions.
Usually, I will always pay attention to some drug instructions, which will help me understand pharmacological knowledge. Antihypertensive drugs and diabetes drugs in outpatient pharmacies account for a large part of western pharmacies. Gynecological drugs such as progesterone and bromocriptine use different doses for different clinical symptoms. Some injections should not use glucose or sodium chloride as solvent. For example, norepinephrine and amiodarone cannot be dissolved with sodium chloride; Furosemide injection should not be mixed with glucose. The solvent for injection of Chinese patent medicine is less restricted than that of western medicine.
I summed up that when serving at the window, I will mainly encounter patients' inquiries about the following questions: whether some pharmacies have them, which subjects to hang, and how to take them: before meals, after meals or on an empty stomach. The most common special situations at work are: doctors have doubts about the usage of prescriptions, patients need to return drugs or submit adverse reactions, and nurses need to borrow drugs. In the service, we should always use simple and easy-to-understand language to improve the quality and efficiency of service and benefit others. Thanks to the guidance of teachers and colleagues, I learned the basic operation and the quickest method in complex environment.
In the following days, I will gradually become familiar with and proficient in the operation and communication of various windows, hoping I can do better.
Summary of Practice in Outpatient Pharmacy During Fan Wensan's internship, he strictly abided by the rules and regulations of the hospital and various departments of the hospital, and consciously restrained himself with the strict requirements of medical students' norms, so as to achieve error-free accidents.
During the internship, I learned about drug compatibility, pharmacology, indications, drug classification, adverse reactions and drug taboos. Learn the operation process of dispensing medicine according to the prescription, and what should be strictly observed when dispensing medicine? Four checks and ten pairs? System. I constantly sum up my learning methods and clinical experience, and strive to cultivate my ability to think independently, solve problems independently and work independently.
I constantly strengthen my medical ethics, cultivate the lofty idea of serving the people wholeheartedly and the professional quality that medical workers must have. For the drugs distributed to patients, I can actively explain the common sense and precautions of drug use to patients, especially patiently answer the precautions of special people, and improve the compliance of patients with drugs.
I integrate theory with practice, am not afraid of making mistakes, consult modestly, discuss prescription problems with teachers, analyze prescriptions, greatly expand my knowledge, enrich my thinking methods, and truly realize the real significance of internship. Not only that, I also recorded my little experience in my work through practical notes, which left a deep impression on the teachers and won unanimous praise from them.
Through this internship, I found a lot of my own problems, as well as my own shortcomings and deficiencies. Internship not only enriched my professional knowledge, accumulated social experience, laid a foundation for social work in the future, but also enhanced my ability to adapt to society, let me know that my knowledge is too superficial, and the lack of professional knowledge in practical application made me realize that if I want to occupy a place in today's highly competitive society, I must know more.