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Disadvantages (contd.)
PHARMACISTS ROLE
1] Envelope method :
Envelope is the carrier for the drug.
Name and quantity of drug; patients name is written on the
envelope.
Nurse dispenses from this envelope to the patient, if prescribed by
the physician.
Envelope is sent back to the pharmacy and the charges levied
accordingly.
2] Drug basket method :
Requires an inventory of the nursing units to which the drugs are
sent.
Nurse takes inventory of the all the drugs in the nursing unit (at
days end).
This report is placed in the basket, which is then sent to the
inventory.
Next day pharmacist refills it and sends it back to the nursing
units.
3]
Mobile Unit :
Nursing unit send a copy of drug requisition order to the pharmacy.
Drugs are dispensed via the Mobile Unit.
Mobile Unit
Stainless steel; ht. (60 in.); width (48 in.); depth (25.5 in.).
Main body is mounted on six 8 in. balloon wheels (central wheel is
stationary; other wheels are rotating type).
2 locking, sliding doors w/ handle for pushing.
4] Unit Dose Dispensing (UDD):
All those medications which are ordered, packed, administered,
charged in multiples of single doses, and which contain a predetermined amount, needed for a single application.
2 types Centralized Unit Dose Dispensing (CUDD)
Decentralized Unit Dose Dispensing
(DUDD)
CUDD
No flow or satellite pharmacies.
Only central pharmacy.
Drugs are dispensed via mobile carts and dumb waiters.
DUDD
Satellite pharmacies (storage for the drugs).
Advantages :
Improved pceutical care to the patient.
Patients are charged only for the medications administered to
them.
Pcist packs all the medications which are required in the nursing
stations (this allows the nurse more time for patient care).
Eliminates credits; reduces pilferage, drug wastage and revenue
costs.
Reduces the storage space in the nursing units.
UDD PROCEDURE
Admission
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