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2005;12:294
September 2005

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Intermediate care work and a database on unlicensed drugs win technician awards

Tracy Sedgwick

Tracy Sedgwick

Promoting self administration of drugs for patients in an intermediate care facility is one of the projects which has won this year's AAH pharmacy technician of the year award. Tracy Sedgwick, senior pharmacy technician for medicines management and intermediate care, Darlington Memorial Hospital, led the entry and will present her work at the American Society of Health-System Pharmacists midyear meeting in Las Vegas in December.

The intermediate care facility is a residential home used by patients over 55 years with a number of different conditions who have been discharged from hospital but are currently unable to live at home. A pharmacy technician post has been funded jointly by the hospital and Darlington Primary Care Trust. The aim of the role is to ensure seamless medicines management for patients.

The pharmacy technician visits many patients in hospital before they have been transferred to the intermediate care facility. For patients on a non-pharmacist led ward, a medication history is taken on the ward by the pharmacy technician.

When a patient enters the intermediate care facility, the pharmacy technician liaises with local community pharmacists and GP surgeries to ensure that they have received a copy of the hospital discharge summary.

A medicines administration record is written by one of the senior carers following admission to the intermediate care facility. The pharmacy technician checks for accuracy and legibility and annotates any special requirements for administration. The technician has discussion with patients during their time in the facility to provide counselling and assess suitability of formulations, containers, labels, etc.

In the past, none of the patients in the facility were administering their own medicines. The introduction of the pharmacy technician has resulted in 30 per cent of patients in the intermediate care facility self medicating. Over 60 interventions have been made in the care of 49 patients.

Paul Townsend

Paul Townsend

Providing information about unlicensed medicines through a database was the other successful project in this year’s AAH pharmacy technician of the year award. Paul Townsend, pharmacy technician, Birmingham Children’s Hospital, developed the database.

Unlicensed medicines form a large proportion of the medicines used at Birmingham Children’s Hospital and previously information was not usually readily available due to the lack of a product licence. Information including generic name, brand name, strength, manufacturer, supplier and country of origin are now recorded on the database. A digital image of each product was taken to help with identification. An English translation of all product information (eg, summary of product characteristics, patient information leaflet) is made.

The database has the facility to record incoming supply details such as the batch number and expiry date. The database is used as a reference source by all staff in the pharmacy department, in particular, the medicines information staff.

Future developments for the database may include access via the hospital’s intranet site so that staff outside the pharmacy are able to obtain the information. External access via the internet is also under consideration.

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