Mariana Lvovsky
The Kaunas University of Medicine, Lithuania
Title: The pharmaceutical supervision and management process of antibiotics and special preparations dispensing in hospitalized patients in Carmel Medical Center, Haifa, Israel
Biography
Biography: Mariana Lvovsky
Abstract
Background: The Unit Dose is a special department which operates as part of the pharmacy services in Carmel hospital. This unit is in charge of supervising and dispensing of antibiotics according to specific guidelines approved by infectious disease specialist. Supervised antibiotics have been designated by the medicine committee and the infectious disease specialist. Pre-authorization is needed for supervised antibiotics. The patient’s computerized file is updated accordingly.
Goal:
- Adequate use of antibiotics.
- Standardization of aseptic preparation technique and procedure by preparing customized data form to insure standard quality preparation.
- Reduction days of treatment and hospitalization. Providing the patients with a more accurate, accessible and safer treatment.
Dispensing of Antibiotics: Monitoring dosage, dose adjustment according to renal and liver function, allergies, polypharmacy combinations and the option to shift to po treatment rather than. This routine is performed on a daily basis and covers all antibiotic protocols. Computerized documentation of pharmaceutical intervention in patients file. Individual dispensing of antibiotics for 24 hours.
Aseptic preparations:
- Issuing elaborated guidelines regarding aseptic preparations
- Document the preparation in the Unit Dose system
What can we achieve?
- Strict monitoring of antibiotic use in hospitalized patients
- Economic efficiency
- Promoting high quality care
- Computerized documentation and maintaining accessible data base
- Regulatory improvement
240 interventions were documented by unit dose pharmacists over a period of 6 month (01.2019-06.2019). Discontinuing treatment (20%), Switch to oral administration (15%), Dose adjustment (15%), renewing the application to ID specialist (30%) and informing the medicine department that there is a need of ID specialist approval for the antibiotic order (20%).