Uploaded by dewaayuferiantasari

cnd

advertisement
PRESCRIPTION SCREENING
MADE ARY SARASMITA, S.FARM, M.FARM.KLIN, APT


Paradigm Change from Manufacture 
Pharmaceutical Care
COMPOUNDING & DISPENSING
What is Compounding ?
What is Dispensing ?
THE BIG QUESTION,
WHAT ARE YOU DOING IN COMPOUNDING &
DISPENSING ??
AND WHAT FOR ???
Pharmacist roles ambulatory care, can
include :
Dispensing and compounding medications
Counseling patients
Minimizing medication errors
Enhancing patient compliance
Monitoring drug therapy
Minimizing drug expenditures.
CHEMISTRY
PHARMACY
FORENSIC
PHARMACOLOGY
DISPENSING
PHARMACEUTICAL
TECHNOLOGY
MICROBIOLOGY

The medication error usually happens
because of breakdown in the systems that
have been developed for handling and
processing drugs, from prescribing and
ordering to distribution and administration.



IOM estimates that in the USA there is 1 med
error per hospitalized patient/day.
1,5 million preventable adverse drug events per
year  7.000 deaths per year from medication
error in hospital.
The drug therapy problems most frequently
associated with ADEs: inadequate monitoring
(45.4%), patient nonadherence (36.6%), and
dosing/frequency errors (26.8%).
Ernst FR, Grizzle AJ. Drug-related morbidity and mortality: updating the cost-of-illness model. J Am Pharm Assoc
2001;41:192-9.
US Office of the Actuary National Health Expenditure Data. 2000
Institute of Medicine (IOM). (2007). Preventing medication errors: Quality chasm series. P. Aspden, J. Wolcott, J. L.
Bootman, & L. R. Cronenwett (Eds.). Washington, DC: The National Academies Press.
Thomsen, L.A., A. G. Winterstein, B. Sondergaard, et al. 2007. “Systematic Review of the Incidence and Characteristics
of Preventable Adverse Drug Events in Office-Based Care.” Annals of Pharmacotherapy 41:1411-1426.
Philips J et al. Retrospective analysis of mortalities associated with medication errors. Am J Health Syst Pharm. 2001 Oct
MEDICAL SERVICES & CARE
PHARMACEUTICAL
SERVICE & CARE
PATIEN
T
NURSING OR
MIDWIFE
SERVICE &
CARE
NUTRITION SERVICE & CARE
SERVICE BY
HEART
Teamwork
Cooperation
+
Coordination
+
Communication
Resep
Screening
Administrasi Legalitas
Farmasetis
Klinis
Inkompatibilitas
Suspensi PGA/PGS/CMC
Maximal Dose
Sediaan Lazim
Spesialite
Sinonim
Alergi, Interaksi, Indikasi
Pemberian Harga
Penyiapan
Recek / cek ulang
Penimbangan
Peracikan
Pemberian Etiket
Penyerahan
Informasi
Skrining Administratif
Skrining Farmasetis
Skrining Klinis /
Farmakologis
Berdasarkan Keputusan Menteri Kesehatan Republik
Indonesia No.1027/Menkes/ SK/IX/2004 tentang Standar
Pelayanan Kefarmasian di Apotek, dinyatakan bahwa
skrining resep yang dilakukan oleh apoteker meliputi:
Persyaratan administratif :
 Nama, SIP, dan alamat dokter
 Tanggal penulisan resep
 Tanda tangan/paraf dokter penulis resep
 Nama, alamat, umur, jenis kelamin, dan berat badan
pasien
 Nama obat, potensi, dosis, dan jumlah yang diminta
 Cara pemakaian yang jelas
 Informasi lainnya
Kesesuaian farmasetik: bentuk sediaan, dosis, potensi,
stabilitas, inkompatibilitas, cara, dan lama pemberian.
Pertimbangan klinis: adanya alergi, efek samping, interaksi,
kesesuaian (dosis, durasi, jumlah obat dan lain-lain).
Nama Dokter
Alamat Rumah
Alamat Praktek
SIP
Tanggal
Kota ,tanggal
Superscriptio
R/
Inscriptio/Pr
escriptio
R.Cardinale
R.Adjuvan
Corrigen rasa,
bau, warna
Vehiculum
Subscriptio
Perintah
pembuatan
m f l a------
Signatura
S.Aturan pemakaian obat
Dosis
(mg,ml)
Dosis
(mg,ml)
Jumlah obat
Paraf/tanda tangan
Nama pasien
Alamat
Download