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1. Local Health Inte- Crown agencies that plan, coordinate and integrate health services
gration Networks - Includes: Hospitals, LTCs, mental health agencies, community
agencies
2. Primary Care Patient initial contact. Provided at a doctor's oflce, health center, or ER
3. Secondary Care Specialists who don't have initial contact with patients (PTs, RTs, OTs, etc)
4. Tertiary Care Physicians and equipment are highly specialized
Includes services such as cardiac surgery, cancer treatment, plastics,
neurosurgery, etc.
5. Quaternary Care Uncommon, highly specialized and experimental treatments
Includes solid organ transplants, ECMOs
6. Pros of Work- and Therapeutics Committee
ing in a
Teaching
Hospital
7. Cons of Work-
ing in a
Teaching
Hospital
8. Pharmacy
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-use of innovative medical Committee for ap- proval
care and research
-Patient care can be a part
of clinical research
-Health care team
interaction is more
inclusive
-Teaching is part of
the priorities of
Pharmacy department:
APPE, Residency
program
-24-hours a day to write
and adjust orders
-New residents every 2
months
-Patients may not want to
have medical students
involved in their care
-Have to teach
Objective: Reviews
guidelines and protocols
of drugs, administration,
dosage, rates,
monitoring.
Recommends changes to
Medical Advisory
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Includes members from all ditterent specialties, including MDs, Nurses
and Phar- macists
9. 5 Steps of Collect: Utilize BPMH, PPMS, HIS, Contact Retail Pharmacy, Check
the Floswsheets
Pharma-
cists' Patient Care Assess: DTPs: Unnecessary therapy, wrong drug/dose, ADRs,
compliance
Process
Plan: With Health Care team, patient, lay out monitoring, therapies and
documen- tation
Implement: With health care team and patient
Follow-Up: Discharge planning with prescription and medication
10. Interventions education Medications given oral and intermittent IV
on the Vital signs every 6
Hospital In- hours ECG, lab
patient Floor reports daily
11. Interventions IV infusions, continuous ECG, vital
on the ICU signs Central lines, Ventilation
ECMO
12. Pharmacy Dispensing and therapy is continuously being modified
Opera-
tional Activities in High Risk Medications commonly used
Hospitals
13. NAPRA
Clean 14.
Rooms