One Stop Dispensing

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One Stop Dispensing Key Slides
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Aims

• Improve the quality of medicines information
  received on admission
• Increase the number of patients bringing their
  medicines into hospital
• Improve how we document changes to medication in
  Primary Secondary care
• Improve the information and education we give to
  patients/carers about their medicines
• Improve the quality and timeliness of medicines
  information given on discharge
• Reduce medication wastage

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Whole System Approach

• One stop dispensing is one element of a wider
  process
• Bringing medicines in from home
• Medication history taking in secondary care
• Medicines reconciliation
• Medicines being stored and accessible at the
  bedside
• Self-administration if appropriate
• Changes in medication documented and communicated
  to primary care on discharge

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Benefits of One-Stop Dispensing

• Reduce pharmacy dispensing time
• Reduce nursing time spent ordering and
  administering medicines
• More time available to support patients with
  their medicines
• Reduce medicines-related discharge delays
• Reduce risk of administration errors
• Reduce medicines waste

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The role of pharmacy staff

• Accurate medication history taking
• Medicines reconciliation
• Assessing PODs for re-use
• Dispensing maintaining the supply of medicines
• Identifying compliance issues
• Counselling patients about their medicines

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The role of nursing staff

• The correct storage of patients medicines
• Assessment of PODs for re-use
• Ensuring medication is transferred with the
  patient
• Medicines administration
• Medicines reconciliation
• A minimum of 14 days (or locally agreed amount)
  is provided at discharge

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Keys to Success

• Patients and their medicines should not be
  separated
• One stop dispensing from admission is most
  successful when therapy is likely to remain
  stable
• Teamwork is essential and that includes the
  patient!

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Better outcomes for Patients

• Shared experiences and values
• Greater control of their medicines and how they
  are taken
• Greater knowledge of their medicines and
  condition
• Increased ability to seek information about
  medicines
• Ability to converse with healthcare professionals
• Positive relationships with healthcare
  professionals
• Increased confidence in medicine-taking
• Positive health effects

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Promoting PODs

• Learning through the experiences of our
  colleagues and patients
• Fostering partnerships across the local health
  community
• Identifying how we can meet our patients
  medicines management needs
• Developing multi professional relationships
  across interfaces of care
• Designing one stop dispensing systems that are
  responsive to patient needs
• Improving the quality of our service by using
  staff and patient/carer feedback