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Pharmaceutical Care

• The direct, responsible provision of
  medication-related care for the purpose of
  achieving definite outcomes that improve a
  patients quality of life.

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Hospital Pharmacy Services

• Distribution
• Clinical Pharmacy Service

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Distribution Service

• Daily order processing
• Unit dose system
• IV admixture service

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Clinical Pharmacy Services

• General services
• Specialized services
• Services by specialty area
• inpatient
• outpatient
• home care
• Services by medication categories (Drug therapy
  protocol management)

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General Services

• medication history
• drug therapy monitoring
• patient education
• drug information
• Drug Use Evaluation (DUE)
• ADR monitoring
• medical/nursing in-services
• participation in CPR

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Specialized Services

• Pharmacokinetic service
• Nutritional support service
• Drug information service
• Poison center
• Investigational drug/clinical research

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Drug Therapy Protocol Management

• Aminoglycosides
• Vancomycin
• Antibiotics
• Heparin
• Warfarin
• Theophylline

• Digoxin
• Antiepileptics
• Pain management
• Insulin
• Addiction treatment

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Services by Specialty Areas(Inpatient Services)

• Critical care
• Pediatrics
• Geriatrics
• Surgery
• Oncology
• Internal medicine
• Cardiology
• Endocrinology

• Nephrology
• Neurology
• Infectious diseases
• Ob-gyn
• Psychiatry
• Family practice
• Transplantation
• Operating room

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Services by Specialty Areas(Outpatient Services)

• Oncology clinic
• Anticoagulation clinic
• Diabetes clinic
• Hypertension clinic
• Lipid clinic
• Asthma clinic

• Pain service
• Neurology clinic
• AIDS clinic
• General medicine clinic
• Refill clinic

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Clinical Pharmacy Services
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Routine Clinical Practice

• Medical rounds/medical records review
• Drug therapy monitoring
• Protocol based drug consults
• CPR participation
• TDM service
• TPN service
• Drug information
• Medical/nursing inservice
• Documentation in medical record

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Drug Therapy Protocol Management

• Prescribing/ordering of drugs/TPN
• Order necessary labs
• Order necessary nursing measures
• Document in progress note
• Communicate with physician

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Drug Therapy Protocol Management
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