2024-05-182024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/714824MISSIONS OF NTUH DEPARTMENT OF PHARMACY Fostering outstanding pharmacy professionals. Conducting innovative pharmacy and clinical research. Providing highest quality of pharmaceutical care. Setting the standard for excellence in pharmacy practice. OUTPATIENT PHARMACY SERVICES Outpatient pharmacy dispenses about 20,000 prescriptions per day. The primary responsibilities of pharmacists include filling and verifying the prescriptions, and ensure the accuracy of medications dispensed. Patient medication counseling is provided to about 5% of outpatients Our future plan includes remodeling of the outpatient pharmacy, reform of dispensing process, expanding the use direct to consumer packages, and application of computer and bar code in verifying prescriptions and medications, as well as patient counseling services. INPATIENT PHARMACY SERVICES Inpatient pharmacy provides services to all the inpatients. In addition to traditional pharmacy services, such as supplying medications to the wards, verifying and filling prescriptions and ensure the accuracy of medications dispensed, all the pharmacists also provide clinical pharmacy services routinely. These include drug therapy monitoring, patient-specific therapeutic consultations to health care practitioners, adverse drug reaction monitoring and reporting, and patient medication education. Specialized clinical services are integrated into care units as designated pharmacists round with the medical team every day. Through direct intervention, pharmacists may assist in a great deal of therapeutic decision making and therapeutic drug monitoring activities. Our future plan include implementing point-of-care system, application of computer and bar code in verifying computerized prescriptions and medications, as well as expanding clinical pharmacy services. CLINICAL PHARMACY SERVICES Currently, clinical pharmacy services provide pharmaceutical care to all intensive care units, nephrology and hematology-oncology ward. Clinical pharmacists attend rounds with medical team on daily basis and give recommendations to ensure appropriateness and safety of drug therapy. They are preceptors of Pharm.D. or M.S. of Clinical Pharmacy students in advance pharmacy practice experiences, and are responsible for training new pharmacists. In addition, clinical pharmacists join ICU committee and infection control committee to improve medication use in these two areas. EMERGENCY ROOM PHARMACY SERVICES Emergency Room Pharmacy runs 24 hrs all year round to serve emergency patients and outpatients from the Jing-Fu VIP and dialysis clinics. We also fill inpatient medication orders after office hours, and are responsible for the floor stock medications of the emergency department and several examination departments. In addition to essential pharmacy services (such as verifying, filling prescriptions, and ensure the medication accuracy), we document and report adverse drug reactions (ADR). We are responsible for evaluating use of all antidotes, reviewing potential drug related problems and managing special antidotes offered by the government. We serve medication educations for all patients discharged from emergency department, as well as medication counseling for patients and all medical staff, including medication reconciliation and identifying. We optimize pharmacotherapy regimens utilizing current evidence-based recommendations and serve therapeutic drug monitoring for medications with narrow therapeutic range. Our future plan are expanding and providing comprehensive pharmaceutical care to the emergency department, cultivating pharmacists with emergency department specialist, and providing educational programs for patients, College of Pharmacy students and hospital staff. ONCOLOGY PHARMACY SERVICES Oncology pharmacy compounds chemotherapeutic agents for outpatients and inpatients. 14 pharmacists and 1 technician are responsible for 300 chemotherapy orders each day. Our service is year round, with half a day service on holidays. We’ve also adopted an automated robotic system named CytoCare® since 2010 to take up around 20% of our current workload. We have two clinical pharmacists who do patient monitoring on the floors as well as adverse drug reactions follow-ups. We are currently developing a computerized chemotherapy protocol-based prescription system, in the hope that more accurate prescription information can be passed on to the pharmacists and nursing staffs, so as to curtail medication errors. PARENETERAL NUTRITION SERVICES Our Parenteral Nutrition Section serves the inpatients and home PN patients in the hospital. Routine quality assurance procedures to improve patient safety include patient monitoring and verifying order before compounding, daily compounding accuracy test, and environmental controls, monthly anemometric test, as well as monthly sterility test and particle counting. Our future plan includes expanding the commercial RTUs (ready-to-use) PN formulae and upgrading the current CPOE system to further improve physician’s prescribing and patient care quality. SECTIONS OF INVENTORY CONTROL Inventory Control Section handles drug purchasing and distribution to the dispensing units, maintains drug costs, notify drug related issues, and manage controlled drugs and investigational drugs. In order to improve our inventory system, we haveplan to implemented the WMS (Warehouse Management System, which utilizes Auto ID Data Capture technology, such as barcode scanners, mobile computers etc, to efficiently monitor the flow of products) to upgrade the inventory control system from currently system to the electronic inventory control system in the following year 2009. DRUG INFORMATION SERVICES Our Drug Information Center provides drug information service for health professionals and the public. We also maintain NTU Hospital Formulary, play an important role in the Pharmacy and Therapeutics Committee (P&T committee), arrange in-service training program, provide externship for pharmacy students, arrange on-the-job training for pharmacists from other hospitals, report adverse drug reactions to Department of Health, and evaluate controversial prescriptions. Our future plan includes expanding E-patient information and restructuring NTUH pharmacy website. NTU CHILDREN’S HOSPITAL PHARMACY SERVICES The children’s hospital pharmacy provides services to patients under 18 years of age. Our mission is to improve patient’s quality of life and to provide good patient education to the children and the parents. The primary responsibilities of our pharmacists include verifying and filling prescriptions, and ensure the accuracy of medications dispensed. Patient medication counseling is provided in both inpatients and outpatients. Our inpatient service include verifying the physician’s orders, drug therapy monitoring, patient-specific therapeutic consultations to health care practitioners, adverse drug reaction monitoring and reporting, and patient medication education. In addition to traditional pharmacy services, the pharmacy division also provides a variety of clinical pharmacy services to our patients. Specialized clinical services are integrated into care units as designated pharmacists round with the medical team every day. Through direct intervention, pharmacists may assist in a great deal of therapeutic decision making and therapeutic drug monitoring activities. PROMOTION OF PHARMACY EDUCATION AND CONTINUING EDUCATION As an affiliated hospital of the National Taiwan University, department of pharmacy, in cooperate with school of pharmacy and graduate institute of clinical pharmacy, provides pharmacy practice training program for students from school of pharmacy or graduate institution of clinical pharmacy, as well as pharmacists form other hospitals or community pharmacies.臺大醫院擁有頂尖的人才、優秀的醫療團隊！臺大藥師參與加護病房臨床照護已超過25年，院內有超過20個跨領域的臨床照護團隊有藥師提供專業藥事服務，包含：內外科、急診、新生兒與兒童加護病房、心血管中心、腦中風中心、感染科、腎臟科、血液及固體腫瘤、老年醫學團隊、抗凝血劑藥師門診、心衰竭藥師門診...，專責藥師在各領域深受醫療團隊信賴與肯定，並受邀參與國內各學會及國際研討會專題演講，研究成果有目共睹！ 臺大藥劑部擁有全國首創的開刀房衛星藥局以及發展完備的臨床試驗用藥管理中心，進年來藥劑部引進自動化設備並不斷開發藥事服務資訊系統，包含：化療調劑機器手臂、ADC智慧藥櫃、門診作業流程管控系統暨智慧藥台、開刀房智慧藥櫃暨用藥安全RFID管控系統、智能藥事服務Smart Care...，充分展現不斷精益求精的態度與精神！ 臺大藥師專業、積極、認真負責的服務熱忱，深獲院內同仁肯定，讓藥劑部成為全院工作績效評核單位互評第一名，不僅在院內目標管理績效評核年年獲獎，每年都有藥師榮獲院內服務優異獎、教學優異獎以及優良服務禮貌人員優等獎，展現臺大藥師在各方面優異的表現，並讓藥劑部成為非常優質的團隊！ 臺大藥劑部的使命 培育卓越藥學人才 進行創新藥事及臨床研究 提供高品質的藥事服務 成為藥事執業之領導者