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Pharmacy

INPATIENT PHARMACY SERVICES

Ward Supply

The ward supply pharmacy provides services to the wards, clinics and other units in the hospital through the unit dose supply system, stock top-up system and imprest stock system. For the unit dose dispensing, each dose is packed individually and kept in patient bins. For discharged patients, bedside dispensing and counseling service is provided. Psychtropic and Dangerous Drugs are also supplied to the wards and units from the ward supply pharmacy.

CLINICAL PHARMACY SERVICES

Ward Pharmacy Services

Clinical pharmacists provide comprehensive patient-centered pharmaceutical care and participate in a wide range of clinical services and activities through interactions with patients, physicians and other health-care team members. These services include participation in specialist rounds, extensive patient-specific medication therapy monitoring, consultation with the medical staff regarding medication-related issues, and provision of drug information. Clinical areas served include: Intensive care, Renal and Liver Transplantation, Renal Pharmacy, Hepatology and Hepatobiliary, Cardiology, General Internal Medicine, General Surgery, Pediatric Care, Psychiatric, Palliative Pain Services, Urology, Ophtalmology, Orthopedic and Otorhinolaryingology. In addition, clinical pharmacists also serve as preceptors for Pharmacy clerkship and externship students.

Medication Therapy Adherence Clinics

Apart from serving the inpatient, the pharmacists at Selayang Hospital also serve clinic populations in the specialized areas of hepatology, renal and liver transplantation, diabetes and asthma. Patients are seen at the pharmacist-managed clinics known as Medication Therapy Adherence Clinic (MTAC) to ensure they are counseled on their medications, their side effects and educated with knowledge of their diseases. MTAC is an ambulatory care service which emphasizes on medication management. The purpose of this service is to focus on monitoring and management of the therapy whilst providing continuous individualized counseling. Medication aids to enhance compliance are also designed to suit the needs of each individual patient. Our pharmacists at this institution strive to provide patients with the best level of pharmaceutical care possible.

Total Parenteral Compounding And Cytotoxic Reconstitution

The Aseptic Unit provides a centralized area for compounding total parenteral nutrition bags, scheduled sterile IV medications and cytotoxic reconstitution. There is a level of competence and validation required before staff is permitted to work in the area and hence there is a significant training component for new staff. All products are prepared in a state-of-the-art clean room environment.

Pharmacists who work in these areas calculate the nutritional requirements for individual patients on TPN, calculates the dilution for cytotoxic medications, supervise the pharmacy technicians and perform the final checks for the compounding and / or reconstitution of these items.

Drug Information Services

This service provides information and advice on all aspects of drug therapy to healthcare professionals and the community. The service, which is free from commercial bias, can also be used by members of the general public. DIS is located at the Main Pharmacy Level 2.

Pharmacists at the Centre answer approximately 1500 enquiries each year about therapeutic drug use. Common enquiry types include questions about adverse effects and drug interactions as well as information about newly marketed drugs.

Pharmacists staffing the service have the clinical experience as well as access to resources such as the major medical databases (eg. Medline, the Micromedex and Lexicom) and an extensive in-house library of textbooks, journals and other printed reference material

Therapeutic Drug Monitoring Services

Drugs with narrow therapeutic index are monitored to avoid any possible toxic effects. These include amikacin, gentamicin, netilmicin, vancomycin, phenytoin, digoxin, valproic acid and benzodiazepine.

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