South Tyneside CCG Care Home Team CBC PHARMICUS South Tyneside CCG - - PowerPoint PPT Presentation
South Tyneside CCG Care Home Team CBC PHARMICUS South Tyneside CCG Care Home Team 2 pharmacists, 3 pharmacy technicians Work in South Tyneside area covering 24 nursing/residential homes We work closely with the homes, GP surgeries and
CBC PHARMICUS
2 pharmacists, 3 pharmacy technicians Work in South Tyneside area covering 24 nursing/residential homes We work closely with the homes, GP surgeries and community pharmacy
Advisory service Help with CQC inspections and improve resident safety from referral Pharmacy Technicians – SYSTEMS REVIEW
Review all processes in the home Includes ensuring that all medications are prescribed correctly, have directions,
are stored appropriately, are lined up to the care homes cycle, reduce waste where possible, update allergies
Observe a medication round Flag any issues to the pharmacist/GP Give a detailed report to the care home manager
Pharmacists – MEDICATION REVIEW
Support pharmacy technician Undertake medication review with each resident Liaise with GP/other healthcare professionals
Ensure all processes are robust All paperwork is legal and up to date Aid the home in streamlining the
medication process (ordering, administration, waste)
Improve resident safety by liaising with
care staff to improve outcomes – referral to MH, Dietician One resident had numerous medications prescribed at
we changed timing so that medication was not missed. Another resident was given paracetamol via homely remedies – the home needed to update their policy
Undertake medication reviews Speak with residents (where possible), carers, relatives, GP’s – FORUMS Stop any unnecessary medication Start any medication needed Help with any issues – swallowing etc
Adcal D3 - one twice daily - STOPPED Alendronic acid 70mg weekly - STOPPED Codeine 30mg four times daily – STOPPED Laxatives - ADDED Salbutamol inhaler – when needed – STOPPED Rivaroxaban – DOSE CHANGE Furosemide 20mg daily - INCREASED Mirtazepine 45mg daily – REDUCED THEN STOPPED Paracetamol - when needed Hydromol cream – use for dry skin – OPENED FOR 6 MONTHS
DIETICIANS: We have recently forged a link with the dietetic service at South Tyneside
District Hospital
We worked with the dietitians to ensure that all residents prescribed
supplemental drinks were under review, that they were prescribed the correct quantity and type of drink and reviewed weight to see if the drinks could be stopped
We identified residents who had been lost to follow up Stopped inappropriate items Amended supplements to reflect dietitian letters Improved resident safety and outcomes as well as making significant cost
savings (due to stopping products being wasted)
MENTAL HEALTH TEAM:
For example: risperidone, bloods for high risk medication
DISTRICT NURSE:
For example: dressings, vitamin B12 injections
PRACTICE NURSE:
For example: med reviews at same time, BP , etc
SALT Team/Falls Team/Behavioural Team GPs: Patient centred approach
From July – September 2019
We reviewed a total of 204 residents and made 282 prescribing interventions (including stopping/starting medication, updating allergy status, ensuring monitoring is being undertaken)
We saved approx. £26,000 (annualised) Patient safety netted Developed as team across South Tyneside
Work further with dietitians to repeat our review
Promote food first
Inhaler reviews
Reviewing medication post-discharge
Apply learning from the CPPE course
Participate in symposiums, conferences and showcase our work