Thursday, February 28, 2013

PRP Week 18 - Clinical (Ward 8D)

Hurrayyyy~ Finally I entered into clinical department. The toughest and the most exhausting dept ever.

Since this week was started with CNY breaks, thus I only attached to Ward 8D for 3 days only. Ward 8D is a paediatric ward which means the patients are mostly children. However, there is a case of patient age 15 years old who was admitted here because other ward didn't want to admit him.

During my attachment to ward, there are some routines had to be done throughout the day. These are what most of the ward pharmacists will do:

1. Clerk case in the morning to see whether there are new admissions into the ward.

2. Write down all the medications for each patients and their significant lab findings to see whether there is a need to make interventions.

3. Follow specialist ward round, usually started at 8.30 am or 9 pm depending on the specialist. Most of the time, house officer (HO) and medical officer (MO) will follow the round and they will present the case to the specialist. The specialist then will do some examination on the patient such as blood pressure measurement, pulse rate, saturation and others. Usually my job is to listen to the discussion and then write down if there's any change, addition or removal of medications. Also need to write down which bed will be discharged today. Any inquiries regarding medications will usually be asked to the FRP since they have more experiences.  

4. After round, I will go to Farmasi Satelit to check the medication trolley for the ward. If there's a change, I will checked the trolley, removing or adding the respective medications. However, there's no trolley for ward 8D, so I'm kinda free after ward round.

5. Since some paeds wards do not have medication trolley, I have to write down a list of patients who have CIVAS and then I need to print the labels out. Usually, CIVAS is for antibiotics except Augmentin, ampicillin, cloxacillin and c-pen. These 4 antibiotics are not stable to make CIVAS.

6. At 12pm and 4 pm, I will call satellite to ask if the discharge medications are ready or not as I need to send those medications the the patients. 

7. Some patients need counselling on certain instruments or medications such as insulin pen (Novopen), MDI (metered dose inhalation), warfarin or others. The most common counselling in ward are insulin and MDI.

8. Clerk case is one of the requirement in clinical dept. For adult ward, 20 cases per week while for paeds 15 cases per week. For ICU, 15 cases per week. Thus I have to fill in the CP2 and CP1 form everyday to make sure I have met the requirement. I will usually stay back after work to do the clerking until 7 or 8pm.

That's all for the first week of my clinical attachment.

Takde gambar, sorrehhhh.. XD


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