Jamuan Raya Jabatan Farmasi HSIJB

Sekarang baru ada mood nak tulis balik blog. Maaf ye kawan2..

Ok, kali ni pasal jamuan hari raya Jabatan Farmasi Hospital Sultan Ismail pula. Berlangsung pada hari Khamis. Semua staff farmasi hadir dengan pakaian raya berwarna-warni. Ada yang dah siap2 pakai dari rumah, ada yang tukar baju kat hospital je. Majlis ini dilangsungkan di Farmasi Pesakit Dalam di Level 1.

Majlis bermula pada jam 10 pagi dan dimulakan dengan marhaban dan diikuti oleh bacaan doa oleh Encik Din. Pengerusi majlis ialah Kak Kurnia. Sebaik sahaja doa tamat dibacakan, kami semua dibernarkan untuk mengambil makanan. Menu pada hari ini ialah lontong termasuklah kuah lodeh, rendang daging dan ayam masak merah. Sedap2.. 

Selain makanan berat, sudah tentu ada kuih-muih juga. Aku pun bawak dua balang biskut cornflakes seperti biasa. KPF bawak lasagna tapi tak sempat rasa sebab sekelip mata dah habis. Cehhh.

Lepas tu ada sesi fotografi pula. Tapi of course la tak semua dapat masuk dalam gambar sebab kena ganti2 orang kat dept masing2. Pukul 12.30 tengah hari, aku dengan Zhi pun pulang ke stor untuk menyambung kerja. Gigih kerja pakai baju melayu untuk keluarkan barang semua. Last aku bukak samping sebab takut rosak pulak. 

Gambar2 kejadian:

PRP Week 39 to 42 - Inventory Control and Management (Medical Store)

Yuhhuuuu, sambung pasal PRP lagi.

After half-completing my CDR unit, I went to the next station which was store. I was here for one month. Since Hari Raya was during my attachment here, I was given two days extra for hari raya leave meaning I got 6 days of raya altogether. Weeeeeee~

These are the jobscopes for PRP in medical store unit. Basically we are involved in doing paperwork, ordering item, handle DD and issue out indent from other units.

1. Nota minta, e-perolehan and GPIS (registration of order). 

Firstly the boss will give us a nota minta which is a list of items needed to be ordered based on which company involved. Then, we had to order from e-perolehan then waits the company to approve the order. Once approved, the boss will approve it again for payment. Then we register the order on GPIS and waits for the item to arrive within 14 days.

2. Dangerous Drugs

PRPs are in charge of dangerous drugs such as morphine, fentanyl etc. When there's indent from other unit, we had to check the balance first then the boss will write the quantity needed to be issued out. DD is located in a double lock room as usual but the room is very very very cold. We also had to do check and found.

3. Item indent

Other units will indent medications once a month. The quantity is definitely a lot and it took more than two days to take out all of the items from store. We had to record in the bin card and check whether the balance is tally or not. It might be difficult for girls since we are required to carry big heavy boxes. Luckily I was with Zhi and doing it together is so much fun and easier.

Indent sudah mari

Issue out items

Pekerja contoh

Damaged items must be complained and returned to the supplier

Got jamuan raya

Happy Merdeka Day! *oncall mode*

PRP Week 37 to 38 - Cytotoxic Drug Reconstitution (CDR)

Assalamualaikum and salam sejahtera..

I seems that I have abandon my blog for a while. I'm so busy with work nowadays. Balik rumah je tidur. Balik je tidur. Sometimes I skip dinner to pamper myself with sleep. Hehehe..

So what usually the PRP do in CDR? In the morning, we will take out the prepared drugs from the fridge for today's cases. We prepared some of the drugs a day before so that there won't be so much drugs to be reconstituted in one day. Then, we helped to prepare worksheets which is basically doing calculation for doses. Most of the CDR drugs are based on body surface area instead of patient's weight.

When everything is ready, we go to take the medications and drips from CDR room. The medications need to be diluted before they are given to patients. Usually PPF will do the reconstitution since they can do it faster. However, sometimes if there's an additional cases, I will do it in the afternoon. At first we used isolator since the clean room is still not yet in operation due to malfunctioning of certain feature but I heard now can already enter the clean room for CDR.

At approximately 10am, we will do counselling for patient. Patient who will undergo chemotherapy for the first time will be briefed about the medications and the side effects. As know, normally patient under chemo will experience hair loss, dry skin, nausea and vomiting and many others. We will go to the Day Care Unit to counsel the patient. For patient who repeatedly come for chemo, I will just dispensed their anti-emetics such as metoclorpramide and dexamethasone. These medications help to reduce the nausea.

Karthiga & Hemah

cucuk Hemah.. yahh yahhhh..

After lunch, we will do the worksheets for tomorrow case as doctors or staff nurses will call to confirm the cases. Then, we are quite free and can do other stuffs like filling up the logbooks or doing assessments.

That's all for Part 1 CDR. Apparently my schedule had been split into two sessions for the sake of logbooks. 

PRP Week 34 to 36 - Inpatient (Satellite 6)

Heyyyaa.. I'm back in Satellite Pharmacy in Level 6. Last time I was attached here was back then in December 2012. So probably can refer back to my previous entries about this department.

Week 8

Week 9

Week 10

Week 11&12

Basically, the jobscopes for PRP are still the same. Filling the medication trolley for wards, making labels, counterchecking, handle the Dangerous Drugs (DDA), bedside counselling, sending discharge medications for patients and whatnot.

Ok tak banyak gambar sangat.

Kbai..

PRP Week 30 to 33 - TPN

TPN or Total Parenteral Nutrition is also under responsible of Pharmacy Department. Although it is not really drug related, but it is also one of important component of pharmacy especially in hospital setting. So what is TPN? It is a preparation of nutritional fluid composed of protein, fat and carbohydrate which are then compounded into a bag. Patient received the nutritional through intravenous line.

TPN is divided into 2 sections; one is for preparation of TPN and another one is for IV additives which includes preparation of CIVAS (IV antibiotics which already been diluted into proper strength), eye drops, and also APS (for morphine and fentanyl etc).

Thus, as a PRP, I have to reach certain target in both sections. These are our jobscopes:

1. Clerk case in the morning especially the latest lab findings

2. Call the doctors to confirm the TPN cases

3. Prepare the worksheets

4. Print labels

5. Prepare the ingredients

6. Get change into ninja suits

7. Get into sterile room

8. Prepare TPN & CIVAS

9. Clerk case into TPN CP2 froms (target 30 cases)

Ok la, malas nk tulis banyak.. Cheers~

PRP Week 26 to 29 - Drug Info Service (DIS)

Alhamdulillah, I just finished another station which was Drug Information Service (DIS) which took a month there.  There workload was of course not very distressing like clinical department. I quite enjoyed my stay in DIS.

So what are the tasks and job scope?

1. Check JKNJ email from Mohcube website everyday. Any email came from Bahagian Farmasi are sent to this email. The email will be screened, saved and also forwarded to the respective staffs.

2. Register adverse drug reaction (ADR). Doctors and pharmacists who encounter any ADR will send their forms to DIS to be processed and recorded. Then we will mail the form to KKM.

3. Kad Alahan Ubat. We also responsible to produce allergic card to patients who develop anaphylactic reaction to certain drugs. Some common drugs which caused allergic reaction are ceftiaxone, ciprofloxacin and tramadol.

4. Application for KPK and non-standard drugs. These are for doctors who want to start patient with drugs which are not available in hospital formularies and KKM formularies. It means that the drugs must be purchased overseas. Their prices can reach thousands of ringgit. That's why it's non-standard.

5. Arrangement for CME sessions. Every month, we will conduct CME sessions to give chances to the staffs to collect CPD points by listening to talks. There will be sales rep who will come and promote their stuffs. There's one slot for PRP to present as well. I already presented my turn which was about Child Psychiatry. We also order food for the CME and book for the place. Usually we book the seminar room if available. 

6. Setting up laptop and projector. If there's a meeting, we are the one who responsible to set up the laptop and projector in the meeting room. However,  this service excludes PRP presentation. They have to set up by themselves.

7. Answer calls and inquiries. Everyday there will be phone calls from doctor asking for weird weird questions. So we need to find the answers by referring to books, internet or experienced staffs. Sometimes the answers are not in the book thus we need to ask around from others. There's one day I called Pusat Racun Negara because a doctor wanted to find how to manage Ethylene Glycol Poisoning. Alhamdulillah we found the answer. :)

DIS office

HSI after subuh

setting up laptop and projector

updating Drug Chart as requested by doctor

A visit by Pengarah Hospital and pihak pengurusan for 5S

Files and folders