(1) adjustment skills
Dispensing (usually including reviewing prescriptions, dispensing prescriptions and dispensing drugs) is the basic work of pharmacists, which refers to the service process of pharmacists dispensing drugs, explaining drugs and answering patients' consultations according to doctors' prescriptions or orders.
Providing drugs to patients in time and accurately is the basis of pharmaceutical service, the premise of doing all other work well, and the most basic skill of pharmacists.
(2) Counseling and medication education skills
1, medication consultation
It is the application of pharmaceutical knowledge and drug information mastered by pharmacists, including pharmacology, pharmacodynamics, pharmacokinetics, toxicology, pharmacy, drug safety information, etc. To undertake consulting services for medical staff and the public on drug treatment and rational drug use.
2, the way of consultation
There can be face-to-face medication guidance, telephone consultation, letter consultation, fax consultation, e-mail consultation, online consultation and other forms. Pharmacists can provide the public with correct common sense of drug use in different ways, and give medication guidance to patients to promote drug use safety.
3. Consultation process
Counseling and answering drug-related questions generally includes several steps: understanding the background of the questioner, understanding the background of the question, sorting out or reorganizing the questions and classifying them, deciding the search strategy of drug counseling, evaluating and analyzing the information asked, organizing the answers, and recording and tracking.
4, medication education
It should be explained in words that patients can understand and are willing to follow, so as to improve medication compliance.
(3) Drug management skills
Medicine is a special commodity, which directly affects the human body and is directly related to the safety of human life.
Only qualified drugs that meet the quality standards can guarantee the curative effect. So from the acceptance of drugs (one by one inspection, batch by batch inspection), including product name, dosage form, specification, quantity, production batch number, expiration date, quality status, packaging, labels and instructions, etc. , according to the storage requirements for acceptance, shelves, positioning and clear identification.
Pharmacists also need to maintain and manage drugs according to the requirements of laws and regulations to ensure the quality of drug storage and distribution.
(4) Pharmacovigilance skills
The risks of drugs may come from adverse events (including natural risks and man-made risks), medication errors and drug quality defects.
Adverse drug reactions (ADR) refer to the harmful reactions of qualified drugs that have nothing to do with the purpose of drug use under normal usage and dosage.
Medication error refers to any preventable improper medication in the whole process of clinical use of qualified drugs.
Drug damage (or drug quality defect) is the damage caused to patients because the quality of drugs does not meet the national drug standards.
(5) communication skills
Communication is the way to establish, maintain and strengthen the professional relationship between pharmacists and patients.
1, the role of two-way communication
Good communication between pharmacists and patients is the basis for establishing and maintaining drug-patient relationship, reviewing drug-related problems, implementing treatment plans, monitoring drug efficacy and carrying out patient health education.
2. Communication skills
Listen carefully, pay attention to using easy-to-understand language, try to avoid using technical terms, try to use short sentences when speaking, and use open-ended questions.
3. Pay attention to special people
(6) Writing skills of medical calendars
Drug calendar is a medication file established by pharmacists for patients to participate in drug treatment and implement pharmaceutical services.
It originated from a case, and it is different from a case. Filled by pharmacists, it objectively records the patient's medication plan, medication process, curative effect, adverse reactions, therapeutic drug monitoring, inspection data of various medical laboratories, pharmacists' constructive opinions on drug treatment, medication guidance and health education suggestions for patients, which can be used as information for pharmacists to master the medication situation.
1, the function and requirements of medicine calendar
Pharmaceutical calendar is a concrete embodiment of pharmacists' standardized pharmaceutical services, a technical file for pharmacists to discover, analyze and solve drug-related problems with drug treatment as the center, and an important basis for individualized drug treatment.
2, the main content and format of medical calendar
First, the foreign model
Two, the Chinese Pharmaceutical Association Hospital Pharmacy Committee recommended model
Basic situation
Case summary
Medication record
Drug evaluation
Three, the health administrative department of the State Council clinical pharmacist training teaching medicine calendar format.
Basic information of patients
Chief complaint and past history, general situation, routine inspection and special inspection
Past medical history, past medication history, family history, accompanying diseases and medication.
Key points of clinical diagnosis
Drug therapy log
Comments from pharmacy teachers and clinical teachers on the magazine, and a summary of drug treatment by students.
(7) Complaints and handling
Timely, correct and proper handling
1. Complaint type
Drug quality complaint
Price objection complaint
2. Handling of complaints
(8) the ability of autonomous learning
Continuing education, drug information, literature, network tools.