Second, abide by the first question responsibility system, and treat department personnel and patients with enthusiasm, patience and responsibility; Be polite to others and use civilized language; Strive to improve service attitude and improve service quality.
Third, organize and participate in the research of drug market information, study the law of drug consumption, formulate a scientific and reasonable drug procurement plan, strictly implement the drug procurement management system, prepare a drug procurement plan once a week and report it to the hospital drug procurement approval team for approval before purchasing drugs, and may not purchase drugs illegally.
Four, should always seek the opinions of clinical departments on drug supply, improve the supply work.
Five, the procurement of drugs should strictly abide by the acceptance system, the acceptance of the rear can be put in storage. Inspection and acceptance items include: drug name, specification, quantity, batch number, expiration date, quality packaging, authenticity, drug price, approval number, manufacturer and other relevant certification materials. Unqualified drugs shall not be put into storage and returned in time. If counterfeit and inferior drugs are found, they shall be sealed up on the spot and reported to the local drug supervision department for handling.
Six, after the drug storage should be required to fill in the "drug purchase acceptance registration form" content; Timely entry, registration and computer management.
Seven, after the drug storage should be classified according to the nature of the drug storage (internal medicine is separated from external medicine, injection is separated from oral medicine and external medicine, liquid preparation is separated from solid preparation, and drugs stored at low temperature should be put in the refrigerator), and drugs should be placed neatly, leaving gaps between stacks; Counter for narcotic drugs (safe) and special place for psychotropic drugs; Do a good job in ventilation, light protection, dehumidification, fire prevention, explosion prevention, theft prevention and rat prevention.
Eight, the distribution of drugs should follow the principle of first in first out, first out in the near future, first out of perishable drugs, to ensure the quality, safety and effectiveness of drugs.
Nine, should often (at least once a month) check the quality of drugs in stock, to prevent drugs from deterioration, expiration, mildew, moth, etc. If unqualified drugs are found, they shall not be distributed and used, and shall be dealt with according to the drug loss reporting system. For drugs with short-term effects (from the expiration date; Commonly used drugs for three months, and unusual drugs for six months) should be put on the wall in time and recorded for future reference.
Ten, strengthen contact with pharmaceutical companies, to ensure the supply of drugs, as far as possible to ensure that drugs are not out of stock, not backlog; Strengthen contact with pharmacies, and timely report temporary shortages or new drug varieties.
Eleven, according to the pharmacy please get the list of drugs, timely delivery of drugs to the pharmacy.
12. Record the temperature and humidity of normal temperature warehouse and cold storage warehouse and the actual temperature in the refrigerator every day (except on Saturday and Sunday).
Thirteen, complete the drug inventory work on schedule, so that the account 100% is consistent. If the contents of the accounts are found to be incorrect, the reasons should be found in time and reported to the department head.
Fourteen, narcotic drugs, psychotropic drugs and other special drugs procurement management according to the relevant management regulations.
Fifteen, all kinds of original documents (drug purchase invoice, receipt, all kinds of documents, etc.). ) should be properly kept for future reference; The retention period is the same as the account book, and shall not be less than 10 year.
Sixteen, do a good job in the warehouse safety and health, smoking is strictly prohibited in the warehouse, non-working personnel are not allowed to enter the warehouse, and visitors are not accepted in the warehouse.
Note: 1, room temperature: 0-30℃; 2. Cold storage temperature: less than or equal to 20℃; 3. Low temperature storage (refrigerator) temperature: 2-8℃; 4. Normal relative humidity: 35%-75%.
Working system of traditional Chinese medicine
A, the staff should strictly abide by the rules and regulations of the hospital and the relevant provisions of the department management, strictly implement the relevant laws and regulations and prescription dispensing operation procedures, seriously and responsibly ensure the quality of drugs and work, put an end to mistakes and accidents, ensure the safe and effective use of drugs, and do a good job in all positions in the pharmacy.
Second, the Chinese pharmacy is responsible for outpatient Chinese medicine prescriptions, medication for inpatients in various wards, prescription deployment and distribution after discharge, and retail distribution of drugs in convenience pharmacies.
Three, drug dispensing after receiving the prescription, should according to the prescription dispensing operation procedures for detailed review, confirmed rear can allocate, prescription and physician prescription shall not be allocated.
Four, the prescription is wrong, should be returned to the original prescriber to change; For the prescription lacking medicine, let the person in charge of the pharmacy solve it first. If it cannot be solved, it shall be returned to the original prescribing doctor for correction, and the dispensing personnel shall not change it without authorization. Dispensing personnel have the right to refuse to allocate prescriptions that abuse drugs, have compatibility taboos and have been altered in many places. If the problem is serious, it should be reported to the person in charge of the pharmacy in time.
Five, the deployment of prescriptions should be serious, meticulous, rapid and accurate, do a good job of "four checks, ten pairs", adhere to the deployment of drug handover check system to prevent deployment errors; No drug evaluation is allowed. Check the distributor must indicate the name, usage, dosage and patient's name on the medicine bag, and the usage and dosage should be indicated on the whole bottle or box of medicine. The distributor and distributor shall sign the full name or affix a special seal on the prescription.
Six, patients taking drugs, drug delivery staff should be called correctly, and according to the drug instructions or prescription usage, oral instructions to patients about the usage, dosage and matters needing attention.
Seven, master the processing technology of medicinal materials and "eighteen evils, nineteen fears" and taboos for pregnant women. Can identify the authenticity of medicinal materials and decoction pieces, and ensure the quality of prescription medicinal materials. When preparing a prescription, you must be careful and weigh it according to the prescription. When one party has more than one dose, the same dose must be subcontracted, and the medicine cannot be estimated, let alone weighed manually. The error of each dose shall not exceed 5%. Children's medicine and toxic drama medicine must be used one by one.
Eight, whether there are medicinal materials in the prescription, such as decoction, decoction, melting agent, soaking agent, glue, etc. , must be marked on a single package and explained to the patient clearly. Medicinal materials that need to be processed temporarily should be processed according to the formula, those that need to be broken should be broken, and those that need to be unpacked should be cleaned before preparation.
Nine, processing, processing of toxic Chinese medicine, must be carried out in accordance with the Pharmacopoeia and the relevant Chinese medicine processing norms, meet the requirements before it can be used in the formula, where the formula does not indicate the word "raw" toxic Chinese medicine should be handed over to the artillery.
Ten, strictly implement the special drug management system, toxic drugs of traditional Chinese medicine should be kept by special personnel, locked counters, specially prepared, set up special account books, and the prescription should be kept separately for 2 years.
Eleven, Chinese herbal pieces should be avoided when loading barrels and formulas, to prevent cross barrels.
12. The person in charge of the pharmacy is the first person responsible for drug quality. According to the requirements of the drug expiration date management system, the team members should be organized to regularly check the drug quality and expiration date (not less than once a month), and the problems found should be handled in time, so that the drugs near the expiration date will be given priority, and the drugs with unqualified quality or expired will not be distributed. It is strictly prohibited to use any expired, mildewed, moth-eaten, deliquescent or cracked tablets, discolored injection, loose lid, cracked or turbid drugs. Suspicious drugs must be determined by drug testing before making a decision.
Thirteen, pharmacies should be planned to collect and reserve drugs, to prevent the loss or shortage of drugs. The facilities and appliances in the pharmacy should be kept clean and tidy, and the items should be placed in an orderly manner, weighed and proofread, so as to ensure accurate weighing.
Fourteen, complete the drug inventory on schedule, and the amount of inventory account should meet the requirements.
15. Bind printed doctor's orders and all kinds of prescriptions every day, and the prescription storage period shall be implemented according to the Prescription Management Measures; Prescriptions that have exceeded the shelf life can only be destroyed after being submitted for approval according to the prescribed procedures.
16, strictly implement the system of safe work, undergraduate course room personnel shall not enter the pharmacy without work needs.
Seventeen, abide by the responsibility system of the first question, treat patients should be warm, patient, careful, polite, and use civilized language. Strive to improve service attitude and improve service quality.
Working system of outpatient western pharmacy
First, the same Chinese medicine shop.
Second, the same Chinese medicine shop.
Third, the wrong prescription should be returned to the original prescribing doctor for correction; Please ask the person in charge of the pharmacy to solve the prescription that is short of medicine. If it really cannot be solved, please ask the original prescribing doctor to replace it, and the dispensing personnel shall not replace it without authorization. Dispensing personnel have the right to refuse to allocate prescriptions that abuse drugs, have compatibility taboos and have been altered in many places. If the problem is serious, it should be reported to the person in charge of the pharmacy in time.
Fourth, the same Chinese pharmacy.
Five, patients taking drugs, drug delivery staff should be correctly addressed, and according to the drug instructions or prescription usage, oral instructions to patients about the usage, dosage and matters needing attention.
Six, pharmacies should have a plan to obtain and reserve drugs, to prevent the loss or shortage of drugs.
Seven, pharmacy drugs according to the frequency of use combined with drug properties, dosage forms, uses, classified positioning storage, emergency drugs dedicated centralized storage, convenient for emergency access. Drugs stored at low temperature should be kept in special facilities such as refrigerators as required.
Eight, narcotic drugs, psychotropic drugs, family planning drugs use, storage, prescription deployment and consumption registration. , must strictly implement the relevant management regulations.
Nine, the same Chinese pharmacy.
Ten, drugs have been issued, in principle, will not be returned. If it is necessary to return the medicine due to drug allergy or illness change, the medicine should be well-packed and identifiable, with the signature and invoice of the doctor.
Eleven, according to the accident registration system to establish a special accident register, all accidents should be truthfully recorded and reported, such as intentionally hide not to record or report, once verified, depending on the seriousness of the case, according to the provisions of the hospital and department.
Twelve, the establishment of drug consultation service desk, by the competent pharmacist or senior pharmacist or licensed pharmacist with strong theoretical knowledge is responsible for consulting services. Equipped with relevant professional books and new reference books. Adverse drug reactions should be registered and reported in time.
Thirteen, with the Chinese pharmacy.
Fourteen, pharmacy facilities, equipment, appliances, etc. Should be kept clean and orderly. Strictly implement the safety work system, and non-undergraduate personnel are not allowed to enter the pharmacy without work needs. Complete the drug inventory on time, and the amount of inventory accounts should meet the requirements.
Fifteen, with the Chinese pharmacy.
Responsibilities of Chinese and Western Pharmacists as Directors
1, under the leadership of the dean and department director, comprehensively guide the various business and technical work of pharmacy department and preparation room. Formulate relevant technical standards and operating procedures and organize their implementation.
2. Solve the technical problems in drug preparation and preparation, and ensure that the prepared drugs are qualified, safe and effective.
3. Supervise and inspect the use and management of drugs with special management such as poison, hemp and essence, as well as the authenticity of drug quality and the management of technical inspection and appraisal; Organize the preparation specifications and pharmaceutical management specifications.
4, often collect pharmaceutical technical data at home and abroad, introduce the dynamic progress of pharmacy at home and abroad, in-depth clinical departments, understand the situation of drug use, solicit opinions on drug use, introduce new drugs, guide rational drug use, and participate in hospital case consultation and medical record discussion.
5, to carry out scientific research in pharmacy, pharmacology and other aspects, cooperate with clinical development of new preparations, new dosage forms and new technologies, actively write papers, book reviews, review and identify scientific research results.
6, responsible for teaching, guiding advanced students and interns internship. Do a good job in professional technical training, paper publication and paper review of professionals at all levels in this department.
7. Chinese medicine and western medicine are different according to their majors.
Responsibilities of Chinese and western pharmacists in charge
1, under the guidance of the director and deputy director of pharmacists, is responsible for the adjustment, preparation, decoction and processing of undergraduate drugs, the preparation operation is carried out according to the regulations, and the process and quality are effectively controlled.
2, master the routine inspection and identification skills of drug quality, in strict accordance with the pharmaceutical work and hospital preparation management norms, to ensure the quality of the prepared drugs in line with the provisions of the China Pharmacopoeia.
3. Actively participate in pharmaceutical research and preparation technology innovation, write papers, and cooperate with clinical development of new drugs and purification of traditional Chinese medicine. Introduce new drugs, guide clinical rational drug use, and often understand the use effect and doctors' opinions in order to improve the dosage form and improve the curative effect.
4. Implement the standardized use and management of drugs with special management such as poison, hemp and essence, and handle and report the problems in time when found.
5, as an intern teaching training, technical operation training, to assist professional and technical personnel at all levels of undergraduate business learning and on-the-job education.
6. Chinese and western medicine are biased according to their majors.
Responsibilities of Chinese and Western Pharmacists
1, under the leadership of the team leader and the guidance of the pharmacist in charge, responsible for budgeting, picking, distribution, storage, procurement, reimbursement, recycling, distribution, registration, statistics, drug preparation and prescription adjustment.
2, take the initiative to go deep into the department, solicit opinions, constantly improve the drug supply, check the use and management of drugs in the department, handle problems in time and report.
3, conscientiously implement the rules and regulations of the department and operating procedures, strict management of drugs such as poison, hemp and essence, to prevent mistakes and accidents.
4, check all kinds of equipment, weighing instruments, measuring tools, etc. , to ensure good performance and accurate measurement.
5, do their own professional knowledge, and be responsible for the pharmacist's business learning and technical guidance, as a specific training for teaching and further study, interns.
6. Chinese and western medicine are biased according to their majors.
Responsibilities of Chinese and Western Doctors
1. Under the guidance of the team leader Yamatonokusushi, he participated in the preparation, preparation and decocting of drugs.
2, seriously implement the rules and regulations and operating procedures of this department.
3. Manage the special drugs such as poison, hemp and essence, and handle and report the problems in time.
4, do a good job in their own business learning and on-the-job education.
5. Chinese medicine and western medicine are different according to their majors.
Responsibilities of the quality management team of the department
1, conscientiously implement the Drug Administration Law and other laws and regulations to ensure the quality of drugs in this department.
2, according to the requirements, do a good job of supervision in the process of drug quality management, to ensure the implementation and enforcement of relevant systems.
3, regularly check the drug quality management of various departments, and put it on record.
4, adverse drug quality events, timely report, and timely take relevant measures to deal with.