Pharmacy - Revision history

JenniferH: /* Clinic Pharmacist */

2023-02-01T02:04:54Z

Clinic Pharmacist

← Older revision		Revision as of 02:04, 1 February 2023
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	*Monday-Friday 8:30am-5:30pm, closed holidays		*Monday-Friday 8:30am-5:30pm, closed holidays
	*Clinic A, B, and C pharmacist roles are available in tigertext		*Clinic A, B, and C pharmacist roles are available in tigertext
	Clinic pharmacists are physically located in the ambulatory clinics and are readily available help answer medication related questions for providers and patients. One of their main responsibilities is to manage the thousands of refill requests that come through the pharmacy each month. A clinic pharmacist receives the refill requests, evaluates whether the patient and their prescription meet the criteria defined in the Pharmacy Refill Protocol, and if they do, the pharmacist is able to renew the prescription on the providers behalf without the request even being sent to the provider. When the prescription/patient do not meet the refill protocol requirements the pharmacist will propose the medication to the provider for approval. If the refill request is for a controlled substance, a message will be sent to the provider in message center with the details about the request.		Clinic pharmacists are physically located in the ambulatory clinics and are readily available to help answer medication related questions for providers and patients. One of their main responsibilities is to manage the thousands of refill requests that come through the pharmacy each month. A clinic pharmacist receives the refill requests, evaluates whether the patient and their prescription meet the criteria defined in the Pharmacy Refill Protocol, and if they do, the pharmacist is able to renew the prescription on the providers behalf without the request even being sent to the provider. When the prescription/patient do not meet the refill protocol requirements the pharmacist will propose the medication to the provider for approval. If the refill request is for a controlled substance, a message will be sent to the provider in message center with the details about the request.

	Clinic pharmacists are also responsible for anticoagulation monitoring for our patients on Coumadin. They are available for completing Drug Utilization Reviews in order to make recommendations about maximizing therapy and minimizing drug interactions, as well as patient counseling upon request by a provider. Clinic pharmacists also spend a significant amount of time gathering information to submit to insurance companies for prior authorizations.		Clinic pharmacists are also responsible for anticoagulation monitoring for our patients on Coumadin. They are available for completing Drug Utilization Reviews in order to make recommendations about maximizing therapy and minimizing drug interactions, as well as patient counseling upon request by a provider. Clinic pharmacists also spend a significant amount of time gathering information to submit to insurance companies for prior authorizations.

Emcnally: /* Inpatient Pharmacist */

2022-12-29T23:25:04Z

Inpatient Pharmacist

← Older revision		Revision as of 23:25, 29 December 2022
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	===Inpatient Pharmacist===		===Inpatient Pharmacist===
	*7 days a week 8 am-8 pm		*7 days a week 7 am-7 pm
	*Pharmacist on-call 24 hours a day		*Pharmacist on-call 24 hours a day
	*Inpatient Pharmacy on-call pharmacist role available in tigertext		*Inpatient Pharmacy on-call pharmacist role available in tigertext

JenniferH: /* MAT Pharmacist */

2021-02-01T22:29:41Z

MAT Pharmacist

← Older revision		Revision as of 22:29, 1 February 2021
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	===MAT Pharmacist===		===MAT Pharmacist===
	The MAT Pharmacist works closely with the MAT program to assist with initiation and ongoing treatment of patients with substance use disorders. This person also has responsibilities related to the pain committee and facilitates regular pain committee meetings, pill audits, and urine drug screens when necessary.		The MAT Pharmacist works closely with the MAT (Medical Assistance Team) program to assist with initiation and ongoing treatment of patients with substance use disorders. This person also has responsibilities related to the pain committee and facilitates regular pain committee meetings, pill audits, and urine drug screens when necessary.

	===Outpatient Pharmacist===		===Outpatient Pharmacist===

JenniferH: /* Process Used for Acting on Both Positive and Negative Variances */

2021-02-01T22:24:37Z

Process Used for Acting on Both Positive and Negative Variances

← Older revision		Revision as of 22:24, 1 February 2021
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	==Process Used for Acting on Both Positive and Negative Variances==		==Process Used for Acting on Both Positive and Negative Variances==
	The Pharmacy Department monitors workload activities and builds staffing schedules to accommodate the provision of care. Training and leave requirements are adjusted in order to assure the proper provision of care. Recruiting activities are on going and pharmacy intern(s) and TDY(s) fill any gaps in staffing.		The Pharmacy Department monitors workload activities and builds staffing schedules to accommodate the provision of care. Training and leave requirements are adjusted in order to assure the proper provision of care. Recruiting activities are on going and pharmacy intern(s) and TDY(s) fill any gaps in staffing.

			==Formularies==
			Formularies at YKHC are managed by Pharmacy through the P&T Committee.

			Follow [[:Category:Formularies\|this link]] to see links to pdf files of YKHC formularies for the main hospital, sub-regional clinics, and village clinics. A link to the Lifemed medevac formulary is also included.

	==Non-Formulary Medication Requests==		==Non-Formulary Medication Requests==

JenniferH: /* Non-Formulary Medication Requests */

2021-02-01T22:20:13Z

Non-Formulary Medication Requests

← Older revision		Revision as of 22:20, 1 February 2021
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	==Non-Formulary Medication Requests==		==Non-Formulary Medication Requests==
	[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)		[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)

			Requests for non-Formulary Medication are made when an alternate medication already on the YKHC formulary is not appropriate for patient care.

	Any provider can request a medication be obtained as non-formulary by filling out [[https://ykhc.ellucid.com/documents/view/35039 this form]]. It is reviewed and approved/rejected by the pharmacy director. To maximize the chances of the drug being approved, include as much information as possible, including other regimens that have been tried, history of intolerances, reasons why formulary options are not appropriate, etc.		Any provider can request a medication be obtained as non-formulary by filling out [[https://ykhc.ellucid.com/documents/view/35039 this form]]. It is reviewed and approved/rejected by the pharmacy director. To maximize the chances of the drug being approved, include as much information as possible, including other regimens that have been tried, history of intolerances, reasons why formulary options are not appropriate, etc.

JenniferH: /* Non-Formulary Medication Requests */

2021-02-01T22:17:40Z

Non-Formulary Medication Requests

← Older revision		Revision as of 22:17, 1 February 2021
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	==Non-Formulary Medication Requests==		==Non-Formulary Medication Requests==
	[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)		[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)

			Any provider can request a medication be obtained as non-formulary by filling out [[https://ykhc.ellucid.com/documents/view/35039 this form]]. It is reviewed and approved/rejected by the pharmacy director. To maximize the chances of the drug being approved, include as much information as possible, including other regimens that have been tried, history of intolerances, reasons why formulary options are not appropriate, etc.

			If three or more patients are on a non-formulary drug, it will be brought to P&T to vote on adding it to the formulary.

	Click [https://ykhc.ellucid.com/documents/view/35039 here] for a fillable request form located in Policy Manager.		Click [https://ykhc.ellucid.com/documents/view/35039 here] for a fillable request form located in Policy Manager.

JenniferH: /* Non-Formulary Medication Requests */

2021-01-27T20:04:07Z

Non-Formulary Medication Requests

← Older revision		Revision as of 20:04, 27 January 2021
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	==Non-Formulary Medication Requests==		==Non-Formulary Medication Requests==
	[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)		[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)

	Click [https://ykhc.ellucid.com/documents/view/35039 here] for a fillable request form located in Policy Manager.		Click [https://ykhc.ellucid.com/documents/view/35039 here] for a fillable request form located in Policy Manager.

JenniferH: /* Non-Formulary Medication Requests */

2021-01-27T20:03:52Z

Non-Formulary Medication Requests

← Older revision		Revision as of 20:03, 27 January 2021
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	==Non-Formulary Medication Requests==		==Non-Formulary Medication Requests==
	[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)		[https://ykhc.ellucid.com/documents/view/704 POLICY: Non-Formulary Medication Requests] (links to MCN)
			Click [https://ykhc.ellucid.com/documents/view/35039 here] for a fillable request form located in Policy Manager.

	==[[Pharmacy Things to Know]]==		==[[Pharmacy Things to Know]]==

JenniferH: /* Introduction */

2020-12-18T18:23:39Z

Introduction

← Older revision		Revision as of 18:23, 18 December 2020
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	Our pharmacists are a great resource. Always feel free to ask the pharmacists questions. They are always willing to look up things.		Our pharmacists are a great resource. Always feel free to ask the pharmacists questions. They are always willing to look up things.

	We do have a limited formulary and all formulary items are designated with a green circle, a yellow triangle, or a red square in PowerChart/FirstNet. These symbols cannot be seen within the Dynamic Documentation workflows however, if medications are selected from PowerPlans or folders, they will be on formulary. The pharmacists will call you if you order something not on the formulary. If you want to order a non-formulary item you can use a Non-Formulary Request form and the pharmacist will determine if the non-formulary item is allowed.		We do have a limited formulary and all formulary items are designated with a green circle, a yellow triangle, or a red square in PowerChart/FirstNet.
			[[file:Pharmacy_Indicators.png\|center\|800px]]
			These symbols cannot be seen within the Dynamic Documentation workflows however, if medications are selected from PowerPlans or folders, they will be on formulary. The pharmacists will call you if you order something not on the formulary. If you want to order a non-formulary item you can use a Non-Formulary Request form and the pharmacist will determine if the non-formulary item is allowed.

	Pharmacy also manages Coumadin patients and does their INRs in the pharmacy in Bethel or village clinic coordinating with the local Health Aide.		Pharmacy also manages Coumadin patients and does their INRs in the pharmacy in Bethel or village clinic coordinating with the local Health Aide.

JenniferH: /* MAT Pharmacist */

2020-12-15T19:24:26Z

MAT Pharmacist

← Older revision		Revision as of 19:24, 15 December 2020
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	===MAT Pharmacist===		===MAT Pharmacist===
	MAT Pharmacist works closely with the MAT program to assist with initiation and ongoing treatment of patients with substance use disorders. This person also has responsibilities related to the pain committee and facilitates regular pain committee meetings, pill audits, and urine drug screens when necessary.		The MAT Pharmacist works closely with the MAT program to assist with initiation and ongoing treatment of patients with substance use disorders. This person also has responsibilities related to the pain committee and facilitates regular pain committee meetings, pill audits, and urine drug screens when necessary.

	===Outpatient Pharmacist===		===Outpatient Pharmacist===