Medication counseling services
A. Patient medication counseling
1. Counseling environment
(1) Adjacent to the outpatient pharmacy or pharmacy lobby
(2) Clear signage
(3) Comfortable environment
(4) Appropriate seclusion
(5) Necessary equipment
2. Mode
Counseling mode is divided into active and passive mode.
3. Content of patient counseling
(1) The name of the drug. Including generic names, trade names, aliases.
(2) Indications. Whether the drug indications correspond to the patient's condition.
(3) the method of medication. Including the correct way to take oral drugs, taking time and special tips before use; suppositories, drops, aerosols and other external dosage forms of the correct way to use; slow-release preparations, controlled-release preparations, enteric preparations and other special dosage forms of the use; how to avoid leakage of the drug, as well as remedies for leakage after taking the drug.
(4) Dosage. Including the first dose, maintenance dose; the number of times per day, interval; course of treatment.
(5) The expected efficacy of the drug and the time of onset and maintenance.
(6) Adverse drug reactions and drug interactions.
(7) Availability of alternative medications or other therapies.
(8) Identification of the drug identification, storage and expiration date.
(9) The price of the drug, whether it enters the health insurance reimbursement catalog, etc..
4. Pharmacist tips in special circumstances
(1) the patient at the same time using two or more kinds of drugs containing the same two ingredients; or combined use of more drugs.
(2) When the patient develops an adverse reaction to the drug; or has a history of previous adverse reactions.
(3) When the patient's compliance is poor; or when the patient believes that the efficacy of the treatment is unsatisfactory and the dose is insufficient.
(4) the need for the condition, the prescription dose more than the prescribed dose (need to be signed by the physician double); prescription dosage and instructions
book inconsistent; or non-drug instructions in the instructions of the use, dosage, indications.
(5) beyond the scope of the instructions of the indications or more than the scope of the instructions of the use of dosage (need to be signed by the physician double).
(6) the patient is using the drug there are contraindications or improper compounding (such as obvious contraindications should be the first time to contact
contact the physician to avoid disputes).
(7) Patients requiring TDM.
(8) Recent changes to the drug's specification (e.g., trade name, indications, dosage, safety, expiration date, storage conditions, adverse drug reactions).
(9) Serious or rare adverse reactions have recently been found in the drug used by the patient.
(10) Patients using narcotic drugs, psychotropic drugs; or the application of special drugs (antibiotics, antifungals, hormones, sedative
hypnotics, antipsychotics, etc.).
(11) When the same drug has multiple indications or a wide range of doses.
(12) When the drug has been repackaged and the package identifier is not clear.
(13) The use of drugs requiring special storage conditions, or the use of drugs near the expiration date.
5. The need for special attention to the problem
(1) for special groups of people need to pay attention to the problem
The elderly to explain to them should be slow, but also can be appropriate to use more words, pictures.
For female patients, it is also important to ask whether they are pregnant or planning to become pregnant, and whether they are breastfeeding
The patient's disease status is also a problem that should not be ignored. For example, patients with hepatic and renal insufficiency will affect the metabolism and excretion of drugs, which can easily lead to the occurrence of adverse drug reactions and poisoning.
(2) the skill of explanation for the general patient's counseling, to explain in easy to understand medical terms. Descriptive language should be used as much as possible. Try not to use terms with numbers in them.
(3) Try to provide written materials for special patients such as first-time patients; patients using drugs with a narrow therapeutic window such as digoxin and theophylline; patients with poor medication compliance.
(4) Respect the patient's wishes and protect the patient's privacy
(5) Answer in a timely manner without delay
Second, the physician medication counseling
Counseling content:
1. information on new medications
2. information on rational use of medications
3. monitoring of therapeutic medications
4. adverse reactions to medications
5. Contraindications
3. Nurse medication counseling
Counseling content: drug dosage, usage, injection preparation solvents, concentration and infusion drip rate, as well as the stability of the infusion drug and the physical and chemical properties of the matching of changes in contraindications and other information.
Fourth, the public drug counseling
Consultation content: daily health care and disease prevention. Weight loss, calcium supplementation, supplemental nutrients and other aspects of giving scientific guidance on the use of medication
Pharmacists in the acceptance of nurses consulting, should focus on the content of
A. Knowledge of pharmacoeconomics
B. Equivalence of pharmaceutical preparations
C. Pharmacokinetic parameters of drugs in the body
D. Preparation of injections, solvents, concentration and drip rate
E. Manufacturer and lot number of the drug product
Answer.