The norms of home pharmacy service apply to the following:
(a) Organization and management. Home pharmacy services are appropriate to be included in the management of the contracted services of the family doctor of the organization, and the content of pharmacy services is clearly defined in the contracted service agreement of the family doctor, and the pharmacy department is responsible for the implementation.
(2) personnel requirements. Pharmacists engaged in home pharmacy services in primary health care institutions should be included in the management of the family doctor contracting team, have the qualification of pharmacist and above professional and technical positions, and have two or more years of experience in pharmacy services.
(3) Hardware and software equipment. Primary healthcare organizations should be equipped with the necessary hardware and software equipment to carry out home pharmacy services, such as: service equipment, pharmacy information software, reference books, and protective gear. In addition, according to the demand for pharmacy services can be equipped with drug boxes, drug teaching aids.
Primary medical and health care institutions should use information technology to provide support for the development of home pharmacy services, establish home patient medication files, record and summarize drug therapy-related issues, and ensure full traceability.
(I) service object. The target of home pharmacy service should be home patients who contract with the family doctor team, including patients with chronic diseases, patients with repeated visits, patients with many kinds of combined medication, and patients with special populations.
(2) Work content. Services include at least the following:
1, assessment of home patients drug therapy needs: assessment based on the patient's gender, age, the number of diseases, physical condition (including body mass index, consciousness and whether the ability to swallow the drug intact), history of allergies, history of adverse reactions to medicines, the number of visits throughout the year, the number of types of drugs, medication adherence situation.
Whether the medications used contain medications that require special routes of administration and/or high-alert medications, whether there have been recent major medication adjustments, and whether there is a large number of medications at home that are at risk of expiration. Based on the assessment results, the pharmacist should develop a pharmacy service plan with the homebound patient***.
2, medication list organization and production: for repeated visits to the patient, as well as the use of a large number of patients, the pharmacist can assist in organizing and production of medication lists.
3, medication counseling: home patients have questions about the drugs used, the pharmacist is appropriate to provide medication counseling services.
4, medication education: the pharmacist should understand the home patient's medication compliance, the purpose of drug use, dosage, precautions and other education. Can see the "medical institutions medication education service norms".
5. Organize the family medicine box: Pharmacists can guide homebound patients to clean up the family medicine box, pay attention to the expiration date, properties and storage conditions of medicines at home, and provide service guidance on the organization of medicines, classified storage, and cleanup of expired or deteriorated medicines for homebound patients.
6. Screening for adverse drug reactions: Pharmacists inquire about and screen for common adverse reactions to medicines used by patients at home.
7, drug interaction screening: the pharmacist through the home patients with the organization of drugs, to determine whether there are drug interactions.