At their meeting, Joe told Ima that the store manager asked him to acquaint her with the monthly drug regimen review procedures. Eventually, she will be responsible for conducting drug regimen reviews at all the facilities.
Ima explained to Joe that she was unfamiliar with consulting pharmacy practice and mentioned her quick Internet search. He confirmed that the sites she chose to check are important and useful.
“Before doing the review at Hearts and Hands Manor, you’ll need to become familiar with the regulations that apply specifically to the drug regimen review process. Regulations that became effective in the mid 80’s were updated in the early 90’s but some parts of the earlier regulations are still enforced. Look for Survey Procedures for Pharmaceutical Service in Long-term Care Facilities, Indicators of Surveyor Assessment of the Performance of Drug Regimen Review.”
“When you review the regulations, you’ll notice sections pertaining to specific drug classes, including long- and short-acting benzodiazepines, sedatives and hypnotics, antipsychotics, and antidepressants. Medications in these classes are prescribed often to LTC residents, and you’ll need to know the regulations thoroughly, including information about specific medical diagnoses that must be present to justify use of the medication.”
Finally, Joe told Ima, “The Beers’ criteria are important, too. They help us identify inappropriate medication orders in elderly patients. If we don’t have a copy in the file cabinet, you will be able to find it in IDIS. The author’s last name is Beers, and the article was published in a 1997 issue of Archives of Internal Medicine.
What are Ima Pharm’s new learning issues?
Working with members of your group, check the following web sites and investigate information about drug regimen review. Use these sites to address the information gaps and learning issues that your group identified in Part III.
Websites:
Working with your group members, write a mission statement for Cares All Pharmacy that expresses how the pharmacy provides pharmaceutical care in the context of LTC consulting practice.
Documents:
Originally published at http://www.sciencecases.org/pharmacy_practice/pharmacy_practice3.asp
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