The urgently needed medicines did not come, the residents were anxious, and the neighborhood committee was equally anxious. Since the community launched the dispensing service, many cadres and volunteers of the neighborhood committee in Yuepu Town, Baoshan District, have continuously looked for problems, summed up experience, and explored ways to improve the efficiency of dispensing.
Check that the materials are complete before departure
Bao Linhong is the secretary of the party committee of Leye Village in Yuepu Town, Baoshan District, and like other resident party secretaries, she worries about the dispensing of medicines for the elderly in the community every day. In this aging community, the neighborhood committee's dispensing consultation telephone rings non-stop every day, receiving an average of fifty or sixty calls a day. Even though they have entered the dispensing process, many residents still feel uneasy and often call to inquire about the progress.
When the preparations are done, the follow-up will be smoother. In the reception hall of the neighborhood committee with an area of only 20 square meters, several boxes of "dispensing kits" collected from residents are collected every day, including volunteer dispensing sticky notes, medical insurance cards, change, and empty boxes of medicines. In order not to make a mistake, the neighborhood committee will produce a summary list of the day's dispensing needs every day, which the dispensing volunteers can carry with them.
When they first received the task, the volunteers lacked experience, and it often took a lot of time to bring the medicine back to the community, and after this period of training, everyone gradually found the doorway. For example, in the collection of materials, the division of labor is clear, community volunteers go to the non-sealing and control building group to collect, and the cadres of the neighborhood committee are responsible for the collection of the sealing and control building. In order to avoid rework, the dispensing volunteers should check whether the materials brought out on the day are complete and complete before leaving, and disinfect the medicine boxes.
Since the hospital does not provide plastic bags when dispensing medicines, many patients have a special variety and dosage of drugs, and volunteers bring 2 rolls of plastic bags to pack each time they go to the hospital. The first layer of plastic bags is packed into the disinfected patient material package, and the second layer is filled with purchased drugs, which is clear and clear. The outer package is then clearly written on the prompt card with a marker pen, the building number, the household number and the patient's last name, and finally the stapler is booked together with the bag and the prompt card. Back to the neighborhood committee, the volunteers then classified and killed the drug packets according to the door number, and the volunteers of different doors followed up to deliver the medicines. For individual cases of medicines that are not dispensed on the day, they will also be explained on the prompt card. The delivery volunteer knocked on the door to release the medicine and left, and at the same time reminded the leader of the building team in the group to make relevant records and reminders, and there was no contact in dispensing the medicine throughout the whole process.
The process is smooth, and it is possible to "collect medical insurance cards in the morning and get urgently needed medicines in the afternoon". In the past few days, the Leye Village Drug Delivery Team has welcomed new volunteers, and everyone believes that their joining will make the dispensing relay more confident.
Try to avoid "doing the wrong thing with kindness"
Most of the elderly villagers in Shenxiang Village, Yuepu Town, Baoshan District, volunteers receive an average of 40 or 50 drug orders per day. Sometimes, when the medicines needed by the residents could not be dispensed in the hospitals in the town, volunteers actively sought other ways.
Recently, volunteer Xiang Chen found that the hypertensive drug olmesartan needed by resident Shi Laobo could not be dispensed in the hospital, so he immediately tried to find it in the online pharmacy, and after no results, he drove to the town's baowei pharmacy to try his luck. In the end, the medicine was found at the Bao supply pharmacy on Longzhen Road, which solved Shi Laobo's urgent need. "The elderly can not stop taking drugs for a long time, when the elderly find us, there are only three days left at home, no matter what, we have to help him solve."
The process of dispensing medicines is not always smooth, and volunteers without medical backgrounds sometimes "do the wrong thing with kindness". For example, there are two kinds of common danshen tablets, one is to activate blood and one is anti-inflammatory. Resident Yang Apo suffers from coronary heart disease and needs to take blood-activating salvia tablets, but volunteers have to bring back anti-inflammatory drugs with the same effect as anti-inflammatory salvia tablets from hospitals with tight drug resources. After handing it over to the elderly, the volunteers got a complaint that "I can't eat a bunch of it", and their hearts were very aggrieved.
In order to avoid more "good intentions to do wrong things" situation, Shenxiang Village volunteers continue to summarize lessons learned, more seriously check each patient's needs, confirm whether it is a regular drug renewal or new drug, and carefully note the precautions for each order. If the medicine is out of stock, volunteers will inform the patient of the alternative drug plan according to the doctor's advice and ask for the patient's opinion. When the doctor consults and prescribes online, if the volunteer finds a medical record book with a special note, he will also take the initiative to ask the doctor and the patient's family to call or video on the spot to confirm the condition of the disease before prescribing the drug.
Party members of district-level organs report to the community
Shengqiao New Village is also a community with a large elderly population in Yuepu Town, Baoshan District. Under the organization of Zhao Yanhua, secretary of the Neighborhood Committee, Mao Lihua, the assistant manager of community comprehensive management, Shi Peihua and Jin Ju, employment assistance workers, and volunteers Su Jiaqi, Lu Bin, Wang Li and Gan Xinxia joined the team of dispensers, and 2 people were responsible for dispensing drugs in a shift every day, and the rest were responsible for collecting medical insurance cards and distributing drugs.
Su Jiaqi, a post-85 party member who came to the community to report to the community, came from a district-level organ and began to participate in volunteer services in a village in Shengqiao on April 1. "The social workers of the neighborhood committee are all lesbians, and the vast majority of them have not returned home for a long time. I now see myself as a member of the social worker, dispensing drugs, nucleic acid sampling, no matter what the position, can do more. ”
A few days ago, Aunt Luo, a resident with underlying diseases, handed over the medical record card, the medicine box and the prepaid cash of 130 yuan to the dispensing volunteers, and entrusted the purchase of Yiqi and Blood Medicine Brain Heart Tong Capsules. Due to the temporary closure of the hospital in the area, volunteers went to MCC Hospital to dispense medicines. Unexpectedly, there were different specifications and models of the same drug, resulting in the price of the drug dispensed on the same day being inconsistent with what Aunt Luo had purchased before. Faced with the price of drugs exceeding expectations, Aunt Luo, whose economic conditions are more difficult, is very incomprehensible.
Seeing this situation, Zhao Yanhua hurriedly comforted Aunt Luo, "Don't worry, we will bear the extra costs, and we don't need you to pay." After her mood stabilized, Aunt Luo was embarrassed by her previous attitude, so she commissioned volunteers to send a bag of coin purses containing dozens of coins to the neighborhood committee.
Source: Baoshan, Shanghai