With the extension of the sealing time, the issue of public medical treatment and dispensing has become the focus of attention of all parties. Taking Shanghai First People's Hospital as an example, since mid-April, the number of prescriptions in Internet hospitals has surged from 600 to more than 1,000. Originally, these online prescriptions were reviewed by the hospital pharmacy, and sent from the warehouse by the pharmaceutical company to the patient's home, which took an average of 2 to 3 days.
However, since the epidemic, the delivery capacity has been affected, and the waiting time has been extended. On the one hand, patients who are anxious to wait for drugs, on the other hand, they are already fully loaded with logistics, how to solve the problem? A "pioneer team of pharmacist volunteers delivering medicines" was dispatched. What is the difference between pharmacists delivering medicines and volunteer dispensing drugs in the community? What are the criteria for drug delivery?
At 9:00 a.m., the outpatient pharmacy window of the First People's Hospital was not yet busy; but in the pharmacy, the members of the "Pharmacist Volunteer Drug Delivery Pioneer Team" who had just been formed for a week were already busy. Take medicine, bag, check, print... After a while, each person carried 5 or 6 bags of finished medicine. In the morning, a total of 56 orders were sent, all from the prescriptions issued online by the Internet hospital.
Clinical pharmacists, unlike the dispensing pharmacists who are responsible for dispensing drugs at the window, usually work in specialist wards. With more than ten years of clinical work experience, they work with doctors and nurses, and are known as the "Ward Iron Triangle", and are proficient in the compatibility contraindications of various specialty drugs and mixed use of multiple drugs. As soon as the drug delivery pioneer recruitment order was issued, it immediately received a positive response from all clinical pharmacists.
The hospital had limited working vehicles, and pharmacists began to deliver medicines in their own private cars equipped with epidemic prevention passes.
The first order of pharmacist Qi Chendong is an elderly man with prostatic hyperplasia after atrial fibrillation. Because the elderly are going to cut off the medicine on the same day, they are the first to send. After counting the drugs, Qi Chendong gave the medication guidance sheet to the elderly.
The medication guide clearly lists the name, specifications, usage, dosage per use, and main use of the drug. Each drug is also accompanied by a clinical pharmacist's summary of the precautions, which is easy to understand. For example, "rivaroxaban tablets", there is a reminder that if you do a surgical operation, you need to tell the doctor in advance that you are taking the drug. These clinical pharmacists use their volunteer service on holidays and do not take up their own medical service time. Due to limited manpower, the drug delivery pioneer team will screen The Internet prescription one day in advance, mainly to ensure the delivery of drugs for special groups and patients with special diseases.
During the May Day period, 34 municipal hospitals in the city carried out free clinics in Internet hospitals, and nearly 1,800 experts participated in the "cloud free clinics". On the first day of free clinics on May 1, hospitals issued more than 3,300 online prescriptions. Experts said that among them, within 1 month, the condition changes, and there are not a few patients who need to increase medication or adjust medication, and such patients often have many medication questions. The advantage of clinical pharmacists is that they can also guide the use of drugs while delivering drugs to the door.
According to statistics, in the past week of the pilot, the average daily delivery volume of the drug delivery pioneer team accounted for about 10% of the daily prescriptions on the Internet. In the other 90%, only about 10% of patients choose to pick up their own drugs in the hospital's Internet drug window. The hospital said that the current pharmacy window extends the service to 18:30 every night. Generally in the morning prescription, in the afternoon you can go to the special window of the hospital to pick up. Considering that the current waiting time for drug delivery is still long, it is recommended that patients who urgently need medication choose to pick up their own medicines or ask volunteers to dispense drugs on their behalf.
(Look at the news Knows reporter Zhou Wenyun)