Healthcare informarics eportfolio | Nursing homework help

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Interview

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Heidi Lugo

NSG 3150 Healthcare Informatics

Galen College of Nursing

Jessica Cammidge

July 18, 2023

Transcript

I had the opportunity to interview S.K., a senior pharmacist at CVS. I was glad he allowed me to interview him and provided quality information based on my questions. The interview covered a wide variety of questions, such as:

What type of technology (technologies) does your pharmacy utilize?

Our pharmacy uses various types of technology, such as fax machines, computers, and automatic pill counters. Recently, I have had one pill counter called Kirby Lester pill counter count and dispense pills or tablets accurately, thus reducing manual counting errors and saving time.

How does your technology enhance internal communications between pharmacists, technicians, physicians, advanced medical care providers, and nurses?

The technology we use enables our computers to communicate with other CVS pharmacists electronically. Also, we can communicate with Dr’ offices and hospitals for electronic prescriptions transfer. This way, we can save time that our staff could use on the phone for long calls waiting for new prescriptions from the doctor. Besides that, we have implemented an automatic pill counting machine which makes our staff an easy time while in the office. The machine can count tablets automatically and put them in the bottle, which in return not only saves time but also reduces the chances of human error when counting.

Describe the process from when the pharmacy receives an order to when the medication is dispensed.

After receiving a prescription either physically or electronically, our pharmacy identifies the patient on the computer by comparing personal information such as date of birth, name and address. After verifying the patient, we enquired about any allergies or changes that must be addressed. Then, the pharmacy technicians verify the patient’s insurance, fill the prescription with the electronic bottle filler is started, and a label is attached to the bottle. The pharmacist verifies the prescription to ensure that it is accurate before they place it into storage waiting for the patient to come and pick it up. Once the patient arrives to pick up the prescription, they are verified again by date of birth and name, after which they are allowed to consult the pharmacist on how to take the medication, especially if it’s their first time using it. They are also free to ask the pharmacist any other questions they could be having.

What are some of the processes or policies implemented to ensure patient safety?

We uphold patient safety very seriously and have implemented numerous procedures such as verifying patient allergies, verifying their identity and confirming the medicine before filling and packing waiting for the patient to pick up.

What challenges related to technology and electronic information use, have you experienced? What solutions have you implemented, or changes have you made in your practice to address these challenges?

As a business, we are viable to face numerous challenges. One of the main problems we encounter is associated with electronic information and technology use, where our operations are cut off after experiencing power outages or glitches in the computer system. However, we have installed generators that turn on automatically in case of a power outage, and we also refrain from handing any patient medication when we are experiencing system glitches for safety reasons.

How has informatics helped or hindered patient education and awareness?

Informatics has been of significant help, especially in delivering patient education, as they have simplified the process of finding patient education and printing them out on every type of medication the patient needs. We must provide every patient with a list of possible allergens that could trigger allergic reactions and include the side effects of every medication we prescribe.

Summary

Throughout my interview with the pharmacists, I learned that prescriptions are transferred electronically. Some patients bring in prescription papers physically, besides that method being less often used. Besides that, I learned the process used to order and dispense medication in the pharmacy, which was very interesting. It’s a detailed procedure, from ordering medication from the physician or the hospital to handing the prescription to the patient. Additionally, I learned the importance of confirming the medication given to the patient for accuracy. Within that process, I noticed that the pharmacy must hand out educational materials to each patient to educate them on the implications, drug-to-drug interactions, allergies and a general overview of each medication being taken by the patient. I also learned that the technology used in pharmacies has both pros and cons. The pros of this technology are that they ease patient information from the hospital or Doctoroff Ice to the pharmacy and electronic counters of medication that helps avoid human errors (Kent, 2021). The technology has cons, such as loss of power, corrupted files and computer glitches, leading to delay and time wastage.

Apart from interviewing the pharmacist, I spent enough time reading our textbook, which offered great information on the technology of E-Prescribing, which is what I work mostly as a hospice nurse out in the field. The doctor can electronically sign the prescription and send it to the patient’s pharmacy using this technology. Electronic devices such as computers, laptops, personal devices assistants (PDAs) and other handled devices can be used for E-prescribing technology (Ball et al., 2011). The pharmacists stated that they use RxNT, an app that allows the pharmacy to connect with the patient through cell phones. This is an improvement the company has made since I started working as one of their staff. Before the introduction of RxNT, nurses used to call the pharmacy and place their patients’ orders (Kent, 2021). They no longer wait on hold to talk to a pharmacist for a long time; they call the doctor, get the correct order, input it in the app and submit it. The doctor signs the prescription before forwarding it to the pharmacy for order fulfillment.

References

Ball, M. J., Douglas, J. V., Walker, P. H., DuLong, D., Gugerty, B., Hannah, K. J., … & Troseth, M. R. (Eds.). (2011). 
Nursing informatics: Where technology and caring meet. Springer Science & Business Media.

Kent, C. (2021).
Robotic drug dispensing: the pharmacy goes digital. Www.pharmaceutical-Technology.com. https://www.pharmaceutical-technology.com/features/robotic-drug-dispensing-digital-pharmacy/