Download as RTF, PDF, TXT or read online from Scribd
Download as rtf, pdf, or txt
You are on page 1/ 12
1.
0 Conditions:
All DPIC and Clinical Pharmacy staff
2.0 Purpose:
The Drug and Poison Information Center serves as a referral site for patient-specific and non specific complex drug information requests to provide the health care with the most updated drug and poison information which is based on evidence based recommendations to optimize patient care in our institution. 3.0 Definitions:
The Drug and Poison Information Center responds to patient-
specific and non specific drug and poison information requests from Caller: healthcare professionals and patients in the Common wealth of the university hospitals, other hospitals or clinics or community. Type of question: drug related question, poisoning, pharmacotherapy, pharmacokinetic. drug related: information may be either patient-specific or relative to a group of patients, such as in the development of a therapeutic guideline, coordination of an adverse drug event reporting and analysis program, publication of an electronic newsletter, or updating a Web site.
4.0 Policy:
The Drug and Poison Information Center is responsible for providing
updated and evidence based drug information to requesters from KSUH, other hospitals and clinics or community during the working hours.
It is responsible as well for providing patient specific poisoning
information 24/7 for KSUH poisoning cases.
5.0 Procedure:
5.1 HOURS OF OPERATION
5.1.1 Drug Information Services
Sunday – 5.1.1.1 Thursday : 8:00 am – 4:00 pm
5.1.1.2 Saturday : 9:00 am – 1:00 pm
5.1.2 Poison Information Services
5.1.2.1 During usual working hours: responds to all poisoning calls regardless the source.
5.1.2.2 Out of the working hours: responds through on-
call poisoning services 24/7 to KSUH poisoning cases only.
5.2 PERSONNEL REQUIREMENTS
5.2.1 Clinical pharmacist supervising the service.
5.2.2 Clinical pharmacist or clinically oriented pharmacists.
5.2.3 Part – time secretary.
5.3 ORGANIZATIONAL/CHAIN OF COMMAND
5.3.1 The PDIC supervisor reports to the Assistant Director for
Clinical Pharmacy Services.
5.3.2 All DPIC staff will report to the DPIC supervisor.
5.3.3 DPIC should not be left un-staffed at any moment during
its working hours.
5.4 FUNCTIONS OF DPIC
5.4.1 Providing immediate information on management of all
poisoning cases.
5.4.2 Providing active & passive information on all
pharmaceuticals. 5.4.3 Providing active & passive information on the most effective therapeutic management and recommendations.
5.4.4 Providing continuous education for all health care
professional including pharmacy staff.
5.4.5 Liaising with other DPIC.
5.4.6Participating in quality improvement research
projects and drug cost analyses.
5.4.7 Participating in public education as assigned by the
medical education committee in KKUH.
5.4.8 Participating in Pharmacy & therapeutic committee by
providing drug evaluation monographs and developing protocols for restrictive use, based on scientific evidence of efficacy and safety, pharmacoeconomics, and institution-specific factors (one drug evaluation monograph per 2 weeks).
5.4.9 Training other members of the KSUH pharmacy staff on
providing drug information services when possible.
5.4.10 Training under graduate, residents, & post graduate
pharmacy students for providing drug information services when possible.
5.4.11 Training Non-KSUH pharmacists & other healthcare
professions when possible.
5.4.12 Responsible for several clinical pharmacy functions
that include the following: Drug utilization evaluation criteria, drug evaluation monograph, summaries, protocols and guidelines development and I-City pharmacy webpage maintenance.
5.4.11 Coordinating investigational drug services,
including participating on institutional review boards (IRBs), evaluating protocols, and providing DI to patients, caregivers, and health care professionals.
5.4.12 Responsible for writing and distributing pharmacy
newsletter. The DPIC supervisor will check the final copies before giving the green light for distribution.
5.4.13 Providing information to patients about their drug
therapy as needed.
5.4.14 Maintaining all the updated therapeutic plans,
equipments, and DPIC files for both drugs, diseases.
5.5 PRIORITY ORDER
5.5.1 Provision of efficient and effective information requires
the drug and
poison information pharmacist to prioritize the requests.
The following is the established priority order that is being utilized:
5.5.1.1 Emergency treatment of a section of the
community in a life or death situation in case of major disaster.
5.5.1.2 Emergency treatment of a patient in a life or
death situation. (e.g. poisoning)
5.5.1.3 Treatment of KSUH hospitalized patient’s specific
drug therapy problem. (Critically-ill patients first, then non-critically-ill and ambulatory patient).
5.5.1.4 Provision of drug information to KSUH
pharmacists enables them to fulfill their responsibilities for patient care. 5.5.1.5 Provision of information for approval research projects involving the use of pharmaceutical.
5.5.1.6 Provision of non patient specific drug information
to healthcare providers.
5.5.1.7 Assisting students in obtaining drug information.
5.5.1.8 Provision of information to the various
committees of KSUH to ensure rational and economical use pharmaceutical.
5.6 PRIORITY ORDER BASED ON SOURCE OF REQUEST
5.6.1 With the exception of categories 1-4 listed above the
priority per requester will applied as follows:
5.6.1.1 KSUHs
5.6.1.2 King Saud University
5.6.1.3 Other Hospital and Clinics in Saudi Arabia
5.6.1.4 General Practitioner:
5.6.1.4.1 Pharmacist
5.6.1.4.2 Medical Doctors
5.6.1.4.3 Dentists
5.6.1.4.4 Opticians 5.6.1.4.5 Nurses
5.6.1.4.6 Centenarians
5.6.1.5 Individual members of the community
5.6.1.6 Pharmaceutical Industry and health related
institutions
5.7 GUIDELINES FOR POISONING MANAGEMENT
5.7.1 Obtain the following information from the caller:
Name and profession of the caller, location, and the
telephone or bleep number.
Date and time of call.
Age, sex, and weight of patient
Information pertinent to the ingested item including
type, quantity and route of ingestion.
Time of ingestion and hospital
admission Signs and symptoms of patient
Management provided so far
5.7.2 If the poisoning call is received in an area other than
DPIC, the caller should be referred to the DPIC number 5.7.3 Specific case management shall be provided by the DPIC staff (During working hours) or on-call clinical pharmacist (out of working hours).
5.7.4 References for the treatment of a specific poisoning case
will be provided upon request.
5.7.5 If a poisoning call is received and when the DPIC off
hours (e.g. evening Friday, and holidays), the inpatient in charge should obtain the pertinent information and consult the on-call clinical pharmacist.
5.7.6 The on-call clinical pharmacist will contact the physician
and provide him with the needed poisoning information.
5.7.7 A poison information record form should be completed
for each poisoning case received and managed by DPIC. All recommended clinical managements provided to the caller must be documented in the form.
5.7.8 All poisoning cases are reported monthly basis by the
DPIC supervisor.
5.8 SECURITY OF THE CENTER AND TELEPHONE FORWARDING
5.8.1 At the end of each working day and whenever the center is closed the following procedures are followed:
5.8.1.1The center is generally put into order.
5.8.1.2The telephone line is transferred to the inpatient
pharmacy (dial this: *21*71279#)
5.8.1.3The DPIC front door is locked.
5.8.2 Immediately after opening the center is 8:00 am, the
telephone should be returned back to the center dial this sequence #21#.
5.8.3 Access to the DPIC is restricted to the DPIC staff, clinical
pharmacists and students under training in DPIC. The key and access card to DPIC door should not be given to non- clinical pharmacy and DPIC staff.
5.9 VACATION/SCHEDULING
5.9.1 DPIC staff should have plan for any leave so that the service is not left with coverage shortage.
5.9.2 Plans for annual vacations should be submitted to the
assistant director for clinical pharmacy not later than 3 months prior to the beginning of the vacation.
5.9.3 To aid the clinical pharmacy coordinator preparing the
monthly schedule, a written request should be made to indicate the following: date of leave (both calendars if possible), date of particular weekends or days individual would prefer not to be scheduled, and the staff member’s name and date or recording should be noted on each entry.
5.9.4 Request must be made two weeks before the beginning
of the new month to allow the new schedule to be prepared.
6.0 Forms and Attachments:
6.1 Attachment: Drug Information Request form
7.0 Reference:
7.1 Departmental policy and procedure 2014
7.2 Malone PM and Kier K et al, Drug Information: A Guide for
rd Pharmacist, 2006, 3 edition. (PHA IPP DPIC – 001 Drug & Poison Information Center (DPIC)) Page 6 of 6
