Employee Screening: Rite Aid Pharmacy

First and foremost, the accounting system used should be updated. The case stated that the system was 30 years old and that prior accounting period transactions could not be locked down, which enabled internal control processes to be bypassed. Enhancing internal

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

For contract pharmacies, the 340B guidelines state the following: “The guidelines provide that the covered entity will verify, using the contractor’s (readily retrievable) customary business records, that a tracking system exists which will ensure that drugs purchased under the Act are not diverted to individuals who are not patients of the covered entity. These records will be maintained for the period of time required by the State law and regulations.” Entities are advised that in many instances, other insurance programs require much longer maintenance of records (i.e., Medicaid/Medicare).

Non care setting - Medications are often stored and administered in a variety of non-health care settings. These settings include: primary and secondary schools, Child day care centres, Board and care homes, Jails and prisons. In all these settings, employees frequently are responsible for handling and administering prescription and over-the-counter medications to clients or residents. Some organizations may employ licensed health professionals to directly manage the medication administration process. However, many of these settings have no licensed health professionals involved. Where medications are stored and administered to individuals, written policies and procedures should address the following: Acquisition of medications (e.g., from parents, caregivers, pharmacies), Specification of which personnel are allowed access to medications and allowed to administer medications to students, clients or residents, Labelling and packaging of medications managed for students, clients

* All medication should be recorded and signed for by the receiving pharmacist and a proper record maintained in-house.

I also work closely with local pharmacies and doctors around the changing of a person’s medication. It’s important that we work closely together to ensure that the service user is having the correct medication at all times.

S8 drugs are locked in steel cabinet 10 millimetres thick and bolted to the floor or wall. All keys for the cabinets are kept by authorised staff on duty and cabinet to be locked at all times, unless dispensing drugs (Drugs and Poisons Act 1996, p 283). When administrating Schedule 8 controlled drugs as an enrolled nurse, the requirement is two authorised staff members to witness removal of the medication from the drug safe, preparation of the medication, administration to the patient and accurate recording in the drug control book (Drugs and Poisons Act 1996, p 107).

With today’s advancement in technology, most hospitals have developed a data security plan to ensure that patient data is being handled correctly and is only viewed by authorized personnel. Hospitals can keep unauthorized personnel from viewing patient information by setting up individual passwords (Wager, Lee, & Glaser, 2013) only allowing those employees to view the patient’s information for them to complete their job task. When an employee is entering information into the system, it needs to be in real time as much as possible to keep human errors from occurring and for a correction to be made there will need to be a note attached to

On the other hand, my son can only get his monthly medication at CVS Pharmacy and whenever I pick his medication up or he does, we are treated like brand new customers, there is no personalization. At CVS, after waiting an extended length of time, the pharmacy technician rarely asks me if I have any questions for the pharmacist and if I do she rushes me out, like I am disturbing the flow of operations. My family describes the pharmacy at CVS as a sterile machine; you are treated like a number not an individual. We have tried different CVS Pharmacies around Lakeland, but we get the same old treatment. Both Walgreens and CVS probably handle customer identification data very similar, but Walgreens emphasizes building positive customer relations

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

Be careful when administering medications where there is more than one patient on the unit with the same name.

In 2003, The Joint Commission made one of their first goals to improve the accuracy of identifying patients to reduce or eliminate patient identification errors. This continues to be an accreditation requirement. Their recommendations to do this are to use at least two patient identifiers when administering medications, and when providing treatments or procedures. Acceptable identifiers may be the individual’s name, an assigned identification number, telephone number, or other person-specific identifier. Patient room number or physical location may not be used as an appropriate identifier. Healthcare provides should re-identify the patient with each encounter, each medication pass, and each procedure. There have been procedures and protocols throughout the country have been put into place to make the care provided to patients safer. Another element of this requirement is that all containers should be labeled in the patients presences after using the patient identifiers

Rite Aid is a retail drugstore chain that believes in quality. They operate over 3,800 drugstores in 30 eastern states. Rite Aid offers health and personal care products, office supplies, cosmetics, seasonal merchandise, a variety of brand names, and a private label product line. Many of their stores also offer additional services such as one ? hour photo, fax and copying services, 24 hour stores, information lines, drive through windows, and natural health centers.

Thus when patient arrives and ask for medication, technician will retrieve by patients last name. Technician confirms patient’s address before handing medication to patient. By confirming address, technician makes sure that they are giving right medication to right patient and reduces the error of handing medication to wrong patient having same names. While handing medication pharmacist counsel patient on their medication and answer all their concerns and questions. Patient has direct access to the pharmacist, as pharmacist is not hidden behind the counter while counseling. Patients are more satisfied with the service provided as they can directly and free talk to