Medication therapy management (MTM) is a medical care mainly provided by pharmacists whose aim is to optimize drug therapy and improve therapeutic outcomes for patients. Based on the above definition of MTM, it is very important to offer MTM services to patients as it has at its core the aim of improving therapeutic outcomes for patients through the effective management of their drug therapy. It is important for pharmacist to be at the forefront of leading these efforts with regards to providing MTM because this is a service that is designed to help patients manage their medication. It is also important for pharmacist to embrace this call for the provision of MTM services as its benefits both short-term and long-term includes job security and opportunity, relevance in the healthcare system, revenue source, improving patients’ outcomes, and a chance to justify the call for pharmacists as providers.
Firstly, pharmacists are best trained to offer medication therapy management based on our training and the scope of services provided in an MTM session. Since the change from the traditional Bachelors degree to PharmD as the entry-level degree for new pharmacists, pharmacists are now extensively trained in therapeutics as well as how to clinically manage medications, and evaluate patient outcomes. Most colleges of pharmacy now graduate pharmacist who are certified to provide MTM services. Nurses are willing to offer this services if we decline, we will be doing a great disservice
It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.
My Butler University academic training and intern experience has positioned me to recognize and appreciate the essential role performed by the clinical pharmacist. Although sometimes transparent, it is the clinical pharmacist that is central to a patient’s ultimate successful recovery. This was evident during my clinical rotations, where I directly participated in the optimization of medication therapy to achieve patient-specific outcomes; it is for this reason I am impassioned and compelled to pursue a residency. As a PGY-1 resident, I plan to apply my clinical knowledge in the acute and ambulatory care settings to identify medication-related problems and make therapeutic recommendations in collaboration with other practitioners. Upon completion
There are several types of medication, each has a purpose and function needed for their administration via the different routes.
It is composed of actively practicing physicians, other prescribers, pharmacists, nurses, administrators, quality improvement managers, and other health care professionals and staff who participate in the medication-use process. The P&T committee should be responsible for overseeing policies and procedures related to all aspects of medication use within an institution. The P&T committee is responsible to the medical staff as a whole, and its recommendations are subject to approval by the organized medical staff as well as the administrative approval process. The P&T committee’s organization and authority should be outlined in the organization’s medical staff bylaws, medical staff rules and regulations, and other organizational policies as appropriate. Other responsibilities of the P&T committee include medication-use evaluation (MUE), adverse-drug-event monitoring and reporting, medication-error prevention, and development of clinical care plans and guidelines. The hospital’s internal policies follow all national standards for how the P&T committee should
As clinical site co-ordinator with many years of clinical experience I feel competent in the drug administration via a variety of routes. Generally the patients I attend have become acutely unwell with most prescriptions not having the third eye of a pharmacist and most drugs being delivered intravenously. It is imperative therefore that the prescription and drugs always be thoroughly checked which relies on good communication throughout. Furthermore, most emergency drugs have a protocol for administration developed by the hospital. However within this situation the nurse is generally the last defence before any medication error actually occurs, therefore it is the nurses responsibility to ensure the prescription is correct and to challenge prescription written
As a clinician in a hospital, the pharmacist becomes a member of a professional healthcare team. In their clinical practice, pharmacists are directly involved in ensuring optimal medical therapy for patients by devising therapeutic regimens specific to individual patients. They also staff the Drug Information and Poison Centers whose task is to provide information to other healthcare professionals to assist with therapeutic decision making (uq, 2012).
Chad is engaging in substance abuse treatment. As of 10/19/2016, Chad Sr started with Southern Illinois Associates LLC. Chad was complaint with treatment recommendations and seems to be making efforts towards recovery. Chad Sr has been receiving psychiatric services, medication management and group and individual therapy at Southern Illinois Associates LLC. Chad Sr has been working to address substance abuse issues as well as mental health issues. Chad Sr’s scheduled group sessions are held the 2nd and 4th Wednesday of every month at 1 pm and 4 pm.
Pharmacists have many different responsibilities to their patients, these include promoting patient’s safety through checking the patient’s medication and keeping good records every time a patient fills a new prescription or refills prescription filled (Leagle, 1994). Pharmacists should also improve
Nearly half of seniors do not take their medications when or how they were prescribed. There are mistakes on dosages, methods of delivery, time of delivery, what they should be taken with, and even if they should still be taken. Compounding the issue, most seniors over the age of 65 are taking between 8 and 13 different medications. Put these numbers together and it is no wonder that problems with medication management are one of the leading reasons seniors end up in the emergency room, and is the number one reason seniors end up back in the hospital after being recently discharged. According to a study published in "Pharmacotherapy", nearly 70 percent of hospitalized seniors suffered from at least one
As expert on drugs, it is the responsibility of pharmacist to make drug related intervention when necessary. When on rounds, the rest of the team ask drug related questions from the pharmacist and expect the pharmacist to make recommendations especially on antibiotics stewardship, renal dosing, pharmacokinetics, and pain management. While on rounds, I witnessed pharmacist answer to such call. With less than a year of classes left before I start my APPE, I hope to consolidate on my previous pharmacotherapy knowledge and make valuable improvement in my problem solving skills and critical thinking
It is the nurse’s and pharmacist’s job to be cautious and aware of every medication they are administering by using their critical thinking skills and applying what they know to every situation. Although it is important for these individuals to be able to advocate for their patients, it also imperative that prescribers be aware of the impact they have on their patients as their actions have a domino effect. In conclusion, it is not the responsibility of a single profession to maintain safety in medication administration. It is the responsibility of everyone involved in the patient’s care. Each person who takes steps to improve the process and promote the patient as the number one priority is doing their part in refining how the healthcare system views medication
Nurses play a huge role when it comes to healthcare and keeping individuals alive and healthy. Nurses aid in the well-being of their patients by promoting, protecting, and optimizing their health by relieving suffering through various steps of nursing diagnosis, treatment, and by being advocates for their client’s. Registered nurses (RN’s) are a type of nurse that is registered with the College of Nurses of Ontario and they have a major role and responsibility in the direct care for their patients. According to the College of Nurses of Ontario, “Nursing is a profession that is focused on collaborative relationships that promote the best possible outcomes for clients.” (CNO, 2014, pg 3, para 2) To provide best possible outcomes for clients, the roles of nurses are constantly changing due to the fact there are many possible different ways to improve and treat health because each individual is unique. An area that needs to be expanded within the registered nurse’s range of practice is the ability to prescribe drugs since it is a topic that registered nurses currently are not competent to do so. The healthcare system in Canada and Ontario would be faster and more efficient if registered nurses are allowed to prescribe medications.
One of the most important steps in caring for hospitalized patients is medication administration. Patients come into the hospital to be treated so they will feel better, it does not matter what the physician does if the medications are not given to the patient they will not get better. According to McGonigle and Mastrian, the steps of administering medication have not changed in many years, they are “assessment of need, ordering, dispensing, administration, and evaluation” (McGonigle & Mastrian, 2012, p. 386). The purpose of this paper is explain the medication administration process that is used in my facility, to determine the technology used is effective.
They design the drug therapy protocol and indicate the appropriate dosage to use so that patients get the optimal outcome of the medication. Clinical assessments are vital to test the efficiency and the safety of an existing medication specifically through therapeutic drug monitoring. This practice is known to provide effective pharmacologic therapy though producing the maximum benefit of a drug which can remain longer period of time within the patients and have almost no toxicity that could cause harm to patients. This is why therapeutic drug monitoring in the field of pharmacy is essential enough to figure out an effective medication against a disease without any dangerous toxic actions involved to improve patients’ quality of life and hopefully find exceptional cures which is one of the pharmacists’
There are other pharmacy staff who also have roles in relation to the safe dispensing of medicines. A pharmacist is responsible for: Overall checking of a prescription to make sure that it is legal and written by a person qualified to do so, dispensing the right quantity of the correct medicine, ensuring that medicines are correctly labelled with the person’s name, the name of the medicine and the dosage, providing advice and treatment for minor illnesses, injuries and health concerns, providing a repeat prescription service in co-operation with GP