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ASP Pharmacy Workflow 2016.5.11

1. The document outlines the workflow for an Antibiotic Stewardship Programme (ASP) at the pharmacy level for newly prescribed routine intravenous antibiotics or intravenous to oral switches. 2. It describes the process for indications and duration being provided, single day dispensing vs. contacting the doctor, and daily refills with first dose adjustments. 3. It also includes sending ASP forms to the ward on days 2-3, reviewing selected cases with the ASP pharmacist, and regular dispensing or placing incomplete forms in trays for follow up.

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Wu Kathy
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52 views1 page

ASP Pharmacy Workflow 2016.5.11

1. The document outlines the workflow for an Antibiotic Stewardship Programme (ASP) at the pharmacy level for newly prescribed routine intravenous antibiotics or intravenous to oral switches. 2. It describes the process for indications and duration being provided, single day dispensing vs. contacting the doctor, and daily refills with first dose adjustments. 3. It also includes sending ASP forms to the ward on days 2-3, reviewing selected cases with the ASP pharmacist, and regular dispensing or placing incomplete forms in trays for follow up.

Uploaded by

Wu Kathy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Workflow on Antibiotic Stewardship Programme (Pharmacy level)

Newly Rx Routine Big Gun or IV/PO switch (excluding local, IP, ophthalmic) (Day 1)
1. Meropenem, Ertapenem (MED only), Tienam
2. Vancomycin
3. Tazocin, Sulperazon, Ceftazidime, Cefepime
4. IV Ciprofloxacin, Levofloxacin, Moxifloxacin, Clarithromycin, Azithromycin,
Fluconanzole

Med* OR Non-med**
MED
Non-med
Indication & duration
Yes No Complete ASP form?
1. Single 1 day disp
Big Gun OR IV/PO? 2. Contact doctor
Big Gun IV/PO 3. Print screen & fax reminder No Yes

1. Daily refill for 3 days w/ 1. Daily refill for 2 days w/


1st dose adj for daily/BD 1st dose adj for daily/BD Daily single disp.
2. Right click print 2. Right click print
3. Place in designated tray 3. Place in designated tray

1. Collect print screen IPMOE order and chop printed date


2. Prepare and update ASP Round List & ASP Patient Case Summary for Prepare and update ASP Round List & ASP Patient Case
selected cases Summary for selected cases

Selected cases reviewed by ASP Pharmacist

Send ASP form to ward on Send ASP form to ward on Initiation Phase
Day 3 in the afternoon Day 2 in the afternoon

Evaluation Phase
ASP form received

Complete
ASP form?
No Yes

1. 1 day single disp


2. Form placed in
Incomplete Tray

FU missing/
incomplete
ASP form

1. Daily regular disp


2. Mark “ASP form received” in remarks
3. Form placed in Completed Tray

Send completed ASP form of active case to Microbiologist

(Daily morning excluding weekend and PH)

Evaluation and data analysis by ASP Team

1. Nothing shall withhold or delay dispensing medication to patient solely due to inadequacy in specifying
Action by Pharmacist
indication and duration, or missing ASP form. In all circumstances, medication and patient safety must
Action by Pharmacy Intern
prevail.
2. *Med: All medical specialties, except ICU, HCU
3. **Non-med: All non-medical specialties, except Paed
Action by ASP Pharmacist 4. If Pharmacy Interns are not able to carry out the tasks aforementioned, responsibilities of daily reporting to
Microbiologist and chopping print date on print screen will be shift to on-duty pharmacist(s) at In-patient
Decision point Section.
5. This workflow is prepared by the ASP Team, Department of Pharmacy, TKOH, on 2016.5.11.

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