OTHER ENVIRONMENTS

CHAPTER 17

CHAPTER OUTLINE

• Mail Order Pharmacy• Long-Term Care• Home Infusion• Nuclear Pharmacy• Review

MAIL ORDER PHARMACY

• Maintenance medications

• Automation

• Quality control

• Counseling and information

SOME CONDITIONS REQUIRING MAINTENANCE THERAPY

• Depression• Gastrointestinal disorders• Heart disease• Hypertension• Diabetes• Arthritis• HIV/AIDS

LONG-TERM CARE

• Nursing homes– dispensing (distributive) services

• automated dispensing systems• medication carts

• Requirements for pharmacy services in the Code of Federal Regulations (CFR 483.60)

– clinical pharmacy services

LONG-TERM CARE RESIDENTS’ RIGHTS

• Safe and adequate care• Decent environment• Privacy• Confidentiality• Personal property and clothing• Freedom from abuse• Visitation

HOME INFUSION: PRIMARY PROVIDERS

• Home Care Agencies

• Home Infusion Pharmacies

• Hospitals

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PRIMARY HOME INFUSION THERAPIES

• Antibiotic therapy

• Parenteral nutrition

• Pain management

• Chemotherapy

HOME CARE TEAM

• Physician

• Registered Nurse

• Pharmacist

• Pharmacy Technician

• Home Care Aide

NUCLEAR PHARMACY

• Radiopharmaceuticals– diagnostic tests– treatment of diseases

RADIATION SAFETY

• USP <795> and <797> Nuclear Regulatory

Commission (NRC)

Department of Transportation (DOT)

Badges to monitor exposure.