How GET " much can apothecary " full marks skill? The reporter uncovers secret for you much can of

Mention apothecary,

It is in people impression in the dispensation in drug-store,

Send medical staff member.

Apothecary sends medicine in outpatient service drug-store

In the past,

In process of go to a doctor,

Apothecary almost whole journey is in " behind the curtain " ,

Not by the person hep.

Last centuries, assist having preparation qualitative check with the apothecary of the hospital

Be in Wuhan assist with the hospital,

Clinical apothecary falls in challenge and good luck,

To " much can " transition,

Participate in outpatient service, ward, technology to detect,

The many link such as medicaments configuration.

Robot of outpatient service drug-store sends medicine

They are faced clinical, face a patient,

In the help doctor implementation is opposite the patient is reasonable with medicine,

Reduce patient economy burden,

Assure to increasingly important role is acted on patient safety.

Reporter of Hunan day Metropolis Daily takes you to uncover secret,

Your place does not know " much can apothecary " .

Apothecary takes your doubt that use drug examine is solved

"How should be this medicine used? " Ms. Wu of 56 years old suffers from bronchitic old, symptom of nearly a few months is aggravating, breath is difficult, go upstairs not to pant to go up, in assist this world native place is by diagnose slow block lung.

She is taking a Budenaidefumoteluo powdery inhalant, say oneself had used two, but the effect is not quite good, return in the mouth afflictive.

"How inspiratory are you at ordinary times? " breathing internal medicine " medicine combines outpatient service " , wu Sanlan of apothecary of this courtyard vice director lets field work of the other side, discover just as one would expect, medicaments uses a method to have a problem.

Apothecary Wu Sanlan sits examine coachs the patient uses drug

Original, a lot of patients do not know, clear water gargle should be used after smoking drug every time, otherwise medicaments may cause infection of bacterium of beads of mucous membrane of isthmus of oral cavity, pharynx for long in the remaining inside oral cavity, can send partial patient cracked.

"Unscrew, pull out cap, want to ensure red handle coming back is subjacent. " Wu Sanlan takes body of straight inspiratory device, after coming back, turn over again) Xiang Xuan turns after all, medicine bottle is given out " Ka Da " , "This is finished on behalf of dosage ram, suck normally at this moment at a heat hind spit deeply, double lip encases immediately medical mouth, forcibly, slowly deep inspiratory, inspiratory powder. Inspiratory hind must breathless 5-10 second, help drug deposit reachs lung to tracheal, bronchus... " Ms. Wu sighs with emotion: "Oh, should do so so " .

Since last year August, wu Sanlan is weekly 2 or Zhou San in the morning, metropolis and director apothecary Gong Weijing and Chen Chen by turns with breathing physician " sit jointly examine " . Half an year comes, feel the patient seeks advice from demand with medicine apparently very big. From outpatient service advisory case looks, some patients use the issue that exists in medicine, cannot think of even apothecary.

Besides breathing internal medicine, wuhan assist still established in succession in additionally 3 section office with the hospital " medicine combines outpatient service " , it is outpatient service of transplanting of kidney internal medicine, heart, kidney transplant respectively. Apothecary sits every week in section office commonly examine comes twice, every time a long time.

Of course, be not all apothecary to be able to sit examine. With Wuhan assist it is with the hospital exemple, this courtyard is participated in " medicine combines outpatient service " share 6 apothecary, asking is director above title, obtain clinical apothecary standardization to groom qualificatory card, have the substantial safe and reasonable knowledge that use drug and experience of practice of the government that use drug.

This courtyard breathes Su Yuan of medical associate professor to say, since offerred associated outpatient service, consulting room is to see a doctor no longer interrogation, seek advice to be squeezed together with medicine, managing the doctor sits examine time, improved interrogation efficiency, patient satisfaction spends apparent promotion.

Participate in doctor make the rounds of the wards to record employ drug data

Actually, be in not only outpatient service, ward also has apothecary figure.

Clinical apothecary development coachs to ward the patient uses drug

It is early 13 years ago, assist begin to pursue clinical apothecary system with the hospital, let apothecary development ward assist doctor and nurse, safety of patient of directive be in hospital is reasonable with medicine, obtain first-rate result.

Chen Liang of 21 years old (alias) it is an uremic patient, must accept the continuance life of high quality of ability of kidney transplant operation, because do not wait tardy appropriate supply system, great mom is made contribute kidney to save child decision.

Fortunately, this is opposite old day favor mother child, 2 people match model successful. This year March, transplanting of left kidney success arrives inside Chen Liang body, leave hospital recuperate only a week, mom returns ward to guard a son.

After transplanting operation, chen Liang needs to use a kind the name overcomes the immunity that not manages to restrain medicaments for him, in order to avoid reaction of different of body happening platoon. His gram was done 4 times to not manage hematic drug chroma is monitored continuously during using drug however, increase the dosage that use drug a few times, did not reach target range all the time, this lets mom angst unceasingly, also let cure protect personnel to feel feel puzzled, because detect according to medicaments gene of Chen Liang,the result shows, he belongs to normal metabolization crowd, usually average dose can amount to mark.

Does the problem go where? When undertaking to Chen Liang medicine learns make the rounds of the wards, ceng Fang notices a detail, the hand when Chen Liang takes medical case trembles very badly.

This is the typical and harmful response that his gram not manages, his inside body of demonstrative Chen Liang gram not manages the amount is not small.

The hematic convention during Ceng Fang examines Chen Liang be in hospital instantly checks a result, before discovering art, be with respect to anaemic Chen Liang originally after art day-to-day accentuation, adjacent already spend anaemic level again. Because his gram not manages 95% above can be entered in blood,arrive inside red blood cell, anaemic meeting affects him to overcome the metabolization that not manages significantly, make its from disappear quickly inside body, cause cereal of hematic drug chroma to be worth on the low side thereby.

Because Chen Liang is increasing him to overcome what not manage to take medical dose all the time, make the peak value of hematic drug chroma after taking medicine 2 hours particularly high, it is to cause a hand to shake serious likelihood one of reasons.

The Ceng Fang analysis oneself and relevant data inform Wang Zhendi, the proposal strengthens anaemic cure and nutrition to Chen Liang, his gram not manages maintain former dose. The doctor is adopted, hematic drug chroma of Chen Liang amounts to mark smoothly one week later, later period restores a situation good, invite a parent child 2 people are full of a hope to new life.

Come 13 years, serve 3 two section office from 4 original apothecary, develop present 21 apothecary development to arrive inside the heart, 17 section office such as breath, senile, ICU. More and more doctors and nurse are in come up against medicaments when pertinent question, can seek advice from clinical apothecary actively.

Apothecary establishs record for the patient

The reporter takes you to uncover secret much can the behind the curtain of apothecary

Be in Wuhan assist with the hospital, "Apothecary " this post is gifted ceaselessly new duty. Small make up take you to uncover secret one by one.

1

"Artificial + intelligence " prescription of examine and verify

This system relies on the whole nation to use platform of medical safety big data " system of examine and verify of the buy before prescription " .

The doctor's advice that the doctor opens, the system can undertake examine and verify automatically, if examine and verify has been illogical,will turn to careful square apothecary artificial examine and verify.

If discover the likelihood such as dosage, usage is put in doubt, prescription will be returned, after apothecary and doctor are communicated, suggest to after be evaluated again or be being revised, be carried out again.

The system will take the lead in be in in August last year this courtyard is endocrine the try out of partial section office such as the division, after waiting for its to mature, be in again promotion of complete courtyard ill area.

2

Single dose of medicines and chemical reagents distributes a packet

Assist introduce with the hospital " single dose of medicines and chemical reagents of profess to convinced divides charter flight automatically " , but patient of be in hospital automatic cent holds the drug that every eat takes.

After doctor's advice plan is clicked to expend on computer, electronic prescription is passed automatically to medicines and chemical reagents to divide charter flight, short ten seconds, a chain of transparent small polybag " spit " , imprint above the name of patient full name, section office, drug, norms, time that take drug waits, still pile up with 2 dimension.

Inside the case of minutes of small outfit that enters medicines and chemical reagents the robot

Ten seconds can finish the herb of profess to convinced that cent bag packs

Single dose of medicines and chemical reagents of profess to convinced divides charter flight automatically to realize medicines and chemical reagents automatic cent outfit

Come so, make sure quality of medicines and chemical reagents does not say, still be a patient managing charge, also reduced cure to protect personnel workload, let a nurse more time and energy undertake clinical nurse the job.

Pill of apothecary half-and-half bead undertakes outside place

3

Vein infusion centers configuration

Staff member dress defends even body take, balata glove, guaze mask is worn again outside, the dispensation inside the storehouse of surgery is compared in air can.

After vein infusion doctor's advice is opened from the doctor, adjust through apothecary examine and verify, batch, label is printed, stick an autograph to place medicine and check, two-men is allocated wait for ability of ten working procedure to become finished product infusion, send ill area to be used for the patient, and each working procedure is having strict two-men across check system.

In vein medicaments concentration allocates a center, the staff member is inside configuration storehouse dispensation

Had clinical apothecary for many times prescription of doctor of examine and verify, participate in medicaments to configure whole process, avoid effectively to use medical trip. Here, match fluid on average to estimate 4500-5000 bag everyday.

Apothecary participates in vein infusion to configure whole process

The control division label outside good medicines and chemical reagents deserving to transmit a storehouse inside configuration storehouse is printed, stick

Yesterday, reporter of Hunan day Metropolis Daily walks into Wuhan assist allocate a center centrally with hospital vein medicaments, wuhan assist the configuration process that learns department head Professor Lv Yongning to uncover secret vein to use drug for broad netizen with hospital medicine.

4

Gene detects correct treats roundabout way

In Wuhan assist learn a 3 buildings with hospital medicine, have " medicaments is individual change room of remedial gene analysis " , apothecary participates in medicaments curative effect and metabolization enzymatic relevant gene detects, offer more for the patient individual change medication plan, implementation essence uses drug definitely, avoiding a patient while cure takes roundabout way, help patient cost saving.

In Wuhan assist learn a 3 buildings with hospital medicine, set a curative content to detect lab, it is the detector that patient safety essence allows to use drug

Apothecary detects the medicaments chroma in blood

Hematic drug chroma is monitored

Clinical call apothecary to produce bigger effect

In the acknowledge of most citizen, hospital apothecary matchs dispensation to send hair medicine in outpatient service namely. Nowadays, apothecary walked out of drug-store already, went clinical, offerred so so so much, important, necessary medicine to learn a service for the patient.

Below the pressure that cancels addition of medicines and chemical reagents in public hospital and good luck, apothecary this how transition?

China cure learns clinical medicine to learn medicine of committee member of chapter vice director, China learn hospital medicine learn committee member of professional council vice director, wuhan assist with adviser of secretary of hospital Party committee, doctoral student Professor Zhang Yu is in all the time ponder over this problem, also undertook a series of fruitful exploration.

"Transition wants to transform from the concept above all. " Zhang Yu teachs an analysis, past apothecary pays close attention to at itself of medicines and chemical reagents, but now centre of gravity must from " medicines and chemical reagents " move arrives " with medicine " , namely how safe, effective, economy, appropriate with medicine.

Public hospital apothecary should the person that transition is offerred to face the patient's medicine to learn a service, face change medical investigator clinically, face the person that popular medicaments knowledge imparts.

"In a lot of circumstances, I appeal should accelerate " apothecary law " legislative process. " Professor Zhang Yu emphasizes, apothecary hold industry activity attributes medical treatment action, but current apothecary right lacks legal safeguard, apothecary does not have prescription right, offerred medical issue service also did not collect fees specificly project and rate, hope " apothecary law " can come on stage as soon as possible, improve apothecary hold industry environment, let apothecary can cooperate closely with doctor, nurse, make safety allow iatrical with medicine and essence " iron triangle " .

Recently, hunan day Metropolis Daily pays close attention to continuously assist with the hospital " much can apothecary " , roll out " cure of much can new apothecary protects good partner " series report.

Chu Tiandou city signs up for reporter Liu Xun