Annual Report 2010 - St. James's Hospital

Clinical Support Services I Pharmacy
Julian Loh with the support of Dr. O ‘Riordan. Appropriate
prescribing of VTE prophylaxis increased signifi cantly from
39% to 57%. The preprinted alerts will be incorporated into
the new hospital inpatient prescription kardex
• Provision of medication record cards and patient information
leafl ets to enhance compliance with complex medication
regimens. Liaising with Community Pharmacists to ensure
that supply problems do not arise on discharge
• Updated intravenous drug administration monographs were
also added over the course of the year
HOPe Clinical Pharmacy Services
• Work on medication safety continued throughout 2010,
with the introduction of:
– enhanced training for new registrars,
– total overhaul of the intranet site for protocol retrieval,
GUIDe pharmacy. A pharmacy service is also provided to the
sexual health outpatient clinics, HIV/TB co-infected patients
and extra Pulmonary TB patients.
In addition the team provide a medicines information service
and are involved in the management of clinical trials.
MSc. in Hospital Pharmacy
The M.Sc. in Hospital Pharmacy is a practice-based course
designed to optimise the knowledge and skills of hospital
pharmacists, enabling them to contribute positively to patient
care in all aspects of medicines management. The course
is provided by the School of Pharmacy & Pharmaceutical
Sciences TCD, in collaboration with several teaching hospitals
and is coordinated from St. James’s hospital.
Education and Research Activities
The Department is involved in ongoing teaching for
undergraduate and postgraduate pharmacy students, nurses
and medical students.
– review of preprinted chemotherapy prescriptions.
• Ongoing work for updating chemotherapy protocols continues
• Clinical trial activity continues with new drug entities and
treatments. These are part of a national and international
cancer clinical trial programme
GUIDe SERVICES
The GUIDe pharmacy, an onsite satellite pharmacy, is the
largest provider of medications to HIV positive patients in
the Irish Republic. The pharmacy team play a pivotal role in
the provision of both a pharmaceutical supply and clinical
pharmacy service to all HIV positive inpatients, and greater
than 2000 HIV positive outpatients. This involves educating
both patients and physicians on new drug therapies and
interactions, managing multi-drug resistant viral infections
and compliance issues. The team also provides timely and
essential guidance on toxicities including cardiovascular and
renal complications.
The signifi cant reduction in morbidity and mortality now
associated with HIV treatment, coupled with the increasing
numbers of newly diagnosed HIV positive patients annually
and the international guidance to initiate HIV-infected patients
on anti-retrovirals(ART) earlier in the natural history of infection
have resulted in a signifi cantly larger number of patients now
receiving ART and other related HIV medications from the
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