Roles of Oncology Pharmacists in Korea 20140928

8/19/2019 Roles of Oncology Pharmacists in Korea 20140928

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Roles of the Oncology

Pharmacists in Korea

Ae Ryoung Park, BCOP

Pharmacy department, Seoul St. Mary’s Hospital

The Catholic University of Korea


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Medication Management & Use

MMU 1.

Planning

MMU.2Selection

andprocure-

ment

MMU.3Storage

MMU.4Ordering

MMU.5

Preparingand

asepticdispensing

MMU.6

Administ

-ration

MMU.7

Monitoring

Chemotherapy

Goal of th is process is to pro vide cancer pat ients

the co rrect, eff icacious , and safe medicat ions.

JCI standards

Faci l i t ies prov id ing ch emotherapy shou ld establ ish and ensure

that members of the oncolo gy team have appropr iate educat ion and

tra in ing to care for pat ients receiv ing chemo therapy.


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Expansion of the Oncology Pharmacist’s role

Cancer dosepreparation

& safety checks

Educating patientsabout chemotherapy

Vital role of thecancer care team

Becom ing an integral part of the cancer care team

Try to be onco logy specia lis ts that

possess a level of training, experience,

knowledge, and skills.


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Board certified specialists in Korea

1

10

76 6

3

1

4

2

5

4 4

25

2

1

1

1

4 4

41

7

41

1

0

2

4

6

8

10

12

14

16

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Ambulatory care(1)

Pharmacotherapy(26)

Nutrition support(24)Oncology(40)

(n)

by Ko rean Society of Health-sys tem Pharmacists

http://www.bpsweb.org/index.cfm


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KSHP certified oncology specialists

34

1512

20

0

5

10

15

20

25

30

35

40

2010 2011 2012 2013

Oncology (81)(n)

Specialties

1. Cardiology Pharmacy

2. Endocrinology Pharmacy

3. Nutrition Support Pharmacy

4. Organ Transplantation

Pharmacy

5. Oncology Pharmacy

6. Critical Care Pharmacy

* KSHP : Korean Society of Health-System Pharmacists


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Chemotherapy dose & safety checks

• Need for medication prescriptions to be reviewed for appropriateness

Appropriate protocol regimen

Accuracy of transmitted orders

BSA checked again

Dose reduction confirmed

Check the drug’s stability and compatibility information

Check the stickers: two stickers printed if needed protect from light

• Management of Protocol-based Chemotherapy Order System

• To dispense medications in the right dose to the right patient at

the right time


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Chemotherapy Protocol Program

Disease

Protocol NamePhamacist

Name

Detailedchemotherapy regimen


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Aseptic dispensing

Preparing sterile products should

follow aseptic procedures.

Anteroom

TransferBox

Cleanroom


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Patient education

Oncology pharmacists are true

experts in the medications used

to treat cancer.

Chemotherapy schedules

Side effects Management of common side effects

Correct procedure taking medicine

Pharmacists communicate informationbetween the doctor and the patient, especially

compliance and side effects.

Pharmacists act as the “coach” to promote

winning as the patient fights the cancer battle.


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Roles in the health care team

• Oncology pharmacists possess specialized knowledge about medications.

• To maximize the benefits of drug therapywhile trying to minimize toxicities

Work with the medicaland nursing staff

• From inpatient chemotherapy infusions towhat medications need to be taken at home

Coordinate thecomplete medication

plan

• To ensure each drug is dosed appropriately

• Following up with the health care team toadjust medications if the patient experienceside effects

Evaluations ofpatient’s medication

profile


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Roles in the health care team

Inpatient rounding with medical team

• Daily-basis or weekly-basis participating

• Drug information and drug issue

• Discuss the treatment strategies with doctors

Participating the medical conference

• Review journals/text

• Present drug information

• Review the patients’ case

• Discuss on pharmacy affairs


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Monitoring

• Patients receiving chemotherapy are monitored for efficacy andadverse effects.

• Reporting ADRs(adverse drug reactions)

• Medication errors, including near misses, should be reported through

a process and time frame defined by the organization.

Monitoring

ADRs forchemotherapy

Reporting to the

ADR system inthe institute

Providing the

information of ADRs

for the health careprofessionals

in the hospital

Reporting to the

Korea Institute ofDrug Safety & Risk

Management(http:/ /www.drugsafe.or.kr)


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• Chemotherapy dose preparation and safety checks

• Management of Protocol-based Chemotherapy Order System

• Preparing and aseptic dispensing of chemotherapy

• Education for patient or caregiver

• Roles in the health care team

Work with the medical and nursing staff

Coordinate the complete medication plan

Discuss the therapeutic strategies with doctors

Inpatient rounding with medical team

Participating the medical conference

• Monitoring the efficacy and safety of chemotherapy

Summary

Roles of the Oncology Pharmacists


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Documents

Roles of Oncology Pharmacists in Korea 20140928