The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale &...
Transcript of The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale &...
![Page 1: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/1.jpg)
The Changing Role of ATOs in Pharmacy
Calderdale & Huddersfield NHS Foundation Trust
Anita Hill, Medication Safety Officer
![Page 2: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/2.jpg)
The Start of Our Journey
• To set the scene about the Trust and Pharmacy Service
• Challenges for Pharmacy
• Our response
• Initial Impact
![Page 3: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/3.jpg)
![Page 4: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/4.jpg)
Patient
Domestic Support
Pharmacy Assistant technical Officer
Procurement Team
Pharmacy Technician
Admin Support
Pharmacist
![Page 5: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/5.jpg)
Challenges for Pharmacy
Managing Finances and Reducing Costs
Effective & Efficient Services
Supporting Patient Safety
![Page 6: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/6.jpg)
![Page 7: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/7.jpg)
What problems might you expect to find?
![Page 8: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/8.jpg)
What We Found
Untidy Storage areas
Unsecure medicines (left out, unlocked cupboards, drawers)
Failures with monitoring of cold storage
Expired Medicine
Excess Stock holding
Temporary stock retained
Missed Doses
Delays with medicine administration
Disposal of Medicines by wrong route/inappropriate disposal
![Page 9: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/9.jpg)
![Page 10: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/10.jpg)
![Page 11: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/11.jpg)
Record Sheet Transfer Bin Return
Ward Medicin
e
Qty Cost Medi
cine
Qty Cost Medici
ne
Qty Cost
TRANSFER £ BIN £ RETURN £
![Page 12: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/12.jpg)
Identified Cost (£ )
Value (£) of Medicines
Medicine Not Transferred or Discharged with Patient 717
Expired Stock 6.30
Incorrectly Stored 3.86
Medicines Inappropriately discarded in waste 72.31
![Page 13: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/13.jpg)
Non –Financial Impact of ATO Role
Medicines available were all within date
For patients still admitted medicines taken to the clinical area to avoid missed and delayed doses and repeat dispensing
Checks on monitoring of cold storage with support and action to resolve issues
Stock orders checked and unpacked releasing ward staff for other duties
Stock & temporary stock unpacked promptly and stored correctly and tidily, making easier to find medicines with medicines stored appropriately
Urgent requests fast tracked (Inpatient/discharge), with support with ordering dispensing and transport of medicines
Support to improve waste management of medicines
Medicine Returns to Pharmacy processed more timely
![Page 14: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/14.jpg)
Missed/Delayed Doses
![Page 15: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/15.jpg)
Missed Doses Monitoring
Not Available
![Page 16: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/16.jpg)
Issue Number
Not Administered 205
Wrong Strength 106
CD Breach of Policy 96
Wrong drug 76
Wrong frequency 54
Datix medicine Reports 2015/16
![Page 17: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/17.jpg)
In Summary …
Role
Benefit
Training
![Page 18: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe](https://reader034.fdocuments.us/reader034/viewer/2022042109/5e89f8870d6b31015f65946f/html5/thumbnails/18.jpg)
Any Questions?