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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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