We proudly congratulate Omer on winning the Lloyds Pharmacy Public Health Campaign competition. Omer is in second year and has been proactive in learning about mental health and finding ways he can get involved in increasing awareness and reducing the stigma asscoiated with mental health conditions. He is a Dementia Friends Champion and has supported the training of his colleagues and staff during Enhancement Week as well as helping to raise awareness as Mental Health Time to Change Champion in Feburary. Well done Omer and we wish you all the best for future endeavours!
S. ODUYALE (1), F. Fillippidou (1), M. Borthwick (2), N. Patel (1).
1University of Reading, Pharmacy Practice, Reading, United Kingdom.
2John Radcliffe Hospital – Oxford University Hospitals NHS Foundation Trust, Critical Care, Oxford, United Kingdom.
Co-administration of multiple intravenous (IV) medicines down the same line usually occurs in the intensive care units (ICUs) of hospitals due to the numerous amounts of prescribed medicines and limited venous access. Ensuring medicine compatibility before co-administration is therefore a critical element for the safe delivery of intravenous medicines to patients, as medicine incompatibility has the potential to compromise therapeutic efficacy or cause an adverse effect.
The aim of the study was to identify types of medicines co-administered via Y-site, determine the frequency of this practice and how medicine compatibility is checked before co-administration. This information could inform on strategies to improve safer co-administration practice within ICUs.
Material and methods
An inception cohort study was conducted across 4 ICUs (2 Adult, 1 Cardiothoracic and 1 Neuro ICU) in a large teaching hospital. A data collection tool was designed, piloted and used on the ICUs to record the use of catheters and connectors, types and frequency of co-administrations and means by which medicine compatibility was checked. Patients were followed for a period of 7 days or until discharged.
Forty-nine patients were included in the study and all received at least 1 or more infusions. Twenty-nine had 2 or more co-infusions through the same catheter via a Y site connector. There were 114 cases of medicine co-administration, of which propofol and fentanyl were the most frequently administered medicine combination (39%). Compatibility was checked for 90 out of the 114 cases (78.9%), with the remainder either not being verified or not done/checked. Of the 90 checked cases, 41.1% (37/90) were based on nurses’ experience and 21.1% (19/90) on the Thames Valley compatibility chart.
Co-administration of multiple IV medicines via a Y site connector seems to occur frequently in ICUs. Although compatibility was checked most of the time, nurses’ experience was found to be the most common means of deciding compatibility. Further work is needed to explore the rationale behind nurses’ decision making process regarding the administration of 2 or more medicines down the same line and how this may affect patients.
References and/or Acknowledgements
University of Reading’s Undergraduate Research Opportunity Placement for funding Foteni Fillippidou.
Third year M(Pharm) students organised a coffee morning on Thurs 15th March to raise money for the charity, Pharmacist Support.
Pharmacist Support is an independent charity that offers free and confidential support for pharmacy students, trainees and pharmacists and their families in need. This includes
- Providing financial assistance to help pay towards essential expenditure in times of hardship.
- Offering students with a range of resources and guidance on how to effectively manage their money, including bursaries to help with the cost of living or unexpected expenses/loss of income – such as the National Student Bursary Scheme
- Helping pre-registration pharmacists experiencing problems on their placement
- Running the Wardley Wellbeing Service to manage well-being, mindfulness, stress and everyday pressures through workshops and webinars
- Operating a Stress Helpline, staffed by trained volunteer pharmacists who talk to those that want to talk about professional and personal issues.
The charity relies heavily on the generosity of pharmacists, their relatives and pharmacy organisations to continue to provide these essential support services. Well done to all the organisers and everyone who contributed towards this fantastic effort. Donations can still be made by visiting https://www.justgiving.com/fundraising/juhi-rathor.
New publication from Dr Donyai and collaborators at the University of Reading, showing that the mental health clustering tool (MHCT) and the Health of the Nation Outcome Scales (HoNOS) can be used as outcome measures in naturalistic studies evaluating psychiatric drug effectiveness: http://bit.ly/2oLzFYT
Today, our Part 4 Pharmacy students have been “putting themselves in the shoes/eyes” of patients who are at risk of falls. This is our yearly IPL Falls Symposium which focuses on the holistic management of patients who have fallen, working alongside Physiotherapy, Occupational Therapy, Physician Associate and Nursing students.