The process of pharmacist clinic service and standard operating procedures

Wung explains the flowchart depicting the process of the whole treatment course. She later explains the standardized procedure of services at the anticoagulation clinic.

Key concepts

After enrollment in the anticoagulation clinic, patients receive their initial face-to-face consultation session. They can choose to have follow-ups in person or over the phone.

If the patient is INR unstable, experiences adverse drug reactions, or is hospitalized for warfarin-related reasons. The pharmacists will suggest to the doctors that the patient return clinic. If the patient is hospitalized, pharmacists will perform bed site care and discuss with the medical team for further treatment.

Follow-ups continue for 12 months, before determining if the patient should continue treatment or return to the doctor. There will be 2 additional follow-ups over the phone. If the patient returns to the clinic 6 months after case closure, they will enroll as an initial referral.

Service SOP:

There is an SOP for a patient interview, professional adjustment. pharmacy note and personal training etc.

Service SOP and standardized pharmacy notes. The pharmacists go through a list of standardized questions and the system will generate standardized pharmacy SOAP notes.

The system also auto-imports lab data and calculates key parameters like TTR% and CHA2DS2 scores during the interview. These results help to convince patients to cooperate with treatment.

Peer-reviews. Each case is peer-reviewed to make sure the service adheres to the standardized service SOP.

IT support is important as it is impossible for pharmacists to remember all the procedures and always make the right moves.

Share and learn:

• Are services at the pharmacist clinic you work at/visited standardized?