- Will the pharmacists at Nebraska Medicine be providing our service?
Pharmacists have been hired specifically to staff the remote pharmacy service. The pharmacists on duty will be responsible for several remote hospitals.
- What credentials do the remote pharmacists have?
All of the remote pharmacists are experienced hospital pharmacists with demonstrated ability at triaging questions related to medication use and administration in an inpatient setting. Several of the pharmacists have completed Pharmacy Practice Residencies, while others have specific areas of interest and experience. Interest areas include pediatrics, cardiology, internal medicine, anticoagulation and more.
- How does Remote Pharmaceutical Care maintain patient confidentiality?
Business associate and partner agreements are signed by both Nebraska Medicine and the remote hospital. This agreement clearly defines expectations with respect to confidentiality and the handling of electronically transferred patient information.
The contract between Nebraska Medicine and the remote hospital also addresses expectations with respect to pharmacist professional conduct which is further emphasized in the Remote Pharmaceutical Care Policies and Procedures. Remote pharmacists are issued secure credentials to the remote site information system consistent with remote site policy.
- If our nurses, pharmacists or physicians have questions and need to talk to a pharmacist in the Remote Service, do we just call Nebraska Medicine pharmacy?
We have actually developed a communication methodology that lets the remote hospital staff with questions call directly to the remote pharmacist on duty using a 1-866 number. The remote pharmacists are equipped with an extensive array of online and hard copy drug information resources and will be able to address your questions.
In the event that the question is of a more complex nature, the remote pharmacist will work directly with Nebraska Medicine drug information service to obtain timely, well-referenced information.
- Won’t adding a pharmacist into our workflow slow us down?
The addition of a pharmacist doing prospective order review and entry PRIOR to medications being administered is an extremely effective way to reduce medication errors. Does this take more time than having a nurse get the order, retrieve the medication and administer it? Yes it does. It also increases significantly the ability to prevent unnecessary errors with medications.
- Will there be a specific pharmacist that always provides our remote service?
Each remote hospital is given a “point pharmacist” to work with to clarify policies and procedures and address questions and concerns. We currently have 11 pharmacists staffing a 24/7/365 service. We may have up to 15 pharmacists staffing the service. This remote pharmacists are a very dedicated, talented group of pharmacists that you will enjoy working with!
- What hospital or pharmacy information systems does this program currently support?
We are currently providing support to Dairyland (Healthland) and CPSI systems. We are happy to learn additional systems as necessary.
- How are the pharmacists trained on the remote site systems?
We identify one-three pharmacists to obtain onsite training at the remote hospital (either with the pharmacist or the nurse trainer). These “super-users” are responsible for training the rest of the pharmacy staff. During the training, we use the remote site’s orders and work with test patients just like we would do if we were physically on site.
- Will it be necessary for the remote site to purchase any equipment?
The equipment required is determined by the level of service the remote hospital desires. In most instances, there has been no need of additional equipment at the remote hospital. It will be necessary to establish appropriate connectivity with the remote hospital and that may incur some cost.
- How much does the service cost?
The cost of the service is determined by taking into consideration the level of service desired by the remote hospital, the service hours required and the anticipated volume of orders.
- Who can I call with more questions?
Call 1-800-922-0000 and ask to be transferred to Remote Pharmaceutical Care. You will be put in touch with Lori Murante to address questions and arrange a visit.