Title 2. INTRODUCTION TO DAILY ACTIVITIES OF A CLINICAL PHARMACIST.pdf ✅

PHARMD GURU Page 4 8. Ensuring that the drug administration order clearly indicates the time at which drug administration is to commence. 9. Special considerations should be given especially in short course therapy as in antibiotics and analgesics. 10. Ensuring that the order is cancelled in all sections of medication administration record when the drug therapy is intended to cease. 11. If appropriate follow up of any non-formulary drug orders, recommending a formulary equivalent if required. 12. Ensuring appropriate therapy monitoring is implemented. 13. Ensuring that all necessary medication is ordered. E.g. premedication, prophylaxis. 14. Reviewing medication for cost effectiveness. 15. Identification of drug related problems.  Untreated indication.  Inappropriate drug selection.  Sub therapeutic dose.  Adverse drug reaction.  Failure to receive drug.  Drug interactions.  Drug use without indication.  Over dosage. MEDICATION CHART ENDORSEMENT: 1. Another important goal of treatment char review is to minimize the risk of medication errors that might occur at the level of prescribing and / or drug administration. 2. A medication error is any preventable error that may lead to inappropriate medication use or patient harm. 3. To prevent potential morbidity and mortality associated with these errors, pharmacists should systematically review the medication chart and write annotations on the chart where the medication orders are unclear. CLINICAL REVIEW: Clinical review is one of the integral components of medication review and should preferably be performed on a daily basis. It is the review of the patients’ progress for