Download Report

Page 1 of 4
Monash Health Pharmacy Department
Pharmacy Intern Training 2015
Hospital
Monash Health
246 Clayton Road
Clayton VIC 3168
Campuses at which pharmacy Interns will work
Monash Medical Centre (Clayton)
Moorabbin Hospital
Casey Hospital
The Kingston Centre
Dandenong Hospital.
Hospital Information
Introduction
The Monash Health consists of Monash Medical Centre (Clayton), Moorabbin Hospital,
Dandenong Hospital, Casey Hospital, the Kingston Centre, the Cranbourne Integrated
Care Unit and several Community Health Centres. Currently the Monash Health
Pharmacy Department has eleven intern pharmacists positions and each intern
pharmacist is rotated through Monash Medical Centre (Clayton), Moorabbin Hospital,
Casey Hospital, the Kingston Centre and Dandenong Hospital. The interviews for these
positions are done centrally and therefore people wishing to apply should nominate
Monash Health as their first choice. The linking together of the various hospital
Pharmacy Departments into a single Pharmacy Department has created a large,
dynamic organisation, which offers many exciting opportunities. The Department also
provides Pharmacy Services to the Jessie McPherson Private Hospital and the
Sir John Monash Private Hospital.
Monash Medical Centre
Monash Medical Centre (MMC) Clayton, formerly Southern Health, consists of 723 beds
plus 110 beds at the Jessie McPherson Private Hospital located at the Clayton Campus.
It is also planned that a new Monash Children’s Hospital (230 beds) will be built on this
site. MMC is an acute care specialist teaching hospital affiliated with Monash University.
The University Departments located at MMC are the Departments of Medicine, Surgery,
Obstetrics and Gynaecology, Paediatrics, Mental Health and Community Medicine.
The Prince Henry’s Institute of Medical Research is also located at MMC. MMC will also
be the location for the planned Monash Health Translation Research Precinct (opening
in October 2015). Thus, the Medical Centre is unique in Victoria in that it provides care to
babies, children and adults and thus represents a true family hospital. There is a wide
range of specialist services including Neonatal Intensive Care, Coronary Care, Intensive
Care, Oncology (adults and paediatrics), Cardiology, Neurology, Neurosurgery, Clinical
Haematology, Emergency Department (Adult & Paediatrics), Gastroenterology, Mental
Health, Gynaecology, Respiratory, Endocrinology, Obstetrics, Paediatrics, Orthopaedics,
Rheumatology, Diabetes, Nephrology, Dialysis, General Medicine, General Surgery, ENT,
Urology, Clinical Nutrition, Palliative Care, Hospital in the Home and Community Outreach
Services.
Dandenong Hospital
Dandenong Hospital is a 503 bed acute general teaching hospital which is also affiliated
with Monash University. It has a growing outpatient service and a very busy
Emergency Department. The hospital provides a wide range of services including
Intensive Care, Coronary Care, General Surgery and Medicine, an Oncology Day
Centre, Orthopaedics, Obstetrics, Paediatrics, Endocrinology and Urology.
Page 2 of 4
Gynaecology, Acute Rehabilitation and extensive Mental Health Services, as well as
various other services, including a Methadone Program service to the Drug & Alcohol
Support Service. We also have a satellite pharmacy at the Thomas Street, Outpatient
Clinic which includes the refugee clinic.
Moorabbin Hospital
Moorabbin Hospital is a 135 bed hospital and is the main Monash Health Adult
Oncology Centre and is closely linked to MMC (Clayton). It also provides elective
surgery services including ENT and Gynaecology Surgery.
There are also a number of outpatient clinics and a Radiotherapy Unit is on site.
Kingston Centre
The Kingston Centre is a 414 bed aged care facility which provides subacute geriatric,
aged care mental health, nursing home and hostel services. The first stage of
redevelopment of Kingston Centre has recently been completed.
Casey Hospital
The Casey Hospital is a 229 bed community hospital located at Berwick. Patient
services include Medicine, Surgery, Paediatrics, Rehabilitation and Psychiatry. The
Department at this site also provides pharmacy services to the Cranbourne Integrated
Care Centre. We also have a satellite pharmacy at the Cranbourne Integrated Care
Centre. There are plans for this hospital to be expanded by another 96 beds.
Pharmacy Department
Department Head
Ian Larmour
Director of Pharmacy
Tel.
03 9594 2360
E-mail Ian.larmour@monashhealth.org
Department Information
The Pharmacy Department at MMC has a staff of 60 equivalent full time (EFT)
pharmacists and 20 EFT support staff positions plus 14 EFT pharmacists in a variety of
network support specialist roles or involved in providing service to private Hospitals.
The Department opens every day 8.00am to 8.00pm seven days per week and a
pharmacist is on-call after hours.
The Pharmacy Department also provides pharmacy service to the Sir John Monash
Private Hospital, Monash Health Community Health Centres, the Jessie McPherson
Private Hospital and several other organisations.
The Pharmacy Department at Dandenong Hospital has 42 EFT pharmacists and 9 EFT
support staff. The department operates from 8.00am to 8pm seven days a week.
An after hours on-call service is provided.
The Casey Hospital has a staff of 12.5 EFT pharmacists and 4 EFT support staff and
operates from 8.45am until 8pm weekdays with a limited service on weekends and
public holidays.
Below is a summary of the Monash Health Pharmacy Department’s main service
sections, but not all services are required at every campus.
1. Outpatient Services which provide dispensing and medication counselling services
to patients attending the hospital’s ambulatory care clinics. Prescriptions for
patients being discharged from the hospital are also dispensed and patients are
counselled about their medication prior to going home. Pharmacists are also
involved in clinical roles in a number of outpatient clinics eg Preadmission Clinic,
HIV Clinic, TB Clinic, the Chronic Heart Failure Clinic, the Oncology Clinic, the
Page 3 of 4
Outreach Clinic, Refugee Clinic and the Hepatitis Clinic. The recent introduction of
electronic prescribing has also led to further clinical involvement in the Outpatient
Clinics.
2.
Clinical Pharmacy Services are provided to all wards and Emergency
Departments. These services include therapeutic drug monitoring,
pharmacokinetic dosage advice, the monitoring of adverse drug reactions,
medication management, admission medication histories, formulary management
and patient medication education and counselling. Pharmacists work in the MMC
and Dandenong Emergency Departments 7 days a week and from Monday to
Friday in the Casey Emergency Department. Electronic prescribing for discharge
prescriptions is currently being rollout.
3.
The Drug Information Centre provides both general and specialised drug
information services, including information on the safety of drugs in pregnancy and
lactation. The service is provided to the general public and community
practitioners as well as Monash Health staff.
4.
Sterile Product Services include the preparation of cytotoxic infusions/injections,
intravenous admixture solutions and total parenteral nutrition (T.P.N.) solution for
neonate, paediatric and adult patients. The section also provides a Hospital in the
Home Antibiotic Infusion Service and support services to Home TPN patients.
Other roles in this area include a wide range of quality control procedures and the
preparation of specialist injections and eye drops for individual patients.
5.
Pharmacy Support Services includes non-sterile product preparation,
extemporaneous dispensing, quality control and packaging, together with drug
distribution and delivery services.
6.
Oncology services are provided to paediatric patients at the MMC Clayton campus
and to adults at the Moorabbin Hospital, MMC Clayton and Dandenong Hospital.
7.
Pharmacy Outreach Services provided services to patients in their own homes
after their discharge from hospital. The aim being to integrate the patient back into
community care setting and to prevent avoidable hospital admissions.
8.
Quality Use of Medication services including Drug Utilisation Evaluation studies,
education services, the Antimicrobial Management Program, protocol/guideline
development, adverse drug reaction monitoring/review and medication safety
programs.
9. Clinical Drug Trial protocol review and the associated logistic support.
10. Specialist Hospital Services, including drug formulary management, the
Therapeutics Equivalence Program, purchasing and stock control, budgeting,
human resource management, education services, research projects and the
development of e-commerce and e-prescribing.
A staff gymnasium is available at MMC. Periodic social functions are held for significant
events. Staff often join to form a team to compete in local competitions eg. netball
team.
Pharmacy Intern Training Program
Pharmacy Intern Training Program Coordinator
Jeff Davies, Senior Pharmacist and Miranda Ip, Senior Pharmacist
Tel.
03 9594 2360
Page 4 of 4
Pharmacy Intern Training Program
Pharmacy Interns are rostered through each section of the Department and are
rostered for weekend and late shift work. The program places great emphasis on active
learning. Weekly tutorials are given by senior staff or by a visiting speaker and cover a
wide range of subjects e.g. cardiac disease, hospital administration, clinical drug trials,
stock and inventory control, dermatology, patient counselling and communication,
haemodialysis and peritoneal dialysis, geriatric medicine, respiratory diseases,
gastrointestinal, analgesics, paediatrics, endocrine, oncology, Thalassaemia, podiatry,
infectious diseases and primary health care over the counter prescribing.
Particular emphasis is placed on the development of clinically orientated skills and the
program closely follows the Clinical Training Program developed by the SHPA (Vic)
Clinical Pharmacy Working Party.
Each intern pharmacist will spend time at other Monash Health Hospital Pharmacy
Department sites and they will also gain experience in the dispensing of PBS
prescriptions, both in the public system and the Jessie McPherson Private Hospital.
Orientation visits to other departments in the hospital, including the operating theatre,
will be organised during the year.
The program provides experience and training in Quality Use of Medication, including
Drug Utilisation Evaluation and Adverse Drug Reaction Report preparation and
analysis. During the year, intern pharmacists are given individual projects, such as drug
utilisation evaluation studies, to undertake and will be required to make several
presentations, including a case study, to the Pharmacy Department staff.
Intern pharmacists will also be encouraged to participate in department projects for
presentation at the SHPA Federal Conference.
There will be significant opportunities and expectations in regard to clinical training and
experience. To this end, intern pharmacists will be periodically rostered to work in
conjunction with a Clinical Pharmacist to cover one ward. Intern pharmacists are
rostered to the wards for 24 weeks of their 48 weeks training.
Intern pharmacists are required to undertake the pharmacy intern program offered by
Monash University.
Contact person
General enquires about the pharmacy intern training program should be directed to
Ian Larmour, Director of Pharmacy, Monash Health on 9594 2360 at MMC, 246 Clayton
Road, Clayton, 3168.
Visits to MMC can be arranged by contacting Jeff Davies on 9594 2360 (Wednesday,
Thursday) and to Dandenong Hospital by contacting Maggie Emmerton on 9594 8191.