Category: Professional Posters
Purpose: Establish a standard process for managing the medication dispensing process for occupational exposures to infectious diseases in collaboration with Employee Health Services across the health system. The process would meet all regulatory requirements specific to prescribing, labeling and dispensing and would ensure the employees received treatment in a timely manner.
Methods: Members from Acute Care and Ambulatory Pharmacy Services, Employee Health Services, Infectious Diseases and Infection Control formed a working group to develop an ideal state workflow and identify gaps relative to our current process for triaging and managing the medication dispensing process for the main hospital campus and the regional entity sites. The group reviewed regulations to ensure labeling and documentation met all requirements. The standard processes were outlined in a policy and procedure document and a standard operating procedure which is specific to Acute Care Pharmacy workflows and responsibilities.
Results: Shortly after development, communication and education on the new process, we were able to implement the new workflow for a large scale occupational exposure and for several instances at our regional sites. Members of the pharmacy and employee health services debriefed following the initial exposure incident noting that the policy and standard operating procedures helped clearly outline the roles and responsibilities of each stakeholder and helped expedite treatment for exposed individuals. Since implementation we have treated over 15 exposure events and over 50 employees across the health system.
Conclusion: Developing standard workflows and clearly establishing responsibilities for processes provides necessary structure during events that can be very complex and involve many different stakeholders. We were able to reflect on previous occupational exposures and leverage the resources participating in the working group to develop a comprehensive workflow that is realistic and meets the needs of each entity in the health system, while also providing excellent and timely care to our employees.