Page 208 - Hospital Authority Convention 2017
P. 208

Corporate Scholarship Presentations
      HOSPITAL AUTHORITY CONVENTION 2017


             C3.5      Allied Health and Pharmacy                                       14:30  Room 428

            Future Perspective of Clinical Pharmacy Service in Paediatric Nephrology – Insights from Toronto SickKids
            Lai FY
            Department of Pharmacy, Hong Kong Children’s Hospital, Hong Kong
            Key Training Activities of the Overseas Corporate Scholarship Programme
            The Overseas Corporate Scholarship Programme at the Hospital for Sick Children (SickKids) in Toronto aims to incorporate
            advanced clinical skills and knowledge to facilitate the development of clinical pharmacy services in Hong Kong Children’s
            Hospital (HKCH) which will be opened in 2018.

            The 10-week clinical attachment in SickKids from September to December 2015 provided comprehensive training to
            paediatric  pharmacists  with  an  overview  of  pharmacy  operations,  including  unit  dose  dispensing,  aseptic  parenteral
            admixtures and cytotoxic reconstitution, research pharmacy, and clinical pharmacy services at ward level. Therapeutic drug
            monitoring  (TDM)  service,  one  of  the  core  clinical  pharmacy  activities,  is  delivered  by  specialised  pharmacists  under  the
            authority of hospital’s medical directives. Pharmacists also actively involved in providing extensive drug information support
            with establishment of hospital-wide formulary and guideline for clinical practice; and in delivering direct patient care activities
            such as medication reconciliation on admission and transfer, discharge drug counselling and new drug education for specific
            patient groups.

            Outcome and Experience Sharing
            Apart from the existing clinical pharmacy service provided in Pediatric Nephrology unit at Princess Margaret Hospital,
            an  Annual  Assessment  Programme was  commenced by clinical  pharmacist since July  2016,  to  provide  medication
            reconciliation and immunisation review for patients with chronic renal disease and renal transplant patients who scheduled
            clinical admission for detailed assessment in ward. The programme incorporated features of medication reconciliation,
            immunisation review, medication review and patient education, aiming to optimise patient care through safe and effective
            use of medications and to enhance patient’s adherence to the medication therapy in renal patients. Preliminary results are
            encouraging and have demonstrated pharmacist’s role in providing appropriate therapeutic recommendations and patient
            education for better patient care.

            The clinical attachment in SickKids provided inspirations and directions for advancement of clinical pharmacy services in
            Pediatric Nephrology of HKCH in future. Potential areas for service development include: (1) Expanding pharmacist’s role in
            TDM; (2) enhancement of patient care through patient education and counselling in both inpatient and outpatient settings;
            and (3) generation of evidence-based clinical practice through local research studies.







             C3.6      Allied Health and Pharmacy                                       14:30  Room 428
      Wednesday, 17 May  Toronto
            Patient Empowerment Programme through Individualised Pharmacist Medication Education in SickKids,

            Lam S
            Department of Pharmacy, Hong Kong Children’s Hospital, Hong Kong
            The 10-week training at The Hospital for Sick Children, Toronto (SickKids), the largest children’s hospital in Ontario, Canada,
            provided comprehensive exposure on clinical pharmacy services. The Haematology/Oncology unit treats around 275 new
            cancer cases every year, or 20% of all in Canada.

            At SickKids, children and families experience the delivery of health CARE through: Clinical practice, Administration, Research,
            and Education. Their focus of care is child- and family-centred with model positions the child at the core and as the priority in
            everything they do.

            Pharmacists at SickKids contribute to CARE through in-depth medication education to patients and families in terms of
            treatment schedule, chemotherapy side effects and the management, supportive therapies, etc. Education promotes the well-
            being of patients and their families by facilitating parental/child adjustment to the diagnosis and treatment. Potential positive
            outcomes have been attributed to patient/family education, including increased treatment adherence, fewer hospitalisations,
            improved self-management capabilities and shorter hospital stays.
            Inspired by CARE, a pilot project is implemented in the Lady Pao Children’s Cancer Centre, Prince of Wales Hospital, Hong
            Kong, since December 2016 to enhance medication education to both children and families. The project targets newly
            diagnosed acute lymphoblastic leukemia patients. Individual bed-side counselling is given by a pharmacist at different
            phases of initial chemotherapy. Only essential education is covered each time to optimise learning. The pharmacist will also
            look for drug-related problems and feed back to the medical team if necessary.


   206
   203   204   205   206   207   208   209   210   211   212   213