Page 208 - Hospital Authority Convention 2017

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.

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