FromSep-Dec2017approximately60discrepancieswereiden;fiedfromtechnician kardex reviews which were then themed into fourteencategories (Table 1) which informed the content development of thePMRCs.

•  Toequipandfocusallpharmacytechnicians(neworestablished)with up to date and succinct medicines informa;on whichiden;fieshighriskpa;entsfor;melyreviewbyapharmacist.

•  To iden;fy key medicines discrepancies/medicines informa;onacrossdifferentspeciali;es.

•  To produce and test the usability and effec;veness of quickpocket medicine reference cards (PMRC) to improve pa;entsafetyandqualityofcare.

•  Overafourmonthperiodacrossseveralin-pa;entwardswithinalarge acute teaching hospital pharmacy technicians reviewedin-pa;ent kardexes daily and iden;fied common medicinediscrepanciese.g.incompleteVTEassessment.

•  DiscrepanciesweregroupedwithinCategories(Table1)toinformthecontentdevelopmentofPMRCs(Figure1)usinglocalguidanceand BNF 742, they were then reviewed and quality assured byspecialistclinicalpharmacists.

•  The number, type, and clinical significance (using the EADONGrade2 (Table 2) of referralsmade to the pharmacistwere thenmeasuredpreandpostintroduc;onofthePMRCsovera2weekperiodwithintwosurgicalwards.

References1.  Health-ni.gov.uk.MedicinesOp;misa;onQualityFramework2018[cited5April2018].Availablefrom:

h_ps://www.health-ni.gov.uk/sites/default/files/consulta;ons/dhssps/medicines-op;misa;on-quality-framework.pdf2.  BNFBri;shNa;onalFormulary-NICE[Internet].Bnf.nice.org.uk.2018[cited5April2018].Availablefrom:h_ps://bnf.nice.org.uk/3.  EADONH.Assessingthequalityofwardpharmacists'interven;ons.Interna;onalJournalofPharmacyPrac;ce.1992;1(3):145-147.

JayneBlack¹,LindaRobinson¹,SheilaMcCann¹.1.WesternHealthandSocialCareTrust(WHSCT),PharmacyDepartment,AltnagelvinAreaHospital

DevelopmentofPharmacyTechnicianPocketMedicinesReferenceCards(PMRCs)

•  In March 2016, the Northern Ireland Medicines Op;misa;onQualityFramework1outlinedhowwecansupportpa;entstogainthe best outcomes from their medicines through the safe andeffec;veuseofmedicinesatimportanttransi;onsofcare.

•  Soonaferadmissionandini;a;onofnewtreatments,pharmacytechniciansareofen thefirstmemberof thepharmacy teamtosee an inpa;ent kardex and have the appropriate medicinesknowledgeandfocustodeliverMedicinesOp;misa;onaspartofrou;necare.

Sincetheintroduc;onofthePMRCs,althoughthenumberofreferralstothepharmacisthasincreased,itcanbeseenfromtheclinicalsignificanceof these that they have helped to improve pa;ent safety and overallqualityofcare.Theresultsfromthisini;altestwillbeusedtoinformthedevelopmentofnew PMRCs and their applicability within the remaining surgical andmedical wards. PMRCs were ini;ally intended to be used by newlyappointed ward pharmacy technicians and to support techniciansworkingacrossarangeofspeciali;es,but ithasbeendecidedthattheycouldalsobeusedtosupportjuniorclinicalpharmacists.

ContactDetails:JayneBlackjayne.black@westerntrust.hscni.net

PocketMedicinesReferenceCard(PMRC)CategoriesVTE Specialistmedica;onsParacetamol-Doses&co-prescribing Inpa;entsupplyofClozapine

Hip&KneeReplacementMedica;onProtocol Parkinson’sCombina;onproduct

CommonAn;microbialInterac;ons Therapeu;cdrugmonitoring

CommonMacrolideInterac;ons Cri;calmedica;ons

An;microbials CardiologyKeypointsCommonrestrictedAn;microbials Ipratropium(Co-prescribing)

Table1:CategoriesofPocketMedicinesReviewCard

Table2:EadonGradeScale

PMRCCategory Exampleofreferrals Clinicalsignificance(Eadongrade)

VTE VTEassessmentnotcompleted 4

Paracetamol Paracetamole.g.POprn&IVregular 5

Cardiology Clopidogrel&Omeprazoleco-prescribed

4

Cri;calMedica;ons An;-Epilep;cmedica;ons–misseddoses

5

SpecialistMedica;ons Highlightedpa;entonredlistmedicinesforM.S.topharmacist

3

An;bio;c Administeredtopa;entaferstopdate

4

Introduc;on

Aims&Objec;ves

Method

Results

Conclusion

Afour-foldincrease(preinterven;onn=7;postinterven;onn=28)inthenumberofreferralsmadebythetechnicianforapharmacistreviewwasseenpostintroduc;onoftheuseofPMRCs.Table3outlinesexamplesofthe most common referring categories made by the technician to thepharmacist. Seventy-five percent (n=21) of referrals were clinicallysignificant (Chart1)and resulted inan improvement in thestandardofpa;entcare(EADONgrade≥4).

EadonGrade

1

2

3

4

5

6

IntervenOon ScoreInterven;onwhichisdetrimentaltopa;ent’swell-being 1

Interven;onisofnosignificancetopa;entcare 2

Interven;onissignificantbutdoesnotleadtoanimprovementinpa;entcare 3

Interven;onissignificantandresultsinanimprovementinthestandardofcare 4

Interven;onisverysignificantandpreventsmajororganfailureoradversereac;onofsimilarimportance

5

Interven;onispoten;allylifesaving 6

Grade4

54%

Grade5

21%

Grade3

25%

Figure1:CompletedPMRC’skeyrings

Table3:Mostcommonreferralcategories

Chart1:Eadongradingofreferrals