Clinical Services Unit
Pharmaceutical Sciences
Vancouver Acute


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FORMULARY: POLICIES & PROCEDURES 

1.     DRUGS AND THERAPEUTICS COMMITTEE 2012

2.     PHARMACY LOCATION AND HOURS

2.1 - VANCOUVER GENERAL HOSPITAL

2.2 - UBC HOSPITAL

2.3 - GF STRONG REHABILITATION CENTRE

2.4 - OBTAINING MEDICATIONS AFTER HOURS

3.     THE FORMULARY SYSTEM

3.0 - THE FORMULARY SYSTEM

3.1 - ADMISSION OF NEW DRUGS TO THE FORMULARY

3.2 - NON-FORMULARY DRUGS

3.3 - SPECIAL ACCESS DRUGS

3.4 - CLINICAL DRUG TRIALS

3.5 - RESERVED ANTIMICROBIAL DRUGS

3.6 - DRUGS WITH NO LEGAL STATUS

4.     PRESCRIBING POLICIES

4.1 - PRESCRIPTION REQUIREMENTS

4.2 - TELEPHONE/VERBAL ORDERS

4.3 - AUTOMATIC STOP ORDERS

4.4 - THERAPEUTIC/PRESCRIPTION INTERCHANGE POLICY

4.5 - RESTRICTED PRESCRIBING FOR ORAL DRUGS

4.6 - IV-PO STEPDOWN PROGRAM

4.7 - PHARMACIST AUTHORITY

4.8 - PREPRINTED PHYSICIAN ORDERS

4.9 - MEDICATION FOR GRIEVING RELATIVES

4.10 - ORDERS FOR PATIENTS TRANSFERRED BETWEEN SITES

4.11 - THERAPEUTIC PASS MEDICATIONS

4.11.1 - METHADONE AND BUPRENORPHINE/NALOXONE (SUBOXONE) CONTROL PROGRAM (DAY/WEEKEND PASS MEDICATIONS (VGH))

4.12 - DISCHARGE MEDICATIONS

4.13 - INTERIM MEDICATION FOR PATIENTS RETURNING TO RESIDENTIAL CARE FACILITY

4.14 - DO NOT USE LIST OF DANGEROUS ABBREVIATIONS, SYMBOLS AND DOSE DESIGNATIONS

5.     MEDICATION ADMINISTRATION POLICIES

5.1 - GENERAL POLICIES FOR ADMINISTRATION OF MEDICATION

5.2 - STANDARD ORAL MEDICATION ADMINISTRATION TIMES: VANCOUVER ACUTE

5.3 - GUIDELINES-TO-STANDARDIZE-ORAL-MEDICATION-DOSING-TIMES

5.4 - GUIDELINES-TO-STANDARDIZE-PARENTERAL-MEDICATION-DOSING-TIMES

5.5 - PATIENT'S OWN MEDICATION

5.6 - EXPIRY DATES OF STERILE PHARMACEUTICALS

5.7 - CYTOTOXIC DRUGS

5.8 - GENERAL GUIDELINES FOR PATIENTS UNABLE TO SWALLOW WHOLE TABLETS

5.9 - ISMP LIST OF HIGH ALERT MEDICATIONS

6.     NARCOTIC AND CONTROLLED DRUGS

6.1 - REGULATIONS DOCUMENTATION STORAGE

6.2 - METHADONE

7.     INCIDENT REPORTING POLICIES

7.1 - REPORTING MEDICATION ERRORS

7.2 - ADVERSE DRUG REACTION REPORTING