The Pharmacy Department

Cutting-Edge Technology and Security for Patient Care

The Pharmacy Department is fully computerized, provides 24-hour pharmacy services, and has an Emergency Department Satellite Pharmacy. The Pharmacy Department has a hybrid medication dispensing system, which utilizes the McKesson Robot-Rx and Omnicell® automated dispensing machines. The McKesson Robot-Rx provides 24-hour unit-dose medication dispensing via cassette/drawer exchange using bar code technology, and 20 Omnicell® automated dispensing machines located in nursing stations throughout the hospital provide emergency and immediate need medications and narcotics. Medications stored in the Omnicell® automated dispensing machines can only be accessed after the order is verified.

Over 9,000 unit doses of medications are packaged and dispensed daily.

The Pharmacy Department processes medication orders using a closed-loop computerized system: it utilizes direct computerized physician order entry, interfaced simultaneously with the Pharmacy Computer Application – in which pharmacists review and validate the medication order, interfaced with the McKesson Robot RX and Omnicell® Automated Dispensing Cabinets, and interfaced with Medication Administration Checking – in which nurses scan medications prior to administration, using bar code technology to ensure accuracy and prevent medication errors.

The Pharmacy Department operates a USP 797-compliant IV admixture service, preparing over 500 intravenous preparations daily and over 100 patient-specific compounds daily. Chemotherapy medication is compounded on-site in our Sterile Room. Intravenous medications are administered via the Alaris® System wireless infusion devices. All IV medications are profiled, and intravenous medication libraries are unit-specific. Medication libraries include standard concentrations, min/max doses and rates, and soft/hard stops.

Our Clinical Pharmacists

Decentralized Clinical Pharmacists validate medication orders, attend daily patient care rounds, provide drug information, dose medications based on age, weight, hepatic and renal function, and other pharmacokinetic parameters, provide medication reconciliation services, administer medication histories and discharge counseling, and attend codes including rapid response and hypothermia codes. The Pharmacy Department has a robust Antimicrobial Stewardship Program and approves over 6,000 restricted antimicrobials annually.

Over 30,000 clinical pharmacy interventions are documented by pharmacists annually. Pharmacotherapy Interventions performed by Clinical Pharmacists consists of downward and upward dosing adjustments of medications, pharmacokinetic consultations, avoiding drug-drug and drug-food interactions, avoiding toxic medications, avoiding drug-disease contraindications, avoiding drug-allergy interactions, approving and dosing restricted antibiotics, switching patients from intravenous medications to oral medications, initiating more effective or safer drug therapies, initiating equally efficacious but less expensive medications, discontinuing unnecessary and duplicate medications, changing dosage forms based on patient tolerance, and making recommendations to monitor for efficacy and toxicity.

Pharmacotherapy interventions save $5-6 million annually.

The Pharmacy Department chairs the Adverse Drug Reaction Committee. Clinical Pharmacists detect, report and manage over 800 adverse drug reactions annually. The Pharmacy Department also chairs the Medication Error Committee. Pharmacists detect, report and manage 500 – 1,000 medication errors annually. We operate an American Society of Health-System Pharmacists-accredited pharmacy residency program for PGY-1 and PGY-2 residents. PGY-2 residents specialize in Critical Care, Geriatrics, and Internal Medicine.

For more information, please call 718-604-5373.