Department of Pharmacy

The Pharmaceutical Department is engaged in dispensing, injection dispensing, formulation / aseptic formulation / aseptic formulation / injection drug mixing, pharmaceutical information management, pharmaceutical management, drug management guidance (medication guidance, etc.), ward drug business, etc. In January 2008, our hospital introduced an electronic medical record system (NEC) to centrally manage patient information and share information among occupations.
Since the medical fee revision in 2012 has newly established the “ward drug business implementation addition”, and the importance of the role of hospital pharmacists in treatment has increased, this hospital has been conducting ward drug business since October 2012. doing.
In addition, pharmacists are members of the Infection Control Team (ICT), pressure ulcer control team (PUT), nutrition support team (NST), emergency support team (EST), dementia support team (DST), and postoperative pain team (APS). We actively participate in team activities composed of multiple occupations, including doctors and nurses.
Furthermore, every year, we make efforts to develop abilities by presenting them to academic societies and workshops in various fields, establishing a system for accepting practical training for pharmaceutical students, and accepting and instructing trainees.

1 drug department manager (secondary hospital director (doctor) is also concurrently), 1 deputy drug manager, 1 chief in charge, 17 staff members, total 19 pharmacists (full-time 17, fiscal year 2)

Japan Pharmacists Training Center Training Certified Pharmacists
Japan Pharmacists Training Center Certified Practical Training Guidance 4 pharmacists
Japan Pharmacists Training Center 1 certified herbal medicine and herbal medicine pharmacist
10 pharmacists certified pharmacists from Japan Hospital Pharmacists Association
Japan Hospital Pharmacists Association One pharmacist specializing in infection control
2 certified pharmacists of Japan Hospital Pharmacists Association
1 certified pharmacist in Japanese Gerontology
One pharmacist certified antibacterial chemotherapy certified by the Japan Chemical Therapy Society
3 specialized therapists specialized in NST, Japan Nutrition Therapy Society
Japan Diabetes Medical Care Instructor Certification Organization 3 Diabetes Medical Care Instructors
One specialist in clinical nutrition metabolism (perioperative / emergency intensive care therapist) of Japan Nutrition Therapy Society
2 Medical Information Engineers of the Japan Society of Medical Information
1 sports farmist

• Hiromu Hara, Arisa Sasaki, Haruka Murai, Rina Okubo, Erika Sakuraba, Koshi Sawamura, Ikuo Yamamoto, Masahiro Yamamoto, Ken Shirokura, "Implications on the severity of anticoagulants in patients with acute cerebral embolism" 2023.11 Japan Medical Association 3rd Annual Meeting
• Hiromu Hara, Hideaki Kato, "The pathology of 3 HIV-positive patients encountered in non-specialized hospitals during the COVID-19 pandemic" 2023.10 The 70th General Meeting of the Japan Society of Chemotherapy East Japan Branch, the 72nd Meeting of the Japan Society of Infectious Diseases East Japan Regional Meeting
• Hiromu Hara, Rina Okubo, Koshi Sawamura, Ikuo Yamamoto, Ken Shirokura, “Apixabang Prescription for Elderly People” 2024.3 STROKE2024
• Hiromu Hara, “Appropriate use of antibiotics considered to be a bacterial laboratory” 2023.10 Kanagawa Prefecture Clinical Laboratory Engineers Association
• Hiromu Hara, "In the Head of Pharmacists" 2024.2 The 9th Gram Dyeing Conference
• Naoko Mase, Hiromu Hara, Haruka Yamaguchi, Koshi Sawamura, Ikuo Yamamoto "Examples of Pharmacological Intervention against hypoglycemia with Levofloxacin" 2023.11 The 33rd Annual Meeting of the Japan Society of Medical Pharmacy
• Erika Sakuraba, Hiromu Hara, Rina Kubodera, Koshi Sawamura, Ikuo Yamamoto "Survey on the Use of Crazosentan sodium in our hospital" 2023.11 The 33rd Annual Meeting of the Japan Medical Pharmaceutical Society

Books, etc.

• Hiromu Hara, “Therapy for Severe Aspharmacology prescribed for orthostatic hypotension P.45-46” Nikkei Drug Information Premium November issue 2023.11 Nikkei BP
• Hiromu Hara, “P.47-48 Antiepileptic drugs changed in patients wishing to become pregnant” Nikkei Drug Information Premium July issue 2023.7 Nikkei BP
• Hiromu Hara, “Chapter 1 Medicine for Infectious Diseases P.2-108” “Appendix Drug Interaction P.561-567” Infectious Disease Platinum Manual Ver.8 2023-2024 2023.5 Medical Science International
• Hiromu Hara, “Chapter 1 Medicine for Infectious Diseases P.2-108” “Appendix Drug Interaction P.561-567” Infectious Disease Platinum Manual Ver.8 2023-2024 Grande 2023 2023.5 Medical Science International

In order to promote the division of labor, outpatient prescriptions are issued in principle, out-of-hospital prescriptions, and the out-of-hospital prescription issuance rate in FY2022 was 97.2%. The hospital promotes the adoption of generic drugs (generic drugs) and maintains an adoption rate of 85% or more. Dispensing in the hospital is centered on inpatients with the spread of out-of-hospital prescriptions, and is working to improve the safety management of pharmacotherapy and properly use pharmaceuticals. For patients who are unable to take tablets or are administering tubes, we have introduced a simple suspension method instead of a crushing method. In addition to devising the placement of dispensing shelves, we are promoting efficient work and measures to prevent dispensing errors, such as introducing a count dispensing support system (F-WAVE; TOSHO) and a single package audit system (PROFIT 1).

For injection dispensing, a final inspection support system (F-AUDIT; made by TOSHO) has been introduced, and for inpatients and outpatients, based on injection instructions from doctors, the dose, administration route, administration speed, After confirming that drugs are duplicated and non-combinable, a set is set for each application.

We investigate the usefulness, efficacy, stability, safety, etc. of special products that are not commercially available for clinical use. In addition, aseptic preparation is carried out as necessary.

If the gastrointestinal tract cannot be used and the nutritious drip (high calorie infusion) is administered from thick blood vessels (central veins) for a long period of time. However, high calorie infusions are rich in nutrients and easy for bacteria to propagate, so strict hygiene management is required. For this reason, aseptic preparation of high-calorie infusions is being carried out on a clean bench in the pharmaceutical department aseptic room.

For mixed injection of injective drugs other than the above, the preparation of outpatient recanemab injections and part of the end-of-life in the ward are prepared by ward pharmacists.

We collect and evaluate information about medicines and provide them to doctors and other healthcare professionals to support higher quality drug therapy.
The Pharmaceutical Information Management Office actively collects and evaluates the following information (1) to (3), manages it centrally, makes it easy to understand so that the information and evaluation results can be used effectively, and promptly informs the relevant medical staff.

1. Status of medications and injections in the hospital
2. Information on side effects, near-miss incidents, etc. related to pharmaceuticals that occurred in the hospital
3. Information on efficacy, safety, quality, near-miss incidents, etc. of drugs obtained from outside sources (including information on generic drugs)

• When we identify pharmaceutical safety information that requires prompt response, we promptly identify prescription physicians and patients who have been medication, and take necessary measures.
• The pharmacist in charge of pharmaceutical information regularly holds conferences with pharmacists who provide pharmacological management guidance in the ward, shares information such as problems in the ward, and is necessary for pharmacists to provide pharmacological management guidance. Information is provided.
• The in-hospital intranet (garoon) makes it easy for healthcare professionals to obtain safety information and other information managed by the Medical Information Management Office when necessary.
• In charge of the secretariat of the Pharmaceutical Affairs Committee in the hospital, when adopting drugs, we collect drug information from a pharmaceutical perspective and provide information so that the Pharmaceutical Affairs Committee can evaluate the efficacy and safety of drugs and strive to optimize the use of drugs.

Using an inventory management system (produced by TOSHO), we manage the purchase of medicines used in the hospital, manage inventory to ensure appropriate inventory, manage quality and expiration date, and supply to various departments such as constant placement drugs. I am.

Some medicines have a narrow range of effective blood concentrations, and some drugs may not have the effect of the drug if the dose is low, and may cause side effects if the drug is large.
Because the blood concentration range that is effective for antibiotic vancomycin, etc., is narrow, administration simulations are performed using blood concentration analysis software before and after administration, and the doctor proposes the design of the dose appropriate to each patient. For antiepileptic drugs, we conduct analysis in collaboration with multiple occupations while considering blood levels and clinical symptoms, and formulate administration plans.

We talk about patients before hospitalization and check the status of medication and history of side effects. Check the patients who are planning to undergo surgery or examination to take anticoagulants, antiplatelet drugs, low-dose pills, etc., and whether there is an instruction to rest medicine.
In addition, based on the instructions of a doctor, we provide guidance on self-injection procedures such as osteoporosis drugs and explain preoperative resting medicine.

For inpatients, at the beginning of the hospitalization, check information on the patient's pharmacotherapy and test values, and listen to the patient and family members to discuss the effects of the medicine, whether there are side effects, and drinking. We check such as. The medicine brought by the patient (carrying medicine) is used in consultation with a doctor after the pharmacist distinguishes it. We also propose prescriptions for safe and effective pharmacotherapy in cooperation with medical staff such as doctors and nurses. In addition, we are actively implementing proposals to eliminate polypharmacies (polypharmacy).
Medication guidance uses a drug management guidance support system (PIS) to accurately grasp information about patient pharmacotherapy and test values. In addition, in order to ensure that patients can use the medicine correctly, we will give you a manual describing the effects, usage, side effects, precautions for use, etc. of the medicine in an easy-to-understand manner, and provide advice on the medicine from the patient We respond to consultations on concerns and questions.

The Infection Control Team is a team composed of doctors, pharmacists, nurses, laboratory technicians, and dietitians as a subordinate organization of the in-hospital infection control committee.
We work to protect patients from infection, provide safe medical services, and protect healthcare professionals from infection.
Through conferences and ward rounds, pharmacists play a role in supporting the proper use of antibiotics, creating and revising guidelines for proper use of antibiotics, supporting proper use of antibiotics, managing ICT meetings, and attending infection control committees.

The pressure ulcer control team is a team composed of doctors, pharmacists, nurses, and dietitians as a subordinate organization of the in-hospital pressure ulcer control committee.
We work for the purpose of grasping the implementation status of pressure ulcer measures and providing guidance on appropriate measures.
Through conferences and ward rounds, pharmacists provide advice and guidance on how to select and use drugs tailored to the patient's condition, evaluate and provide information on pressure ulcer drug treatment, raise awareness of drugs and wound coating materials, and promote pressure ulcer treatment. We are involved in the purchase selection of drugs.

The Nutrition Support Team is a subordinate organization of the in-hospital nutrition committee, consisting of doctors, pharmacists, nurses, dietitians, clinical laboratory technicians, speech therapists, dental hygienists, staff of the regional cooperation department, and clerical staff. We work to support patients' treatment, discharge, and rehabilitation by planning, instructing, and proposing individual most appropriate nutrition management while judging the condition and considering the patient's background such as medical history. .
At conferences and ward rounds, pharmacists are responsible for monitoring and case assessment, recommendations and extraction of problems based on biochemical knowledge, early detection and prevention of complications associated with nutrition therapy, and nutrition for patients and their families. Explanation and medication guidance, provision of nutrition therapy-related products, check aseptic dispensing and mismedication for infusions, and acquire and enlighten new knowledge.

The Emergency Support Team (Emergency Support Team: EST) is a subordinate organization of the Safety Management Committee and consists of doctors, pharmacists, nurses, clinical engineering technicians, and clerical staff.
It was newly organized in 2015 with the aim of improving skills and knowledge such as lifesaving treatment for patients whose condition has changed suddenly.
In the team, pharmacists play a role in optimizing the drugs and equipment used in the event of sudden changes, as well as providing guidance and education to staff on how to administer drugs.
We are promoting in-hospital training and other activities to acquire knowledge and skills related to primary life support (BLS) and secondary life support (Advanced Cardiovascular Life Support: ACLS).

The Dementia Care Support Team (DST) is a team composed of doctors, certified nurses for dementia, social workers, pharmacists, occupational therapists, dietitians, and medical department staff.
We support patients who have reduced cognitive function due to the effects of illness, etc., to provide a medical treatment environment so that they can receive safe and smooth treatment for physical illness.
At conferences and ward rounds, pharmacists provide advice on drug adjustment of medications, selection of antidementia drugs, and pharmacotherapy for peripheral symptoms.
I am playing a role.

In regard to “pharmaceutical and drug cooperation,” which is a link between the insurance pharmacy and the hospital pharmacy department, since fiscal 2011, the Isogo Ward Pharmacists Association and regular visits to hospitals and exchange opinions on drug and drug cooperation. In April 2013, we have started arranging a list of pharmacies capable of visiting homes by pharmacists and dispatching pharmacists to regional cooperative workshops.