- Monday through Friday 7:00 a.m. to 7:00 p.m.
- Saturday 7:00 a.m. to 3:00 p.m.
- Closed Sunday and Holidays
The inpatient pharmacy is open 24 hours a day 365 days a year.
The pharmacy department provides both inpatient and outpatient medication management and dispensing services.
- Union Hospital physicians and dependents may have their prescriptions filled at the outpatient pharmacy. We accept most all prescription drug cards as well as credit and debit cards. If you are an employed physician, we also offer payroll deduction.
- The outpatient pharmacy can also fill discharge prescriptions for your patients. If you are an employed physician, your patients can have their prescriptions filled on an ongoing basis at the outpatient pharmacy.
- The outpatient pharmacy offers vaccination services including pneumonia vaccine, seasonal influenza vaccination as well as zoster vaccine (Zostavax).
- OTC items are available for purchase.
- The Pyxis medication system is utilized to dispense medications house wide. If you have a need for access to the Pyxis stations, access will be facilitated.
- Clinical pharmacy services are provided by the inpatient pharmacists including renal dose adjustment of all renally dosed medications; Antibiotic stewardship in coordination with the Infectious Disease specialists; Platelet monitoring for those patients prescribed anticoagulants; INR monitoring (note we do not adjust Warfarin doses); Patient medication counseling.
- Smart Infusion Pump libraries are maintained by the pharmacy department.
- The Pharmacy and Therapeutics committee is responsible for reviewing all medication additions to the hospital formulary.
- Union Hospital is a "no sample" hospital.
- The pharmacy informatics pharmacist maintains the CPOE system for medication ordering.
- Our clinic pharmacists have received certification in anticoagulation management and are ready to assist you in the management of your patients taking warfarin.
- A finger stick INR will be obtained. This INR result is integrated into the hospital information system. The pharmacist will make any needed dosage change at this time and send the patient home with a dosing slip and a next scheduled appointment date and time. The pharmacy staff provides the patient with education at each visit. The patient is instructed to call the clinic if medications are changed or if they notice any bruising, bleeding, or swelling in an extremity.
- Your patients will be seen at intervals defined by our protocol as approved by our medical director and medical staff.
- The pharmacist will call in any refills needed to the appropriate pharmacy.
- After each visit, the clinic will send a report to your office via fax or transmitted directly into your EHR. The report will contain their most recent INR, dosage change, BP, weight, medication list, health status changes, and date of next visit.
- The clinic is currently open Monday and Tuesday from 7:00 a.m. - 3:30 p.m., and Thursday 9:00 a.m. to 5:30 p.m. The phone is answered 5 days a week.
- A consult agreement/patient order form can be faxed to the Anticoagulation Clinic to enroll a patient. The clinic will make contact with the patient to schedule their first appointment. Please note that by Ohio law, only an MD or DO can sign the consult agreement. A new order must be obtained once a year. We have a process to notify you that a new order is needed.
- We can only manage your patient when they are able to come into the clinic. We do not manage home health patients at this time.
- If a patient fails to show up for an appointment, every effort will be made to reschedule. A patient no show and dismissal process is in place and we will notify you if your patient is not showing up for appointments or has been dismissed by our clinic.
Important Physician Notes
- The ordering of Tikosyn for inpatients is limited to those physicians who are Tikosyn certified. Please go to http://www.tikosynrems.com/prescribers/ to complete a short training program. Please provide the director of pharmacy with certificate of completion.
- Before a first dose of Warfarin is administered to a patient, a baseline INR must be obtained and ordered daily while on Warfarin therapy. A baseline platelet count must also be resulted before a patient will be administered a prophylactic dose of enoxaparin or heparin for the prevention of VTE. If you forget to order the associated lab, the pharmacist will do so for you.
- All injection vials that are transported to the bedside are considered single use even if labeled as a multiple use item. Please discard any contents that remain in the vial following injection of a medication.
- If you are new to Ohio, you may not be aware of the OARRS system. If you prescribe controlled substances to outpatients, your controlled substance prescriptions will be reported to a centralized database under your DEA number. There is also an expectation from the Ohio Medical Board that you use due diligence prior to controlled substance prescribing by accessing the OARRS system to review prior prescription fill data for your patient.
- There are many medication protocols in place in the hospital (such as weight based heparin protocol, sliding scale insulin protocol) If you would like to review the hospital medication order forms, the pharmacy director can facilitate a review. The evidence based content specialist can review disease specific order sets if you like.