UCSD Medical Center Department of Pharmacy Mission: The Pharmacy Department provides excellent patient care through safe and effective drug therapy. It strives toward leadership in pharmacy practice, education, and research. The UC San Diego Health System Pharmacy Department includes inpatient, clinic, home infusion, and take-home prescription services. It is the primary teaching site for the UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences. It is staffed by pharmacists, pharmacy technicians, and support personnel. Faculty from the Skaggs School of Pharmacy and Pharmaceutical Sciences have practice and teaching responsibilities in some patient care areas and clinics. The Pharmacy Department conducts pharmacy residency training in general and specialized areas of pharmacy practice (critical care, infectious disease, oncology, organ transplant), and teaches pharmacy students from the University of California, all of whom participate directly in the provision of patient care. Pharmacists and pharmacy residents serve as members of interdisciplinary patient care teams on inpatient medical, surgical and intensive care units. In the ambulatory care oncology, palliative care, transplantation, asthma, CHF, and HIV. The Pharmacy Department staffs the Anticoagulation Clinic. The pharmacy home infusion service staff includes pharmacists and nurses, and provides care for patients seen by the UC San Diego medical staff. The Department also has formal programs in the areas of applied pharmacokinetics, antimicrobial monitoring and investigational drugs.. The Pharmacy Department operates 24-hour pharmacy services at both Hillcrest and La Jolla Medical Center locations. Drug distribution is provided through computeractuated dispensing equipment (Pyxis Medstation). All UCSDHS patients--ambulatory care, inpatient, and home care--are included in an integrated computerized patient information system. A computerized physician order entry system (CPOE) has been implemented. Currently, pharmacists in the patient care setting review all medication orders for inpatients. A barcode driven medication administration system and smart IV pumps are in place to reduce risks for medication errors. Pharmacy Leadership: Charles Daniels, RPh, PhD, FASHP Pharmacist-in-Chief Associate Dean, Skaggs School of Pharmacy and Pharmaceutical Sciences Raffi Simonian, PharmD, FCSHP Director, Inpatient Pharmacy Operations Gary Hagney, RPh Director, Ambulatory Pharm Operations Contact Numbers: [619] 543-6194 [619] 543-5829 Fax Key points Clinical pharmacists are available for all areas. Pharmacist have prescribing authority to clarify and modify patient’s orders under certain circumstances. Pagers are posted in every nursing unit. Use your pharmacist! Write discharge prescriptions 24 hours in advance whenever possible. Fill out form completely including anticipated discharge date, instructions and whether patients will get prescriptions filled at UCSD prior to leaving. All CII-CV medications must be written on a Security Form from the attending physician and signed by the attending after the form is completed. CIII-CV orders may be called directly to the pharmacist. At Hillcrest, contact the Discharge Pharmacist via pager @ 619-290-5636 during business hours 7 days/week if you have any questions. Specific medication order issues Timeliness of certain high risk medication orders, eg. TPN [due by 1300] and cancer chemotherapy orders. Pharmacists have prescribing authority per the Pharmacy and Therapeutics committee to make adjustments to certain medication orders.