{"id":19073,"date":"2020-02-19T14:03:44","date_gmt":"2020-02-19T13:03:44","guid":{"rendered":"https:\/\/devhml.givememore.net\/?post_type=service&#038;p=19073"},"modified":"2022-04-25T16:58:22","modified_gmt":"2022-04-25T14:58:22","slug":"pharmacie","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/pharmacie\/","title":{"rendered":"Pharmacie"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le service pharmacie de l\u2019H\u00f4pital Marie-Lannelongue est dirig\u00e9 par int\u00e9rim par le <a href=\"https:\/\/devhml.givememore.net\/specialites\/pharmacie\/lequipe\/\"><span style=\"text-decoration: underline;\"><strong>Dr Delphine Chevalier.<\/strong><\/span><\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"principales-missions-de-la-pharmacie\">Principales missions de la pharmacie<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>approvisionner<\/strong> en m\u00e9dicaments et en dispositifs m\u00e9dicaux st\u00e9riles l\u2019ensemble des services de soins l\u2019H\u00f4pital Marie-Lannelongue (achat, stockage, distribution)<\/li><li>mettre en \u0153uvre<strong> la qualit\u00e9 et la tra\u00e7abilit\u00e9 du flux<\/strong> jusqu\u2019\u00e0 l\u2019administration au patient<\/li><li><strong>assurer une pr\u00e9paration<\/strong> de m\u00e9dicaments personnalis\u00e9s, lorsque ceux-ci ne sont pas disponibles sur le march\u00e9<\/li><li>contribuer \u00e0 la <strong>s\u00e9curit\u00e9<\/strong> et au bon usage des m\u00e9dicaments et des dispositifs m\u00e9dicaux<\/li><li><strong>accompagner les patients<\/strong> dans leur autonomisation avant leur sortie d\u2019hospitalisation<\/li><li><strong>conseiller<\/strong> les \u00e9quipes m\u00e9dicales et param\u00e9dicales sur les strat\u00e9gies th\u00e9rapeutiques.<\/li><\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Notre objectif \u00ab Cultiver l\u2019exp\u00e9rience patient en \u00e9tant son partenaire avec les professionnels de sant\u00e9 \u00bb<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"le-circuit-des-medicaments-et-dispositifs-medicaux-steriles\">Le circuit des m\u00e9dicaments et dispositifs m\u00e9dicaux st\u00e9riles<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La distribution globale est le mode d\u2019approvisionnement principal des services de soins, pour les m\u00e9dicaments et les dispositifs m\u00e9dicaux. Ainsi, chaque service dispose des m\u00e9dicaments couramment utilis\u00e9s pour la prise en charge th\u00e9rapeutique des patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les m\u00e9dicaments \u00e0 statut particulier sont en dispensation nominative (stup\u00e9fiants, antibiotiques co\u00fbteux, m\u00e9dicaments avec autorisation temporaire d\u2019utilisation, m\u00e9dicaments en essais cliniques, pr\u00e9paration des m\u00e9dicaments et de produits radio-pharmaceutiques). Chaque prescription est analys\u00e9e par le pharmacien responsable du service avant dispensation et administration au patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Avec 7 blocs op\u00e9ratoires et 4 salles de cath\u00e9t\u00e9risme, le volume des dispositifs m\u00e9dicaux implantables est tr\u00e8s important. Les 9 000 dispositifs implant\u00e9s par an sont trac\u00e9s informatiquement par patient.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"dispensation-des-medicaments-aux-patients-non-hospitalises\">Dispensation des m\u00e9dicaments aux patients non-hospitalis\u00e9s<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Certains m\u00e9dicaments ne peuvent \u00eatre achet\u00e9s qu\u2019en pharmacie hospitali\u00e8re sur prescription m\u00e9dicale.<br>L\u2019H\u00f4pital Marie-Lannelongue ne propose pas ce service pour le moment mais oriente les patients et aidants vers des structures effectuant cette mission tel que l\u2019H\u00f4pital Paris Saint-Joseph dont la <span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.hpsj.fr\/specialites\/pharmacie\/presentation\/\" target=\"_blank\" rel=\"noopener noreferrer\">pharmacie<\/a> <\/span>est ouverte aux patients non hospitalis\u00e9s (ambulatoires) du lundi au vendredi de 9h \u00e0 18h.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hygiene-et-vigilances-sanitaires\">Hygi\u00e8ne et vigilances sanitaires<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La pharmacie participe \u00e9galement \u00e0 l\u2019activit\u00e9 d\u2019hygi\u00e8ne en collaboration avec le Comit\u00e9 de Lutte Contre les Infections Nosocomiales (CLIN) et les unit\u00e9s d\u2019hygi\u00e8ne.<br>La gestion des risques et l\u2019am\u00e9lioration de la s\u00e9curit\u00e9 vis-\u00e0-vis du patient est effectu\u00e9e en lien avec le service biom\u00e9dical, l\u2019unit\u00e9 d\u2019hygi\u00e8ne, et la direction de la qualit\u00e9 et de la gestion des risques.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"documentation-et-information\">Documentation et information<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La pharmacie m\u00e8ne une politique d\u2019information vers les services cliniques avec comme objectif le bon usage des m\u00e9dicaments et des dispositifs m\u00e9dicaux.<br>Ces actions, \u00e0 destination des personnels de sant\u00e9, sont men\u00e9es en \u00e9troite collaboration avec les m\u00e9decins de l\u2019\u00e9tablissement au travers de diff\u00e9rentes commissions :<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>La COMEDIMS : COmmission des MEdicaments et DIspositifs M\u00e9dicaux St\u00e9riles<\/li><li>Le CLAN : Comit\u00e9 de Liaison d\u2019Alimentation et Nutrition<\/li><li>Le CLUD : Comit\u00e9 de LUtte contre la Douleur<\/li><li>Le CLIN : Comit\u00e9 de Lutte contre les Infections Nosocomiales<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Des guides sont r\u00e9guli\u00e8rement actualis\u00e9s ou nouvellement r\u00e9alis\u00e9s : livret du m\u00e9dicament, livret des dispositifs m\u00e9dicaux, plaquette pour le bon usage de la nutrition ent\u00e9rale, recommandations pour l\u2019utilisation des pansements\u2026<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"enseignement-et-recherche\">Enseignement et recherche<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le service de Pharmacie est agr\u00e9\u00e9 pour recevoir des internes en pharmacie (2 internes par semestre) ainsi que des externes (7 externes par an). Des \u00e9tudiants en pharmacie (3\u00e8me et 4\u00e8me ann\u00e9e) sont r\u00e9guli\u00e8rement encadr\u00e9s dans le cadre de stages.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Des \u00e9l\u00e8ves pr\u00e9parateurs sont aussi accueillis au sein du service pour leur formation initiale ou leur dipl\u00f4me hospitalier.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les pharmaciens assurent des enseignements sur les m\u00e9dicaments, les dispositifs m\u00e9dicaux et l\u2019\u00e9conomie de la sant\u00e9 aux \u00e9l\u00e8ves p\u00e9dicure-podologie \u00e0 l\u2019AFREP \u2013 Universit\u00e9 Paris Diderot (Paris 7).<br>Les recherches d\u00e9velopp\u00e9es par le service portent sur le bon usage des dispositifs m\u00e9dicaux et des m\u00e9dicaments au travers d\u2019un axe de \u00ab Pharmacie clinique \u00bb (entretiens pharmaceutiques dans le remplacement de valve, \u00e9ducation th\u00e9rapeutique des patients greff\u00e9s du poumon, projet HTAP-TEC ville-h\u00f4pital) et d\u2019un axe \u00ab Economie de la sant\u00e9 \u00bb (Echelle Nationale des Co\u00fbts, Health Technology Assessment).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le service pharmacie de l\u2019H\u00f4pital Marie-Lannelongue est dirig\u00e9 par int\u00e9rim par le Dr Delphine Chevalier. Principales missions de la pharmacie approvisionner en m\u00e9dicaments et en dispositifs m\u00e9dicaux st\u00e9riles l\u2019ensemble des services de soins l\u2019H\u00f4pital Marie-Lannelongue (achat, stockage, distribution) mettre en \u0153uvre la qualit\u00e9 et la tra\u00e7abilit\u00e9 du flux jusqu\u2019\u00e0 l\u2019administration au patient assurer une pr\u00e9paration [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":16,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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