Experience of using small package Chinese Herbal Pieces in our hospital

Traditional Chinese medicine (TCM) is a unique medicine of traditional Chinese medicine For thousands of years, traditional Chinese medicine, as the main weapon to prevent and treat diseases, has played an important role in protecting people's health and national reproduction Chinese herbal pieces are processed according to the theory and method of traditional Chinese medicine, which can be directly used in the clinical practice of traditional Chinese medicine Small package Chinese herbal pieces are packaged according to the set dose and can be directly "several packages" of Chinese herbal pieces At present, there are also some top three TCM hospitals and general hospitals in China, with pharmacies all over the city and countryside Among them, drug regulators still adhere to the millennium old rules, weighing pieces and hand "grasping" dispensing, dispensing traditional Chinese medicine prescriptions, while the "lack of weight and short of weight" phenomenon and poor packaging, uncontrollable quality are the main factors restricting the development of traditional Chinese medicine With the development of traditional Chinese medicine hospital, the malpractice of this way is more and more obvious, which affects the clinical effect of traditional Chinese medicine         In order to further give full play to the advantages of traditional Chinese medicine, explore and improve the way and rate of dispensing of Chinese herbal pieces, and also to change the traditional "hand grasping" saying that "the dispensing method has some disadvantages such as inaccurate scale, uneven distribution, low efficiency, difficult review, difficult maintenance, large waste, poor health, etc., our hospital introduced Beijing Tongrentang (Bozhou) Yinpian Co., Ltd for production in February this year after several months of distribution and preparation And fully implement the use of small package Chinese herbal pieces Scientific and reasonable adjustment operation steps are important links to ensure the quality of adjustment, improve the efficiency of adjustment, and prevent and eliminate error accidents The operation steps of small package decoction pieces are as follows: 1 Audit party 1.1 audit prescription name, age, gender, Department, date, doctor's signature, etc if the items are not complete, please find a doctor for supplement immediately 1.2 check whether there are contraries, contraindications and contraindications in the prescription If there are too many toxic drugs, ask for the doctor's signature 1.3 check whether the drugs and dosage used in the prescription are consistent with the clinical diagnosis 1.4 if there is a shortage of drugs in the prescription, the doctor should be contacted in time to change the signature 2 Formula 2.2 after reviewing the prescription, put the number of dispensing baskets on the dispensing cart according to the required payment, take the medicine according to the order of the prescription drugs, check whether the product name and specification on the package are consistent with the name and specification of the prescription drugs and the required specification, and check whether there are any insects and mildew in the pieces For classified query of journal articles, mark the name of the drug after the number of packages required is accurate in Journal Library 2.2 to show that the drug has been taken, and then distribute the drug evenly in the dispensing basket Zui does not stop in the middle of the process, so as to avoid confusion, resulting in repeated operation, which will lead to prolonged operation time 2.3 if there is a variety in the prescription that needs special treatment according to the Pharmacopoeia, the variety shall be separately wrapped in the medicine bag, and the decoction method and several packages of one dose shall be indicated on the medicine bag, so that the patients can distribute it by themselves 2.4 in the process of formulation, it is also necessary to check whether there is leakage, empty package and uneven dosage 2.5 after the deployment is finished, check the varieties that are missing and then sign the dispensers 3 Recheck packaging 3.1 the rechecker shall check the name and dosage of the drug according to the prescription, and check whether the package number of the drug is consistent with the package number shown in the prescription, so as to ensure that there is no missing or mismatch 3.2 recheck whether there are drugs with opposite, fear and contraindications, and drugs with excessive dosage 3.3 after the review, the medicine bag shall be packed and signed by the reviewer 4 Dispensing 4.1 when dispensing, check the patient's name and dosage carefully, and check whether the name and amount of large and small invoices are consistent 4.2 explain the decocting method of single package of drugs that need special treatment to patients patiently and carefully 4.3 explain to the patient whether it is for external use or for internal use, and inform the patient of the decocting time, temperature, decocting appliance, water consumption and other precautions 4.4 answer patient's questions and various consultation questions 4.5 after checking, the issuer shall sign The above is the operation steps of small package Chinese herbal pieces Through the use in our hospital in these four months, small package Chinese herbal pieces not only bring us affirmation, but also bring questions to patients It must be: (1) standardization, standardization and branding Since the trial implementation of small package pieces, many patients have reflected that the pieces of traditional Chinese medicine are relatively regular now The contents marked on the external package of pieces of Chinese medicine say goodbye to the status of bulk pieces of Chinese medicine, expand the patients' right to know, and increase the patients' trust There are also many patients who come for Beijing Tongrentang, because it belongs to the traditional Chinese medicine industry and enjoys high social recognition, popularity and reputation (II) accurate dose, reduce waste and improve the environment Through the spot check of 50 kinds of traditional Chinese medicine and the examination of 50 prescriptions, the single dose error is in line with the provisions of the "management standard for Chinese Herbal Pieces in hospital" formulated by the State Administration of traditional Chinese medicine and the Ministry of health, which avoids the inaccurate weighing and uneven distribution in the traditional dispensing Because the process of preparing small package pieces is a process of "several packages", we should avoid the phenomenon of traditional mixing, such as scuffle, leakage and dust flying, which will reduce the waste of resources, improve the working environment, and make us concentrate more on our work (3) it is easy to recheck, which is conducive to management In the process of recheck, as long as the color code is used, it can check whether there is any mistake or omission, avoiding the situation that the traditional Chinese medicine "piled up like a mountain" is difficult to identify recheck Its management methods such as quantitative management tend to proprietary management The production date on the outer package allows us to adopt the principle of first in, first out when mixing, so as to avoid overstocking of Chinese herbal pieces of the old batch number (4) manufacturers that are convenient for storing Chinese herbal pieces shall process them in strict accordance with the processing specifications, and can prevent mildew, insects and rats during storage The above points have been affirmed by everyone, but some patients have also raised questions, such as cost, whether plastic packaging is harmful to drugs and environment, which need further discussion In the deployment process, I found that the deployment speed of most prescriptions is much faster than in the past, but some of them take a long time The reason is that doctors are not familiar with the method of small package prescription, which will extend the deployment time, which needs further consultation with doctors The development Party must follow the principle of Zui less package, improve the efficiency of deployment and reduce errors Through the 4-month trial period, we can see that the external changes of small package Chinese herbal pieces are easy to be accepted by more patients, and the internal changes ensure the quality of Chinese herbal pieces and make them play a better clinical effect, so small package Chinese herbal pieces are worth promoting Tianjin Binhai Licheng Packaging Machinery Co., Ltd