Page 18 - 2nd Issue- RuAHS Newsletter

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Maintenance of professional relationship appropriateness for patient, drug preparation
between physician and pharmacist is very and safe administration, records keeping,
important to correct medication errors. monitoring and evaluating patient’s
Establishment of computerized system can therapeutic outcomes, and drug waste
indicate possible drug interactions relevant to management. Sufficient training on drug
the drug regimen and keep patients’ administration, update knowledge on
medication records which help to understand pharmacotherapy and strong professional
of previous medical history and minimize relationship with patient and healthcare team
poly-pharmacy while prescribing. These are important factors to ensure rational use of
ensure that the RUD improves the quality of medicines (UlpinarandAkici, 2015, Akten,
the life of patients (Bazigha et al., 2010). 2018). Alternatively, public education,
supervision, audit and feedback, problem-
Pharmacist plays a significant role in based training in pharmacotherapy and
promoting rational use of medicine. They avoidance of perverse financial incentives are
involve in rational dispensing, patient essential strategies to promote rational use of
medication counseling and overall healthcare medicines.
to improve quality of life of the patients.
Following pharmacist’s practices can enhance Patient involvement is crucial in promoting
RUD (Bazigha et al., 2010, Sabir, 2018). rational use of medicines. Their knowledge,
habits and attitudes regarding their treatment
Identify any drug related problems in highly influences to ensure the RUD.
prescription. Especially consumers/patients require
Monitoring and evaluation of good awareness regarding over-the-counter
pharmacy practice medicines in self-medication. Therefore,
Planning and implementation of better provision of sufficient treatment related
ways to resolve drug related problems. counseling is imperative to encourage
Selection of the most appropriate therapeutic compliance. Every patient has a
medication for the patient. right to ask questions regarding treatment, be
Access to patient records is very important educated and take right decisions on their own
to double check and confirms the treatment (Akiciand-Oktay, 2007, WHO,
appropriateness of the therapy. 1987, Nesrinand-Akici, 2012).
Dispense medications under the
supervision of registered pharmacist. Government plays an important role in
Communicate with prescribers regarding
their patient progress on the drug therapy. promoting RUD. As per the WHO guidelines,
Sufficient time periods should be required Sri Lankan government has been established
for review prescription and dispensing to “National Regulatory Authority” to develop
minimize medication errors. and implement legislations and regulations
Set up separate and enough space for regarding pharmaceuticals and co-ordinates
counseling is very important to activities and stakeholders which ensure the
communicate vital information regarding RUD at the national level. Additionally,
patient treatment, and also improve patient provision of standard clinical guidelines and
compliance prescribing policies to prescribers to make
evidence-based decision on treatments and

Nurses have a critical role in safe use of establishment of essential medicines list and
medicines in hospital. They have drugs and therapeutics committees at the
responsibilities for correct interpretation of the national level and hospital level are essential
prescriptions, assessing medication incentives.

October 2022 17