Institutional Pharmacy Setting Essays

Institutional Pharmacy Setting Essays Institutional Pharmacy Setting Essay Institutional Pharmacy Setting Essay Pharmacy Setting latrice HCP 210 December 5, 2010 Patrice Daniels Institutional Pharmacy Setting Pharmacy Institutional setting is a service provided 24 hours a day 365 (Johnston, 2006) days a year. Most Institutional pharmacy provides blister pack medications to ensure the safety and quality to the patient. Institutional pharmacy are design to provide safe and secure prescriptions most of the time the patients are on site within the pharmacy. Pharmacist works hand and hand with doctors, Physical Therapist, and nurses to provide consultations and feedback to the doctors if needed. Not only does an institutional pharmacy provide quality care they also allow for patients to return unused and unopened medications for credits (Johnston, 2006). Pharmacy Technicians has a wide variety of task to do in an institutional pharmacy. There responsibility includes data collection and reporting, they will manage inventory and billing as well as formulary maintenance. Technicians must perform surveys and inspections on patient’s rooms for medications, while conducting inspections audits are done on the narcotic inventory. Technicians are also responsible for maintaining the crash carts for emergencies. Education is vital to this field of work because it require focus and lots of thinking. Although technicians have to educate themselves, they also have to attend in-service meetings and assist in organizing and maintain the medical library (Johnston, 2006). As a part of every day duties the pharmacy has to be stocked with supplies and medications used this will include ordering drugs as well. Technicians also perform maintenance on the devices use like fax machines and printers and so forth. Before a technician can perform in a pharmacy setting like an institutional pharmacy, they should have adequate training because it so important and patient’s lives are at risks. Medications are dispensed in an institutional pharmacy the same way it is in an ambulatory pharmacy. The prescription may be called in, faxed from the doctor. It may even be done electronically from the computer system. All prescriptions must include patient’s name, birth date, room number and bed number (Johnston, 2006). The actual prescription must include name of the medication, strength, route to administer, how often given (Johnston, 2006). All prescriptions must include the prescriber signature and depending on the medication, state law requires a (DEA). Once the pharmacy has received the prescription the medication is processed filled and billed. Verification is the one of the last steps done before the technician deliver it to the floor. Most of the time the hospitals and long term care facilities keep floor stock handy. Orders can range from IV’s, TPN’s, unit dose, so depending on the written order will determine what will be processed from the pharmacy. The two pharmacies differ in many ways; an institutional pharmacy is available 24 hours a day 7 days a week where other pharmacies are not open. The main differences the institutional pharmacies deal with many sterile drugs, chemo drugs and aseptic techniques. In an ambulatory pharmacy one cannot bring back medications whether it is open or not this is per state law where permitted. An institutional pharmacy does a more variety of medications then a noninstitutional pharmacy, most institutional pharmacies perform many injectable, IV drugs and unit dose packaging. Just as working in a noninstitutional pharmacy, drugs may not be available or may be discontinued. The doctor may send the prescription for a dose that may be available in that strength. In addition, the doctor or representative may leave out the patient’s date of birth. The most common one I have seen is where the doctor misses the dispense quantity. The doctor can also confuse the two patients together with same name. One of the things that may be unique is getting a patient mixed up with another patient and not having the drug available. Although working in an institutional pharmacy may be challenging it can be interesting as well. I have discussed in this paper the the roles a technician has as well as the process it take to prepare a prescription in an institutional pharmacy. It is very important that the doctors and staff work together as a team to ensure the safety of the patient and the quality that is expected of them. Technicians not only perform more tasks at an institutional pharmacy but they require more intense training. The importance of the pharmacy is to satisfy the patients and that is most important. Reference Johnston, M. (2006). The Pharmacy Technician Series: Fundamentals of Pharmacy Practice. Upper Saddle, NJ: Prectice Hall.

Biography of Napoleon Bonaparte, Military Commander

Biography of Napoleon Bonaparte, Military Commander Napoleon Bonaparte (August 15, 1769–May 5, 1821), one of the greatest military commanders in history, was the twice-emperor of France whose military endeavors and sheer personality dominated Europe for a decade. In military affairs, legal issues, economics, politics, technology, culture, and society in general, his actions influenced the course of European history for over a century, and some argue, to this very day. Fast Facts: Napoleon Bonaparte Known For: Emperor of France, conqueror of much of EuropeAlso Known As: Emperor Napoleon Bonaparte, Napoleon 1st of France, The Little Corporal, The CorsicanBorn: August 15, 1769 in Ajaccio, CorsicaParents: Carlo Buonaparte, Letizia RamolinoDied: May 5, 1821 on Saint Helena, United KingdomPublished Works: Le souper de Beaucaire (Supper at Beaucaire), a pro-republican pamphlet (1793); the Napoleonic Code, the French civil code (1804); authorized the publication of Description de lÉgypte, a multivolume work authored by dozens of scholars detailing Egypts archeology, topography, and natural history (1809-1821)Awards and Honors: Founder and grand master of the Legion of Honor (1802), the Order of the Iron Crown (1805), the Order of the Reunion (1811)Spouse(s): Josephine de Beauharnais (m. March 8, 1796–Jan. 10, 1810), Marie-Louise (m. April 2, 1810–May 5, 1821)Children: Napoleon IINotable Quote: Great ambition is the passion of a great character. Those endowed with it m ay perform very good or very bad acts. All depends on the principles which direct them. Early Life Napoleon was born in Ajaccio, Corsica, on August 15, 1769, to Carlo Buonaparte, a lawyer and political opportunist, and his wife Marie-Letizia. The Buonapartes were a wealthy family from the Corsican nobility, although when compared to the great aristocracies of France, Napoleons kin were poor. Napoleon entered the military academy at Brienne in 1779. He moved to the Parisian École Royale Militaire in 1784 and graduated a year later as a second lieutenant in the artillery. Spurred on by his fathers death in February 1785, the future emperor had completed in one year a course that often took three. Early Career Despite being posted on the French mainland, Napoleon was able to spend much of the next eight years in Corsica thanks to his ferocious letter writing and rule-bending, as well as the effects of the French Revolution (which led to the French Revolutionary Wars) and sheer good luck. There he played an active part in political and military matters, initially supporting the Corsican rebel Pasquale Paoli, a former patron of Carlo Buonaparte. Military promotion also followed, but Napoleon became opposed to Paoli and when civil war erupted in 1793 the Buonapartes fled to France, where they adopted the French version of their name: Bonaparte. The French Revolution had decimated the republics officer class and favored individuals could achieve swift promotion, but Napoleons fortunes rose and fell as one set of patrons came and went. By December 1793, Napoleon was the hero of Toulon, a general and favorite of Augustin Robespierre; shortly after the wheel of revolution turned and Napoleon was arrested for treason. Tremendous political flexibility saved him and the patronage of Vicomte Paul de Barras, soon to be one of Frances three Directors, followed. Napoleon became a hero again in 1795, defending the government from angry counter-revolutionary forces; Baras rewarded Napoleon by promoting him to high military office, a position with access to the political spine of France. Napoleon swiftly grew into one of the countrys most respected military authorities, largely by never keeping his opinions to himself, and he married Josephine de Beauharnais in 1796. Rise to Power In 1796, France attacked Austria. Napoleon was given command of the Army of Italy, whereupon he welded a young, starving and disgruntled army into a force which won victory after victory against theoretically stronger Austrian opponents. Napoleon returned to France in 1797 as the nations brightest star, having fully emerged from the need for a patron. Ever a great self-publicist, he maintained the profile of a political independent, thanks partly to the newspapers he now ran. In May 1798, Napoleon left for a campaign in Egypt and Syria, prompted by his desire for fresh victories, the French need to threaten Britains empire in India and the Directorys concerns that their famous general might seize power. The Egyptian campaign was a military failure (although it had a great cultural impact) and a change of government in France caused Bonaparte to leave- some might say abandon- his army and return in the August 1799. Shortly after he took part in the Brumaire coup of November 1799, finishing as a member of the Consulate, Frances new ruling triumvirate. First Consul The transfer of power might not have been smooth, owing much to luck and apathy, but Napoleons great political skill was clear; by February 1800, he was established as the First Consul, a practical dictatorship with a constitution wrapped firmly around him. However, France was still at war with her fellows in Europe and Napoleon set out to beat them. He did so within a year, although the key triumph, the Battle of Marengo, fought in June 1800, was won by the French General Desaix. From Reformer to Emperor Having concluded treaties that left Europe at peace, Bonaparte began working on France, reforming the economy, legal system (the famous and enduring Code Napoleon), church, military, education, and government. He studied and commented on minute details, often while traveling with the army, and the reforms continued for most of his rule. Bonaparte exhibited skill as both legislator and statesmen. Napoleons popularity remained high, helped by his mastery of propaganda but also genuine national support, and he was elected Consulate for life by the French people in 1802 and Emperor of France in 1804, a title which he worked hard to maintain and glorify. Initiatives like the Concordat with the Church and the Code helped secure his status. Return to War Europe was not at peace for long. Napoleons fame, ambitions, and character were based on conquest, making it almost inevitable that his reorganized Grande Armà ©e would fight further wars. However, other European countries also sought conflict, for not only did they distrust and fear Napoleon, but they also retained their hostility toward revolutionary France. For the next eight years, Napoleon dominated Europe, fighting and defeating a range of alliances involving combinations of Austria, Britain, Russia, and Prussia. Sometimes his victories were crushing- such as Austerlitz in 1805, often cited as the greatest military victory ever- and at other times, he was either very lucky, fought almost to a standstill, or both. Napoleon forged new states in Europe, including the German Confederation- built from the ruins of the Holy Roman Empire- and the Duchy of Warsaw, while also installing his family and favorites in positions of great power. The reforms continued and Napoleon had an ever-increasing effect on culture and technology, becoming a patron of both the arts and sciences while stimulating creative responses across Europe. Disaster in Russia The Napoleonic Empire may have shown signs of decline by 1811, including a downturn in diplomatic fortunes and continuing failure in Spain, but such matters were overshadowed by what happened next. In  1812 Napoleon went to war with Russia, assembling a force of over 400,000 soldiers, accompanied by the same number of followers and support. Such an army was almost impossible to feed or adequately control and the Russians repeatedly retreated, destroying the local resources and separating Napoleons army from its supplies. Napoleon continually dithered, eventually reaching Moscow on Sept. 8, 1812, after the Battle of Borodino, a bludgeoning conflict where over 80,000 soldiers died. However, the Russians refused to surrender, instead torching Moscow and forcing Napoleon into a long retreat back to friendly territory. The Grande Armà ©e was assailed by starvation, extremes of weather and terrifying Russian partisans throughout, and by the end of 1812 only 10,000 soldiers were able to fight. Many of the rest had died in horrible conditions, with the camps followers faring even worse. A coup had been attempted in Napoleons absence from France and his enemies in Europe were reinvigorated, forming a grand alliance intent on removing him. Vast numbers of enemy soldiers advanced across Europe toward France, overturning the states Bonaparte had created. The combined forces of Russia, Prussia, Austria, and others just used a simple plan, retreating from the emperor himself and advancing again when he moved to face the next threat. Abdication Throughout 1813 and into 1814 the pressure grew on Napoleon; not only were his enemies grinding his forces down and approaching Paris, but the British had fought out of Spain and into France, the Grande Armà ©es Marshalls were underperforming and Bonaparte had lost the French publics support. Nevertheless, for the first half of 1814 Napoleon exhibited the military genius of his youth, but it was a war he couldnt win alone. On March 30, 1814, Paris surrendered to allied forces without a fight and, facing massive betrayal and impossible military odds, Napoleon abdicated as Emperor of France; he was exiled to the Island of Elba. Second Exile and Death Napoleon made a sensational  return to power in 1815. Traveling to France in secret, he attracted vast support and reclaimed his imperial throne, as well as reorganizing the army and government. After a series of initial engagements, Napoleon was narrowly defeated in one of historys greatest battles: Waterloo. This final adventure had occurred in less than 100 days, closing with Napoleons second abdication on June 25, 1815, whereupon British forces forced him into further exile. Housed on St. Helena, a small rocky island well away from Europe in the South Atlantic Ocean, Napoleons health and character fluctuated; he died within six years, on May 5, 1821, at age 51. Legacy Napoleon helped perpetuate a state of European-wide warfare that lasted for 20 years. Few individuals have ever had such a huge effect on the world, on economics, politics, technology, culture, and society. Napoleon may not have been a general of utter genius, but he was very good; he may not have been the best politician of his age, but he was often superb; he may not have been a perfect legislator, but his contributions were hugely important. Napoleon used his talents- through luck, talent, or force of will- to rise from chaos and then build, lead, and spectacularly destroy an empire before doing it all again in a tiny microcosm one year later. Whether a hero or tyrant, the reverberations were felt across Europe for a century. Sources I, Napoleon. â€Å"Description of Egypt. Second Edition. Antiquities, Volume One (Plates).†Ã‚  WDL RSS, Detroit Publishing Company, 1 Jan. 1970.â€Å"16 Most Remarkable Napoleon Bonaparte Quotes.†Ã‚  Goalcast, Goalcast, 6 Dec. 2018.Editors, History.com. â€Å"Napoleon Bonaparte.†Ã‚  History.com, AE Television Networks, 9 Nov. 2009.