We know that over one-third of a nurse's day is spent on medication management.
Our system guarantees that nurses will have more time with residents.
Stacks Pharmacy's integrated care system helps to support more efficient and safer ways of working.
Better medication administration
Nurses can access important clinical information at the point of care so they can make timely, informed decisions and have full access to full medicine information.
Staff can scan and upload any paper documentation, videos and photos to a resident’s file.
With Stacks Pharmacy, you can review bowel charts or behaviour care plans, while administering medication.
Psychosocial interventions which are suitable for each resident can be included on the kardex in the PRN section.
There are no space restrictions with our electronic kardex system.
Stacks Pharmacy is fully integrated into your EpicCare so with one log on you can access all your records and care plans.
No more transcribing or typing of kardexes when a patient's prescription is changed. The patient's MAR is automatically updated so there is no
need to manually update for new medication. You can track ‘as required’ PRN medications with greater efficiency.
A detailed history log for each resident provides staff with greater visibility over previously administered PRNs as well as declined PRNs.
Sedatives can have individual cut-off time for each resident.
Better management reports
Manager's dashboards
Stacks Pharmacy gives you access to management reporting tools that facilitate decision support.
Managers feel in control of medication administration in their care home.
For the first time, managers can run reports at any time, even live during the medication round.
Missed medications can be spotted fast and dealt with quickly.
Having the right information at the right time will allow for more proactive decision-making.
Check the progress of new staff so support can be provided during the rounds.
Real time information and reports at the touch of a button.
Run your HIQA reports on Laxatives, Pain Relief or Oral Nutritional Supplements at the touch of a button.
Print off up-to-date reports for hospital admissions or appointments, showing all changes since admission and real medication reconciliation.
Better medication ordering
Free up your phone line by using our online messaging system.
All communications, including notes and other records, are recorded and are accessible
for audit purposes.
We eliminate redundant information transferred by phone or fax between nurses,
GPs and pharmacists who all have access to the same information. When there is a
medication change or admission, the system updates everybody at the same time.
Stacks Pharmacy offers more efficient medication stock control.
When the doctor changes the kardex, the system automatically generates an
order that can be sent to the pharmacy by email.
Over 99% of medication is delivered the same day. Our system means that you have
a late afternoon time for same-day delivery.
The system creates a suggested monthly order saving valuable nursing time.
The software incorporates the tools to efficiently manage stock audits and
medication recording to streamline inventory management processes for you.
Drive greater efficiencies with pharmacy messaging system.
DON’T HESITATE TO CALL US
If you have any questions call us today to speak to a professional
As medication administration is probably the highest risk task a nurse can perform (Anderson and Webster,
2001), many policies and guidelines have been devised to help prevent medication errors occurring.
The ten rights of medication administration were proposed by HIQA in 2015.
The 10 Rights
Right Reason
By having the medical information and other clinical notes available at the point of administration, this means that the reasons can
be reviewed by the nurse, e.g. crushed or covert medication. The inclusion of patient- specific psychosocial interventions
means that there is a reduced likelihood of chemical restraint.
Right Documentation
When a nurse administers a medication, they must sign the medication chart. If a medication is not recorded as
administered, it is highlighted to the nurse during the round and highlighted on the real time management report.
Right Response
Reminders can be set up on our system to ensure the right action is being observed with any change in medicine.
Right Observation
In a study of adverse drug events among older patients, inadequate patient monitoring after medication administration occurred in 36% of
adverse drug events. Side-effects, adverse effects and allergic reactions must also be monitored. Follow-up reminders can be set up for each
individual drug. Stacks Pharmacy can help you set these parameters.
Right Drug
A reduced risk of medication errors with the pharmacy immediately able to detail any changes to prescriptions, including
dose, on a centralised database. We warn when newly prescribed medication conflict's with a resident's known allergies.
The system links to the TICTACTM system of photo identifications and comprehensive up-to-date clinical information.
Right Form
A further potential source of error is when medications must be crushed to be administered (via PEG tube, for instance).
The approval of crushing by both the doctor and the pharmacists are tracked through the system and fully auditable. This also assists
with the management of covert administration.
Right Resident
On-screen photo identification plus multiple first names can be included so Margaret (Betty) can be included on the system to
prevent confusion and to assist new staff. In one study, there was an alarming 36% of medication doses which were administered
without any valid verification of the patient’s identification.
Right Route
Illegible handwriting is the most significant risk to a nurse administering an incorrect dose.
Font size can be made bigger or smaller in one touch.
Right Time
Medications must be administered at the correct time to ensure therapeutic levels. The system shows the last time a medication
was given at the point of administration. In one study, administration at the incorrect time accounted for 31% of all medication
errors. By only showing the medications due on the administration screen, this substantially reduces the likelihood of a wrong time adminis-
tration.
Right Dose
Illegible handwriting is the most significant risk to a nurse administering an incorrect dose.
Font size can be made bigger or smaller in one touch.
Our knowledge shared
Our pharmacy expertise enables us to update your policies and procedures in light of recent inspections or revised guidelines.
Stacks Training
Induction Medication Management Training
Stacks Pharmacy provides the training on its centre-specific policy and procedures medication management, including how and when
to crush medication, covert administration and PRN decision-making.
Pain Management
We review the different types of pain assessment tools available and how to choose an appropriate pain assessment.
We also review non-medication approaches to pain.
We review how the most common pain medication works.
We increase the awareness of pain relief dependency and how to recognise it.
We discuss the side-effects of the common pain relief medication and how to choose the right medication.
Competency Assessments
Establishing competency prepares an increasingly important role for managers. Stacks Pharmacy prepares the competency assessment appropriate for the unit, they must be site-specific and adapted depending on whether which are new members of staff or long-standing members of a team.
The key areas for competency assessment are professional practice (what does the law say etc), critical thinking and analysis (evidence-based and professional development etc), provision and co-ordination of care (assessments, establishing the target aims of treatment etc) and collaborative and therapeutic practice (able to input into medication usage reviews etc)
We perform the initial competencies in conjunction with the managers and train managers in how to assess competency regarding medication but the principles can be applied across the full spectrum of staff.
Constipation Management
We discuss the medical definition of constipation, the misconceptions and provide assessment tools. We discuss the causes of constipation and the key
issues in residential care including diet and hydration. We review how laxatives work, their correct administration and how to choose the right laxative.
Preparation for Inspection
We go through the standards individually and ensure that your team is aware of what information the inspectors are looking for and what the
standards require of them.
We train on how to approach an inspection from a learning and improvement perspective.
Fall Risk/Psychotropic Medication
We review the key fall risk indicators and assessments.
We discuss the geriatric dose restrictions particularly in anti-psychotics, and go through some of the common high-risk fall medication.
We review the importance of onset of action and half-life in commonly used medications.
System Approach to Error Prevention
We provide guidance on how to create a systems approach.
We help to promote an open culture with the use of open reporting and inclusion of errors/near-misses on the agenda of routine meetings.
It is also important to document the review of any audits (internal and external) plus error and near-miss reporting as this is seen as a key part of the quality improvement programme.
Our Team and Support
24/7 free on-call pharmacist support
24/7 helpful and free technical support
Stacks Team and Support
IT
From medication to office stationery, it’s the role of the purchasing team to make sure that our Stacks Pharmacy team is always in stock.
IT is integral to the service. We have a 24-hour support line which can be accessed by all your team free of charge if they need advice.
24/7 care line - it’s free
Whenever nurses feel worried or need clinical support, they can simply call our care line and talk to one of our experienced pharmacists day or night.
The Team acts as a central point of contact for all involved in patient care including after-hour’s emergencies and for clinical queries no matter how big or small.
Logistics
Making sure patients` medication arrives on time and in the right condition is the responsibility of the Logistics Department.
They make sure that you have a late afternoon cut-off of 5pm.
They also co-ordinate the free prescription collection service from surgeries nationwide.
DON’T HESITATE TO CALL US
If you have any questions call us today to speak to a professional
Our expert team of nurses, pharmacists and IT specialists have an
approach that is simple, scalable, and based on a trusted methodology.
We will make sure that there is minimum disruption to your
day-to-day resident care.
Your dedicated key contact from Stacks Pharmacy will configure the system for you. If you are switching from an existing software
system, we will transfer the data for you. We upload all of the data from your manual system to be ready to go live.
Training is an essential element of a successful implementation. Our dedicated team are the best trainers and provides comprehensive
training support to give your staff the confidence they need. Ongoing training is provided on site at a time that suits your team.
We provide ongoing support and undertake periodic reviews to see how we can help you.
Why Stacks Pharmacy
A trusted pharmacy
With over 2,500 patients nationwide, we have the right team to bring you the care
your residents deserve. Like you, we are there 24 hours a day.
Safety
Stacks Pharmacy provides everything your care home needs. We provide one easy-to-learn and simple-to-use system, including all equipment, iPads, software, licences and ongoing training.
Simple
There is no safer pharmacy with an error rate of less than one in 20,000 doses.
We use state-of-the-art digital photo identification systems and automated packing machines
to free our pharmacy team to focus on patient care and supporting you.
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