Statement 3.6

  • Section 3

“When the reconstitution or mixing of medicines takes place in a patient care area, a hospital pharmacist should approve written procedures that ensure staff involved in these procedures are appropriately trained"

What does it mean for patients? Not all injectable preparations can be prepared by the pharmacy. In such cases, hospital pharmacists have the competency to define safe procedures to be used by other healthcare professionals to avoid patient harm.  

What does it mean for healthcare professionals? Not all injectable preparations can be prepared by the pharmacy. In such cases, hospital pharmacists should support other healthcare professionals, nurses and doctors by describing feasible procedures for safe and preparation and administration. 

What does it mean for Hospital Pharmacists? Where it is not feasible for the hospital pharmacy to prepare such medicines e.g. they do not have aseptic facilities, then hospital pharmacists should be involved in ensuring there are appropriate policies and protocols in place for preparation to be undertaken safely at ward level. Only reconstitution considered low risk should be prepared at ward level. In addition the staff preparing the medicines should have received training and be competent to undertake reconstitution.