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Inmate Medical Services City of Santa Ana a h are yw,Wepende he khmreh.i.. Medication Review NaphCare pharmacists provide a thorough clinical review of drug orders as new prescriptions are electronically sent to the NaphCare Pharmacy. As a value-added service for the Jail, NaphCare's pharmacists review all orders for accuracy. They verify real-time prescriptions for safe dosage, allergies, specified length of time, need for drug, and duplications. By identifying duplications, we minimize the number of drugs a patient needs while still ensuring high quality care. Pharmacy Queue & Vital Signs Current vital signs, such as blood pressure and blood glucose levels, are shown on the Pharmacy Queue to alert pharmacists of any abnormal vital signs which may preclude use of the prescribed drug. Within this screen, it is easy for pharmacists to see when scheduled or appropriate vital signs have not been taken or properly recorded; they are then able to communicate with healthcare staff so that corrective action can betaken and negative outcomes can be prevented. Clinical Pharmacist Quality Assurance Management Process When inmates first enter the Jail, a Intake Screening is completed to gather important inmate physical and mental health information up front to prevent negative outcomes later. During this screening, we identify any current or needed medications. Medication orders are entered into the TechCare® eMAR, ensuring that all medication activities are tracked. Within our eMAR, all providers have the information they need to review and approve orders and make more informed decisions regarding patient care. At the time that our providers review and approve orders, our Pharmacy Quality Assurance Management Process begins. All of the above activities, which compose our Clinical Pharmacist Quality Assurance Management Process, are completed within 24 hours of an inmate entering your facility. Finally, when all medications are approved and our pharmacists have reviewed in detail all medication information, our nurses administer medications to your inmates in compliance with NCCHC standards for care and the manner which you have requested. When a provider reviews and approves orders in the TechCare® eMAR, our Pharmacy Quality Assurance Management Process begins. A chart outlining this process is shown below. 25F-41 RFP No. 17-051 42