1. Administration

• PH-01-01: Pharmacy Services Mission, Vision, Values, and Plan of Care and Scope of Practice
• PH-01-02: Licensure Verification of Pharmacists
• PH-01-03: Policy Revision Procedure

  2. Patient Care Services

• PH-02-02: Restricted Antimicrobial Order From - Inpatient
• PH-02-03: Patient Medication Profile Review
• PH-02-04: Guidelines for Writing Notes in Patient's Chart
• PH-02-05: Clinical Pharmacokinetics Service Policy/Procedures
• PH-02-06: Code Blue Participation (formerly Code 500 Participation)
• PH-02-07: Nutrition Support
• PH-02-08: Patient Education - Inpatients
• PH-02-09: Drug Food Interaction Prevention Program
• PH-02-10: Use of Herbal or Botanical Products and Dietary Supplements
• PH-02-11: Prescribing Guidelines
• PH-02-12: Anticoagulation Management Service Policy/Procedures
• PH-02-13: Sexual Assault Response Team (SART)
• HP-2-14: Discharge Medication Planning, Education, and Procurement
• PH-02-15: Renal Dosing Program
• PH-02-16: Clinical Pharmacy Services Documentation
• PH-02-17: The Role of the Pharmacist in the Electronic Medical Record

 

  3. Formulary and Drug Policy

• PH-03-01: Drug Product Problem Reporting
• PH-03-02: Adverse Drug Reaction Reporting
• PH-03-03: Formulary Think Tank
• PH-03-04: Formulary System
• PH-03-05: Restriction of Formulary Drugs
• PH-03-06: Medication Error Reporting and Follow-up

  4. Inpatient Drug Distribution

• PH-04-01: Medication Orders
• PH-04-02: Pneumatic Tube Drug Delivery
• PH-04-03: Medications Brought into the Hospital by Patients
• PH-04-04: Automatic Stop Orders/Order Cancellation
• PH-04-05: Post-Operative Transfers
• PH-04-06: Labeling of Unit Dose Packages of Drugs
• PH-04-07: Manufacturing/Packaging Procedures
• PH-04-08: Requisitioning and Dispensing of Drugs to Nursing Care Units and Other Using Areas
• PH-04-09: Processing of Returns
• PH-04-10: Standard Hospital Schedules for Medications
• PH-04-11: Medication Order Turnaround Time
• PH-04-12: Medication Requisition Form for Replacement and Missing Doses
• PH-04-13G: Floor Stock Medication Guidelines
• PH-04-14: Administering and Charting of Medications
• PH-04-15: Vancomycin Continuation Policy
• PH-04-16: Medication Range Order Interpretation
• PH-04-17: High Risk Medications

  5. Pyxis Medstation Rx Drug Distribution

• PH-05-00: Pyxis Medstation 3500
• PH-05-01: Authorized Privileges for Access to Medstation System 2000
• PH-05-02: Pyxis Medstation 2000 Identification/Password Assignment
• PH-05-03: Medstation 2000 Access – Removal, Return, Waste
• PH-05-05: Pyxis Reports
• PH-05-06: Pyxis Maintaining Medstation 2000 Formulary & Station Inventory
• PH-05-07: Pyxis Downtime Procedures for Medstation 2000
• PH-05-08: Pyxis Billing Procedures
• PH-05-09: Archiving of Medstation 2000 Data
• PH-05-10: Override for Pyxis Medications
• PH-05-11: Pyxis Replenishment - CardinalASSIST
• PH-05-12: Pyxis Replenishment - Talyst Carousel

  6. Sterile Products

• PH-06-01: Personnel, Training and Evaluation
• PH-06-02: Storage and Handling of Sterile Products
• PH-06-03: Facilities and Equipment
• PH-06-04: Garb
• PH-06-05: Cleaning and Sanitizing Procedures for Sterile Products Areas of the Pharmacy
• PH-06-07: Beyond-Use Dating and Labeling
• PH-06-08: Aseptic Technique Process and End-product Evaluation
• PH-06-11: Chemotherapy Ordering and Preparation Procedures
• PH-06-12: Disposal of Antineoplastic Agents
• PH-06-13: Guidelines for the Safe Handling of Parenteral Cytotoxic Agents
• PH-06-14: Chemotherapy Order Processing Deadlines
• PH-06-15: Adult Parenteral Nutrition Orders
• PH-06-16: Neonate and Pediatric PPN/TPN Orders
• PH-06-18: Quality Assurance for Sterile Products Distribution Service
• PH-06-19: Documentation Records for Sterile Products Distribution Areas

  7. Operating Room Services

• PH-07-01: Major O.R. Pharmacy Satellite Mission And Services
• PH-07-02: Stock Integrity
• PH-07-03: Drug Distribution System During Major O.R. Pharmacy Satellite Operating Hours
• PH-07-04: Drug Distribution System During Major O.R. Pharmacy Satellite Closed Hours
• PH-07-05: OR North Pharmacy Services (formerly KYSC)
• PH-07-06: Obstetric Anesthesia Pharmacy Services

  8. Pediatric Services

• PH-08-01: Pediatric Prescribing Requirements (Weight-based Dosing)
• PH-08-02: Preparation Of Non-Commercially Available Dextrose and Saline Solutions
• PH-08-03: Standard Pediatric Dilutions
• PH-08-04: Guidelines for the Interpretation of IV Drip Orders
• PH-08-05: Preparation, Storage and Dispensing of Pediatric IV Digoxin
• PH-08-06: Pediatric Compounding Guide - Oral Suspensions and Solutions
• PH-08-07: Pediatric Compounding Guide - Nasal , Ophthalmic, and Topical Preparations
• PH-08-08: Pediatric KCL Guidelines
• PH-08-09: Care by Parent (Medication)
• PH-08-10: Standard Dosing of Select Medications in Kentucky Children’s Hospital – Neonatal ICU

  9. Controlled Substances

• PH-09-01: General Information - Controlled Substances
• PH-09-03: Pyxis CII-Safe NarcVaultTM (NV) – Control Station
• PH-09-04: Controlled Substance Lockers and Controlled Substance Usage Records
• PH-09-05: Pyxis Medstations - Controlled Substances
• PH-09-06: Controlled Substances in Solution - Patient Controlled Analgesia & Continuous Infusion
• PH-09-09: Reverse Distribution Services
• PH-09-10: Controlled Substances: Waste and Witness of Waste
• PH-09-11: Annual Controlled Substance Inventory Procedures

  10. Investigational Drugs

• PH-10-01: Receipt and Control of Investigational Drugs
• PH-10-02: Dispensing Investigational and Study Drugs
• PH-10-03: Charges for Investigational Drug Service (IDS)
• PH-10-04: Gene Therapy
• PH-10-05: Dispensing of Investigational Agents/Products related to Investigational Protocols of Markey Cancer Center Patients
• PH-10-06: Storage and Dispensing of Investigational Drugs Not Directly Handled by the Investigational Drug Service Pharmacy
• PH-10-07: Investigational Drug Medication Error Reporting
• PH-01-32: Research of Investigational Drugs and FDA approved Drugs Investigated for Nonapproved Indications

  11. Drug Purchasing and Storage

• PH-11-01: Talyst Carousel Inventory Management
• PH-11-06: After Hours Services from Pharmacy Wholesaler
• PH-11-07: Borrow/Loan Process for Emergency Procurement
• PH-11-08: Handling and Dispensing of Blood Derivative Products
• PH-11-09: Vendor Selection
• PH-11-10: Pharmaceutical Product or Vendor Changes
• PH-11-11: Pharmaceutical Samples
• PH-11-12: Recall of Pharmaceuticals
• PH-11-13: Outdated and Unusable Drugs
• PH-11-14: Pharmacy Area Inventory Inspection and Maintenance
• PH-11-18: Accounting - Pharmacy Purchasing Procedures: Ordering, Receiving, and Release of Payment
• PH-11-19: Refrigerator Temperature Monitoring
• PH-11-20: DSH Drug Policy Reference
• PH-11-21: Sale, Distribution, Administration, Prescription or Possession of Legend Drugs

 

  12. Outpatient Services

• PH-12-01: Kentucky Clinic Prescription Drug Distribution
• PH-12-02: Controlled Substances - KCP
• PH-12-03: Pharmacotherapy Clinic
• PH-12-04: Anticoagulation Clinic
• PH-12-05: Recalls of Drugs - KCP
• PH-12-07: Confidentiality of Medical Information
• PH-12-08: Kentucky Clinic North Pharmacy Program
• PH-12-09: Chemotherapy Ordering and Preparation Procedures – KCP/Pediatric Oncology Satellite Pharmacy
• PH-12-10: Kentucky Clinic Pharmacy Prescribing Guidelines
• PH-12-11: Kentucky Clinic Patient Emergencies
• PH-12-12: Kentucky Clinic Pharmacy Patient Assistance Programs
• PH-12-13: Lovenox Patient Assistance Program Standard Operating Procedures
• PH-12-14: Kentucky AIDS Drug Assistance Program

  14. Job Descriptions

• PH-14-01: Director of Pharmacy Services
• PH-14-02: Associate Director of Pharmacy Services - Central Pharmacy
• PH-14-03: Associate Director, Kentucky Clinic Pharmacy
• PH-14-04: Ambulatory Care Clinical Pharmacist Specialist
• PH-14-05: Pharmaceutical Assistance Program (PAP) Pharmacy Technician
• PH-14-06: Pharmacy Technician, Lead, Kentucky Clinic Pediatric Hematology/Oncology Clinic
• PH-14-07: Associate Director of Pharmacy Services - Finance
• PH-14-08: Pharmacy Technician
• PH-14-09: Pharmacist
• PH-14-10: Bone Marrow Transplantation (BMT) Clinical Pharmacist Specialist
• PH-14-11: Administrative Support Associate I/Hospital
• PH-14-12: Cardiothoracic Surgery Intensive Care Unit Clinical Pharmacist Specialist
• PH-14-13: Senior Pharmacist - Investigational Drug Pharmacist
• PH-14-14: Investigational Drug Technician
• PH-14-15: Pharmacy Assistant - Coordinator, Pharmacy Data Processing, Audit, and Control Programs
• PH-14-16: Lead Pharmacy Technician, Procurement and Inventory Management
• PH-14-17: Controlled Substances Pharmacy Technician
• PH-14-18: Clinical Specialist - Nutrition Support Service
• PH-14-19: Chief Resident
• PH-14-20: Antimicrobial Management Team Physician
• PH-14-21: Clinical Pharmacist Specialist - Infectious Diseases
• PH-14-22: Graduate Pharmacy Intern
• PH-14-23: Neurosurgery Clinical Pharmacist Specialist
• PH-14-24: Cardiology Clinical Pharmacist Specialist
• PH-14-25: Associate Director of Pharmacy Services - Medication Safety and Decentralized Services
• PH-14-26: Certified Pharmacy Technician
• PH-14-27: Operating Room Pharmacist
• PH-14-28: Operating Room Pharmacy Technician
• PH-14-29: Pharmacy Resident
• PH-14-30: Pharmacist, Kentucky Clinic
• PH-14-31: Pharmacy Technician, Kentucky Clinic
• PH-14-32: Emergency Department Clinical Pharmacist Specialist
• PH-14-33: Technician Supervisor
• PH-14-34: Medical Intensive Care Unit (MICU) Clinical Pharmacist Specialist
• PH-14-35: Transplant Clinical Pharmacist Specialist
• PH-14-36: Appointment of College of Pharmacy Faculty as Clinical Pharmacy Specialists at UK Hospital and Clinics
• PH-14-37: Chair, Pharmacy and Therapeutics Committee
• PH-14-38: Lead Pharmacy Technician - Kentucky Clinic Pharmacy
• PH-14-39: Pediatric Oncology Clinical Pharmacist Specialist
• PH-14-40: Therapeutic Drug Monitoring/Internal Medicine Clinical Pharmacist Specialist
• PH-14-41: KY AIDS Drug Assistance Program Pharmacist, Kentucky Clinic Pharmacy
• PH-14-42: Pharmacy Technician, Senior, Kentucky Clinic Pharmacy
• PH-14-43: Staff Support Assistant
• PH-14-44: Oncology Clinical Pharmacist Specialist
• PH-14-45: Neonatal Intensive Care Unit (NICU) Clinical Pharmacist Specialist
• PH-14-46: Carousel Pharmacy Technician

  15. Personnel

• PH-15-01: Employee Handbook
• PH-15-02: Call-In Procedures
• PH-15-03: Dress Code Policy
• PH-15-04: Technician Job Family
• PH-15-05: Pharmacy Intern Job Family
• PH-15-06: 7-on-7-off Technician Schedule
• PH-15-07: Internal Pharmacy Position Selection Process

  16. Safety and Security

• PH-16-01: Hazard Communications Procedure
• PH-16-02: Disaster Plans
• PH-16-03: Hospital Emergency Incident Command System (HEICS)
• PH-16-04: Pharmacy Security

  17. Infection Control

• PH-17-01: Infection Control Policy for Pharmacy Services
• PH-17-02: HIV Exposure Prophylaxis Kit
• PH-17-03: Bloodborne Pathogens Exposure Control Plan - Pharmacy Services

  18. Pharmacy Information Systems

• PH-18-01: Duplicate Medical Record Number Correction Procedure
• PH-18-03: Use Of Fax Machines For Transmitting Medication Orders
• PH-18-04: Computer Downtime Procedures (Planned)
• PH-18-05: Computer Downtime Procedures (Unplanned)

  19. Billing/Finance

• PH-19-01: Pricing and Charging
• PH-19-02: Pricing Inquiries
• PH-19-03: Pharmacy Cost Centers
• PH-19-04: Interdepartmental Charges
• PH-19-08: Pharmacy Charge Description Master

  20. Residency Program

• PH-20-01: Leave Policy – Pharmacy Residents
• PH-20-02: On-Call Responsibilities – Pharmacy Residents
• PH-20-03: On–Call Documentation – Pharmacy Residents
• PH-20-04: Preceptor Responsibilities – Pharmacy Residency
• PH-20-05: Officers and Assignments – Pharmacy Residents
• PH-20-06: Rotation Selection – Pharmacy Residents
• PH-20-07: Code-500 Responsibilities/Training – Pharmacy Residents
• PH-20-08: Extended Medical Leave – Pharmacy Residents
• PH-20-09: Pharmacy Practice Experience – Pharmacy Residents
• PH-20-10: Advisor System – Pharmacy Residents
• PH-20-11: Moonlighting – Pharmacy Residents
• PH-20-12: Early Commitment Process for current University of Kentucky Postgraduate Year 1 (PGY1) Residents
• PH-20-14: Pharmacy Residency Research Requirements
• PH-20-15: Corrective Action, Failure to Achieve Certification and Involuntary Dismissal Policies - Pharmacy Residents and Fellows
• PH-20-16: Duty Hour Requirements - Pharmacy Residents
• PH-20-17: Authorization for Recommendations – Pharmacy Residents
• PH-20-18: Teaching Requirements – Pharmacy Residents