Lacor E-Learning collaborative courses
Lacor Hospital strives to provide the best health care possible to the population in Northern Uganda. With very few resources to serve a great number of people, urgent situations have always created difficult obstacles.
In overcoming challenges often faced in low-resource settings, Lacor’s team has developed great problem-solving skills.
Problem solving is part of Lacor’s everyday work environment. It’s in their DNA.
This e-learning site offers an innovative and collaborative way to improve your ability to provide health care in a low-resource setting. Our goal is to share knowledge gained through years of experience working with the population in Northern Uganda.
It is a free collaborative online platform enabling professionals, global health experts, interns and students to learn from Lacor’s team experiences.
HOW IT WORKS
Unique story lines in special settings
We provide learning to support participants who strive to provide high quality care in low-resource settings
Collaborative case studies
Upon reading our case studies, we invite participants to attend live conferences to share solutions with other participants and discuss the different points of view
We compile the different perspectives into short, illustrative, and easy-to-follow videos.
In limited resource communities throughout the world, the knowledge and skills of pharmacists are essential to increase access to safe, quality medications that can save lives.
Pharmacists are medication experts who can utilize their expertise to facilitate medication safety, the responsible use of medicines, supply chain management and strengthening of pharmaceutical systems. Pharmacists’ care not only addresses local gaps in patient care and public health, but it also benefits broader global health efforts. Along with other disciplines, pharmacists are indispensable partners and collaborators working to achieve the third Sustainable Development Goal (SDG) of good health and well-being for all.
During the evaluation mission, Canadian pharmacists conducted the initial on-site evaluation, resulting in 24 recommendations. These recommendations served as a guide and action plan for the hospital to achieve the vision of the Basel Statements for best hospital pharmacy practice.
Medicines and Therapeutics Committee
This Committee consists of the medical director, pharmacists and the lead physicians from each department. One of the first accomplishments of the Committee was to establish a formulary of essential medicines, ensuring that what is available at Lacor Hospital Pharmacy is based on best evidence, and that it is consistently available, affordable and are of high quality. Other major accomplishments were the development of the Lacor Prescriptions Guidelines and the Parenteral Drugs Manual.
Reorganizing the Pharmacy
Within Lacor’s main pharmacy, several rooms were renovated to facilitate organization and management of medicines and medical supplies. Guidelines and standard operating procedures were established for inventory control, dispensing of drugs, compounding, and patient education.
Training of Local Interns
The project had a vision to equip local staff, so training and recruitment was prioritized. At the inception of the project in 2010, Lacor was training two pharmacy interns per year. Today it has expanded to six interns per year from various pharmacy programs in Uganda. The training of pharmacy assistants and technicians and recruiting of more trained personnel for the pharmacy have enabled ongoing improvement and expansion of pharmaceutical care.
The pharmacy developed a standardized medicine and supplies list, along with minimum and maximum quantities for every item on each ward in the hospital. The pharmacy department is now fully responsible for filling and delivering requested medicines and supplies on a scheduled basis. This has freed up more nursing time for clinical bedside patient care.
Availability of Quality
The availability of quality medicines was facilitated through medicines donations from Apotex Canada. The medicines that are donated are only those requested by the hospital, and they are vetted by a local pharmacist. Apotex Canada’s partnership has saved costs and enhanced the quality of medicines available to Lacor Hospital.
Establishing International Rotation
Since 2013, Canadian students have completed internships at Lacor Hospital Pharmacy. The students have been transformed through this immersion in global health/international pharmacy practice. They have the opportunity to work with local pharmacists, interns and staff, and contribute to the daily work of the pharmacy, improving quality of care through the completion of various projects.
Improving Oncology Care
This oncology care program is transforming the process through which chemotherapy is ordered, verified, prepared and delivered to the ward/patient. Every step of the process required close review and improvement. Chemotherapy protocols are now in place to guide prescribing. Chemotherapy is now being prepared solely in a designated area in the pharmacy that has environmental protections for the staff while minimizing potential for contamination.
Building of Sterile and Non-sterile Compounding Suites in the Pharmacy
In a low resource area such as Uganda, compounding of medicines is essential. Through the project, the pharmacy has been renovated to accommodate a sterile and non-sterile compounding suite. This is to facilitate safe preparation of pharmaceutical products (including chemotherapy, formulations for children, etc.) which will better serve a population in need.
Unit Dose Distribution
The pharmacy is working ward by ward on Unit Dose Distribution (UDD), delivering just enough medicines for a 24 – 48 hour period. The medicines are sent based on what is ordered specific to the patient. This system will replace the traditional ward stock system where medications were sent in bulk. Establishing UDD will improve safety and efficiency for nurses when administering medications to patients, and reduce waste and costs.
This undertaking will build a Communities of Practice program, which aims to share best practices for pharmacy management in low-resource countries and highlight Lacor Hospital’s Pharmacy Department’s experiences over the past 10 years. It will leverage technology such as websites, social media and communication software.
Without their help and dedication, this project would not have come to fruition.
Researcher and Writer
Website Designer and Writer