Nate Chan Email & Phone Number

Undertaken various rotations in health services for elderly people (HSEP), surgery, stroke, cardiology wards and acute admission unit (AAU). Clinical review of patients and liaise closely with ward team during the rotations. Joined board and ward rounds with different members of ward team including the consultants (improving prescribing practice and minimising prescribing errors and medication-related harms), liaised closely with specialised teams such as pain team, micro consultants, diabetes team, anticoagulation team and palliative care team (which involves ward reviews of patients with the teams in order to optimise patient care).Joined a stroke MDT meeting with PT/OT, social workers, SALT, nurses, doctors and consultant in optimising patient care and facilitating discharge.Undertaken a clinical audit on the judicious use of proton pump inhibitors in AAU. Audit poster in AAU doctor’s office.Invited by a medical registrar to participate in the quality improvement project on polypharmacy in elderly patients (using Beer’s criteria) in the health services for elderly people (HSEP) ward.Experience in managing inpatient and outpatient pharmacy clinical queries.Ward rounds with acute medical, stroke, cardiology and geriatric consultants.Shadowed learning disability, heart failure, anticoagulation, diabetes, palliative, pain clinical specialist nurses to understand their role in the multidisciplinary team and how they review/manage patients.Involved in the write-up of local trust protocol on the use of IV methylpred for visually threatening GCA under the supervision of a formulary pharmacist with the rheumatology registrar, Acute medical consultant and rheumatologist.3 monthly Medicines management and CD audits in wards.Mentor to a trainee pharmacist. Training/teaching junior pharmacists and pharmacy students.

Completed my split training with 4 months in CLICKS primary care network (6 GP practices rotation) and 8 months of hospital training (acute hospital, mental health wards and community/rehab hospitals).Acute hospital training included surgical and acute medical unit rotations - medicines reconciliation and clinical screening of drug charts. Training within community/rehab hospitals mostly focused on stroke and falls rehabilitation. Experience in mental health wards involved attending the multidisciplinary team meeting with psychiatrists, psychologists, nursing team and specialist pharmacists. Ward rounds with mental health pharmacists.GP rotation - structured medication reviews, tele-consultations with patients and clinical rounds with PCN pharmacists optimising the use of medications at care homes. Understanding of Quality and Outcomes Framework (QOF).2 weeks of rotation in community pharmacy (Day Lewis) familiarised with Community Pharmacist Consultation Service (CPCS) and vaccination services.Completed an audit project on the review of antipsychotic use in dementia patients within a GP surgery- presented findings to the GP team and liaised with the PCN and IT team to implement changes on EMIS (electronic patient records) in order to identify patients that needed antipsychotic review.

Gombak, Selangor, Malaysia

Providing essential services:Dispensing of medicines- maintain a record of all medicines dispensed, and also keep records of any interventions made. This includes the Electronic Prescription Service (EPS) as part of the dispensing service. The Doc2us online platform is the one that is currently being used.Promotion of healthy lifestyles- responsible to carry out campaigns in the pharmacy to raise awareness of the public eg heart diseases and cancers.Support for self-care- help manage minor ailments and common conditions, by the provision of advice and where appropriate, the sale of medicines.Signposting- help people who ask for assistance by directing them to the most appropriate source of help eg physiotherapists, GPs, and nurses.Providing locally commissioned services:Emergency Hormonal ContraceptionMedication Review (Full Clinical Review)Stop SmokingWeight Management ServiceHypertension DiabetesProviding value-added services:MedicPack- Packing of medications in a systematic manner according to the dose, frequency, time and duration of the treatment regime to improve compliance of patients.MediList- Listing of patient’s medications and drug allergies.Medication Safety- Implementing cautionary stickers to polypharmacy. Ensuring patients are aware of the side effects, precautions, and storage requirements of the drugs that they are taking.Responsible for promoting the use of authentic medications via the use of hologram and Meditag devices provided by the Malaysian Pharmaceutical Society.Running the MiCare services for panel employees Inventory control and management. Proper disposal of expired drugs. Proper storage of medications- eg MiniMax thermometer for optimal storage of refrigerated medications.Recruiting, training and managing pharmacy personnel.Meeting with medical and drug representatives.Managing monthly expenditures.Attending medical workshops and CMEs.

Mantin, Negeri Sembilan, Malaysia

Methadone Maintenance Therapy- Dispensing methadone to opiate-dependent patients via Directly Observed Therapy. Pharmacotherapeutic intervention in the form of urine testing, cardiovascular and blood-borne viral screening. Dosage adjustment and granting take-home doses according to patient’s response.Inventory control and management- purchase of drugs and non-drugs via Clinical Procurement System with Pharmaniaga Company. Dealing with recall products.Outpatient pharmacotherapy, counselling and dispensing- Checking prescriptions for common errors, drug-drug interactions, polypharmacy, appropriateness of regime. Counselling for insulin devices, metered-dose inhalers, highly active antiretroviral therapy and anticoagulants.Health promotion activities- public talk on non-communicable diseases. Organising the 'Know Your Medicine' and antimicrobial stewardship campaigns. Drug Information Services- Responding to queries by doctors, nurses, medical assistants, pharmacists, pharmacy assistants and patients.Therapeutic Drug MonitoringValue-added Services- Appointment Card system to be put in place to smoothen the process of medicines refill at the pharmacy.Diabetes Medication Therapy Adherence Clinic Service- directed at patients who are either referred by a physician or initiated by a pharmacist because of poor glycaemic control despite optimized therapy. Given in a number of sessions with a structured framework and more-in-depth counseling and education. Continuous Medical Education (CME)Home Medication Reviews- home visits to the disabled, frail and elderly patients to assess their proper storage, usage and compliance of medications prescribed.Adverse Drug and Allergy Reporting- To report new or existing cases of adverse drug reactions and/or allergies to the Pharmaceutical Services Department (Pharmacovigilance). To compile data and issue allergy cards to patients.

Gemencheh, Negeri Sembilan, Malaysia

Methadone Maintenance Therapy- Dispensing methadone to opiate-dependent patients via Directly Observed Therapy. Pharmacotherapeutic intervention in the form of urine testing, cardiovascular and blood-borne viral screening. Dosage adjustment and granting take-home doses according to patient’s response.Inventory control and management- purchase of drugs and non-drugs via Clinical Procurement System with Pharmaniaga Company. Dealing with recall products.Outpatient pharmacotherapy, counselling and dispensing- Checking prescriptions for common errors, drug-drug interactions, polypharmacy, appropriateness of regime. Counselling for insulin devices, metered-dose inhalers, highly active antiretroviral therapy and anticoagulants.Health promotion activities- public talk on non-communicable diseases. Organising the 'Know Your Medicine' and antimicrobial stewardship campaigns. Drug Information Services- Responding to queries by doctors, nurses, medical assistants, pharmacists, pharmacy assistants and patients.Therapeutic Drug MonitoringValue-added Services- Appointment Card system to be put in place to smoothen the process of medicines refill at the pharmacy.Diabetes Medication Therapy Adherence Clinic Service- directed at patients who are either referred by a physician or initiated by a pharmacist because of poor glycaemic control despite optimized therapy. Given in a number of sessions with a structured framework and more-in-depth counseling and education. Continuous Medical Education (CME)Home Medication Reviews- home visits to the disabled, frail and elderly patients to assess their proper storage, usage and compliance of medications prescribed.Adverse Drug and Allergy Reporting- To report new or existing cases of adverse drug reactions and/or allergies to the Pharmaceutical Services Department (Pharmacovigilance). To compile data and issue allergy cards to patients.

Seremban, Negeri Sembilan, Malaysia

Undertaken training at the following rotations:Ward pharmacyOutpatient pharmacy Cytotoxic drug reconstitution department Total parenteral nutrition reconstitution department Satellite pharmacyDrug information services Methadone maintenance therapy Galenical and manufacturing department Emergency pharmacy and outpatient pharmacotherapy and dispensingTherapeutic Drug Monitoring ie drugs with a narrow therapeutic window

Postgraduate Degree, Independent Prescribing

Master Of Science - Ms, Pharmaceutical Sciences

Master Of Science - Ms, Clinical Pharmacy

Master Of Pharmacy, Pharmacy