Pharmacist on an oncology ward Survey

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* 1. Please indicate the number of all employees measured in terms of the number of full-time positions in your pharmacy.

< 10

10 - 20

21 - 30

31 - 50

51 - 60

> 60

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* 2. How many of these employees are pharmacist?

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* 3. Please indicate the number of all employees measured in terms of the number of full-time positions in your cytostatics department.

< 5

5 - 10

11 - 20

21 - 30

> 30

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* 4. How many of these employees are pharmacists?

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* 5. Please indicate the size of your hospital to be supplied.

Hospital with less than 500 beds

Hospital with 500 – 1000 beds

Hospital with more than 1000 beds

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* 6. Please indicate the size of your hospital including hospitals that are additionally supplied?

No additional hospitals supplied

< 1000 beds

1000 – 3000 beds

> 3000 beds

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* 7. Is the electronic patient record used in your hospital?

Partially, not on every ward

Yes

If yes, please indicate the software's name

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* 8. Do you supply other hospitals with cytostatics?

Yes

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* 9. How many cytostatics do you prepare in total in your hospital pharmacy every year?

No cytostatics

< 10 000 preparations/year

10 000 - 20 000 preparations/year

21 000 - 30 000 preparations/year

31 000 - 40 000 preparations/year

41 000 - 50 000 preparations/year

51 000 - 70 000 preparations/year

> 71 000 preparations/year

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* 10. Which software do you use for cytostatics preparation?

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* 11. What service(s) in the field of cytostatics supply does your hospital pharmacy offer? (Multiple answers possible)

Preparation of cytostatics

Management of supportive care

Establishing chemotherapy schemes

Management of clinical studies

Miscellaneous

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* 12. Do pharmacists from your hospital pharmacy regularly work on an oncology ward or at an oncological outpatient department?

Yes, on an oncology ward

Yes, at an oncological outpatient department

Both, on an oncology ward and at an oncology outpatient department

If yes, since when?

If question 12 was answered with no (no pharmacists working on an oncology ward or in an oncological outpatient department) you can skip the following questions and complete the survey.

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* 13. On how many days do the pharmacists work on ward/ in the outpatient department daily?

days per week

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 14. How many hours do the pharmacists spend on ward/ in the outpatient department daily?

hours per day

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 15. Is there a replacement regulation for the pharmacist and if so, how many pharmacists are involved in the ward work / work in the outpatient department?

Yes, two pharmacists involved

Yes, more than two pharmacists involved

Miscellaneous

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* 16. Which task(s) does the pharmacist take on the ward / in the outpatient department? (Multiple answers possible)

Participation in ward rounds

Interaction checks

Patient counseling

Clinician counseling

Organizational tasks

Admission interview

Discharge interview

Management of adverse reactions

Entry of data into electronic patient record

Miscellaneous

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* 17. Have you carried out an evaluation regarding the work of a pharmacist on the oncology ward / in the outpatient department?

Yes, with the following result:

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* 18. How do you think the pharmacist on the ward / in the outpatient department is perceived by the nursing staff?

Very helpful

Helpful

Unhelpful

No statement possible

Miscellaneous

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* 19. How do you think the pharmacist on the ward / in the outpatient department is perceived by the clinicians?

Very helpful

Helpful

Unhelpful

No statement possible

Miscellaneous

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* 20. How do you think the pharmacist on the ward / in the outpatient department is perceived by the patients?

Very helpful

Helpful

Unhelpful

No statement possible

Miscellanelous:

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* 21. May we come back to you for further questions? You can leave your contact details here. Many Thanks.

name

company *

city *

country *

e-Mail

telephone numer