Pharmacotherapy. 2000 Nov;20(11):1400-6.
To identify and describe the scope of practice that characterizes the critical care pharmacist and critical care pharmacy services. Specifically, the goals were to define the level of clinical practice and specialized skills characterizing the critical care pharmacist as clinician, educator, researcher, and manager; and to recommend fundamental, desirable, and optimal pharmacy services and personnel requirements for the provision of pharmaceutical care to critically ill patients. Hospitals having comprehensive resources as well as those with more limited resources were considered.
Consensus of critical care pharmacists from institutions of various sizes providing critical care services within several types of pharmacy practice models was obtained, including community-based and academic practice settings. Existing guidelines and literature describing pharmacy practice and drug use processes were reviewed and adapted for the critical care setting.
By combining the strengths and expertise of critical care pharmacy specialists with existing supporting literature, these recommendations define the level of clinical practice and specialized skills that characterize the critical care pharmacist as clinician, educator, researcher, and administrator. This position paper recommends fundamental, desirable, and optimal pharmacy services as well as personnel requirements for the provision of pharmaceutical care to critically ill patients.
识别并描述重症监护药师及重症监护药学服务的执业范围。具体而言，目标是界定作为临床医生、教育工作者、研究者和管理者的重症监护药师的临床实践水平和专业技能；并推荐为重症患者提供药学服务所需的基础、理想和最佳药学服务及人员要求。研究考虑了拥有全面资源的医院以及资源较为有限的医院。
获取了来自不同规模机构、在多种药学实践模式（包括社区和学术实践环境）中提供重症监护服务的重症监护药师的共识。对描述药学实践和药物使用过程的现有指南及文献进行了审查，并针对重症监护环境进行了调整。
通过将重症监护药学专家的优势和专业知识与现有支持性文献相结合，这些建议界定了作为临床医生、教育工作者、研究者和管理者的重症监护药师的临床实践水平和专业技能。本立场文件推荐了为重症患者提供药学服务所需的基础、理想和最佳药学服务以及人员要求。
