Greene S A, Powell C W
Department of Pharmacy, St. John's Regional Health Center, Springfield, MO 65804.
Am J Hosp Pharm. 1991 Aug;48(8):1704-8.
A program that trains and uses staff pharmacists for clinical services is described. A position was created that is filled by staff pharmacists on six-week rotations. All full-time pharmacists may participate; they work under the direction and supervision of clinical pharmacists. Basic responsibilities in the rotation include responding to drug information requests, assisting with drug-use evaluation and adverse drug experience programs, assisting with research, writing and editing for newsletters, participating in staff development programs, and reviewing and clarifying drug orders for the skilled-nursing facility. About 60% of eligible pharmacists have participated in this program. The pharmacists have gained new practice skills, greater opportunity for career enhancement, and improved attitudes toward work and colleagues, and the department has been able to provide more clinical services. The focus of the rotation is now being changed from performing clinical tasks to assuming more responsibility for patient outcomes related to drug therapy. A rotating clinical position has enabled staff pharmacists to gain additional nondispensing skills and contribute to the development and maintenance of clinical services.
本文描述了一个培训并使用药师提供临床服务的项目。设立了一个由药师进行为期六周轮岗的职位。所有全职药师均可参与；他们在临床药师的指导和监督下工作。轮岗期间的基本职责包括回应药物信息咨询、协助药物使用评估和药物不良反应项目、协助研究、为时事通讯撰写和编辑文章、参与员工发展项目，以及为专业护理机构审核和澄清医嘱。约60%符合条件的药师参与了该项目。药师们获得了新的实践技能、更多职业晋升机会，对工作和同事的态度也有所改善，并且该部门能够提供更多临床服务。目前，轮岗的重点正从执行临床任务转变为对与药物治疗相关的患者治疗结果承担更多责任。一个轮转临床职位使药师们获得了额外的非配药技能，并有助于临床服务的发展和维持。
