School of Pharmacy, Griffith Health, Gold Coast Campus, Griffith University, Gold Coast, QLD, 4222, Australia.
Int J Clin Pharm. 2011 Oct;33(5):800-5. doi: 10.1007/s11096-011-9540-z. Epub 2011 Jul 22.
To obtain community pharmacists' opinions of their role in administering Pharmacy (S2) and Pharmacist Only (S3) Medicines in a medical emergency. These medicines can only be sold in a pharmacy and are not available for self-selection by patients. Whilst qualified pharmacy assistants can supply S2 medicines, pharmacists must be directly involved in the supply of S3 medicines.
Community pharmacies in South East Queensland, Australia.
A survey of 151 Gold Coast and Toowoomba community pharmacists was conducted during October 2009.
Pharmacists were asked their opinions as to whether the administration of S2 and S3 medicines should fall within their scope of practice, whether they had administered S2 and S3 medicines in a medical emergency in the past and if clarification of this role was required.
The study achieved a 30% (n = 45) response rate and demonstrated similar results regarding whether pharmacists should administer salbutamol (22/44), adrenaline (23/42), glyceryl trinitrate (22/43) and aspirin (18/36) in a medical emergency. The majority (36/43) believed that role clarification was required. Pharmacists were more likely to administer an S3 medicine in a medical emergency when they considered potential outcomes first, had no easy access to a doctor and the patient could not administer the medicine they carried with them themselves (40/45).
Community pharmacists have direct access to S2 and S3 medicines that could be required in the management of a variety of medical emergencies. This study demonstrates that some pharmacists have administered S2 and S3 medicines in an emergency situation. However, there are currently no clear guidelines for pharmacists when faced with a medical emergency other than to act within their professional competence. To promote patient safety through the appropriate use of S2 and S3 medicines in the event of a medical emergency, additional training of pharmacists on the administration of these readily accessible medicines is needed. Clarification of the role of pharmacists in an emergency situation is required.
了解社区药剂师对其在医疗急救中管理药房（S2）和药剂师专用（S3）药物角色的看法。这些药物只能在药房销售，不能供患者自行选择。虽然合格的药剂助理可以供应 S2 药物，但药剂师必须直接参与 S3 药物的供应。
澳大利亚昆士兰州东南部的社区药房。
2009 年 10 月对黄金海岸和图文巴的 151 家社区药剂师进行了调查。
药剂师被问及他们对 S2 和 S3 药物管理是否应属于其执业范围的看法，他们过去是否在医疗急救中管理过 S2 和 S3 药物，以及是否需要明确这一角色。
研究获得了 30%（n=45）的应答率，关于药剂师是否应在医疗急救中管理沙丁胺醇（22/44）、肾上腺素（23/42）、硝化甘油（22/43）和阿司匹林（18/36），结果相似。大多数（36/43）认为需要明确角色。当药剂师首先考虑潜在结果、无法方便地联系到医生且患者无法自行管理他们携带的药物时，他们更有可能在医疗急救中管理 S3 药物（40/45）。
社区药剂师可以直接获得 S2 和 S3 药物，这些药物可能需要用于管理各种医疗急救情况。本研究表明，一些药剂师在紧急情况下已经管理过 S2 和 S3 药物。然而，目前除了在专业能力范围内采取行动外，药剂师在面临医疗急救时没有明确的指导方针。为了通过在医疗急救中适当使用 S2 和 S3 药物来促进患者安全，需要对药剂师进行这些易于获得的药物管理方面的额外培训。需要明确药剂师在紧急情况下的角色。
