Levy D B, Barone J A, Raia J J, York J M, Vogel D P
Am J Hosp Pharm. 1987 Mar;44(3):549-56.
The role of the pharmacist as a hazardous materials consultant is described. Pharmacists in a university-affiliated teaching hospital are contacted by either emergency medical services or the emergency department to assist in the management of incidents involving toxic hazardous materials. These incidents can range from major chemical spills or leaks to long-term exposures involving generalized, nonspecific symptoms. An advanced pharmacy resident in emergency medicine is the primary pharmacy contact for hazardous materials consults. The services provided by the clinical pharmacist include identification of the hazardous materials involved, initiation of special precautions for rescue-squad and hospital-based personnel, clinical assessment of the toxicologic problem, and formulation of therapeutic recommendations. Teaching programs have been developed for pharmacy, nursing, and medical students, hospital employees, and emergency-response agencies. Pharmacy participation in the management of hazardous materials incidents has been well received by emergency department physicians and nurses, as well as by rescue personnel. During the period between January 1 and July 1, 1986, the pharmacy was consulted on 66 hazardous materials incidents. Since pharmacists have traditionally been used as information resources for clinical toxicology questions, it follows that their participation can extend into the field of environmental toxicology, specifically involving hazardous materials. The pharmacist's input as a hazardous materials consultant in our institution has been well received, and we believe that pharmacy departments can play an important role in the management of incidents involving hazardous materials.
本文描述了药剂师作为危险物质顾问的角色。大学附属医院的药剂师会接到紧急医疗服务部门或急诊科的联系，以协助处理涉及有毒危险物质的事件。这些事件范围广泛，从重大化学物质泄漏到长期接触导致的全身性、非特异性症状。急诊医学专业的高级住院药师是危险物质咨询的主要药学联系人。临床药剂师提供的服务包括识别所涉及的危险物质、为救援小组和医院工作人员启动特殊预防措施、对毒理学问题进行临床评估以及制定治疗建议。已为药学、护理和医学专业学生、医院员工及应急响应机构制定了教学计划。药剂师参与危险物质事件的管理受到了急诊科医生和护士以及救援人员的好评。在1986年1月1日至7月1日期间，就66起危险物质事件向药剂师进行了咨询。由于传统上药剂师一直被用作临床毒理学问题的信息资源，因此他们的参与可以扩展到环境毒理学领域，特别是涉及危险物质的领域。药剂师作为危险物质顾问在我们机构的投入受到了好评，我们相信药剂科在处理涉及危险物质的事件中可以发挥重要作用。
