Conrad W, Sczupak C, Forman H, Gal P
Am J Hosp Pharm. 1978 May;35(5):558-61.
A consultant role for the pharmacist in solving a drug-related problem of another hospital department is described. The head of a 16-patient-per-day hemodialysis unit requested assistance from the pharmacy to improve the medication records for hemodialysis patients. Investigation uncovered several additional problems such as contradictory medication orders, poor patient compliance and evidence of drug abuse. The pharmacy devised and assisted in the implementation of new mechanisms for initiating, recording and charting medications. A patient education program and a system for assuring availability of medications for self-administration were also instituted. After nursing personnel were trained by the pharmacy, responsibility for maintaining the revised services was transferred to the hemodialysis staff. Documentation of medication orders, drug knowledge of the hemodialysis staff and patient compliance improved as a result of the revisions instituted by the pharmacy.
本文描述了药剂师在解决另一家医院科室与药物相关问题中所扮演的顾问角色。一个每日接收16名患者的血液透析科室主任向药房寻求帮助，以改善血液透析患者的用药记录。调查发现了一些其他问题，如相互矛盾的用药医嘱、患者依从性差以及药物滥用的迹象。药房设计并协助实施了新的用药启动、记录和制表机制。还制定了患者教育计划以及确保患者可自行取用药物的系统。在药房对护理人员进行培训后，维持修订后服务的责任移交给了血液透析科室工作人员。药房所做的修订使得用药医嘱记录、血液透析科室工作人员的药物知识以及患者依从性都得到了改善。
