Shimp L A, Mason N A, Toedter N M, Atwater C B, Gorenflow D W
College of Pharmacy, University of Michigan (UM), Ann Arbor, 48109-10645, USA.
Am J Health Syst Pharm. 1995 May 1;52(9):980-4. doi: 10.1093/ajhp/52.9.980.
Pharmacist participation in cardiopulmonary resuscitation (CPR), including the basic life support (BLS) activities of artificial respiration and chest compressions, was studied. A questionnaire was mailed in September 1991 to the 197 graduates (1986-90) of a Michigan college of pharmacy requiring BLS training for graduation. Another questionnaire was mailed in April 1992 to the 181 pharmacy directors at all general acute-care hospitals in Michigan. The "graduate" survey covered practice setting, current status of BLS certification, use of BLS, and attitudes toward BLS training. The "director" survey covered the characteristics of the institution and its pharmacists, pharmacist involvement in CPR, and departmental BLS-training requirements. The response rates for the graduate and director surveys were 81% (160 questionnaires) and 76% (138), respectively. Only 66 (41%) of the graduates were currently certified in BLS, and only 77 (48%) had completed a BLS course since graduation. More than half (84, or 53%) indicated they had never been involved in any CPR activity. Activities most likely to be reported were drug preparation, dosage calculation, documentation, and drug information; very few pharmacists had given artificial respiration or chest compressions. Forty-six (33%) of the directors indicated that pharmacists routinely were members of the CPR team. Most (59%) of these 46 hospitals did not require BLS training for pharmacists. Hospital size significantly affected whether pharmacists were included on the CPR team. Hospitals with decentralized pharmacists were more likely than hospitals with centralized pharmacists to have pharmacist involvement on the CPR team. Both study groups expressed ambivalence about the value of BLS training for their current pharmacy practice situations.(ABSTRACT TRUNCATED AT 250 WORDS)
对药剂师参与心肺复苏(CPR)的情况进行了研究,包括人工呼吸和胸外按压等基础生命支持(BLS)活动。1991年9月向一所密歇根药学院197名1986 - 1990年毕业且毕业时需接受BLS培训的毕业生邮寄了调查问卷。1992年4月又向密歇根所有综合急症医院的181名药房主任邮寄了另一份调查问卷。“毕业生调查”涵盖了执业环境、BLS认证现状、BLS的使用情况以及对BLS培训的态度。“主任调查”涵盖了机构及其药剂师的特点、药剂师参与CPR的情况以及部门BLS培训要求。毕业生调查和主任调查的回复率分别为81%(160份问卷)和76%(138份)。目前仅有66名(41%)毕业生获得BLS认证,自毕业以来仅有77名(48%)完成了BLS课程。超过一半(84名,即53%)表示他们从未参与过任何CPR活动。最有可能被报告的活动包括药物准备、剂量计算、记录和药物信息咨询;很少有药剂师进行过人工呼吸或胸外按压。46名(33%)主任表示药剂师通常是CPR团队成员。这46家医院中的大多数(59%)并不要求药剂师接受BLS培训。医院规模显著影响药剂师是否被纳入CPR团队。药剂师分散配置的医院比药剂师集中配置的医院更有可能让药剂师参与CPR团队。两个研究组对于BLS培训对其当前药学实践情况的价值都表现出矛盾态度。(摘要截选至250词)