BPSA 2 General Flashcards
What do they do in hospital pharmacies?
Focus on providing care to acutely ill patients that require constant care
What is institutional pharmacy practice?
Provision of distributional and clinical pharmacy services
Integrated health systems: Integrate care under umbrella of a central organization; collection of organization and institutions whose mission is to positively impact health outcomes
What is the role of a pharmacist in an inpatient setting?
Lead and influence the safety and quality of all aspects of the medication use process
Prescribing, transcribing, dispensing, administration, and monitoring
What are the roles of the hospital clinical pharmacist?
Review charts daily
Contribute to prescribing decisions
Monitor patient response to therapy
Inform and educate patient/caregivers about medication changes
What are the routine clinical duties for a clinical pharmacist?
PK drug dosing (aminoglycosides, vancomycin, streptomycin, tobramycin)
Anticoagulation management (Warfarin, prophylaxis)
Antimicrobial stewardship (Stop dates, drug dosing)
Intake and discharge med reconciliation
Targeted patient education
Formulary management/drug shortages
What are the communication factors for the clinical pharmacist?
Approach physicians and residents about medications for patients
Get to know nursing staff
Verbal and written communication
Information with all of the medical charts
What are the pharmacy practice models?
Drug-distribution-centered model
Clinical-pharmacist-centered model
Patient-centered integrated model
Centralize vs Decentralize: Central is more traditional, separate from care area; decentral is rounds, pharmacists moving around hospital