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Related Experiment Videos

Comprehensive pharmaceutical services in a medical intensive-care unit.

B R Ellinoy, J E Clarke, P W Wagers

    American Journal of Hospital Pharmacy
    |November 1, 1984
    PubMed
    Summary

    Clinical pharmacists in a medical intensive care unit (MICU) provide comprehensive services, including drug distribution and patient monitoring. Their integration optimizes drug therapy and improves efficiency, though specialized skills are required.

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    Area of Science:

    • Pharmacy Practice
    • Critical Care Medicine
    • Hospital Pharmacy Services

    Background:

    • Clinical pharmacists have provided services in a 1600-bed urban teaching hospital's medical intensive care unit (MICU) for 14 years.
    • The MICU pharmacy staff comprises 4.3 full-time equivalent pharmacists offering 24-hour daily services.

    Purpose of the Study:

    • To describe the clinical and distributive pharmacy services in the MICU.
    • To discuss the skills and educational requirements for MICU pharmacists.
    • To highlight the impact of pharmacists on patient care and hospital efficiency.

    Main Methods:

    • Pharmacists are actively involved in all pharmacological decisions, from drug preparation to administration.
    • Services include maintaining medication records, monitoring patients, identifying adverse reactions, and intervening in crises.

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  • Pharmacists provide pharmacokinetic services, select drug administration routes, prepare IV medications, and manage nutritional support therapy.

    • Main Results:

    • Pharmacists' involvement leads to optimal drug therapy, increased productivity, and enhanced efficiency.
    • Services are prompt and accurate, contributing to patient safety and care.
    • The program is well-accepted by physicians and nurses, though only 20% of inpatient pharmacists desire MICU work.

    Conclusions:

    • Clinical pharmacists are integral to the MICU, improving patient outcomes through comprehensive medication management.
    • Specialized skills and education are necessary for effective practice in the MICU setting.
    • The described model demonstrates the value of dedicated pharmacy services in critical care environments.