Lec1 Flashcards
The pharmacist’s time is dedicated to critical
care patients, with few commitments outside the ICU area.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist prospectively evaluates all
drug therapy for appropriate indications, dosage, drug interactions, and drug allergies; monitors the patient’s pharmacotherapeutic regimen for effectiveness and ADEs; and intervenes as needed.
Critical Care Pharmacist Activities
Fundamental Activities
In conjunction with the clinical dietitian,
the pharmacist evaluates all orders for parenteral nutrition and recommends modifications as indicated to optimize the nutritional regimen.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist identifies ADEs and assists
in their management and prevention, and develops process improvements to reduce drug errors and preventable ADEs.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist uses the medical record as
one means to communicate with other health care professionals and to document specific pharmacotherapeutic recommendations.
member of the multidisciplinary critical care
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist provides pharmacokinetic
monitoring when a targeted drug is
prescribed.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist provides drug information
and intravenous compatibility information
to the ICU team and uses the regional
poison information center when indicated.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist maintains current tertiary
drug references.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist provides drug therapy-
related education to ICU team members.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist participates in reporting
ADEs to institutional committees and to the
Food and Drug Administration’s MedWatch
program.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist documents clinical activities
that include, but are not limited to, disease-
state management, general pharmaco-
therapeutic monitoring, pharmacokinetic
monitoring, ADEs, education, and other
patient care activities.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist acts as a liaison between
pharmacy, nursing, and the medical staff to
educate health professionals regarding
current drug-related procedures, policies,
guidelines, and pathways.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist contributes to the hospital
newsletters and drug monographs on issues
related to drug use in the ICU.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist implements and maintains
departmental policies and procedures
related to safe and effective use of drugs in
the ICU.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist collaborates with nursing,
medical staff, and hospital administration to
prepare the ICU for the Joint Commission
on the Accreditation of Healthcare
Organizations (JCAHO) survey and
responds to any deficiencies identified.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist provides consultation to
hospital committees, such as Pharmacy and
Therapeutics, when critical care pharmaco-
therapy issues are discussed.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist identifies how drug costs
may be minimized through appropriate use
of drugs in the ICU and through implemen-
tation of cost-containment measures.
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist participates in quality
assurance programs to enhance pharma-
Critical Care Pharmacist Activities
Fundamental Activities
The pharmacist regularly makes rounds as a
member of the multidisciplinary critical care team (if available) to provide pharmaco- therapeutic management for all ICU patients.
Desirable Activities
The pharmacist maintains knowledge of
current primary references pertinent to critical care pharmacotherapy.
Desirable Activities
The pharmacist reviews a patient’s drug history to determine which maintenance drugs should be continued during the acute illness. A. The pharmacist clarifies previously effective dosages and dosage regimens. B. For all suspected drug-related ICU admissions, the pharmacist assesses the patient drug history for causality and documents in the medical record any findings that will impact patient management.
Desirable Activities
In collaboration with the clinical dietitian,
the pharmacist provides formal nutrition
consultation on request and responds within
24 hours.
Desirable Activities
The advanced cardiac life support-certified
(or pediatric advanced life support-certified)
pharmacist responds to all resuscitation
events in the hospital 7 days/week, 24
hours/day.
Desirable Activities
The pharmacist provides didactic lectures to
health professional students in critical care
pharmacology and therapeutics, where
applicable.
Desirable Activities
