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The Emergency Pharmacist (EPh): A Safety Measure in Emergency Medicine. Part II: Role of the EPh. Prepared by the Emergency Pharmacist Research Team, University of Rochester Department of Emergency Medicine

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the emergency pharmacist eph a safety measure in emergency medicine

The Emergency Pharmacist (EPh): A Safety Measure in Emergency Medicine

Part II: Role of the EPh

Prepared by the Emergency Pharmacist Research Team, University of Rochester Department of Emergency Medicine

Rollin J. (Terry) Fairbanks, Principal Investigator; Karen E. Kolstee, Project Coordinator; Daniel P. Hays, Lead Pharmacist

www.EmergencyPharmacist.org

Supported by The Agency for Healthcare Research and Quality,

Partnerships in Patient Safety, Grant no. 1 U18 HS015818

the eph a clinical pharmacist
The EPh – A Clinical Pharmacist
  • Integral Part of the Health Care Team
    • Clinical Consultation Duties
      • Attends rounds and presents patient information
      • Gives dose recommendations
      • Provides therapeutic substitution information
      • Recognizes disease state specific pharmacotherapy
      • Implements patient specific pharmacokinetics
clinical duties
Clinical Duties
  • Order screening
    • Focuses on allergies, drug interactions, and appropriate dosages
  • Preparation/Selection of Medications
    • High Risk Medications
    • Most appropriate medication for patient
  • Resuscitations and Trauma Response
    • During resuscitations and traumas EPh is at bedside overseeing medication use process
availability accessibility and visibility
Availability, Accessibility, and Visibility
  • Dedicated to emergency department
  • Physically located in emergency department
  • Provided with a computer and online resources
  • Easily accessible and visible to all staff with frequent “walk-through.”
  • Available by pager and portable phone
eph and pediatric patients
EPh and Pediatric Patients
  • Weight based dosing
    • Accurate and appropriate
  • Patient specific pharmacotherapy
  • Code Attendance
the eph an educator
The Eph – An Educator
  • Patient Education
  • Nursing Education
  • Provider Education
slide7

Patient Education

  • Medication specific education
    • Asthma
    • Warfarin
    • Low Molecular Weight Heparin
    • Diabetes
  • Discharge counseling
    • Smoking cessation
    • Over the Counter Products
    • Ensure patient compliance
nursing education
Nursing Education
  • Conducts continuing education sessions
    • New medications
    • Drug warnings
    • Drug-drug interactions
    • Mock codes
    • High risk medications
    • Safe medication delivery
provider education
Provider Education
  • Provides up to date, evidenced based research on pharmacological therapy
  • Develops a pharmacology elective for residents
  • Becomes an established authority through education
eph research
EPh - Research
  • Assists with research for improving patient safety in emergency medicine
  • Initiates/coordinates clinical and practice based research in EM population
eph and quality improvement
EPh and Quality Improvement
  • Development of clinical pathways
  • Pharmacist oversight of patient protocols
    • Community Acquired Pneumonia
    • Procedural Sedation
    • Analgesic/Antipyretic in Pediatrics
    • Febrile Neutropenia
    • Acute Myocardial Infarction
benefits from the eph
Benefits from the EPh
  • Adding a valuable member to the patient care team
  • Increasing focus on order screening, preparation, and selection of medications
  • Greater attention given to patient safety
  • Research and educational advancements
  • A dedicated pharmacist in the emergency department
  • It has been shown that pharmacists as members of an inpatient care team reduce the number of adverse events

Bond CA, et al, Pharmacotherapy, 1999; 19(6).

Leape LL, et al JAMA, Mar 2000; 283(10).

Gattis WH, et al, Arch Internal Med, 1999; 159(16).