Expanding staff pharmacists' responsibilities to maintain pharmacy services in a neonatal intensive-care unit

Lobas, Nancy H.; Armitstead, John A.; Ivey, Marianne F.

doi:10.1093/ajhp/48.8.1708

Cited by 2 publications

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“…A total of thirty sources of information were included in the review . This literature was collected from a range of countries, predominantly from the USA (13 of 30) and UK (6 of 30) with reports from Australia, South Africa and Ireland.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, there is limited published literature comprehensively exploring the current roles of pharmacists in NICUs. Most of the published literature collected was approximately 10 years old or older, with seven articles published before the year 2000, and three published prior to 2006 . As such, grey literature including service standards, guidelines and position statements were used to describe a more contemporary practice where other literature was dated or absent.…”

Section: Resultsmentioning

confidence: 99%

“…The NICU pharmacist has been recognised as an important contributor to the prescribing process. Within relatively older literature, it was reported that pharmacists routinely assisted in the appropriate selection of medications, suggested dose changes, routes of administration, and advised on potential side‐effects . Pharmacists most commonly contributed to the prescribing process by participating in medical ward rounds .…”

Section: Resultsmentioning

confidence: 99%

“…Within relatively older literature, it was reported that pharmacists routinely assisted in the appropriate selection of medications, suggested dose changes, routes of administration, and advised on potential side‐effects . Pharmacists most commonly contributed to the prescribing process by participating in medical ward rounds . Ward rounds in the NICU provided an opportunity for pharmacists to engage in bedside pharmacotherapeutic consultations and improve inter‐professional communication .…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the role involved the evaluation of medication charts for medication appropriateness, correct dosages according to the weight of the neonate, drug–drug/drug–laboratory value/drug–nutrient interactions, allergies, medication duplication, timing of administration (particularly with concurrent IV fluids or supplements), route of administration, adherence to clinical protocols and procedures, as well as the review of relevant patient progress notes, diagnostic tests and laboratory values . In reviewing the patient's medication chart, NICU pharmacists also performed interventions to rectify medication safety issues which included correcting doses and modifying the route of administration . The benefits of a pharmacist‐led chart review were reported in one prospective study conducted in 2004 by Simpson et al .…”

Section: Resultsmentioning

confidence: 99%

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A global perspective of the roles of the pharmacist in the NICU

Krzyżaniak

Bajorek

2016

International Journal of Pharmacy Practice

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Objectives To describe pharmacist practice and roles performed in the neonatal intensive care unit (NICU) worldwide and to map these findings along the medicines management pathway (MMP). Method Quasi-systematic review. Search Strategy Google Scholar, Medline/PubMed and Embase were searched utilising the selected MeSH terms. Results Thirty sources of information were reviewed. Overall, pharmacist practice in the NICU involves a wide-range of roles, with the most commonly reported involving patient medication chart review, therapeutic drug monitoring and the provision of medication information. Studies highlight that pharmacist contribution to total parenteral nutrition (TPN) regimens and patient medication chart review is beneficial to patient outcomes. Roles beyond the regular scope of practice included involvement in immunisation programmes and research. Most of the data were collected from the USA (13 of 30), followed by the UK (6 of 30) and reports from other countries. The American, British, South African and Australian articles have reported very similar roles, with a pharmacist firmly integrated into the overall structure of the NICU team. Conclusion The literature identifies that there is insufficient evidence to describe what roles are currently performed in NICUs worldwide. This is due to the lack of recently published articles leading to a large gap in knowledge in understanding what contemporary pharmaceutical services in the NICU comprise. Further research is required to address these gaps in knowledge, and identify the impact of the pharmacist's role on neonatal patient outcomes as well as to determine how to better resource NICUs to access pharmacy services.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A global perspective of the roles of the pharmacist in the NICU

Krzyżaniak

Bajorek

2016

International Journal of Pharmacy Practice

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Pharmaceutical Care for Medication Safety in Critically Ill Neonates

2020

Korean J Clin Pharm

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Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.

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Expanding staff pharmacists' responsibilities to maintain pharmacy services in a neonatal intensive-care unit

Cited by 2 publications

References 0 publications

A global perspective of the roles of the pharmacist in the NICU

A global perspective of the roles of the pharmacist in the NICU

Pharmaceutical Care for Medication Safety in Critically Ill Neonates

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