Utilizing Pharmacists to Optimize Medication Management Strategies During the COVID-19 Pandemic

Autor: Edward Murray, L. Hayley Burgess, Karla M Miller, Mandelin Cooper, Scott Harris, Joan S. Kramer, Elizabeth Wiggins
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pharmacy Practice. 35:184-189
ISSN: 1531-1937
0897-1900
DOI: 10.1177/0897190020961655
Popis: As the COVID-19 pandemic swept through the United States, our heath-system mobilized clinical pharmacy services to address critical clinical medication management needs. Reinforcing recommended medication management strategies for clinical pharmacists was key to successful implementation. Best practice strategies include converting patients from intravenous (IV) to oral medication, transitioning to IV push medication administration, evaluating standard medication administration timing, reviewing metered dose inhaler (MDI) and nebulizer utilization, using alternatives for medications in short supply, reviewing coronavirus disease COVID-19 treatment recommendations, reviewing COVID-19 patient care on interdisciplinary rounds, de-prescribing and de-escalating to eliminate unnecessary medications, and assessing for appropriate venous thromboembolism prophylaxis. These strategies served to help protect medication supply, reduce number of staff entries into patient rooms to conserve personal protective equipment, limit nursing time in patient rooms to reduce COVID-19 exposure risk, and to conserve compounding supplies. Here we present example medication management guidance as used by a large healthcare system during the COVID-19 pandemic.
Databáze: OpenAIRE