The responsibilities of hospital pharmacists have changed from traditional dispensing, preparation and drug purchase to modern clinical pharmacy and pharmaceutical services, guiding rational drug use, and gradually realizing individualized drug administration, correct use of special drugs, clinical drug consultation, drug compatibility research, establishment of adverse drug reaction monitoring network and therapeutic drug monitoring. All of them are used by hospital pharmacists in clinic, and patients become their direct customers. The state has strict requirements for hospital pharmacists. Although there is no standard, with the rapid development of medicine, many pharmaceutical experts have discussed the actual situation of domestic hospital pharmacies.
1 The concept and function of pharmacist refers to a senior pharmacist who has received higher education, engaged in drug dispensing, preparation, inspection and production in pharmaceutical affairs and pharmaceutical enterprises of medical and preventive institutions, and passed the examination by the health department. Hospital pharmacists refer to those who graduated from pharmaceutical colleges, engaged in hospital pharmacy work and passed the examination by the health administrative department, including pharmacists, pharmacists in charge, pharmacists in charge.
The functions of hospital pharmacists include: ① ensuring drug supply, including drug purchase, dispensing, preparation, drug inspection, drug storage and custody. It is the guarantee of basic medication in hospitals.
② Clinical pharmaceutical services, including clinical pharmacy and pharmaceutical services. Pharmacists participate in the formulation of drug administration plan, act as medical personnel, guide rational drug use, carry out pharmaceutical research, screen and evaluate drugs, develop drugs, and undertake teaching tasks, which are the guarantee for clinical safe, effective and rational drug use.
2. pharmaceuticalcare refers to the direct and responsible services provided by pharmacists to the public (including medical staff, patients and their families) by using pharmaceutical professional knowledge, so as to improve the safety, effectiveness and economy of drug treatment and achieve the ideal goal of improving and improving the quality of human life.
Pharmaceutical service permeates the whole medical care process, whether it is prevention, treatment or recovery, whenever and wherever, pharmaceutical service directly faces the people in need of service, thus achieving the treatment goal.
The duty of hospital pharmacists is to implement pharmaceutical services and provide professional guidance for ensuring safe and effective drug use. This brand-new concept has been recognized by most hospital pharmacists in China. In order to achieve the ultimate goal of pharmaceutical care, it is required that the service should have the characteristics of high quality, high efficiency, economy, continuity and easy access. Pharmaceutical service not only requires the active participation of pharmacists, but also emphasizes that pharmaceutical service needs to be completed through collective cooperation. Through the implementation of whole-course pharmaceutical care, the safety and effectiveness of drug use can be improved, rational and economical drug use can be realized, and the quality of life of the public can be improved.
2. 1 drug therapy is the basis of pharmaceutical services. Drug therapy is the application of drugs to treat diseases. It is the basic means of clinical medicine and the most widely used in various treatment methods. The main contents of drug therapy include: the pharmacokinetic process of drugs acting on the body; Pharmacodynamic process of drugs acting on the body; Through its pharmacological action, drugs have an impact on the pathological and physiological processes of diseases or diseases, thus transforming them into therapeutic effects and producing therapeutic processes.
2.2 Clinical pharmacy is the main content of pharmaceutical care. Clinical pharmacy refers to the branch of pharmacy that discusses the law of clinical medication and promotes the rationalization of clinical medication. The main task of clinical pharmacy is to use the knowledge of modern medicine and pharmaceutical science to continuously improve the level of clinical drug treatment and ensure patients to use drugs safely, effectively and economically around the core issue of rational drug use. Therefore, it is the core to study and guide rational drug use.
The specific tasks of clinical pharmacy in pharmaceutical service are: ① pharmacists go deep into the clinic and participate in drug administration and treatment; ② Monitoring of therapeutic drugs; ③ Providing pharmaceutical information service; ④ Monitoring of adverse drug reactions; ⑤ Carry out prescription analysis; ⑥ Research, development and utilization; ⑦ Study on new preparations and new dosage forms. Therefore, clinical pharmacy is the main content of pharmaceutical service, or the development of pharmaceutical service further expands the content of clinical pharmacy. In addition, pharmacoeconomics is a methodological tool to carry out pharmaceutical services, and management is the organization, system and human resource guarantee to carry out pharmaceutical services.
Although it has been 10 years since the concept of pharmaceutical service was put forward, how to effectively implement pharmaceutical service is still in the process of exploration, and there is no clear model or procedure. China's pharmaceutical service is still in its infancy, and the overall service level is low (including the professional level of personnel and the level of pharmaceutical service), and the scope of pharmaceutical service is narrow and lacks depth. The formulation of high-standard quantitative standards actually puts forward the expected work objectives. In order to achieve this goal, all staff must make efforts subjectively and practically, and finally promote the overall improvement of pharmaceutical service level.
Pharmaceutical service puts forward high requirements for the quality of pharmaceutical personnel. Due to the limitations of pharmaceutical education in China, it is necessary for pharmaceutical personnel to continuously improve their knowledge structure and psychological quality. At present, the implementation of pharmaceutical care in China is not very fast. In addition to education, the inertia of personnel is also an obstacle. Through the assessment of quantitative standards, on the one hand, it can make relevant personnel feel pressure and urge them to participate in the process of pharmaceutical care, on the other hand, it can urge them to keep charging? Electricity? Learn to improve your professional quality. Make everyone clear about their responsibilities and work contents, so as to improve work efficiency, ensure work quality and promote the development of pharmaceutical services.
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