In clinical work, pharmacists should review the standardization and completeness of prescriptions (preface, text and postscript), the diagnosis and suitability of prescriptions, and the rationality of medication (route of administration, dosage, course of treatment and scope of reimbursement) before dispensing.
Prescription adjustment post is the most direct work for pharmacists to face patients directly. Providing correct prescription review, adjustment, review and medication guidance is the most basic guarantee to ensure drug treatment, the most important work of pharmacists, and the most important link to contact and communicate with doctors, drugs and patients. It is worth noting that with the transformation of pharmacists' work, the dispensing work should be changed from "specific operation experience service" to "pharmaceutical knowledge and technology service".
Participating in pharmaceutical care of clinical drug treatment requires pharmacists to strive for the best effect for patients in the whole process of drug treatment and provide patients with full pharmaceutical services. This also requires pharmacists to actively participate in the process of drug treatment, use their own drug knowledge and professional expertise, the latest drug information and drug detection methods, and participate in patients' medication in combination with clinical practice, and participate in the formulation of rational drug use plans. The object of drug treatment is the patient. In the current practice of drug clinical treatment, it still depends on the experience of clinical medication, and the bias of re-diagnosis and light treatment is still serious. Irrational drug use incidents occur frequently, and drug resources are seriously wasted. Pharmacists should work with clinical medical staff to combine medical treatment, pharmacy and nursing organically, take patients as the center, study the strategies and skills of rational drug use in drug treatment practice, formulate and implement a reasonable individualized drug treatment plan, select and use good drugs, and share medical responsibility with the best treatment effect and the lowest treatment risk.
Therapeutic drug monitoring Under the guidance of pharmacokinetics principle, it is an inevitable trend to monitor therapeutic drugs by using modern advanced analytical techniques. Under the guidance of TDM, it is an important way for pharmacists to participate in clinical drug treatment and provide pharmaceutical services by monitoring the whole process of patients' medication and analyzing the pharmacokinetic parameters, and working with clinicians to formulate and adjust a reasonable individualized medication plan.