Clinical pharmacy is a healthcare related science allowed the pharmacist to provide patient care by optimized medication therapy and promotes health, wellness, and disease prevention.
Clinical pharmacist works directly with the physician, other health care professionals, and patient to ensure that the medications prescribed for patients to contribute to the best possible health outcomes.
- Attend ward rounds and clinical meetings.
- Acts as an Auditor on physicians’ prescribing habits.
- Clinical pharmacist consults with medication therapy.
- Provide nursing staff with adequate information about.
- Medications and their therapeutic use.
- Method of administration.
- Potential adverse effects.
- Different dosage.
- Direct patient care to both inpatient and outpatient.
- Responsible for continuity of care for patients’ medication therapy.
- Participating in the P&T committee.
- Developing & updating formularies, updating clinical guidelines and conducting Pharmacoeconomic studies).
- Leadership role in developing and implementing policies and procedures for patient admissions, discharges, and transfers so that patients’ medication therapy is well managed regardless of patient transitions across care settings.
Clinical pharmacist workplaces
Clinical pharmacists practice is in many different health care environments:
- Outpatient clinics
- Emergency departments
- Community pharmacies
- Doctors’ offices
- Community-based clinics
- Managed care organizations
Clinical Pharmacy Service
Clinical pharmacy is the area of practice within the health organization in which the pharmacist, through his work within an interdisciplinary team, applies his clinical judgment to assure safe and appropriate use of Medications.
The clinical pharmacist is involved in medical rounds with the other health care professionals to provide the following service:
Clinical Pharmacist Responsibilities
In Patient Care
- Ward hospital pharmacist.
- Pharmacokinetic consultation service.
- Participates in Medication use evaluation.
- Actively participates in writing or evaluating Medication therapy protocols.
- Suggests appropriate therapeutic alternatives for non-formulary Medications.
- Participates in research activities.
- An active member in P&T committee.
Outpatient care Responsibilities
- Medication reconciliation
- Monitor patients according to key indicators.
- Adjust medication doses as necessary.
- Improve patient compliance.
- Report medication errors.
- Educate patients and providers about managing these conditions.
Key clinical pharmacist competencies
Clinical pharmacy standards of practice
The Competency Standards for Clinical Pharmacists describe eleven functional areas covering a broad area of professional performance:
1. Medicine History Interview
2. Prescription Monitoring and Review
3. Recommendation of treatment changes
4. Developing a pharmaceutical care plan
5. Prevention, Detection, Assessment and Management of Adverse Medication Reactions
6. Prevention, Assessment and Management of Medication Interactions
7. Prevention, identification, management and reporting of medication incidents
8. Provision of Medicines Information Advice by Pharmacists
9. Patient Medicine Education
10. Therapeutic Medication Monitoring (TDM)
11. Participating in formulary decisions and Medication use evaluation.
Clinical pharmacist workflow
Documentation can be used to provide evidence of the effect of clinical pharmacy services on patient care. It can also be used to obtain adequate resources for continuity of service.
This may include:
1- Patient history form for newly admitted patients.
2- Clinical pharmacist follow up form for Resident, patient follow-up.
3- Clinical pharmacist recommendation form in the patient medical file
Where Clinical pharmacist documents his medication-related notes in a Patient medical file in case of physician unacceptance or difficulty to reach decision-making physician.
4- Medication Information Request form
Where Pharmacist document Medicine Information enquiries and Response to patient-specific questions from other members of the healthcare team.
5- Patient counselling checklist
- Educational tool for an effective counselling session.
- Clinical pharmacist discharge checklist including items to be checked for a discharged patient.
- Patient counselling form is given to the patient.
6- Clinical pharmacist interventions monthly report
- Every pharmacist should document at the end of working day all his interventions in excel sheet.
- At the end of each month will be a report where errors are calculated /no of doses.
7- Medication error report form