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Clinical pharmacy
From Wikipedia, the free encyclopedia
Standards of Practice for Clinical Pharmacists

​
Clinical pharmacy is the branch of Pharmacy where pharmacists provide patient care that optimizes the use of medication and promotes health, wellness, and disease prevention.  Clinical pharmacists care for patients in all health care settings but the clinical pharmacy movement initially began inside hospitals and clinics. Clinical pharmacists often collaborate with physicians and other healthcare professionals.

Clinical pharmacists have extensive education in the biomedical, pharmaceutical, sociobehavioral and clinical sciences. Most clinical pharmacists have a Doctor of Pharmacy (Pharm.D.) degree and many have completed one or more years of post-graduate training (e.g. a general and/or specialty pharmacy residency). Many clinical pharmacists also choose to become Board Certified through the Board of Pharmacy Specialties (BPS) which was organized in 1976 as an independent certification agency of APhA (American Pharmacists Association). A pharmacist may become a Board Certified Pharmacotherapy Specialist (BCPS), a Board Certified Oncology Pharmacist (BCOP), Board Certified Nuclear Pharmacist (BCNP), Board Certified Nutrition Support Pharmacist (BCNSP), a Board Certified Psychiatric Pharmacist (BCPP), or a Board Certified Ambulatory Care Pharmacist (BCACP) through the Board of Pharmacy Specialties (BPS). There are also subspecialties within the Pharmacotherapy specialty: Cardiology and Infectious Disease. It is denoted as an "Added Qualification" or AQ. In order to obtain one of these specialties you must first be a Board Certified Pharmacotherapy Specialist (BCPS) and then submit a portfolio to the Board of Pharmacy Specialties for review to determine if they will grant you the added qualifications. An up-to-date explanation of pharmacy education leading to the Doctor of Pharmacy degree and Specialty Board Certification can be viewed at: http://www.youtube.com/watch?v=MvPb5peBnAY.

Within the system of health care, clinical pharmacists are experts in the therapeutic use of medications. They routinely provide medication therapy evaluations and recommendations to patients and other health care professionals. Clinical pharmacists are a primary source of scientifically valid information and advice regarding the safe, appropriate, and cost-effective use of medications. Clinical pharmacists are also making themselves more readily available to the public. In the past, access to a clinical pharmacist was limited to hospitals, clinics, or educational institutions. However, clinical pharmacists are making themselves available through a medication information hotline, and reviewing medication lists, all in an effort to prevent medication errors in the foreseeable future.

In some states, clinical pharmacists are given prescriptive authority under protocol with a medical provider (i.e., MD or DO), and their scope of practice is constantly evolving. In the United Kingdom clinical pharmacists are given independent prescriptive authority.

Basic components of clinical pharmacy practice

  1. Prescribing drugs  
  2. Administering drugs 
  3. Documenting professional services
  4. Reviewing drug use
  5. Communication
  6. Counseling
  7. Consulting
  8. Preventing Medication Errors

Scope of clinical pharmacy:

Drug InformationDrug 
UtilizationDrug Evaluation and SelectionMedication 
Therapy Management 
Formal Education and Training ProgramsDisease State Management
Application of Electronic Data Processing (EDP)
About Clinical Pharmacists

Standards of Practice for Clinical Pharmacists

What is a clinical pharmacist?Clinical pharmacists work directly with physicians, other health professionals, and patients to ensure that the medications prescribed for patients contribute to the best possible health outcomes. Clinical pharmacists practice in health care settings where they have frequent and regular interactions with physicians and other health professionals, contributing to better coordination of care.
The clinical pharmacist is educated and trained in direct patient care environments, including medical centers, clinics, and a variety of other health care settings. Clinical pharmacists are frequently granted patient care privileges by collaborating physicians and/or health systems that allow them to perform a full range of medication decision-making functions as part of the patient’s health care team. These privileges are granted on the basis of the clinical pharmacist’s demonstrated knowledge of medication therapy and record of clinical experience. This specialized knowledge and clinical experience is usually gained through residency training and specialist board certification.
What do clinical pharmacists do?Clinical pharmacists:
  • Assess the status of the patient’s health problems and determine whether the prescribed medications are optimally meeting the patient’s needs and goals of care.
  • Evaluate the appropriateness and effectiveness of the patient’s medications.
  • Recognize untreated health problems that could be improved or resolved with appropriate medication therapy.
  • Follow the patient’s progress to determine the effects of the patient’s medications on his or her health.
  • Consult with the patient’s physicians and other health care providers in selecting the medication therapy that best meets the patient’s needs and contributes effectively to the overall therapy goals.
  • Advise the patient on how to best take his or her medications.
  • Support the health care team’s efforts to educate the patient on other important steps to improve or maintain health, such as exercise, diet, and preventive steps like immunization.
  • Refer the patient to his or her physician or other health professionals to address specific health, wellness, or social services concerns as they arise.
How do clinical pharmacists care for patients?Clinical pharmacists:
  • Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patient’s medication use.
  • Consult with the patient’s physician(s) and other health care provider(s) to develop and implement a medication plan that can meet the overall goals of patient care established by the health care team.
  • Apply specialized knowledge of the scientific and clinical use of medications, including medication action, dosing, adverse effects, and drug interactions, in performing their patient care activities in collaboration with other members of the health care team.
  • Call on their clinical experience to solve health problems through the rational use of medications.
  • Rely on their professional relationships with patients to tailor their advice to best meet individual patient needs and desires.
How do you find a clinical pharmacist?Clinical pharmacists practice in many different health care environments: hospitals and their affiliated outpatient clinics, emergency departments, community pharmacies, physicians’ offices, community-based clinics, nursing homes, and managed care organizations.
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