How to provide outpatient pharmacy consultation services and rational medication use

How to provide outpatient pharmacy consultation services and rational drug use Keywords pharmacist outpatient pharmacy consultation rational drug use

Reasonable and correct use of drugs can achieve the expected therapeutic purposes. On the contrary, if used improperly, the efficacy of the drug will be weakened and even cause serious adverse reactions. Therefore, it is key for clinicians to choose drugs rationally, and it is also important for patients to correctly master the medication methods. Outpatient pharmacies provide drug consultation services and provide patients with Providing rational medication use is a very important task. I have been working in outpatient pharmacies for many years and have accumulated some experience in providing outpatient pharmacy consultation services and rational medication use.

1 The significance of pharmacists providing outpatient pharmacy consultation services

1.1 It is the need for pharmacists to guide patients in the rational use of medications. With the rapid development of medical science, the types of drugs are increasing, prescription drugs are becoming increasingly complex, and the adverse reactions of drugs are also increasing. How to apply drugs safely, effectively and economically has attracted widespread attention. Because physicians focus on clinical practice, it is impossible to have all the information about a drug. As a pharmacist, you have the advantage of being able to explain in detail the correct usage and dosage of drugs, as well as the various potential adverse reactions of drugs. You can also use pharmacoeconomics knowledge to recommend curative effects to patients based on their economic situation. Good, low-cost medicines allow patients to take medicines with confidence.

1.2 Improve patients’ compliance with rational medication use. With the reform of the medical and health care system, the traditional work model of "dispensing medicine according to prescription" in outpatient pharmacies is no longer suitable for the development of pharmacy in the new century. The work of outpatient pharmacies has changed from "supply-centered" to "patient-centered" change. Drug consultation reflects the transformation of pharmacists' functions. All actions of pharmacists are for the basic interests of patients, and they have gradually transformed from passive services of "asking and answering patients" to actively guiding patients to rationally use medications. Through drug consultation services, patients can better comply with medical instructions and cooperate with treatment. Enhance patients' medication knowledge and improve compliance through medication counseling. Acne is a common disease in dermatology. The treatment of this disease takes a long time, and most of them are combined with drugs. The drugs have certain side effects. For example, cimetidine, an old drug used to treat acne and a new one, is often mistakenly used by patients to treat gastroduodenal diseases. Ulcers etc. Because side effects may include diarrhea, bloating, dry mouth, bitter taste, drug fever, drug rash, etc., patients are prone to non-compliance. Therefore, pharmacists should explain to patients the importance of taking medications on time, in sufficient amounts, and according to the course of treatment to cure the disease, and explain possible adverse reactions and countermeasures during medication, so as to enhance patients' confidence in defeating the disease and medication compliance.

1.3 Promote rational drug use through consultation services. Through consultation work, pharmacists can accumulate rich practical experience in medication use, monitor and discover new adverse reactions of drugs, and provide timely feedback to the clinic. At the same time, pharmacists, as medical professionals, can reflect their suggestions and opinions on drug application to the hospital's pharmaceutical committee or the Drug Administration and Supervision Bureau. Thus serving as an information bridge.

Through consultation services, we can also discover the reasons why patients do not cooperate with clinicians and propose solutions. It can also provide patients with daily and psychological services and expand the hospital's extended functions. Provide patients with all-level and all-round drug knowledge promotion to promote the safety, effectiveness, applicability and economy of rational drug use.

2 Strategies to improve and strengthen consulting services and promote rational drug use

2.1 Improve quality and civilized services With the development of medical science, pharmacists are required to have strong prescription analysis Ability, drug consultation ability, medication guidance and other abilities. Because the consultation service is one of the departments in the hospital that has the greatest contact with patients. The service quality of its pharmacists, such as work attitude, words and deeds, civilized cultivation, service art, etc., directly reflect the service level of the hospital. Therefore, it is very urgent and important to improve the comprehensive quality of pharmacists. As a pharmacist, you should strengthen your sense of morality, professionalism, and career, as well as improve your professional quality. If you want to use science to serve others, you must enrich yourself with science and constantly enrich your pharmaceutical and medical knowledge. You must not only be a good consultant for doctors on medication use, but also be able to guide patients to use it rationally.

2.2 Responsibility, compassion and high-quality services Diseases not only require medical treatment, but also require benign psychological influence. Patients have diseases and heavy psychological and spiritual burdens. During the consultation service process, pharmacists have a strong sense of responsibility, compassion, dedication, consideration, and dedicated service to patients, so that patients can reduce their psychological burden. Deliver psychological care to patients. Provide good psychological suggestion and psychological support to patients. Encourage them to treat the disease correctly. Thereby eliminating the emotional, behavioral and physical symptoms caused by their psychological disorders. Make the patient's psychological response during the treatment of the disease develop in a direction conducive to the recovery and prognosis of the disease.

2.3 Recommended time pharmacology, focusing on time when taking medication. Medication time is one of the issues that patients are most concerned about in consultation services. Patients are dissatisfied with the simple answer of "how many times a day, how many pills at a time", but want to know more about when is the best time to take the medicine. For example, in the treatment of chronic urticaria, the best time to take the old drug indomethacin is 7 a.m. when the blood concentration of indomethacin is highest when taken, and the time to reach the highest point of blood concentration (peak time) is longer than that of other drugs. Time is fast. If the drug is taken at 7 o'clock in the evening, the peak time will be the longest, about 40% less than the time taken in the morning. The anti-allergic drug cyproheptadine will have the best effect if taken at 7 o'clock in the morning, and can last for 15 to 17 hours. If taken at 7 pm, it can only last for 6 to 8 hours. In the treatment of herpes zoster, the hormone drug prednisone is often used in combination. Clinicians recommend 15 mg once a day. According to the obvious circadian rhythm of adrenal cortical hormone secretion, secretion is high in the morning and lowest at midnight. Therefore, it is recommended that the best time to take prednisone is 5 a.m. in the morning. This kind of hormone therapy, which uses a total dose of three times a day and takes it once in the morning, not only has good effects, but also minimizes the side effects caused by taking hormones.

3 Suggestions

3.1 A dedicated person is responsible for arranging a supervisory pharmacist or a pharmacist with better professional skills to sit at the desk for consultation, and is equipped with a computer and relevant professional books so that the pharmacist can check all aspects of information at any time. Answer various questions from patients and medical staff in a timely manner. And keep original records of all consultation questions, including gender, age, questions raised by patients, answers, etc. Medication consultation: including drug usage, dosage, adverse reactions, compatibility, recommended medications, etc.

3.2 Strengthen information collection. Based on the content of consultations, regularly publish pharmaceutical briefings, recommend new hospital drugs to clinical clinics, introduce common knowledge about medication, report adverse reactions of drugs, and at the same time collect feedback from doctors on the use of new drugs in various departments. . Submit recommendations for elimination of varieties to the Pharmaceutical Affairs Committee.

3.3 Provide remote services. Set up a medication consultation hotline to accept individualized pharmaceutical services for patients in our hospital during the entire medication process. At the same time, it also provides services such as rational drug use, new drug recommendations, adverse reaction handling, and information collection for social groups and other objects.