临床药师以静脉用药调配中心为平台开展营养支持工作的实践

Development of Nutritional Support by Clinical Pharmacists with the Platform of PIVAS

目的:探讨临床药师以静脉用药调配中心(PIVAS)为平台开展全面、全程参与营养支持的工作模式。方法:PIVAS的临床营养药师除服务所在病区,为专科提供临床药学服务外,还依托PIVAS,对全院肠外营养液(TPN)医嘱进行审核、把关,如发现不合理医嘱,主动跟临床医师联系,开展用药指导、院内会诊,规范全院营养支持工作;此外,在PIVAS的工作中,临床营养药师充分参与TPN配置质量的管理,使药学监护在患者用药前、用药中、用药后全程覆盖,有效保证了患者的安全合理用药。结果与结论:临床营养药师能够从临床给药方案制订、医嘱审核、肠外营养液规范化配置、用药监护、药学咨询等各方面开展临床营养工作,丰富并拓宽了临床药师发挥专业性作用的舞台,有力提高了医院合理用药的水平,推动了临床营养的蓬勃发展。

OBJECTIVE： To investigate the mode for the clinical pharmacists participating in clinical nutritional support more fully with the platform of PIVAS. METHODS： The clinical nutritional pharmacists of PIVAS not only serve the wards and provide pharmaceutical care for specialty department, but also check and examine TPN medical order based on PIVAS, such as contacting with clinical physicians voluntarily to develop medication guidance and nosocomial consultation, and standardize TPN if find irrational med- ical orders. In PIVAS, clinical nutritional pharmacists full participate in the quality management of TPN in order to provide pharmaceutical monitoring before, during and after medication and guarantee safe and rational drug use effectively. RESULTS＆CONCLUSIONS： Clinical nutritional pharmacists can carry out nutritional support from the respective of the design of dosage regimen, medical order checking, TPN admixture, medication monitoring, pharmacy consulting and other aspects. It enriches and broadens the platform of professional skill of clinical pharmacists, effectively improves rational drug use and promotes the booming field of clinical nutrition.