“即用型”可延展移动静脉用药调配中心在我院的建立与应用

Establishment and Application of“Ready-to-use”Extended Mobile Baxter Intravenous Admixture Service in Our Hospital

目的:评价"即用型"可延展移动静脉用药调配中心(BIVAS)用于静脉用药集中调配服务的实用性和有效性。方法:结合《静脉用药集中调配质量管理规范》要求及我院已有的静脉用药调配中心(PIVAS)的建设及管理特点,从前期筹建到后期的试运营对BIVAS各环节的建设及管理方法进行介绍及总结。结果与结论:从评估、选址、建设、调研、人员配备、运行等方面介绍了我院建立BIVAS的具体措施和方法,并通过实例证明BIVAS可满足我院东院区8个病区日均600余袋的调配工作常规需求。由于BIVAS不但具备与PIVAS相当的无菌调配设备与技术,且具有对空间要求更低、建设周期更短、组合方式更灵活、对资金等卫生资源的占用更少、后期保养维护更便捷等多种优势。在医院受到建设资金、场地、时间等因素限制的情况下不能建设PIVAS时,BIVAS可代替PIVAS有效完成一般工作量下的静脉用药调配服务,具有一定的实用性。

OBJECTIVE：To review the practicality and effectiveness of＂Ready-to-use＂extended mobile Baxter intravenous admixture service（BIVAS）in the application of intravenous medication centralized deployment services. METHODS：Combined with the requirements of Intravenous Admixture Centralized Deployment and Quality Management Practices,and the present establishment and management characteristics in pharmacy intravenous admixture services（PIVAS） in our hospital,the development and management methods of BIVAS each link were introduced and summarized from pre-building to post-trial operation. RESULTS CONCLUSIONS：Specific measures and methods for developing BIVAS in our hospital were introduced from aspects of assessment,site selection,building,research,staffing and operation,etc. It had proved that BIVAS can achieve a daily compoundingload of about 600 bags in 8 wards of eastern branch of our hospital. Since BIVAS holds advantages in sterile dispensing equipment and technology that is comparable to PIVAS,and lower space requirements,shorter building periods,more flexible combination,less occupation of funds and other health resources as well as more convenient post-maintenance,it can take the place of PIVAS to effectively complete intravenous drug deployment services under general workload with certain practicality when a hospital couldn＇t build PIVAS limited by building funds,venues,time and other factors.