我院PIVAS新生儿静脉用药集中调配工作模式探讨

Investigation of the Work Mode of Centralized Dispensing for Neonatal Intravenous Drug in PIVAS of Our Hospital

目的:为保障新生儿静脉用药的安全、有效提供参考。方法:介绍我院静脉用药调配中心(PIVAS)新生儿静脉用药集中调配的工作模式。结果:我院新生儿静脉用药医嘱由医嘱审核药师审核后,统一进行批次编排、标签打印和摆药贴签等工作,并按给药方式(静脉滴注或静脉推注)统计医嘱数量转交调配药师进行药品调配。采用的预配方法包括中浓度集中预配法、单瓶定容预配法和终浓度集中预配法。调配完成后,调配间内由调配人员复核成品质量,调配间外由核对药师复核成品终剂量。除此以外,新生儿用药每个批次调配完成打包装箱后由配送人员优先配送。结论:在PIVAS集中调配新生儿静脉用药,不仅提高了药品调配的质量,保障了新生儿静脉用药的安全、有效,而且还节约了人力资源,提高了护理质量。

OBJECTIVE:To provide reference for guaranteeing the safe and effective use of neonatal intravenous drug.METHODS:The work mode of centralized dispensing for neonatal intravenous drug in PIVAS of our hospital were introduced.RESULTS:After reviewed by pharmacists in charge of medical order review,unified batch arrangement,label printing and labeling of neonatal intravenous drug medical order were conducted in our hospital.The number of medical orders were counted according to route of administration(intravenous drip or intravenous infusion),and transferred to pharmacists for drug dispensing.The methods of drug pre-dispensing included concentration centralized pre-dispensing method,single bottle quantitative pre-dispensing method and final concentration centralized pre-dispensing method,etc.After dispensing,the quality of finished products was rechecked by the dispensing staff in dispensing room,the final dose was checked by pharmacists outside dispensing room.In addition,distribution personnel gave priority to distribution of each batch of neonatal drugs after packaged.CONCLUSIONS:The centralized dispensing for neonatal intravenous drug in PIVAS not only improves the quality of drug dispensing,guarantee safe and effective use of neonatal intravenous drugs,but also saves human resources and improves the quality of nursing.