某院在新型冠状病毒肺炎疫情下口服药房应急管理策略的实践及其对策探究

Practice of Emergency Management Strategy for Oral Pharmacy in a Hospital at the period of COVID-19 and Its Countermeasures

目的:探究新型冠状病毒肺炎(COVID-19)疫情下口服药房应急管理策略的实践及其对策,以期进一步做好COVID-19疫情下药学人员的预防和防控工作,切实有效保障医院住院患者口服药品供应工作。方法:采用"头脑风暴"法,制定针对COVID-19感染防控应急管理策略并实施,普及COVID-19基础知识,开展医务人员防控知识培训,实施三级防护,正确处理医用废弃物;实行分级管理,物流配送人员在指定区域进行药品交接核对;病区护工相关人员应佩戴口罩,发帽、护目镜、手套等方可到口服药房取药区拿取住院患者医嘱和药品;药品配送车的消毒,以确保使用器械无感染风险;并建立COVID-19疫情下应急保障药品目录、应急保障药品调剂管理流程,开展互联网医院在线用药咨询服务。结果与结论:医院口服药房为疑似、发热、确诊的COVID-19患者提供精准的药学服务,确保了应急管理策略的实施,为突发公共事件的事前预防、事发应对、事中处置和善后管理的落实起到积极作用。

Objective: To explore the practice of emergency management strategy for oral pharmacy in a hospital at the period of COVID-19 and countermeasures so as to further improve the prevention and control of COVID-19 among pharmaceutical personnel, and effectively guarantee the supply of oral drugs to inpatients in hospitals. Methods: Using the "brainstorming" method, the emergency management strategies for COVID-19 infection prevention and control were developed and implemented. Basic knowledge of COVID-19 were popularized. Training of medical personnel on prevention and control knowledge, and implementation of three-level protection, and medical wastes were properly disposed, implementation of hierarchical management and logistics distribution personnel in the designated area to check and hand over drugs. Nurses in the ward should wear masks, hair caps, goggles and gloves before they can go to the oral pharmacy to pick up inpatients’ orders and medicines. Disinfection of drug delivery vehicles to ensure that there is no risk of infection. In addition, a list of medicines for emergency protection under COVID-19 and a management process for dispensing medicines for emergency protection have been established, and online drug advisory services have been provided to hospitals on the Internet. Results and Conclusion: The hospital’s oral pharmacy provided accurate pharmaceutical care for patients with suspected, fever and confirmed COVID-19, which ensured the implementation of the emergency management strategy and played a positive role in the implementation of the prevention, response, handling and after-care management of public emergencies.