我院新生儿静脉用药集中调配工作模式的建立及成效-中国药房.PDFVIP

我院新生儿静脉用药集中调配工作模式的建立及成效 ＊ # 朱石秀 ，邱日想，张雅溶，司徒冰（广州医科大学附属第三医院药学部，广州 510150） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2015）01-0074-03 DOI 10.6039/j.issn. 1001-0408.2015.01.24 摘 要 目的：为建立适用于新生儿静脉用药集中调配的工作模式提供参考。方法：介绍我院在基于成人静脉用药集中调配的工 作模式基础上，在药师审核处方、输液冲配方式、输液成品校对、输液成品打包方式等方面采用了一些区别于成人的调配方法，建 立的适用于新生儿的调配流程与操作技术，并对新模式建立后的成效进行评价。结果：建立的工作模式主要审方依据为我院整理 的新生儿常用药物检索表，调配方法为分类摆药及配制，输液成品校对采用成人输液成品复核流程再与新生儿特定总量复核相结 合的方式进行，打包运送则采用特别的形式。自该工作模式建立至今共干预不合理用药医嘱366条，且与原病区加药室环境下配 制相比，目前的100级洁净度环境提高了输液配制质量。结论：开展新生儿静脉用药的集中调配服务可充分发挥药师对促进临床 合理用药的重要作用，保障新生儿临床治疗的有效性与安全性，值得推广。 关键词 新生儿；静脉用药集中调配；工作模式；建立 Establishment and Effect of Neonatal Pharmacy Intravenous Admixture Mode in Our Hospital ZHU Shi-xiu ，QIU Ri-xiang ，ZHANG Ya-rong ，SITU Bing （Dept. of Pharmacy ，The Third Affiliated Hospital of Guangzhou Medical University ，Guangzhou 510150，China ） ABSTRACT OBJECTIVE ：To provide reference for the establishment of suitable neonatal pharmacy intravenous admixture mode. METHODS ：Based on adult pharmacy intravenous admixture mode of our hospital ，some methods which were different from adult pharmacy intravenous admixture method were adopted in respects of prescription check by pharmacists ，infusion preparation meth- od ，infusion product revision ，infusion product packaging method ，etc. Suitable neonatal dispensing procedure and operation tech- nology had been established in our hospital ，and the effect of established mode was evaluated. RESULTS ：Neonatal pharmacy intra- venous admixture mode had been established ，and prescription check was mainly based on the retrieve table of neonatal commonly used drug sorted out by our PIVAS ；the way to dispense drug was dispensing and mixing by drug type ；infusion product revision was carried out by means of adult infusion product recheck process combined with neonatal special total amount recheck. For pack- aging and transpo