01-11-2012 12:10 PM - edited 01-11-2012 01:40 PM
Thanks for joining our webinar with Misty Boachie, who discussed establishing clinical pharmacy programs for community hospitals.
Have a question for Misty? Post it here and she will respond for a limited period of time.
01-11-2012 02:35 PM
Here is a question from one of our live attendees:
What types of anticoagultion monitoring are you performing? Do you currently counsel all inpatients receiving warfarin? Are you targeting specific antibiotics in your surveillence program?
01-16-2012 02:14 PM
All of these are awesome questions! Thanks!
1. All of our anticoag monitoring is report-driven. We have a warfarin list that shows every warfarin patient and respective INR's. We have a "HIT" report that shows every heparin and Lovenox patient along with platelet and H/H values.
2. Our current staffing model does not allow us to counsel every patient. We have built-in coumadin teaching redundancy b/c nursing, dietary, and pharmacy each play an educational roll. Our thinking is that if one department can't provide counseling, another department will. And in the best case scenario, a patient will be counseled by 3 different disciplines regarding warfarin.
3. We don't target specific antibiotics. We review a report that shows everyone in the house who is receiving an anti-infective. We also look at a report that shows every patient with a positive culture. Again, redundancy, is critical for us. Infection Prevention reviews the same reports.
I hope this is helpful to you. Please don't hesitate to reach out to me. I wish you well!