2.50
Hdl Handle:
http://hdl.handle.net/10755/306576
Category:
Abstract
Type:
Poster
Title:
Medication Management in the Emergency Department: I Need Help!
Author(s):
Bigowsky, Mary; Luchs, Brenda
Lead Author STTI Affiliation:
Non-member
Author Details:
Mary Bigowsky, MSN, RN, NEA-BC, mary_bigowsky@hmis.org; Brenda Luchs, MSN, RN, CEN
Abstract:

Research Abstract

Purpose: The emergency department staff is challenged with serving patients at all levels of acuity and ages in a fast paced environment. Optimum medication management is critical to positive outcomes for patients. The emergency physicians and staff recognized the need for clinical pharmacist support and requested this support through various organizational committees, including the Pharmacy and Therapeutics Committee where this concept was supported.

Design: A proposal to trial the role of a Clinical Pharmacist was developed, submitted and approved through our organization’s Foundation. The role of the Clinical Pharmacist in the emergency department was to integrate their practice into the emergency setting and to serve as a consultant to physicians and nurses for medication management and to serve as an educator for patients. A cost benefit analysis was used to evaluate the effectiveness of this role.

Setting: Urban tertiary care center Level 1 trauma center, Stroke Center, Cardiac Intervention Center in Northeast Ohio with an annualized volume of 45,000 visits.

Participants: Emergency Physicians, ED nursing leadership, ED staff nurses, Chief Pharmacy Officer, Clinical Pharmacist, and Executive Director Foundation.

Methods: The emergency physicians and staff were surveyed on pharmacy services prior to the implementation of the Clinical Pharmacist in the emergency department. The Clinical Pharmacist quickly integrated into the emergency staff as a consultant for both physicians and nurses. Consultation activities included prevention of adverse drug events, identification of appropriate antibiotics, toxicology management and drug calculations as well as responding and assisting in trauma and critical care events. In addition, the clinical pharmacist collaborated with the emergency nurses to provide medication teaching and medication reconciliation.

Results/Outcomes: A post implementation survey on pharmacy services conducted five months after the introduction of the emergency clinical pharmacist demonstrated a significant improvement in availability of consultative services, time to receive medication from the pharmacy, communication and involvement in patient care. Direct and indirect improvement in our Press Ganey patient satisfaction scores related to adequacy of information and information about home care we believe are due to our clinical pharmacist counseling and interacting with or patients. Financial outcomes were analyzed by categorizing clinical pharmacist activities and assigning a dollar value to activities and interventions. Results of this analysis reflected a benefit to cost ratio for the clinical pharmacist of greater than 3.43:1. The clinical pharmacist in the emergency department is a valuable team member, support and resource for the emergency staff and plays in integral role in providing safe effective care in the emergency department.

Implications: The Clinical Pharmacist plays an integral role in safe medication management in collaboration with nurses and physicians in the emergency setting. A creative way of funding this position in financially challenged organizations is through partnering with organization’s development foundations. The benefit of this support can be measured and demonstrated to be financially positive.

Keywords:
Medication Management in the ED
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleMedication Management in the Emergency Department: I Need Help!en_GB
dc.contributor.authorBigowsky, Maryen_GB
dc.contributor.authorLuchs, Brendaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMary Bigowsky, MSN, RN, NEA-BC, mary_bigowsky@hmis.org; Brenda Luchs, MSN, RN, CENen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306576-
dc.description.abstract<p>Research Abstract</p><p>Purpose: The emergency department staff is challenged with serving patients at all levels of acuity and ages in a fast paced environment. Optimum medication management is critical to positive outcomes for patients. The emergency physicians and staff recognized the need for clinical pharmacist support and requested this support through various organizational committees, including the Pharmacy and Therapeutics Committee where this concept was supported.</p><p>Design: A proposal to trial the role of a Clinical Pharmacist was developed, submitted and approved through our organization’s Foundation. The role of the Clinical Pharmacist in the emergency department was to integrate their practice into the emergency setting and to serve as a consultant to physicians and nurses for medication management and to serve as an educator for patients. A cost benefit analysis was used to evaluate the effectiveness of this role.</p><p>Setting: Urban tertiary care center Level 1 trauma center, Stroke Center, Cardiac Intervention Center in Northeast Ohio with an annualized volume of 45,000 visits. </p><p>Participants: Emergency Physicians, ED nursing leadership, ED staff nurses, Chief Pharmacy Officer, Clinical Pharmacist, and Executive Director Foundation.</p><p>Methods: The emergency physicians and staff were surveyed on pharmacy services prior to the implementation of the Clinical Pharmacist in the emergency department. The Clinical Pharmacist quickly integrated into the emergency staff as a consultant for both physicians and nurses. Consultation activities included prevention of adverse drug events, identification of appropriate antibiotics, toxicology management and drug calculations as well as responding and assisting in trauma and critical care events. In addition, the clinical pharmacist collaborated with the emergency nurses to provide medication teaching and medication reconciliation.</p><p>Results/Outcomes: A post implementation survey on pharmacy services conducted five months after the introduction of the emergency clinical pharmacist demonstrated a significant improvement in availability of consultative services, time to receive medication from the pharmacy, communication and involvement in patient care. Direct and indirect improvement in our Press Ganey patient satisfaction scores related to adequacy of information and information about home care we believe are due to our clinical pharmacist counseling and interacting with or patients. Financial outcomes were analyzed by categorizing clinical pharmacist activities and assigning a dollar value to activities and interventions. Results of this analysis reflected a benefit to cost ratio for the clinical pharmacist of greater than 3.43:1. The clinical pharmacist in the emergency department is a valuable team member, support and resource for the emergency staff and plays in integral role in providing safe effective care in the emergency department.</p><p>Implications: The Clinical Pharmacist plays an integral role in safe medication management in collaboration with nurses and physicians in the emergency setting. A creative way of funding this position in financially challenged organizations is through partnering with organization’s development foundations. The benefit of this support can be measured and demonstrated to be financially positive.</p>en_GB
dc.subjectMedication Management in the EDen_GB
dc.date.available2013-12-09T17:00:05Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:05Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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