Service content
In order to follow perfect hospital pharmaceutical care, hospital
pharmacists have gradually walked out of the ”pharmacy” and into ”ward”,
”community” and ”family”. Thus, the duties of hospital pharmacists are
reflected not only in the various processes of drug management, but in
clinical services, teaching and scientific research. And its specific
work includes doctor’s order review, patient monitoring and ward rounds,
drug restructuring, drug use records, patient drug education and
scientific research work involving basic, clinical and management. Among
them, clinical pharmaceutical care is the most important and complex
work, including the use of pharmacist outpatient or consulting services
to guide drug use, drug treatment monitoring (TDM), adverse reaction
monitoring, drug evaluation and so on. Currently, there are different
understandings of prescription rights in the service content of
pharmacists in the world, especially regarding whether pharmacists
should have prescription rights and the scope of prescription rights.
Whether the prescription power should be extended to the scope of
pharmacist practice, Different organizations or regions have certain
research results and opinions. Some studies support the expansion of
prescription users: a randomized trial shows that pharmacists prescribe
a greater drop in blood pressure in patients with hypertension,
indicating that pharmacists can independently prescribe reasonable drug
treatment for patients with hypertension [5]; since California
pharmacists were approved to prescribe contraceptive, the contraceptive
prescription prescribed by pharmacists has provided speed and
convenience for many women to use contraceptives[6]; it is also
considered that after strict and scientific prescription training, and
then guide the prescribers to carry out prescription practice, provide
the necessary tools, and then effectively assess the risk of
prescription expansion, so that pharmacists can write prescriptions
safely and benefit patients to the maximum extent[7]. However,
prescription application is an extremely rigorous process, with too much
emphasis on the beginning and continued use of drugs and ignoring
heterogeneity among different regions, which has great potential risks
and is not responsible for patient care and safety [8]. For example,
the direct dispensing of naloxone by pharmacists does significantly
reduce the fatal overdose, but the non-fatal overdose will increase to a
certain extent [9] and affect the patient’s accessibility to
naloxone use[10].