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].