it was a JC(?) mandate a while back but was pulled due to questions about how the heck to implement a pharmacist and integrate into the ED workflow. I'm not sure of the status as of today w/ that mandate, but I'm pretty sure it's still suspended as a hospital my friend interns at does not have a pharmacist in the ED.The hospital I volunteer for has a clinical pharmacist on duty in the ED 24/7... I'm going to go out on a limb here and say that every hospital/group is going to be different.
I think it's a great idea to have a pharmacist and a satellite pharmacy on the same floor as the OR. I just don't think that you need a pharmacist in the actual operating rooms during a procedure.I have worked in the OR as a tech (1 tech and 1 pharmacist on duty for the main OR hours), and in general we give out the NARCs for each procedure to start the day, make all of the irrigations, make sure all of the patients were dosed antibiotic properly, and then do whatever else is needed as it arises. It can get crazy at times, with calls for stat IV bags or irrigations or what have you coming from 3-4 OR rooms within minutes. I enjoy it though, the time passes fast and the M-F schedule off by 2:30 everyday can't be beat.
EDIT: Recently the hospital I work at decided to close the OR pharmacy and just add more accudose machines, but now they are once again BEGGING to have us back. A pharmacist is not really NEEDED in an OR setting, but if I were going under the knife I sure would want one there!
I shadowed both during my rotations, and I would personally vastly prefer the ER side. To me, the OR position seemed pretty superfluous except for keeping track of the narcs. It seemed like all that pharmacist did was reconcile narcs, check the work of the technicians, do billing of the drugs used during the surgeries, and answer the occasionally drug information question. Plus, it's specialized enough that she readily admitted that after a few years she forgot a lot of knowledge about "regular" drugs.Also, do you know the job description of an ER pharmacists?