- Joined
- Dec 23, 2005
- Messages
- 197
- Reaction score
- 0
- Points
- 0
- Pre-Pharmacy
Clinical pharmacy???
- Thread starter futurepharm.d.?
- Start date
- Joined
- Sep 11, 2005
- Messages
- 310
- Reaction score
- 19
- Points
- 4,621
- Pharmacist
you want to know what clinical pharmacy is? it is when a pharmacist is being dragged around with a rounding team, then, out of boredom, he gives an advice about drug selection, and then he is being ignored coz all physicians think nobody knows better about medicine than they do.
- Joined
- Jul 28, 2005
- Messages
- 3,547
- Reaction score
- 19
- Points
- 4,601
Bad day????Seriously...this has been discussed here a lot. Have you tried using the search function?
There are as many different answers as there are people that answer, so try looking at some of the old threads - its hard to reconstruct it all here.
Altho Konkan was j/king (I think😕 ).....that aspect does indeed occur to a certain extent, especially with teaching hospitals.
you should check out the accp website.. its either accp.com or org..
- Joined
- Jan 10, 2003
- Messages
- 2,642
- Reaction score
- 7
- Points
- 4,571
- Location
- Woodinville, Washington
- Pharmacist
I'm on my last rotation. My clinical work has mainly been renal dosing of meds, dosing vanco & gentamicin, investigating possible ADRs, etc.
Every hospital I've been at allows the pharmacist to dose vanco, gent, etc. One hospital let the pharmacist change the doses of other meds based on renal function. At the other hospitals, you wrote a pharmacist care note and left it in the chart for the physician. Almost all of the MDs follow the pharmacist's advice. But some of them have egos from hell and just throw them away.
For instance, yesterday I found a patient with a serum creatine of 1.6 and a creatinine clearance of 46. They were taking metformin 850mg three times a day. Because the drug is contraindicated in this population it needed to be discontinued, but the MD just cut it down to twice a day. The pharmacist phoned the MD and left a message, but there was no call back. Hopefully, the MD will think about it and do what's best for the patient.
Every hospital I've been at allows the pharmacist to dose vanco, gent, etc. One hospital let the pharmacist change the doses of other meds based on renal function. At the other hospitals, you wrote a pharmacist care note and left it in the chart for the physician. Almost all of the MDs follow the pharmacist's advice. But some of them have egos from hell and just throw them away.
For instance, yesterday I found a patient with a serum creatine of 1.6 and a creatinine clearance of 46. They were taking metformin 850mg three times a day. Because the drug is contraindicated in this population it needed to be discontinued, but the MD just cut it down to twice a day. The pharmacist phoned the MD and left a message, but there was no call back. Hopefully, the MD will think about it and do what's best for the patient.
