Oct. 16-23 is National Hospitaland Health-System Pharmacy Week. Tucson Medical Center celebrates the vital role of our Pharmacy, which has a staff of 109. To get a sense about what Pharmacy does at TMC, we turn to Eric Bergstrom, Pharm.D., clinical lead pharmacist:
What does Pharmacy do at the hospital? We are the drug experts. We get many phone calls from nurses, doctors and other staff asking us the dose and side effects of medications, how to administer them, and if there are interactions or incompatibilities.
We have technicians documenting medication histories from patients in the Emergency department. Technicians also repackage bottles of medications into individual packages with barcodes on them. They deliver medications to the nursing units every hour (or sooner for stat drugs). Technicians in the IV room prepare thousands of sterile products weekly including antibiotics, nutritional solutions, chemotherapy, IV fluids, pain medications, investigational drugs and many more.
The pharmacists keep busy checking new medications going out to Nursing, verifying orders from providers, monitoring high-risk drugs, adjusting doses for kidney and liver disease, changing meds to oral when appropriate, evaluating fall risks from medications, ordering appropriate labs for follow-up and will soon be adjusting medications used for stress ulcer prophylaxis.
Some nursing areas have pharmacists that round and review patients daily. There are some specialized teams in the Pharmacy:
- PICC line nurses insert central lines from the arm
- TPN pharmacists adjust nutrients and electrolytes in IV solutions
- EPIC pharmacy specialists help set up the computer system for medications and staff
- PYXIS specialists help set up medication-distribution machines
- Glycemic-control pharmacists make changes to patients’ medications to better control their blood sugars
- Antimicrobial-stewardship pharmacists look at antibiotic use and change practice to reduce resistance and increase efficacy
- And, most recently, the pain-team pharmacists help improve patients’ pain scores and reduce side effects from their medications
In addition, the Outpatient pharmacy (located by the Emergency department) fills 55,000 scripts per year which is about 85 percent of all prescriptions for employees and their families.
We have wonderful management and support staff who keep our department running efficiently through scheduling, training and communication. TMC Pharmacy is involved in many multidisciplinary teams that add to the quality of patient care at TMC. Pharmacy plays a vital role in drug distribution and patient safety with the other members of the patient care team, including nurses, physicians, therapists, food service personnel and more.
We are proud to be TMC!