Tiêu đề 3. WARD ROUND PARTICIPATION.pdf ✅

PHARMD GURU Page 1 INTRODUCTION: A ward round is a visit made by a medical practitioner, alone or with a team of health professionals and medical students, to hospital inpatients at their bedside to review and follow up the progress in their health. Usually at least one ward round is conducted every day to review the progress of each inpatient, though more than one is not uncommon. In certain practice settings such as psychiatry, the “ward round” may be conducted away from the patient’s bedside in a non-traditional fashion, where the team meets elsewhere to review each case. GOALS AND OBJECTIVES FOR CLINICAL PHARMACISTS ON WARD ROUNDS: As an important member of the healthcare team, pharmacists should attend ward rounds and clinical meetings whenever possible. This enables pharmacists to contribute prospectively to patient care through the provision of drug therapy. The goals of a clinical pharmacist’s participation in ward rounds are to:  Gain an improved understanding of patient’s clinical status and progress, current planned investigations and therapeutic goals.  Provide relevant information on various aspects of the patient’s drug therapy such as pharmacology, pharmacokinetics, drug availability, cost, drug interactions and adverse reactions.  Optimize therapeutic management by influencing drug therapy selection, implementation, monitoring and follow-up.  Investigate unusual drug orders or doses.  Assimilate additional information about the patient such as co-morbidities, medication compliance or alternative medicine use that might be relevant to their management.  Detect adverse drug reactions and drug interactions.  Participate in patient discharge planning. The Ward round participation also provides many learning opportunities for pharmacists. It allows pharmacists to see first-hand how drugs are used and prescribed and to see the effects of these drugs on patients. With time, pharmacists WARD ROUND PARTICIPATION
PHARMD GURU Page 2 develop an appreciation of how the patient’s own wishes and their social, cultural and economic circumstances may influence therapeutic choices. Even for experienced clinical pharmacists in teaching hospitals, it is very rare to finish a ward round without gaining new perspectives on some aspect of therapeutics or patient care. For those involved in academia and research, ward rounds allow identification of cases for clinical teaching and publication. Not the least, ward round participation strengthens the inter-professional relationship among various health professionals, leading to better healthcare practice and research. CLASSIFICATION OF WARD ROUNDS: Classification based on purpose of the round & composition of the healthcare team: 1) Pre rounds 2) Resident rounds 3) Chief rounds 4) Teaching rounds 1) PRE-ROUNDS:  Usually by interns (or) medical postgraduate students in teaching hospital.  Only few management decisions are made during these rounds.  Trainee clinical pharmacist may join the interns (or) post graduates in their pre rounds and complete the patient medication and clinical review at this time. 2) RESIDENT ROUNDS: In teaching hospitals, the registrar's and the residents, individually (or) as a team, conduct ward rounds. At least once a day at a fixed time, usually in the morning. 3) CHIEF ROUNDS:  In teaching hospitals, the chief unit, or the professor in a specialty conducts rounds together with other healthcare professionals.  Conducted for all patients under their care on a daily basis,  More challenging for clinical pharmacist in terms of their clinical knowledge. 4) TEACHING ROUNDS:  In teaching hospitals, academic medical staff conducts clinical teaching rounds for residents, medical post graduate students, Interns, medical UG students and Doctor of Pharmacy students.
PHARMD GURU Page 3  It is usually extension rounds, and is conducted only a few times a week.  It provides an opportunity for clinical pharmacists to improve their clinical knowledge.