1, attend rounds in clinical departments as much as possible every day, provide rational drug use suggestions for clinicians and patients, establish drug use calendars for key patients, and write three drug use calendars every month.

2. Cooperate closely with the clinic, and participate in clinical consultation and discussion of death records in time when clinical needs arise.

Second, the prescription spot check

1. Prescription of narcotic drugs and psychotropic drugs of category I: Prescribe all such drugs and check the rational use of drugs, and feed back the problems found to the dispensing department in time.

2. Prescriptions of psychotropic drugs of category II: randomly select 100 prescriptions of this category every month for prescription writing and rational drug use inspection.

3. General prescriptions (including emergency prescriptions and pediatric prescriptions): assist the dispensing department and the department director to complete the summary of such outpatient prescriptions every month.

4. According to the requirements of Prescription Management Measures, fill out the prescription evaluation form every month.

Every issue of Clinical Drug News publishes the problems in prescriptions, reminding clinicians to pay attention to prescription writing and rational drug use.

Third, the medical record spot check

1, randomly select 2 inpatient medical records of each department every month, check the rationality of drug use (especially the rationality of antibacterial drug use), feedback the inspection results to the clinic and score them, and then submit them to the quality control department for inclusion in the medical record quality assessment.

2. Randomly select 10 inpatient medical records from three clinical departments every quarter as planned, check the usage of antibacterial drugs in the top 10, analyze the inspection results and feed them back to the clinical departments.

3. Check 30 surgical records every month, check the use of antibiotics during perioperative period, and analyze the inspection results.

4. Investigate the use of antibacterial drugs in 100 inpatient medical records every month, and make a summary analysis every quarter.

Fourth, drug use analysis

The amount and quantity of outpatient drugs and inpatient drugs are statistically analyzed every quarter to analyze the rationality of drug use.

Verb (abbreviation of verb) Adverse drug reaction

Supervise the collection of adverse drug reactions in clinical departments, guide relevant personnel to fill in the adverse drug reaction report form, and report it to Sichuan Adverse Drug Reaction Monitoring Network before 25th of each month.

Six, "Clinical Medicine News"

Published quarterly 1 issue of clinical drug news, including prescription analysis, drug use analysis, adverse drug reactions, information corner and other columns, four issues throughout the year.

Seven, drug quality inspection

Check the appearance quality of three drugs (oral drugs, injection drugs and external drugs 1) in the pharmacy every month.

Clinical Pharmacist Work Plan II: Development and Plan of Clinical Pharmacist Work (3,500 words)

20 1 1 Completed the training of clinical pharmacists in the First Affiliated Hospital of Jilin University at the end of the year and returned to the hospital. Our hospital began to establish a clinical pharmacist system. After a period of preparatory work, with the great attention and strong support of President Wang Qi and the vice president in charge, the clinical pharmacy room was formally established on 20 12 and 1. Although the related work has been carried out by one person due to the shortage of human resources since its establishment, through unremitting efforts and study for half a year, I have accumulated rich experience in clinical pharmacy, successfully completed the scheduled work objectives and tasks, and made a detailed work plan for the smooth development of clinical pharmacy in the future.

At present, the clinical pharmacy work plan that our institute has carried out and will continue to carry out is as follows:

1. Formulated the working system and annual working target of clinical pharmacy.

Firstly, the responsibilities and system of clinical pharmacy room were formulated, and the work plan and objectives for 20 12 were formulated, and the monthly work summary was made in time. Make its work institutionalized, its operation streamlined and its responsibilities clear.

Second, strengthen prescription review and punishment for irrational drug use.

Clinical pharmacists randomly check 30 inpatient medical records and more than 500 inpatient electronic medical records every month, make prescription comments and irrational drug use analysis on our hospital's doctor's orders and prescriptions once a month, and feed back comments and suggestions to the medical political department. At the same time, relevant systems and regulations have been formulated, such as prescription review system and regulations on the management of clinical rational drug use.

Third, the special rectification of antibacterial drugs

Actively participating in the special treatment of clinical application of antibacterial drugs in hospitals has played a substantial and important role in the implementation of three-level management of antibacterial drugs. At present, the utilization rate of prophylactic use of antibacterial drugs in class I incision in our hospital is generally high, which can not meet the requirements of superiors at all. The utilization rate of antibiotics in inpatient and outpatient departments is counted and evaluated by departments or doctors on time every month. In addition, according to the regulations, the rationality of the use of antibiotics in the medical records and outpatient prescriptions of discharged patients is evaluated regularly.

When commenting on the inpatient medical records, I found the following problems in the rational use of antibacterial drugs in our hospital:

1) The usage rate of antibacterial drugs is too high;

2) Antibacterials are used for too long;

3) The selection of antimicrobial agents is unreasonable;

4) The single dose is unreasonable;

5) The timing of preventive administration is unreasonable;

6) The frequency of antimicrobial drug administration is unreasonable;

7) It is unreasonable to replace antibacterial drugs;

8) unreasonable drug combination;

9) There is no evidence such as the use of antibacterial drugs.

In April and June, the whole sample of electronic prescriptions for outpatient and emergency departments was reviewed, and the following problems were found:

1) No diagnosis;

2) The diagnosis is inconsistent with medication;

3) The frequency of administration is unreasonable;

4) The single dose is unreasonable;

5) Repeated medication;

6) unreasonable drug combination and other problems.

Five, strive to create and create an academic atmosphere

Always pay attention to and strengthen the cultivation and improvement of their professional quality and skills, learn from old clinical experts and professors with an open mind, study hard, strive to create and create an academic atmosphere, and create a learning department.

6. The current projects are as follows

1) Write on time every month:

1, three medical calendars;

2. Case analysis;

3. Discuss two cases.

2) Work in progress:

1, which has been carried out in some treatment areas:

(1) Drug intervention and record sheet;

(2) drug information consultation and fill in the record form;

(3) pharmaceutical evaluation of inpatients and filling in the record form;

(4) Clinical Practice Record Sheet;

(5) Attend the consultation and fill in the consultation record sheet;

(6) Investigate the drug use of inpatients and fill in the form.

2. The next planned work:

(1) Pharmaceutical education of inpatients and filling in records.

(2) Give medication guidance to discharged patients and fill in records, etc.

3) Report statistical indicators or information to the hospital and medical department on time every month:

According to the hospital, inpatient, outpatient, emergency and doctor categories, the proportion of antibacterial drug expenses, total antibacterial drug expenses, DDDS, utilization rate and other indicators, as well as the ranking of the top ten drugs and the ranking of the top ten doctors in hospitals.

Seven. Existing problems and deficiencies

Although small achievements and progress have been made in clinical pharmacy in the past six months, many work projects have not been carried out due to insufficient personnel and imperfect computer software, which is still far from the advanced level in the whole province and the whole country.

Specific performance in:

1. The working mode of clinical pharmacy is still being explored and explored, and all work needs to be further standardized and concretized, and the implementation and execution of the clinical pharmacist system needs to be improved and improved;

2. Clinical pharmacists lack deep clinical practice experience and ability, and their participation in clinical rational drug use needs to be further strengthened and improved;

3. There is a shortage of clinical pharmacy talents, and hospitals should strengthen the introduction of talents in this field and vigorously support the training and continuing education of on-the-job clinical pharmacy personnel;

4. The basic hardware facilities necessary for clinical pharmacy room, such as reference room and instrument room, need to be reasonably solved and improved by the hospital.

Seven. Future (long-term) work plan

1, speed up the construction of clinical pharmacy team.

According to the requirements of clinical pharmacy post allocation of the Ministry of Health, tertiary hospitals should be equipped with at least 5 full-time clinical pharmacists. However, in the first half of the year, only one person in our hospital officially participated in the work of clinical pharmacists, which is extremely disproportionate to the scale and business development of the hospital. This requires hospitals to strengthen the introduction of clinical pharmacy talents. Recently, two people have been selected for training, and it is necessary to continue to introduce two people with bachelor degree or above in clinical pharmacy to further enrich and strengthen the construction of clinical pharmacy team.

2. In the second half of the year, it is planned to feed back the opinions and suggestions to the Medical Administration Department, and then the expert group will review them. The final result will be publicized and financially punished through the hospital OA network. Incorrect prescription writing, drug incompatibility, drug overdose, drug use without indications, irrational use of antibacterial drugs that are not strictly implemented in accordance with the specifications will be notified on the OA website, and certain economic penalties will be given, directly to individuals. It aims to ensure medical quality and safety, improve clinical efficacy, promote rational and standardized drug use, and avoid the recurrence of similar problems.

3. Further improve the monitoring of adverse drug reactions.

According to the objectives and management rules of adverse drug reaction monitoring, the adverse drug reaction information of the National Adverse Drug Reaction Center will be cut, sorted and reported on the OA website in a timely manner every quarter. At the same time, the hospital's serious adverse drug reactions treatment plan was formulated, and the serious adverse drug reactions occurred in our hospital were promptly warned and analyzed, reminding medical staff to strictly grasp the indications, usage and dosage, and strengthen monitoring to prevent the recurrence of serious adverse reactions.

4, completes the hospital ward round records.

Through clinical departments, we should put forward opinions on irrational drug use of key, critical and difficult patients in the department, analyze and point out the problems existing in drug use and improvement measures. Communicate with department directors and clinicians on individual controversial issues to reach a consensus, mutual understanding, mutual promotion and common development.

5, guide the nursing staff to do a good job of drug please get, storage and correct use.

Regularly check the validity period and types of first-aid drugs in the first-aid medicine box of clinical departments, guide and train the nursing staff responsible for the management of first-aid drugs, and organize the relevant personnel of departments equipped with anesthesia, psychiatry and hormones to learn relevant laws, regulations and management systems to ensure the correct application, storage and use of the above drugs.

6. Strengthen the quality education of clinical pharmacy.

Clinical pharmacy is a highly professional pharmaceutical practice closely combined with clinical practice. It is required that every clinical pharmacist must have solid pharmaceutical knowledge and ideas, and at the same time, he must have rich clinical practice experience and master the latest progress of clinical drug treatment. Strengthening the study of clinical professional knowledge and going deep into wards to participate in ward rounds and consultations are the focus of next year's work. At the same time, hospitals and departments should attach importance to on-the-job training and continuing education of clinical pharmacy personnel, strengthen the cultivation of clinical practical skills, establish clinical thinking and clinical paths, and strive to create learning departments.

7. Improve the basic construction of clinical pharmacy.

Clinical pharmacy reference room and instrument room are the most basic infrastructure of clinical pharmacy. Next year, we will strive for the support and investment of the hospital and improve the necessary infrastructure such as reference books, periodicals, instruments and equipment in the clinical pharmacy room as soon as possible.

8. Participate in the monitoring of rational drug use.

20 10 the Ministry of health requires tertiary hospitals to participate in the national monitoring of rational drug use. The hospital information center should actively cooperate with the clinical pharmacy room, make preparations as soon as possible, and stress efficiency, so that the network report work in our hospital can be realized smoothly as soon as possible.

9, to carry out therapeutic drug monitoring.

The design, implementation and monitoring of individualized drug treatment plan require hospitals to monitor the blood concentration of digoxin and other drugs, so as to provide accurate clinical data for clinicians and provide objective basis for clinical individualized medication.

10. Discover, solve and prevent potential or actual medication problems, monitor drug safety, and feed back drug safety information in time.

Actively strengthen communication and cooperation with medical staff in the hospital. Medical, pharmaceutical and nursing staff actively discuss the medication problems that appear or may appear in the process of medication, and announce them in the hospital in time after drawing conclusions. Establish a sound monitoring network for adverse drug reactions, and collect, analyze and report adverse drug reactions in time. Through prescription evaluation, case analysis, clinical application monitoring of antibacterial drugs and dynamic monitoring of drug dosage, drug safety was monitored and drug safety information was fed back to the whole hospital in time.

1 1, and master the drug information related to clinical medication. Provide medical staff and patients with drug information consulting services, carry out rational drug use education, and guide patients to use drugs safely.

12, combined with clinical drug treatment practice, to study the clinical application of drugs and the prevention of drug use risks; Carry out research on intervention measures and drug utilization evaluation of irrational drug use; To study and evaluate the clinical safety and effectiveness of new drugs after marketing.

13, strive for the informatization construction of clinical pharmacy

The informatization construction of clinical pharmacy is an important part of hospital informatization construction. At present, the software of rational drug use has been installed and the clinical pharmacy room has been established. In order to better serve the hospital's clinical pharmacy work and improve the software and hardware requirements necessary for the development of modern hospitals, hospitals need more support and investment, and strive to complete the informatization construction of clinical pharmacy as soon as possible, so that the clinical pharmacy work will continue to grow and develop, better serve the clinic and serve the patients.

Clinical pharmacists, like clinicians, should stick to clinical practice, give full play to the role of pharmaceutical professionals in the process of drug treatment, cooperate with doctors and nurses to find, solve and prevent potential or actual drug use problems, promote rational drug use, ensure the safety of patients' drug use, indirectly reduce the occurrence of medical disputes, and realize invisible income for hospitals. Clinical pharmacists need the active cooperation and support of hospital leaders and clinical department leaders to do these jobs well.

We clinical pharmacists will not live up to the expectations of hospital leaders, do our best to do a good job in clinical pharmacy and make a contribution to the continuous development and growth of Dunhua Hospital.

The above is my work report for the first half of the year and my next work plan. Please criticize and correct me.

July 23, 1965 438+02

Clinical Pharmacist Work Plan III: Summary of clinical pharmacists' work in XX Hospital in 20 14 years and clinical pharmacy work plan in 20 15 years (2 199 words)

With the support of hospital leaders and department directors, I studied in the clinical pharmacist training base of XX Hospital for one year. After coming back this year, I officially became a clinical pharmacist in the Department of Cardiovascular Medicine of our hospital and successfully completed my work. At the same time, constantly sum up experience in the work and improve their professional level. The work is summarized as follows:

First, the clinical work:

First of all, I am familiar with the clinical working methods and workflow of the Department of Cardiology in our hospital. Because there are two circulation departments in our hospital, under the arrangement of the department director, the two departments rotate alternately every month to gradually introduce the responsibilities of clinical pharmacists to doctors and patients. While performing the duties of clinical pharmacists' rounds, we will answer difficult questions about medication for doctors, educate patients on medication and provide pharmaceutical services for clinic.

1, take part in clinical rounds every day, and write the records of rounds and medicine calendars in time; Pay attention to the drug use characteristics of the elderly and special people with multiple coexisting diseases, implement full-course pharmaceutical care for critically ill patients, participate in the whole process of clinical treatment, and assist doctors in adjusting drug treatment plans.

Patients with circulatory diseases often have a variety of diseases, and most of them are elderly people. The old people's absorption, metabolism and excretion functions of drugs have been reduced to varying degrees, and the principle of individualized medication is implemented. Because there are many chronic diseases and complications in patients with circulatory diseases, there are more and more opportunities and types of combined drugs, and the elderly can't remember the name, dosage, usage and time of taking drugs, which leads to low compliance of patients. Therefore, some long-term drug users should try to adopt simpler medication methods on the premise of ensuring the curative effect. This requires clinical pharmacists to ask patients about their past medical history, medication history, food and drug allergy history, bad habits and so on. In order to prevent potential drug use hazards. At the same time, they should instruct patients to quit bad habits (such as smoking and drinking) and pay attention to a low-salt and low-fat diet during treatment.

2. Pay attention to the interaction between drugs.

With the increasing variety of clinical drugs. It is quite common for patients in cardiology department to use multiple drugs, which will inevitably increase the interaction between drugs. Clinical pharmacists should fully understand the patient's medication information and carefully observe the medication reaction. Traditional Chinese medicine injections are widely used in the Department of Circulation Medicine in our hospital. In order to ensure the safety of medical treatment and patients' medication, and standardize the rational use of traditional Chinese medicine injections, combined with the situation in our hospital, the solvent, usage and dosage, indications and matters needing attention of traditional Chinese medicine injections currently used were summarized and made into tables for medical staff in our hospital to learn and use.

In addition, because patients in circulatory medicine often suffer from hypertension, cardiac insufficiency and other diseases, we should pay attention to the different use of physiological saline and glucose injection in the choice of drugs and solvents. In order to avoid the incompatibility between drugs, the compatibility of the latest 450 kinds of Chinese and western medicine injections related to insulin was summarized and made into a table for everyone to learn and use.

3. Collect the adverse reactions of clinical medication and report them in time.

According to the WHO report. Nearly 1/7 patients in the global death toll died of irrational drug use. Therefore, it is very important to monitor and report adverse drug reactions. However, because patients in circulation department often suffer from various diseases, the opportunities and types of combined drugs increase, which leads to an increase in the incidence of drug interactions and adverse reactions. During the period of clinical pharmacy, * * * collected nearly XX cases of adverse reactions caused by clinical medication.

Second, the pharmacy work:

As a member of the clinical pharmacy room, in addition to in-depth clinical understanding of drug use every day, the work of pharmacy department is also part of our daily work.

1. After returning to the department for further study, summarize the relevant contents and the latest knowledge learned during the study, and then give lectures in the department.

2. Review outpatient prescriptions, emergency prescriptions and doctor's orders on time every month, consult archived medical records and I-incision surgical records, check the rationality of drug use, and summarize relevant work in time, summarize the obtained data and make it into tabular form, and report it to hospital leaders.

3, to participate in the multi-departmental joint rounds organized by the hospital, check the storage, storage and rational use of drugs in the ward. Check the use and management of narcotic drugs in the departments with narcotic drugs in our hospital.

4, began to take over the editorial work of drug news in our hospital. We publish a quarterly newsletter on clinical drug use, summarizing the drug use data and common clinical knowledge in our hospital for your reference.

5. Calculate the assessment scale and drug proportion scale of clinical rational use of antibacterial drugs on time every month, so as to provide accurate data for promoting rational drug use in our hospital.

6. Write "Discussion on Related Issues of Sensitivity Test of Nonionic Iodine Contrast Agents in Our Hospital". The sensitivity test of contrast agent in our hospital is controversial. On the one hand, the principle of sensitivity test method developed in the past is very different from the existing methods in major hospitals; On the other hand, it is self-protection to avoid disputes between doctors and patients. I consulted a large number of documents, discussed the citizen problem of nonionic iodine contrast agent deeply, demonstrated it from the aspects of the development history of contrast agent, the compilation content of China Pharmacopoeia and other national Pharmacopoeia, the manufacturers and the status quo of major hospitals, and gave some suggestions based on the actual situation of our hospital.

7. Participate in the compilation of clinical pathway cost table of intracranial aneurysm, and put forward relevant opinions on rational drug use and drug cost of patients with intracranial aneurysm in our hospital.

Make a 20 15 year clinical pharmacy work plan.

1, do a good job in patient medication education. Cardiology patients often need to take a variety of drugs, drug interactions and precautions. Need the guidance and education of clinical pharmacists.

2. Be a good doctor's assistant. Because of the pressure of the tube bed, clinicians may sometimes be unable to wait for necessary examinations or have doubts about drug selection. We need our clinical pharmacists to remind us in good faith in time, or to help doctors solve medication confusion by consulting relevant literature.

3. Do a good job in secondary prevention and guidance of diseases related to cardiology. You can do some educational warning signs related to diet and activities on the wall of the department to facilitate patients to understand their related diseases. Because most diseases in cardiology are long-term recurrent diseases, we can also give lectures on disease knowledge regularly to educate patients on how to protect themselves and prevent them.

4. Multi-channel and multi-channel clinical pharmacy work In addition to full-time clinical pharmacists, we should also give full play to the role of pharmaceutical pharmacists, and carry out clinical pharmacy work through prescription and doctor's advice review and drug administration guidance.

5. Conduct knowledge lectures, learn the latest guides and related documents in time, summarize the knowledge, and share the relevant knowledge of the frontier of medical pharmacy with you in the form of lectures and discussions.

summary

At present, I have been working as a clinical pharmacist for a short time, and I have initially realized the combination of medical care and nursing, improved the relationship between medical care and nursing, and promoted inter-disciplinary exchanges. Clinical pharmacy has a long way to go. As a clinical pharmacist, only by changing the traditional pharmaceutical thinking mode, updating the professional knowledge structure, consolidating the foundation of clinical medicine and accumulating clinical treatment experience in practice can we become a professional clinical pharmacist.