New pharmacy practice standards for surgical settings
Monday, 02 May, 2022
has released the first Australian pharmacy practice standard for surgery and perioperative medicine.
The standard sets benchmark pharmacist-to-patient ratios and identifies emerging and essential services to improve safety as the number and complexity of surgeries continues to grow, according to SHPA.
Janelle Penno, SHPA Surgery and Perioperative Medicine Chair, said the standards are crucial, as surgery becomes more common in older patients with multiple comorbidities and polypharmacy.
鈥淪ince 2013鈥2014, elective surgery admissions have increased on average by 2.1% each year聽鈥 with around two days鈥 hospital admission required for elective surgery and one week for emergency surgery聽鈥 and people aged 65 years and over accounted for approximately one in three surgical admissions.
The 鈥楽tandard of practice in surgery and perioperative medicine for pharmacy services鈥, published in the April 2022 issue of the Journal of Pharmacy Practice and Research (JPPR) by members of the SHPA Surgery and Perioperative Medicine stream, is the second successive Australian first, following the release of SHPA鈥檚 Standard of practice in cardiology for pharmacy services in February.
鈥淥ur new standards build on growing evidence of the impact expert pharmacists can have on reducing adverse events and harm caused by surgery and perioperative medicine, by leading emerging and essential services tailored to the size and scope of Australian hospitals.
鈥淭his includes, for the first time, outlining the role of the Perioperative Medicine Pharmacist聽鈥 a key contributor across all settings during the perioperative period聽鈥 which complements the surgical pharmacist role that is more familiar.
鈥淭hese emerging services include Partnered Pharmacist Medication Charting, smoking cessation intervention and pharmacist involvement in perioperative allergy testing clinics, as well as quality improvement activities such as opioid/analgesic and antimicrobial stewardship programs.鈥
The Standard of practice in surgery and perioperative medicine for pharmacy services highlights the similarities and differences between surgery pharmacists and perioperative medicine pharmacists, who may be required to assist with the supply of medicines or medicines information in time-sensitive, high-risk or limited evidence situations, often facing issues with medicine shortages, accessibility and cost.
Reflecting the diverse needs of patients in different settings, recommended ratios of patients to 1 FTE pharmacist for five-day clinical pharmacy services range from 10 for post-anaesthetic and short stay care, to 20鈥30 for lower risk surgeries such as breast and ear nose and throat (ENT).
SHPA Chief Executive Kristin Michaels said the task now is to progress the adoption of this standard, particularly as the expertise of surgery and perioperative medicine pharmacists is required to support increased surgical activity following COVID-19 restrictions.
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