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  • 药学服务的新模式当然是静脉药物配置中心!
    浏览: 发布日期:2018-01-08
    静脉用药调配中心(简称PIVAS),是一种将原来分散在各个病区由护士配置的静脉药物,转为在药学监护下由药师集中配置、混合、检查、分发后直接用于患者的管理模式,可为临床提供更加安全、有效的静脉药物治疗服务,是现代医院药学工作的亮点和重要内容,这一改变使药师从后台走到前台,对于医院药学工作领域具有重大意义。
    Intravenous drug control center (PIVAS), is a kind of original scattered in various areas by the nurse allocation of intravenous drug, as in pharmaceutical care by pharmacists to concentrate directly for the management of patients with configuration, mixing, inspection, distribution, can provide intravenous drug treatment services to be more safe and effective for clinical. Is the modern hospital pharmacy work highlights and important content, this change makes the pharmacist from back to front, is of great significance to the field of hospital pharmacy.
    静脉药物调配中心设置有抗生素及细胞毒性药物配置间、普通药物及肠外营养液配置间、审方区、摆药准备区、成品核对区等。中心布局合理,设备先进,配备了A2型生物安全柜3台,用于调配抗生素;B2型生物安全柜1台,用于细胞毒性药物;水平层流超净工作台5台,用于调配普通药物和肠外营养液。配置区可同时容纳18名专业技术人员在万级洁净密闭环境、局部百级净化工作台内进行无菌配置,最大调配量达2800多瓶(袋) /天,可承担全院1000张床位患者的静脉用药调配工作。
    Intravenous drug dispensing center is equipped with antibiotics and cytotoxic drug dispensing room, general medicine and parenteral nutrition liquid dispensing room, prescription area, dispensing preparation area, finished product check area and so on. The central layout is reasonable, the equipment is advanced, equipped with 3 sets of A2 biological safety cabinets, used for dispensing antibiotics, B2 biological safety cabinet 1, for cytotoxic drugs, horizontal laminar flow super clean workbench 5, for the deployment of general drugs and parenteral nutrition liquid. The configuration area can accommodate 18 professional and technical personnel in the 10000 level clean closed environment and local 100 level purification worktable, and the maximum allocation amount is more than 2800 bottles (bags) / days, which can undertake the intravenous drug dispensing work of 1000 beds in the hospital.
    PIVAS的建立,一是改变了各种临床静脉输液加药混合配制的传统做法,过去这一做法由护士在病区内操作,由于病房环境条件有限,输液质量易受影响、病人安全用药难以保证;二是避免了过去化疗药物因开放性加药配制对病区环境的污染和对医务人员的损害;三是加强了对医师医嘱或处方用药合理性的药学审核,发挥了药师的专长与作用;四是有利于合理用药,提高药物治疗水平,降低治疗费用;五是明确了药师与护理人员的专业分工与合作,把护士从日常繁杂的输液工作中解脱出来,护士有更多的时间用于临床 护理, 提高护理质量。
    The establishment of PIVAS, one is the change of the practice of a variety of clinical intravenous infusion dosing mixed traditional, past this approach operation by nurses in the wards, wards due to environmental conditions, the quality of infusion is easily affected by the patient, medication safety is difficult to guarantee; two is to avoid the past chemotherapy because of openness of the ward environment dosing preparation the medical staff of pollution and damage; three is to strengthen the physician orders or prescription rationality of pharmacy audit, play the role of pharmacists and expertise; four is conducive to the rational use of drugs, improve the level of drug treatment, reduce the cost of treatment; the five is to clear the professional division of labor and cooperation of pharmacists and nursing staff, release nurses from the everyday work of infusion, the nurses have more time for clinical care, improve the quality of nursing care.

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