Digital Photography by Sam Giannavola 9/25/2010 Gavin D. Jones, PhD, PharmD, BCPS Clinical Pharmacy Specialist, Emergency Medicine giannavola52@comcast.net

Departmental Features State’s only adult level 1 trauma center Academic, tertiary care medical center 60,000 annual visits to the ED GDJones@uams.edu

Departmental Features 34 private beds 54 beds capacity in case of disasters 1 designated OB/GYN room 1 designated Ophthalmology/ENT room 4 isolated psychiatric rooms 3 trauma/resuscitation bays 1 “surge” unit (6-12 beds in our pre-op area) 16 bed observation CDU (opening Jan 2017) GDJones@uams.edu

Pharmacy Services in the ED 10 crash carts with defibrillators 4 automated dispensing cabinets 3 pneumatic tube stations 2 medication rooms 1 FTE pharmacist GDJones@uams.edu

My Role in the ED Clinical Service Response Codes (blue, sepsis, STEMI, stroke) Ingestions/Toxicology Medical Emergencies Traumas Emergent medication preparation Communication between ED and inpatient pharmacy Drug Information Chart Review Ensure TJC compliance GDJones@uams.edu

My goals for pharmacy in the ED 24/7 pharmacist staffing Culture surveillance and response Pharmacy technicians/students to obtain medication histories on all admitted patients Lobby for legislative changes Administration of parenteral medications during emergencies GDJones@uams.edu

Question When patients are admitted to the hospital, who is responsible for obtaining initial medication histories? Pharmacists Nurses Pharmacy Technicians Student Pharmacists C & D GDJones@uams.edu