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

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

3. 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)

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

5. 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

6. 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

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