Linked to EAHP Statements
Section 1 - Introductory Statements and Governance: Statement 1.1
Section 4 - Clinical Pharmacy Services: Statements 4.1, 4.2, 4.5
Section 5 - Patient Safety and Quality Assurance: Statement 5.5
ACPE UAN: 0475-0000-21-021-L04-P. A knowledge-based activity.
An operating room (OR) pharmacist is a great asset for the multidisciplinary team delivering care to the patient having surgery. Their primary tasks are to support the hospital's goals on quality and safety, to develop perioperative treatment algorithms and to collaborate with the perioperative team to optimize medicines use in a patient-centred way. This last task is achieved through reconciliation and review of medication history, in particular for antimicrobial stewardship and pain management. In those countries where medical devices are under hospital pharmacy management, pharmacists contribute in their selection and management process. In addition, in many hospitals, the concept of Enhanced Recovery Pathway (ERP) has been introduced. ERP is a modern approach that helps people recover more quickly after major surgery, implementing evidence-based interventions to mitigate the undesirable effects of the surgical stress response. The multidisciplinary approach is also focused on educating, informing and coaching patients.
This interactive session will describe, through real cases, the contribution of the pharmacist to the OR team, with a focus on the role of the pharmacist in ERP.
After the session, participants should be able to:
• describe the role of the pharmacist in the OR team;
• describe the background, definition, principles, and core elements of an enhanced recovery pathway (ERP);
• evaluate how hospitals may implement ERP for surgical patients in a wide variety of settings;
• discuss the role of the health‐system pharmacist in developing and implementing successful ERP protocols.
Educational need addressed
Hospital pharmacists need to be aware of new approaches to surgical patient care and how to implement clinical pharmacy services in this field.
Keywords: surgery, perioperative management, surgery enhanced recovery pathway, pain management, antimicrobial stewardship, pharmaceutical care, multidisciplinary team.