2023-10-14 22:13:24
Pharmacists are one of the indispensable roles in hospitals. The picture shows a pharmacist preparing intravenous infusions in a sterile room.Reporter Xu Zhenghong/Photography
The manpower of pharmacists is insufficient, and many hospitals have long queues at the medicine receiving windows. Pharmacists process too many prescriptions, and they may also make mistakes while busy, affecting patient safety. Zhang Yuli, director of the Pharmacy Department of Taipei General Hospital, said that the safety of hospital medication depends on the supervision of pharmacists; Chen Zhaozi, director of Hexin Pharmacy Department, said that new drugs are developing rapidly, especially more and more cancer drugs are used, and the steps and interactions of drug use are too many and too complicated. Pharmacists can control doctors The needs of three parties, nurses, and patients, are heavy responsibilities and high pressure.
The pharmacist just dispenses medicine at the counter? Hong Ziren, administrative vice president of Shin Kong Hospital, said that hospital pharmacists are divided into outpatient and inpatient pharmacists. According to the hospital evaluation regulations of the Ministry of Health and Welfare, there are different manpower requirements according to regions, regions, and medical centers. For example, the medical center has 70 prescriptions per day. , an additional pharmacist should be hired. If the hospital lacks outpatient pharmacists, the number of prescriptions processed will be limited. If a single pharmacist handles too many prescriptions, he or she may make mistakes while busy.
Resident pharmacists must fully cooperate with doctors. Zhang Yuli said that pharmacists are also part of the clinical team. They follow doctors to see patients, understand prescription thinking, give advice from a pharmaceutical perspective, monitor patient medication, and ensure medication safety. Hong Ziren said that resident pharmacists monitor relevant drug dosages, dosage forms and interactions when patients are hospitalized. If there is insufficient manpower and excessive workload leading to medication errors, the hospital may face medical disputes.
“I haven’t taken a long vacation in four years.” Chen Zhaozi said that after the epidemic, some medical staff still dare not take vacations. Hospitals with rotating shifts can only allow one pharmacist to take vacations every day. If there are consecutive vacations, the pharmacists have to work overtime. , unable to take a break whenever they want, “taking a vacation becomes a privilege.” This kind of working environment makes it more difficult for young pharmacists to stay and serve in the hospital.
The Taiwan Medical Management Association held its academic annual meeting yesterday. Hong Ziren, who is also the chairman, said that although there is no causal relationship between medical budget investment and health output, there is correlation. Today, medical staff shortages, rare drugs, and insufficient payment for new drugs are all caused by The growth rate of medical expenditure is too low and the total amount of health insurance is not enough. The government should increase medical investment.
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