In most operating rooms drug preparations and distribution are assigned to technicians with the
watchful eye of the pharmacist. Drugs that are used for non-anesthesiology purposes and
nonspecific cases, pre-determined medications can be produced and may be used for any
patient. Automated medication storage and distribution devices are used to supply medication
to surgeons and nurses. These automated devices are very accurate and saves the pharmacist
time by not having to distribute the medication. Drug inventory control is another method used
by a satellite pharmacy and is under the responsibility of the pharmacist but they can assign …show more content…
Lubarsky DA, Glass PSA, Ginsberg B, “The successful implementation of
pharmaceutical practice guidelines” “It has been demonstrated that pharmaceutical practice
guidelines for anesthesia related problems reduce cost without adversely affecting patient
outcomes”. Guidelines in an operating room satellite pharmacy will allow pharmacist to
dispense the appropriate agents and monitor their outcomes. Clinical services also include
medication regimen review where medication requests from the surgery staff is evaluated such
as dose, route of administration, timing and medication use evaluation where the pharmacist
establishes certain criteria collects and analyzes data which is used to accomplish coordination
with the surgery being performed. Drug information is another clinical service that is being used
in satellite pharmacies. This is where pharmacist provides information to inquires which may
come from staff, residents and nurses. The satellite pharmacy maintains pharmaceutical
literature to support decisions in the operating room. Pharmacists also evaluate the formulary
of the formulary system. They also enforce P&T committee restrictions as well as …show more content…
“Reconciliation and disposal is another
existing method where a thorough system is developed and includes: Comparison of quantities
dispensed with quantities documented as administered, Verification of use through review of
the anesthesia record, Qualitative testing of returned controlled substance”. (Satterlee GB.
System for verifying use of controlled substances in anesthesia. Shovick VA, Mattei TJ, Karnack
CM. Audit to verify use of controlled substances in anesthesia. Goodwin SR, Knudsen AK, et al.
Refractometer screening of controlled substances in an operating room satellite pharmacy).
Communication is opened between the pharmacist and the chair of anesthesiology and the
head of surgical nursing. “Continuous education for members of the operation room team may
sensitize staff to this problem” (Castellano FC. Developing methods for preventing and detecting
substance abuse in the operating room: a disease approach). Pharmacy technicians are trained
to perform their task at hands in a satellite pharmacy. They are trained in drug distribution,
controlled substances, sterile drug preparation, drug ordering and restocking, orientation and
training new staff and quality