Experiencia del farmacéutico de hospital en la unidad de cuidados intensivos: Plan COVID

The Intensive Care Unit (ICU) of the University Hospital of Fuenlabrada�was� forced to critically increase its capacity in the COVID-19 pandemic �The objective of this work is to describe the activities promoted by the pharmacist�in the care� of the critically ill patient in this context �A new organizational structure was� designed, analyzing the tasks necessary�to make the processes profitable Two� pharmacists joined the critical�patient care to help the pharmacist who was� already integrated in the ICU�team �The development of the operational� structure was carried out on three�levels �The healthcare activity highlights the� daily participation of pharmacists�in the two clinical sessions in which the ICU� teams evaluated all cases and�made decisions This in turn facilitated the� pharmaceutical validation that�was carried out in the critical units themselves In addition, one of the pharmacists�created the Immuno-COVID Committee, in� which they participated�together with different specialists for therapeutic� decision-making in the most�complex cases �On the other hand, the availability� of human and material resources�allowed the implantation of centralized� elaboration in the Pharmacy Service�of many intravenous mixtures, including� antibiotics elastomers Pumps for�continuous infusion, and non-sterile� elaborations �In logistics management, in addition to the acquisition of COVID- 19�therapies, the reconciliation with nursing activity stands out The physical�presence of the pharmacist favored the detection of needs, the� availability in time of medications in the unit, including sterile and non-sterile� preparations, and coordination with the central pharmacy In knowledge� management, the participation of the pharmacist in the working group for the� development of the hospital management protocol COVID-19 stands out The� daily presence in the unit and the joint work with the entire multidisciplinary team demonstrate the value that the pharmacist can bring In addition to� efficient resource management, support for clinical decision-making and� improvement actions, it provides the climate of inter-professional trust necessary to respond to the complexity of the critical patient and promote joint� projects