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American Journal of Health-System Pharmacy, Vol. 64, Issue 7, 747-753
Copyright © 2007 by American Society of Health-System Pharmacists
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Practice Reports

Pharmacy resident participation in cardiopulmonary resuscitation events

Meredith B. Toma, P. Shane Winstead, Kelly M. Smith, Daniel A. Lewis and Timothy M. Clifford

MEREDITHB. TOMA, PHARM.D., is Hematology/Oncology Specialty Resident and at the time of the study she was Pharmacy Practice Resident; and P. SHANEWINSTEAD, PHARM.D., is ICU Clinical Pharmacy Specialist, University of Kentucky (UK) HealthCare, Lexington. KELLYM. SMITH, PHARM.D., is Associate Professor, Pharmacy Practice and Science, and Director, Postgraduate Year One Pharmacy Residency Program, College of Pharmacy, UK. DANIELA. LEWIS, PHARM.D., is Therapeutic Drug Monitoring Clinical Pharmacy Specialist, UK HealthCare; and TIMOTHYM. CLIFFORD, PHARM.D., is Transplant Clinical Pharmacy Specialist, UK HealthCare.

Address correspondence to Dr. Clifford at the Department of Pharmacy, UK HealthCare, 800 Rose Street, Room C420, Lexington, KY 40536-0293 (tmclif1{at}email.uky.edu).


Purpose. An electronically administered cross-sectional survey was conducted to establish the rate of pharmacy resident participation in cardiopulmonary resuscitation (CPR) events at pharmacy residency programs throughout the United States and Puerto Rico.

Methods. A 46-item questionnaire was developed and sent by e-mail to pharmacy residency program directors. The recipients were given one month to complete the survey. Responses were screened for duplicate answers, and the most complete survey was included in the analysis. The survey dealt with residency program demographics and sought information about required life-support certifications for pharmacy personnel, institution-specific training methods for medical emergencies employed by pharmacy departments, responsibilities of pharmacy personnel who respond to CPR events, and evaluation methods used to assess resident performance in CPR events.

Results. A total of 745 pharmacy residency directors were surveyed. Responses were received from 190 residency program directors, which represented 221 residency programs. The three most common residency program settings were community (not-for- profit) hospitals, college and university hospitals, and government hospitals. Thirty percent of respondents required pharmacy resident response to CPR events, while 38% made this opportunity optional. In 85% of programs that required or offered resident response to CPR events, there was a formal CPR team. The three primary roles fulfilled by pharmacists in medical emergencies were provision of drug information, drug admixture, and documentation; pharmacy resident duties mirrored these roles.

Conclusion. Pharmacy resident response to CPR events was required in approximately 30% of responding pharmacy residency programs. Various methods were used in educating, assessing, and evaluating pharmacy residents in this role.

Index terms: Cardiopulmonary resuscitation; Certification; Data collection; Education, pharmaceutical; Emergencies; Methodology; Pharmaceutical services; Pharmacists, hospital; Pharmacy; Pharmacy, institutional, hospital; Professional competence

 






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