Documentary structuring of the clinical pharmacy service in an intensive treatment center in a large public hospital

Abstract

Objective: To describe the structuring and implementation of clinical pharmacy in the intensive care unit. Methods: This is a descriptive study, whose methodology was the elaboration of a flowchart of activities developed by the pharmacist and forms to facilitate pharmacotherapeutic follow-up. To make the documents, a bibliographic search and other forms of clinical follow-up from the institution and other services of clinical pharmacy were carried out. Results: Structural documents were created: flowchart of the pharmacy service; pharmacotherapeutic follow-up form; prescription evaluation checklist and pharmacotherapeutic follow-up checklist; pharmaceutical intervention notification model; and, a database to record the interventions to be performed. These documents have important information for the daily monitoring of the patient. Conclusion: The proposed method assists in the development of clinical activities, promoting integration of the pharmacist to the multidisciplinary team, comprehensive patient care and safety. Adaptation to a specific form guarantees the team to conduct personalized monitoring.