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Considerations for development of pharmacy support models for COVID-19 alternate care sites.
Nelsen, Greg; Pigott, Heidi; Hopkinson, Caleb; Formea, Christine M.
  • Nelsen G; Department of Pharmacy, Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, UT.
  • Pigott H; Intermountain Healthcare, Salt Lake City, UT.
  • Hopkinson C; Department of Pharmacy, Utah Valley Hospital, Intermountain Healthcare, Provo, UT.
  • Formea CM; Department of Pharmacy and Intermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT.
Am J Health Syst Pharm ; 77(19): 1592-1597, 2020 09 18.
Article in English | MEDLINE | ID: covidwho-1317905
ABSTRACT

PURPOSE:

Guidance on alternate care site planning based on the experience of a health-system pharmacy department in preparing for an expected surge in coronavirus disease 2019 (COVID-19) cases is provided.

SUMMARY:

In disaster response situations such as the COVID-19 pandemic, healthcare institutions may be compelled to transition to a contingency care model in which staffing and supply levels are no longer consistent with daily practice norms and, while usual patient care practices are maintained, establishment of alternate care sites (eg, a convention center) may be necessitated by high patient volumes. Available resources to assist hospitals and health systems in alternate care site planning include online guidance posted within the COVID-19 resources section of the US Army Corps of Engineers website, which provides recommended medication and supply lists; and the Federal Healthcare Resilience Task Force's alternate care site toolkit, a comprehensive resource for all aspects of alternate care site planning, including pharmacy services. Important pharmacy planning issues include security and storage of drugs, state board of pharmacy and Drug Enforcement Administration licensing considerations, and staff credentialing, education, and training. Key medication management issues to be addressed in alternate site care planning include logistical challenges of supply chain maintenance, optimal workflow for compounded sterile preparations (eg, on-site preparation vs off-site preparation and delivery from a nearby hospital), and infusion pump availability and suitability to patient acuity levels.

CONCLUSION:

Planning for and operation of alternate care sites in disaster response situations should include involvement of pharmacists in key decision-making processes at the earliest planning stages.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacy Service, Hospital / Decision Making, Organizational / Disaster Planning / COVID-19 Drug Treatment / Health Facility Planning Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacy Service, Hospital / Decision Making, Organizational / Disaster Planning / COVID-19 Drug Treatment / Health Facility Planning Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2020 Document Type: Article