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Kieran Hand.pdf

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Pharmacists as “eyes and ears” on the wards<br />

• Relatively stable staffing cf. junior<br />

doctors<br />

• Checking allergy, dosing,<br />

interactions<br />

• Surveillance and audit of ward<br />

prescribing<br />

• Enforcing formulary restrictions<br />

• Implementing guidelines, policy<br />

and training<br />

• Supporting micro/ID ward rounds<br />

• Monitoring for efficacy and side<br />

effects<br />

• Promoting streamlining and deescalation<br />

• Encouraging IV‐to‐oral switch<br />

• Integrated with specialist teams

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