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Journal de Pharmacie Clinique

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Satisfaction survey of pharmacy department role during the temporary creation of non-COVID intensive care beds Volume 40, issue 4, Décembre 2021

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Authors
1 Département Pharmacie, centre hospitalier de Valence, 179 bd Maréchal Juin, 26000 Valence, France
2 Département Anesthésie, centre hospitalier de Valence, 179 bd Maréchal Juin, 26000 Valence, France
3 Département d’Informations médicales, centre hospitalier de Valence, 179 bd Maréchal Juin, 26000 Valence, France
* Correspondance

During the SARS CoV-2 pandemia and at three separate time period, our institution chose to turn the post interventional surveillance room of the operating room into a non-COVID intensive care unit. The chosen workflow included that the pharmacy team provided support to the medical team and was instrumental to implement an adapted drug circuit, including the creation of a supply cabinet, a specific frequency of its supply, a nominative dispensation and the presence of a pharmacist. Objectives: The study aims to evaluate the proposed pharmaceutical organization workflow, the satisfaction of the nursing team and to collect their expert feedback for improvement. Method: A satisfaction survey questionnaire was set up and given to the nurses who worked in this temporary unit. Results: A total of 155 patients, i.e. an analysis of 111 prescriptions, were treated during the 126 days during which the unit was running. All the nurses who participated to the three time periods and the health care manager completed the questionnaire, i.e. 21 responses. The step that was felt to be the most difficult was prescribing (48%) due to the paper medium used. The presence of a pharmacist in the medical unit was appreciated by 90% of the survey respondents, particularly for requests on the supply of a drug (95%), or on drug information (58%). 90% of the respondents were hoping that this experience would be renewed if the unit opens again. An increase of the satisfaction due to the pharmaceutical presence is reported in each successive period. Conclusion: In case of an eventual new epidemic wave, it was decided to continue to assign a pharmacist to the non-COVID intensive care unit, in order to protect the unit performance. The survey revealed that two key factor are instrumental to this success, a daily analysis of prescriptions with the physicians and the on-site interaction with the nurses for the promotion of the right use of medications.