Intern Pharmacist Participation in Consultant Ward Rounds: A Pilot Study on Interprofessional Practice

Thomas, J.1, Earley, C.3, Marotti, S.3, Rowett, D.2,3, Haj Ali, W3.

1General Medicine Unit, Royal Adelaide Hospital, CALHN, SA Health, 2School of Pharmacy & Medical Sciences, University of South Australia, 3SA Pharmacy, Royal Adelaide Hospital, SA Health

 

Background: Conventional clinical pharmacy services often involve a ward pharmacist identifying and communicating medication related issues to the medical team. However, the current lack of presence of a pharmacist on ward rounds, often due to time constraints, in many cases results in significant delays in addressing medication-related issues.

Aim: To evaluate the perceived impact of an intern pharmacist’s participation in consultant ward rounds as a new model for interdisciplinary collaboration and patient care.

Methods: For a two-week period, an intern pharmacist attended consultant ward rounds as part of the General Medicine team at the Royal Adelaide Hospital. Duties on ward rounds involved documenting and reconciling medication histories, clinical review, discharge facilitation and patient counselling. Qualitative feedback was obtained through both face –face interview at the conclusion of the pilot, written reflections from the intern pharmacist prior and post rotation as well through completion of surveys using the ‘Interdisciplinary Education Perception Scale’ pre and post the pilot period by both the intern pharmacist and General Medicine team.

Results: Comparisons between pre and post survey evaluations indicated notable improvements in perceived areas of understanding and appreciation of interdisciplinary roles. Furthermore, the presence of the intern pharmacist at the point of prescribing allowed for more efficient communication and streamlined resolution of medication related issues and faster discharge facilitation.

Conclusions: The presence of an Intern pharmacist during consultant ward rounds, may offer an effective model for not only increased interdisciplinary collaboration, but enhanced opportunities for improved patient care through timely optimisation of medication management.


Wala Hamid Haj Ali

Wala Hamid Haj Ali commenced as a newly registered pharmacist within CALHN this year after completing her internship with SA Pharmacy in CALHN in 2019. Prior to that she worked in community pharmacy while she completed her Bachelor of Pharmacy (Honours) at the University of South Australia. During her internship year, Wala took part in a SA Pharmacy research project involving development and evaluation of an illustrated medicines list as a patient education tool for Indigenous Australians and presented her research at the 2019 National Medicines Management Conference. In 2018 she completed her Honours research project assessing patterns of opioid and concurrent psychotropic medication prescription in a work-injured population and was awarded The Pharmaceutical Society of Australia Gold Medal for highest GPA in the Bachelor of Pharmacy (Honours). Wala looks forward to a continued career in pharmacy, contributing to the quality use of medicines.

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