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Included within the Atrium Health Navicent System is Atrium Health Navicent (AHN) The Medical Center, a 637 bed, nationally-verified Level I-designated Trauma Center. Our pharmacy utilizes an advanced mainframe computer system, electronic medical record (EPIC), Pyxis dispensing machines, and a Med-Carousel support medication distribution system. Approximately 8,700 doses are administered to patients each day. Intravenous (IV) therapy is an integral part of the AHN Pharmacy Department as there are approximately 300 admixtures compounded on a daily basis. In addition to the preparation of routine IV admixtures, pharmacists review and prepare approximately 25-30 oncologic admixtures per day.
At AHN, pharmacy services are provided 24 hours a day. Decentralized pharmacy services are provided from 6 a.m. – 4 p.m. with continued coverage in the emergency department until 6:30 p.m. Clinical staff pharmacists are responsible for order verification, pharmacokinetic monitoring and consults, renal dosing, IV to PO interchanges, providing drug information and responding to code blue emergencies.
AHN pharmacists can be consulted to aid the medical staff in customizing patients’ vancomycin, aminoglycoside and epoetin alfa therapies. Pharmacists assess a patient’s clinical condition, review laboratory data, determine the appropriate regimen, write progress notes and order medication and additional laboratory values, if necessary. Patients are followed by the pharmacy daily with adjustments in therapies being made as needed to achieve desired therapeutic outcomes.
Clinical pharmacists participate in physician-led rounds for select units. These units include internal medicine, cardiac ICU, medical ICU, surgical/trauma ICU, pediatric ICU and the critical care unit. During rounds, pharmacists review patient profiles and make recommendations to optimize and individualize each medication regimen. Interventions made during rounds are charted in the hospital’s electronic medical record.