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. 2020 Apr 17;26(6):1043–1049. doi: 10.1016/j.bbmt.2020.04.005

Table 1.

Inpatient and Outpatient Considerations for Pharmacy Practice Management

Inpatient Considerations Outpatient Considerations
Limiting exposure to staff and patients
Limiting physical presence
  • Attending clinical rounds or huddles virtually

  • Rotating pharmacy staff on- and off-site

  • Pharmacists to avoid accessing patient rooms (not seeing patients directly)

  • If rounding in person, maintaining 6 feet from other team members

Limiting physical presence
  • Concentrating visits on particular days to allow for non-patient visit days

  • Rotating pharmacy staff on- and off-site

  • Pharmacists to avoid accessing patient rooms (not seeing patients directly)

Distribution of services
Onsite
  • Urgent/emergent needs (rapid responses/codes)

  • Collaboration with other team members

  • Discharge education

Offsite
  • Medication education and reconciliation

  • Patient own medication identification

  • Therapeutic drug monitoring

  • Order verification, including chemotherapy

  • Medication adjustments based on renal and liver function

  • Drug-drug interaction management

Onsite
  • Urgent/emergent needs (rapid responses/codes)

  • Help maintain clinic workflow efficiency/throughput

  • Collaboration with other team members

Offsite
  • Medication education and reconciliation

  • Oral chemotherapy education and follow-up

  • Conditioning and transplant education

  • Laboratory follow up

  • Therapeutic drug monitoring

  • Order verification

  • Chemotherapy order preparation

Technology
Messaging
  • Chat mechanisms (EMR real-time, Cureatr, Voatle, Skype for Business)

  • EMR messaging functions

  • Email

  • Handouts or medication calendars sent to patient via EMR or through programs such as MedActionPlanPro

Audiovisual
  • Audio call resources (Doximity, Jabber phone, blocked calls from personal line)

  • Virtual visit capabilities (eg, webcam)

  • Zoom/Webex/Skype for Business (for communicating with team members) (if approved for use by IT department)