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Background Due to a shortage of emergency department doctors and nurses, hospitals have started to employ pharmacists who have additional clinical skills, known as Emergency Department Pharmacist Practitioners, to help deliver services. Objective To describe, compare and define the Emergency Department Pharmacist Practitioner role. Setting UK emergency departments. Method Using a purpose developed questionnaire hosted on a tablet computer, Emergency Department Pharmacist Practitioners were asked to report their contribution to patient care and the wider emergency department over 10 work days. Main outcome measure Emergency Department Pharmacist Practitioners’ work. Results Twenty Emergency Department Pharmacist Practitioners from 15 UK hospitals were recruited. Of 682 patients cared for, 4.8% (n=33) were of blue triage category (least urgent) and 4.1% (n=28) red (immediate need). Specific activities to inform patient diagnosis included clinical examinations (264/682 patients, 38.7%) and the review of investigation/test/procedure results (270, 39.6%). For treatment, EDPPs prescribed a total of 603 medicines (for administration in the ED) to 266 patients (39.0%) and performed procedures for 63 (9.2%). Eleven of the practitioners also took on the role of designated care provider (i.e. the healthcare professional with overall clinical responsibility) for at least some of their patients. From application of the care typology, all 20 practitioners carried out both ‘traditional’ and ‘practitioner’ activity and 9/20 of them sometimes provided more ‘practitioner’ than ‘traditional’ care to individual patients. Seven key role attributes were identified including how these pharmacists support patients with medical complaints and injuries of any severity and at any stage of their visit. Conclusion Emergency Department Pharmacist Practitioners combine traditional clinical pharmacy activities with more hands-on medical practise including being designated care provider. The role is versatile in that care and support provided to patients and the wider emergency department professional team is varied and therefore somewhat adaptable to situations which present.
Torjesen I. Latest waiting time figures for emergency departments in England are worst on record. BMJ. 2018;361:k1658. CrossRef
What's going on with A&E waiting times? The King’s Fund. 2018. https://www.kingsfund.org.uk/projects/urgent-emergency-care/urgent-and-emergency-care-mythbusters. Accessed 01 Oct 2018.
A&E Attendances and Emergency Admissions March 2018 Statistical Commentary. NHS England. 2018. https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2018/04/Statistical-commentary-March-2018-uC145.pdf. Accessed 01 Oct 2018.
Urgent and Emergency Care 2015. The King’s Fund. 2018. https://www.kingsfund.org.uk/projects/urgent-emergency-care/urgent-and-emergency-care-mythbusters. Accessed 01 Oct 2018.
Securing the future workforce for emergency departments in England. Health Education England. 2017. https://improvement.nhs.uk/documents/1826/Emergency_department_workforce_plan_-_111017_Final.3.pdf. Accessed 01 Oct 2018.
Emergency Medicine. Health Education England. 2016. https://www.hee.nhs.uk/our-work/developing-our-workforce/emergency-medicine. Accessed 01 Oct 2018.
Collignon U, Oborne CA, Kostrzewski A. Pharmacy services to UK emergency departments: a descriptive study. Pharm World Sci. 2010;32(1):90–6. CrossRef
Roman C, Edwards G, Dooley M, Mitra B. Roles of the emergency medicine pharmacist: a systematic review. Am J Health Syst Pharm. 2018;75(11):796. CrossRef
PGCert Advanced Specialist Training in Emergency Medicine. Manchester Pharmacy School. 2016. https://www.manchester.ac.uk/study/masters/courses/list/10202/pgcert-advanced-specialist-training-in-emergency-medicine/. Accessed 03 Oct 2018.
Wright DJ, Adams RJ, Blacklock J, Corlett SA, Harmston R, McWilliams M, et al. Longitudinal qualitative evaluation of pharmacist integration into the urgent care setting. Integr Pharm Res Pract. 2018;7:93–104. CrossRef
Pharmacists in Emergency Departments. Health Education England. 2016. https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Policy%20statements/PIED%20National%20Report.pdf?ver=2016-10-13-150131-640. Accessed 03 Oct 2018.
Cele SC, Gumede HA, Kubheka BA. An investigation of the roles and functions of nurse preceptors in the clinical areas. Curationis. 2002;25(1):41–51. CrossRef
Burns KEA, Duffett M, Kho ME, Meade MO, Adhikari NKJ, Sinuff T, et al. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008;179(3):245–52. CrossRef
Woodward CA. Questionnaire construction and question writing for research in medical education. Med Educ. 1988;22(4):345–63. CrossRef
Procter S, Hunt M. Using the Delphi survey technique to develop a professional definition of nursing for analysing nursing workload. J Adv Nurs. 1994;19(5):1003–144. CrossRef
Emergency Care Data Set (ECDS). NHS Digital. 2017. https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/emergency-care-data-set-ecds. Accessed 01 Oct 2018.
Bryson C. How emergency department staff perceive acute nurse practitioners. Emerg Nurse. 2016;23(10):26–31. CrossRef
Baqir W, Crehan O, Murray R, Campbell D, Copeland R. Pharmacist prescribing within a UK NHS hospital trust: nature and extent of prescribing, and prevalence of errors. Eur J Hosp Pharm Sci Pract. 2015;22(2):79–82. CrossRef
Tye CC, Ross FM. Blurring boundaries: professional perspectives of the emergency nurse practitioner role in a major accident and emergency department. J Adv Nurs. 2000;31(5):1089–96. CrossRef
- The description and definition of Emergency Department Pharmacist Practitioners in the United Kingdom (the ENDPAPER study)
M. P. Tully
- Springer International Publishing
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