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Scope of Pharmacy: Pharmaceutical Care Holds That The Important Role
Scope of Pharmacy: Pharmaceutical Care Holds That The Important Role
1
Scope of pharmacy
Pharmacy has historic roots as the art and science therapy. Pharmacy practice therefore involves the
of preparing and dispensing medications. While this review and interpretation of prescription orders; the
traditional role is still a viable role for pharmacists, compounding, labeling, and dispensing of drugs and
the preparation of medicines has transitioned in large devices; drug product selection and medication-use
part to the pharmaceutical industry. Dispensing of evaluation (MUE); patient monitoring and interven-
medicines has increasingly become more centralized tion; and the provision of information related to
and automated, with many of the tasks formerly per- use of medications and non-pharmacological modal-
formed by pharmacists being done using technology ities. The American Pharmacists Association (APhA)
or delegated to pharmacy technicians. The provi- describes the mission of pharmacy as serving society as
sion of drug-related information to other healthcare ‘‘the profession responsible for the appropriate use of
professionals and the public and disease-state manage- medications, devices, and services to achieve optimal
ment programs to assure the proper use of medicines therapeutic outcomes.’’ The Report of the Commis-
has become a more important role for pharmacists. It sion of Pharmacy, Pharmacists for the Future (often
is now recognized that medication-use is a complex referred to as the Millis Report), states that ‘‘phar-
and problem-prone process, in which errors that result macy should be conceived basically as a knowledge
in injury to patients can occur at each step. This pro- system that renders a health service by concerning
cess includes prescribing, transcribing, interpretation itself with understanding drugs and their effects.’’
of the order, preparation and dispensing, and admin- Pharmaceutical care holds that the important role
istration and monitoring. It has been estimated that of the pharmacist is ‘‘the responsible provision of
more than 2 million hospitalized patients per year drug therapy for the purpose of achieving definite
experience an adverse drug reaction, two thirds of outcomes that improve a patient’s quality of life.’’
which were the cause of hospital admission and more Pharmacists are experts on medications. They are
than 100 000 of which are fatal.1 For pharmacists to also the most accessible member of today’s healthcare
contribute to improving the value of medicines, they team, and often they are the first source of assistance
must have a role in every aspect of medication use, and advice on many common ailments and healthcare
from preparation to monitoring the outcome of drug matters.
The following colleges and schools offering professional degree programs in pharmacy hold membership in the AACP.
Florida Florida Agricultural and Mechanical University, College of Pharmacy and Pharmaceutical Sciences, Tallahassee, FL
32307
Nova Southeastern University, College of Pharmacy, Fort Lauderdale, FL 33328
Palm Beach Atlantic University, Lloyd L. Gregory School of Pharmacy, West Palm Beach, FL 33416
University of Florida, College of Pharmacy, Gainesville, FL 32610
University of South Florida, College of Pharmacy, Tampa, FL 33612
Georgia Mercer University, College of Pharmacy and Health Sciences, Atlanta, GA 30341
Philadelphia College of Osteopathic Medicine School of Pharmacy, Suwanee, GA 30024
South University, School of Pharmacy, Savannah, GA 31406
University of Georgia, College of Pharmacy, Athens, GA 30602
(continued overleaf)
Sample chapter from Remington: An Introduction to Pharmacy
4 | An Introduction to Pharmacy
Indiana Butler University, College of Pharmacy and Health Sciences, Indianapolis, IN 46208
Purdue University School of Pharmacy and Pharmacal Sciences, West Lafayette, IN 47907
Iowa Drake University, College of Pharmacy and Health Sciences, Des Moines, IA 50311
University of Iowa, College of Pharmacy, Iowa City, IA 52242
Massachusetts Massachusetts College of Pharmacy and Health Sciences - School of Pharmacy - Boston, Boston, MA 02115
Massachusetts College of Pharmacy and Health Sciences - School of Pharmacy - Worcester, Worcester, MA 01610
Northeastern University, School of Pharmacy, Boston, MA 02115
Western New England University, College of Pharmacy, Springfield, MA 01119
Montana University of Montana, School of Pharmacy and Allied Health Sciences, Missoula, MT 59812
Nebraska Creighton University, School of Pharmacy and Health Professions, Omaha, NE 68178
University of Nebraska Medical Center, College of Pharmacy, Omaha, NE 68198
New Jersey Rutgers, The State University of New Jersey, Ernest Mario College of Pharmacy, Piscataway, NJ 08854
(continued overleaf)
New York Albany College of Pharmacy and Health Sciences, Albany, NY 12208
D’Youville College, School of Pharmacy, Buffalo, NY 14201
Long Island University, Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Brooklyn, NY 11201
St. John Fisher College, Wegmans School of Pharmacy, Rochester, NY 14618
St John’s University, College of Pharmacy and Allied Health Professions, Jamaica, NY 11439
Touro College of Pharmacy - New York, New York, NY 10027
University of Buffalo, The State University of New York, School of Pharmacy and Pharmaceutical Sciences, Buffalo, NY 14260
North Dakota North Dakota State University, College of Pharmacy, Fargo, ND 58105
Puerto Rico University of Puerto Rico, School of Pharmacy, San Juan, PR 00936
South Dakota South Dakota State University, College of Pharmacy, Brookings, SD 57007
(continued overleaf)
Sample chapter from Remington: An Introduction to Pharmacy
6 | An Introduction to Pharmacy
health centers, and nursing homes. This has become Government service
a significant setting for pharmacy practice over the
Government service offers opportunities to phar-
past 50 years. In these settings pharmacists, with
macists in various capacities. They may serve as
the assistance of pharmacy technicians, pharmacy
noncommissioned or commissioned officers in the
interns, and automated technologies, prepare and dis-
Army, Navy, Air Force, and Coast Guard. They also
pense medications, compound nonsterile and sterile
serve as commissioned officers in the United States
preparations, advise other professionals and patients
Public Health Service, which furnishes pharmacists
on the use of drugs, monitor drug regimens, and eval-
for the Food and Drug Administration, Bureau of
uate drug use. They advise other professionals on the
Prisons, and the Indian Health Service. Appointments
selection and effects of drugs and, in some cases, make
are available for pharmacists in the Drug Enforcement
patient rounds with them or provide direct patient
Administration of the Department of Justice, and in
care. Hospital pharmacy practice involves working
the National Institutes of Health, the Center for Medi-
extensively with other members of the healthcare
team, including physicians, nurses, and other health care and Medicaid Services, the Health Resources and
professionals and workers. Services Administration, and various other agencies.