TY - JOUR
T1 - Clinical Pharmacy Nephrology Consultation and Documentation
T2 - A Comprehensive Approach
AU - St. Peter, Wendy L.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1993/6
Y1 - 1993/6
N2 - End-stage renal disease patients represent a complex medical population with multiple comorbid conditions and, therefore, complex medication regimens that may lead to noncompliance, and drug-drug and drug-food interactions. Acutely ill dialysis patients' cases are even more complicated and are prone to iatrogenically induced problems. For these reasons, this patient population should be targeted to receive clinical pharmacy services. This article outlines the evolution of clinical pharmacy nephrology consultative services at a large county teaching hospital over the past decade. Consultative activities for ambulatory and hospitalized patients include therapeutic drug monitoring, medication reviews, dosage modifications, patient counseling, and suggestions for alternative therapeutic selections. Documentation of clinical services is essential to track both written and non-written recommendations and to quantitate clinical activity levels. Documentation procedures are described, and examples of the documentation form and coding list are supplied. Reimbursement procedures for clinical nephrology consultative services which may be applicable in other outpatient clinical settings are discussed.
AB - End-stage renal disease patients represent a complex medical population with multiple comorbid conditions and, therefore, complex medication regimens that may lead to noncompliance, and drug-drug and drug-food interactions. Acutely ill dialysis patients' cases are even more complicated and are prone to iatrogenically induced problems. For these reasons, this patient population should be targeted to receive clinical pharmacy services. This article outlines the evolution of clinical pharmacy nephrology consultative services at a large county teaching hospital over the past decade. Consultative activities for ambulatory and hospitalized patients include therapeutic drug monitoring, medication reviews, dosage modifications, patient counseling, and suggestions for alternative therapeutic selections. Documentation of clinical services is essential to track both written and non-written recommendations and to quantitate clinical activity levels. Documentation procedures are described, and examples of the documentation form and coding list are supplied. Reimbursement procedures for clinical nephrology consultative services which may be applicable in other outpatient clinical settings are discussed.
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U2 - 10.1177/089719009300600308
DO - 10.1177/089719009300600308
M3 - Article
AN - SCOPUS:84965402087
SN - 0897-1900
VL - 6
SP - 140
EP - 147
JO - Journal of Pharmacy Practice
JF - Journal of Pharmacy Practice
IS - 3
ER -