Naslov
2020. - godina novih izazova za hrvatske bolničke ljekarnike - potres(i) u jeku COVID-19 pandemije
(2020 – THE YEAR OF NEW CHALLENGES FOR CROATIAN HOSPITAL PHARMACISTS – COVID-19 PANDEMIC FOLLOWED BY EARTHQUAKE(S))

Autori
Momčilović, Mirna ; Turčić, Petra

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Godišnja konferencija farmaceuta Hrvatske ; Povjerenje-temelj uspješne farmaceutske skrbi / Jakševac-Mikša, Maja - Zagreb : Hrvatsko farmaceutsko društvo, 2021, 82-83

Skup
PharmaCRO 2021

Mjesto i datum
Zagreb, Hrvatska, 23.09.2021. - 25.09.2021

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
bolnička ljekarna ; potres ; COVID-19
(hospital pharmacists ; COVID-19 ; earthquake)

Sažetak
The year 2020 was very different than we could have imagined or expected a year prior. As COVID- 19 pandemic was spreading and moving unstoppable across the world, Croatia also got first cases of COVID-19 at the end of February. Little was known about the virus, so saving peoples’ lives was the main principle that applied. Hospital pharmacists were responsible for drug and protective equipment supply to the hospitals. There was a higher demand and a global shortage of drugs including anaesthetics, antibiotics, muscle relaxants, anxiolytics, chemotherapeutics and many others. Also, wholesalers declared lockdown due to big delays in payment. To minimise the impact it would have on patients, all supply chain actors, including hospital pharmacists and national authorities, collaborated more closely in terms of resolving the shortage problem. The morning after Croatia got into first big lockdown due to a high number of COVID-19 cases, the capital Zagreb experienced a strong earthquake. Since most of the hospitals were built on the hills, it was even more destructive for them. An urgent evacuation was ordered, and hospital pharmacists, among other hospital employees, helped to evacuate/re-settle patients, drugs, medical products and other hospital equipment. Then it happened again in December. The 2nd peak of the COVID-19 pandemic was followed by another earthquake in Moslavina county. There was no drugs supply for days. Thanks to the efficiency of the president of the Croatian Chamber of Pharmacists and the generosity of the Croatian Mountain Rescue team, who offered to share a tent, pharmacists managed to set the pharmacy in the tent, filled it with drugs donated from community pharmacies, hospitals and wholesales from Croatia and other European countries, and started supplying patients with them. It was a modified way of dispensing, without prescription because there was no doctors and no place to prescribe it. Dispensing was based on patient’s medical documentation, if available, and patient’s medication history according to what patient said only. The biggest challenge for pharmacists was a limited number of drugs and a limited choice of doses because all they had were donations. Pharmacists needed to use their knowledge about dosing, duration of action and possibility of splitting tablets into equal parts to get the needed dose and, most importantly, substituting drugs from the same pharmacologic class, taking into consideration the patient’s needs, and avoiding drug to drug interactions. Pharmacists also provided patients with OTC drugs, free of charge, followed by advice on how to use it. All the supply of vaccines against COVID-19 available in Croatia at that point, was sent to the areas hit by the earthquake. Vaccination was done by doctors, and pharmacists assisted by supplying them with all the equipment needed. Following the Croatian example of handling an earthquake situation, there is an idea of organising a medical crisis team, would include pharmacist, in each European country.

Izvorni jezik
Engleski

Znanstvena područja
Farmacija

POVEZANOST RADA