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Services

We offer services to EM Physician groups, pharmacists, nurses, and EMS services.  In addition, we offer a wide range of programs and toolkits that can be tailored to your practice site. 

EM Physician

Services 

  • EM Physician support using time and cost-effective pharmacist work-sharing programs (see program and toolkit options below).

EM Pharmacist Development

  • EM Pharmacist program funding and expansion proposal. 

  • EM Pharmacist A-Z training.

EM Nurse

Development

  • Analgosedation training

  • Vasoactive drug training

  • EM Pharmacotherapy Practice Pearls

EMS Services

  • Formulary management 

  • Clinical protocol optimization

  • Drug shortage mitigation planning 

EM Pharmacist Programs

Enhance your patient's care by utilizing some of the following programs.

ED Culture Review

  • Post ED culture review is a useful way to ensure empiric antibiotic treatment is appropriate and the patient does not decompensate at home. 

  • Tools include pharmacist workflow, training, and policy.

Medication History

  • The ED pharmacy team can be a great resource for timely and accurate medication history collection for patients needing community placement or admission.

  • Tools include pharmacist workflow, training, and policy.

Pharmacy to dose 

  • From anticoagulation reversal to LOOP diuretic dosing for  HF exacerbation. 

  • From PEP to pediatric antibiotics.

  • Providers can utilize various EMRx Toolkits below to assist with timely and accurate medication dosing.

Toolkits

Enhance your patient's care with one or more of the following clinical toolkits. 

Many kits are customizable and can be molded to fit your site's preferences.

Anticoagulation Reversal 

  • Fixed dose 4-factor PCC (aka KCentra), vitamin K, andexanet alpha, and idarucizumab protocol for warfarin and DOAC reversal.

  • Drug Pyxis kit(s) for rapid medication use

ED Specific Analgosedation

  • Post-intubation analgesia/sedation dosing protocol to provider specified RASS and CPOT goals.

  • RN education on patient assessment, drug initiation and hemodynamic effects. 

Drug Kit Utilization

  • Medication kits development and stocking for rapid staff access to medications

  • RSI, STEMI, Stroke, Naloxone4home, code BERT, 4f-PCC kit, and more.

Ketamine for Analgesia

  • Sub-dissociative ketamine is a useful way to treat neuropathic pain and spare opioid use

  • Can be used via intermittent or continuous infusion

TNK for Stroke Proposal

  • Still using alteplase? 

  • TNK is 15x more specific for fibrin, has 6x the half-life, and is cheaper

  • We can help with protocol/orderset development and administration kits

ED Infusion Dosing Handbook

  • For sites with limited EMR built in drug information an "ED Code Drug Book" can be useful.

  • Toolkit includes ED drugs with information on dosing, titration, compatibility and more.

Push Dose Pressor Proposal

  • Used for years by anesthesia, these are a useful tool to have peri-intubation and for drug induced hypotension

  • Toolkit includes P&T proposal and RN training

LOOP Diuretic Dosing Conversion in HF

  • Do you have a high HF readmission rate?

  • Using the DOSE trial and setting up a protocol to diuresis patients can help

Phenobarbital First Alcohol Withdrawal Protocol

ED Pyxis Optimization

  • Having trouble with timely medication administration?

  • Use our pareto analysis tool to help optimize pyxis stock in your ED 

Drug Shortage Mitigation Planing

  • When issues present with high/critical use medication supply, we offer innovative solutions to various shortages

Medication Use Evaluations (MUE)

  • Our MUE reports offer retrospective and prospective clinical efficacy and drug safety data at your site.

HIV PEP Protocol

  • For sexual assault, occupational, and non-occupational exposures, our protocol can help mitigate barriers to patient drug acquisition and compliance.

Rabies PEP Protocol

  • We will work with local health jurisdictions to create protocols for patient who should receive immune globulin and vaccination series. 

  • We then develop a follow system that ensures vaccination use after ED discharge. 

Hypertonic Saline for Hyponatremia Protocol

  • Having issues with hypertonic saline use specifics and safe administration?

  • We offer assistance with order set or protocol development to prevent errors.

Drug Extravasation Guideline

  • Are vesicant extravasations common in your ED?

  • We have RN training on extravasation and offer a protocol to handle all situations when vesicants are extravasated

Pharmacist Drug Administration Training

  • EM Pharmacists assistance at the bedside is growing

  • We offer formal training on medication use administration 

  • We offer specialized training an vasoactive and analgosedation drug titration 

EM Pharmacist Code Workflow

  • Whether you're implementing a program or want optimization we use ASHP best practices to enhance ED care patients, improve drug safety, and facilitate various transitions of care improvements  

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