The Department of Pharmacy provides integrated, cost-effective
pharmaceutical services to Stanford Health Care (SHC). These
patient-focused services include medication delivery, therapeutic
recommendations, and promotion of optimal drug therapy.
To advance its mission, the department provides a supportive
environment for professional training and development. The Department
of Pharmacy participates in the American Society of Health-System
Pharmacists (ASHP) Residency program. Three ASHP-accredited residency
training programs are offered including a PGY-1 pharmacy practice
residency and two specialty PGY-2 residencies in Critical Care and
Oncology/Hematology. Stanford pharmacists also precept pharmacy
students on clerkship rotations.
Inpatient Pharmacy Services
Inpatient pharmacy services to SHC are provided by clinical
pharmacists 24 hours a day, 7 days a week. Inpatient distribution is
done primarily through automated dispensing cabinets (Pyxis) on all
nursing units which interface with the clinical information system.
The clinical pharmacist must have reviewed the order before the nurse
can obtain the dose for administration.
Stanford Health Care 300 Pasteur Drive, Room H0301
The Pharmacy Department provides services via eleven pharmacy
satellites, including the Cancer Center and Stanford Medicine
Outpatient Center (SMOC). Each acute care service has a pharmacist
available on pager assigned to cover the area on a daily basis.
Clinical Pharmacists' Responsibilities
Clinical pharmacists are responsible for:
Managing warfarin therapy under a collaborative practice
agreement (Warfarin per Pharmacy).
Screening new orders for potential
problems such as drug allergies, drug/food interactions, intravenous
(IV) incompatibilities, and the need for dose adjustments.
Physicians are informed of potential problems and alternatives.
Round with many of the medical teams to provide drug information
and collaboratively monitor patients' responses to their
Actively involved in monitoring antibiotic
therapy, total parenteral nutrition (TPN) therapy, IV therapy, and
any medications that require additional laboratory monitoring such
as warfarin and phenytoin.
Provide patient education
in-house and at discharge upon request.
Electronic progress notes by pharmacists contain information
regarding pharmacokinetic dosing recommendations, warfarin therapy,
renal/hepatic dosing adjustments or other information related to a
patient's medication therapy.
Many of our clinical pharmacists also precept pharmacy students and
The hospital formulary promotes the objective evaluation, selection,
and use of medications as a basis for rational drug therapy. The SHC
drug formulary is a continually revised compilation of drugs that
reflects the current clinical judgement of the medical staff as
communicated through the Pharmacy and Therapeutics Committee of the
Medical Board. The formulary makes available for use at SHC those
drugs considered to be safe and effective while minimizing therapeutic
duplication. The online formulary is accessible from any hospital
workstation via LexiComp.
Ambulatory Care Services
In addition to inpatient services, pharmacists participate in the:
Oral Anticoagulation Clinic (OAC) at SHC offers a comprehensive
range of patient-focused pharmacy services. The goal of the clinic is
to optimize patients' anticoagulation therapy with warfarin and to
bridge patients with a low molecular weight heparin while
transitioning to warfarin. Patients are carefully monitored and
followed via on-site visits or through phone calls using an
established anticoagulation protocol.
Pharmacy Resource Center (PRC)
The Pharmacy Resource Center (PRC) answers drug-related inquiries
for health care professionals affiliated with SHC.
Center personnel research questions on a wide variety of topics
including drug shortage management, drug selection, drug interactions,
pharmacology, pharmacokinetics, adverse effects, teratogenicity,
lactation, product availability, cost, and identification (domestic,
foreign, and investigational).
The Pharmacy Resource Center maintains current drug-related
references and utilizes computerized literature searches and World
Wide Web information.
Investigational Drugs Service
The Stanford pharmacy also works in conjunction with physicians and
researchers on investigational new drug trials in conformance with
legal and accreditation requirements. All investigational drugs
are monitored and documented by the investigational drug pharmacist.