k*****6
发帖数: 39 | 1 最近大家都在很热心的探讨pharmacist的前途问题，特别是新型pharmacist工作领域，
例如Home Infusion 。 偶孤陋寡闻，不知Home Infusion 为何物，所以就google了一
下，2个结果引起了我的注意：
http://www.healthsystem.virginia.edu/internet/continuum/homeinfusion.cfm
http://www.idsociety.org/Content.aspx?id=3984
第一个网页说：
“Home infusion provides an alternative to receiving intravenous (IV)
therapy in the hospital. Home Infusion Therapy is the intravenous
administration of medication to patients in their own home.”
依照这样的描述看，Home Infusion主要的工作就是在病人家里进行intravenous
administr | h**l
发帖数: 4883 | 2 我认识一个人是home infusion pharmacy的主管。他们做很多Compounded Sterile
products. 需要很懂 USP797。
建议你读读The Pifizer Guide to Careers in Pharmacy
里面有很多药剂师的职业选择 | z***a
发帖数: 8436 | 3 有人了解做MTM（medication therapy management)的工作吗？
看到有专门招MTM pharmacist的，跟病人接触很多，或者通过电话进行咨询。 | u*****d
发帖数: 1009 | 4 I did a rotation with OptionCare, which is a home infusion chain-pharmacy
under the managment of Walgreens. However, I only rotated through the
corporate office and answered a lot of drug info questions, from stability
to compatibility to infusion lines. Personally I didn't like it that much
because I felt like I was losing my therapeutic knowledge and concentrating
too much on IV products, but I can definitely see how some people like this
field, it is a very unique specialty.
【在 k*****6 的大作中提到】
: 最近大家都在很热心的探讨pharmacist的前途问题，特别是新型pharmacist工作领域，
: 例如Home Infusion 。 偶孤陋寡闻，不知Home Infusion 为何物，所以就google了一
: 下，2个结果引起了我的注意：
: http://www.healthsystem.virginia.edu/internet/continuum/homeinfusion.cfm
: http://www.idsociety.org/Content.aspx?id=3984
: 第一个网页说：
: “Home infusion provides an alternative to receiving intravenous (IV)
: therapy in the hospital. Home Infusion Therapy is the intravenous
: administration of medication to patients in their own home.”
: 依照这样的描述看，Home Infusion主要的工作就是在病人家里进行intravenous
| u*****d
发帖数: 1009 | 5 You basically manage patient's meds,make adjustments, and counsel patients;
i think having good relationships with MDs in the MTM setting is really
important, because pharmacists obviously don't have prescribing authority,
so anything you recommend to be changed need to be ok'ed by the docs.
otherwise the pay should be pretty good, you get paid by the hour as long as
the insurance company covers the MTM session, but patients can always pay
out-of-pocket too. There's a lot of retail pharmacies th
【在 z***a 的大作中提到】
: 有人了解做MTM（medication therapy management)的工作吗？
: 看到有专门招MTM pharmacist的，跟病人接触很多，或者通过电话进行咨询。
| z***a
发帖数: 8436 | 6 Thank you for sharing us your experience and knowledge.
I don't like many patients interactions. Occasionally patients counseling
in retail or hospital is not bad. Sometimes it is not easy to make all MDs
happy. Doing MTM in a hospital may be better.
But I heard MTM might be one of the most important areas for pharmacists.
Many pharmacy schools encourage their students to involve more in MTM. As
there's increased need in MTM, the ones who like patients counseling will
benefit from this fiel
【在 u*****d 的大作中提到】
: You basically manage patient's meds,make adjustments, and counsel patients;
: i think having good relationships with MDs in the MTM setting is really
: important, because pharmacists obviously don't have prescribing authority,
: so anything you recommend to be changed need to be ok'ed by the docs.
: otherwise the pay should be pretty good, you get paid by the hour as long as
: the insurance company covers the MTM session, but patients can always pay
: out-of-pocket too. There's a lot of retail pharmacies th
| u*****d
发帖数: 1009 | 7 You're absolutely right. Over the next decade, there will be a smaller
demand for retail pharmacists but an increasing demanding for individualized
patient care, ex. MTM (ambulatory care) pharmacists, clinical pharmacists,
etc.
MDs
【在 z***a 的大作中提到】
: Thank you for sharing us your experience and knowledge.
: I don't like many patients interactions. Occasionally patients counseling
: in retail or hospital is not bad. Sometimes it is not easy to make all MDs
: happy. Doing MTM in a hospital may be better.
: But I heard MTM might be one of the most important areas for pharmacists.
: Many pharmacy schools encourage their students to involve more in MTM. As
: there's increased need in MTM, the ones who like patients counseling will
: benefit from this fiel
| k*****6
发帖数: 39 | 8 感谢大家的讨论。我在第一楼提出的5个问题谁能麻烦解答一下？谢谢！ | z***a
发帖数: 8436 | 9 同问!
但我算不算回答了你第4个问题呀，呵呵。
可惜我估计不大适合MTM，反而对home infusion也挺感兴趣。
希望有经验的同学能多提供点信息！ | T*R
发帖数: 36302 | 10 没干过HOME INFUSION,不知道什么东西.
不过HOME NURSE我是干过的.
钱还行.一般OPEN CASE 7,80一次,平常的拜访5,60块一次.20分钟解决.如果给药的话,
象ZOSYN这样的也就30分钟,VANCO2小时.不过我从没给过药.
干这个,主要的问题是SAFETY.
女的不是很合适,除非你是比较TOUGH的.
因为你去的区域可能你不了解.抢劫什么的是常事.我自己老板就被抢劫打伤.
我以前只做CHINATOWN的中国病人,安全还好.后来觉得有点累,就不做了.因为开着车倒
处跑也很累.城里趴车不容易.
还是做AGENCY来钱块,也稳定.
我要是做药剂师,肯定兼职做FLEX POOL. | | | u*****d
发帖数: 1009 | 11 home infusion的pharmacist不用到处跑
你说的是护士,pharmacist在home infusion pharmacy里面check药安排上门的护士,绝
对不会和护士到处一起跑
两个工作,两个性质
home infusion pharmacy女的pharmacists很多,和别的领域的pharmacy一样
【在 T*R 的大作中提到】
: 没干过HOME INFUSION,不知道什么东西.
: 不过HOME NURSE我是干过的.
: 钱还行.一般OPEN CASE 7,80一次,平常的拜访5,60块一次.20分钟解决.如果给药的话,
: 象ZOSYN这样的也就30分钟,VANCO2小时.不过我从没给过药.
: 干这个,主要的问题是SAFETY.
: 女的不是很合适,除非你是比较TOUGH的.
: 因为你去的区域可能你不了解.抢劫什么的是常事.我自己老板就被抢劫打伤.
: 我以前只做CHINATOWN的中国病人,安全还好.后来觉得有点累,就不做了.因为开着车倒
: 处跑也很累.城里趴车不容易.
: 还是做AGENCY来钱块,也稳定.
| T*R
发帖数: 36302 | 12 要是这样我倒是想出一招.
我做过一年HOME NURSE,也有一些朋友在做这.
HOME CARE,主要是关系.就是和医生的关系.
基本你搞定一些医生,就有固定的客户.药都是这些HOME HEALTH COMPANY来安排.
那么我们可以自己搞HOME INFUSION公司,自己供药.这个来说,大药店并没有优势.病人
选谁在一开始都是医生说了算的.
比如华人病人基本都是华人医生.我知道很多医生现在都插手HOMECARE.
比如在CHICAGO,我做的那家以亚洲人为主要客户的HOME HEALTH公司,就和一些医生有利
益关系.我们在CHINATOWN租的办公室,就是梁叠权医生的诊所里的空屋.
有一个朋友,她原来在NAPERVILLE给一家公司做,后来自己搞定几个医生后,就抢了客户
自己做.
这一行利润还是很高的.
【在 u*****d 的大作中提到】
: home infusion的pharmacist不用到处跑
: 你说的是护士,pharmacist在home infusion pharmacy里面check药安排上门的护士,绝
: 对不会和护士到处一起跑
: 两个工作,两个性质
: home infusion pharmacy女的pharmacists很多,和别的领域的pharmacy一样
| l********8
发帖数: 491 | 13 just wonder how they get reimbursed...
individualized
,
【在 u*****d 的大作中提到】
: You're absolutely right. Over the next decade, there will be a smaller
: demand for retail pharmacists but an increasing demanding for individualized
: patient care, ex. MTM (ambulatory care) pharmacists, clinical pharmacists,
: etc.
:
: MDs
| l********8
发帖数: 491 | 14 this is exactly what infusion pharmacist do... basically what they are doing
is they make IV product for patient to use at home. So they are sterile
products needs to be used at home. Instead of dispensing oral meds, you are
dispensing IV medication....
YOu don't need to go to the patients, because you don't administer it. There are traveling nurses who administer them or patients/family get trained to do it. So infusion pharmacist dispense the drug...
concentrating
this
【在 u*****d 的大作中提到】
: I did a rotation with OptionCare, which is a home infusion chain-pharmacy
: under the managment of Walgreens. However, I only rotated through the
: corporate office and answered a lot of drug info questions, from stability
: to compatibility to infusion lines. Personally I didn't like it that much
: because I felt like I was losing my therapeutic knowledge and concentrating
: too much on IV products, but I can definitely see how some people like this
: field, it is a very unique specialty.
| l********8
发帖数: 491 | 15 One of our professor told us: MD prescribe, Pharmacist dispense, and nurse
administer the medication. We do have our role!!! | T*R
发帖数: 36302 | 16 my point is you can find some chinese home health companies to do you own
sterile practice.
Just find couples of chinese doctors, then set up a company, do all home
meds by this company.
This is really doable.
I know some nurses just set up their own home health company based on the
relationship with doctors. I think pharmacists can do this too, you know
most chinese patients are not knowledgable, as long as docs tell them to
call you, they will call you to get meds.
Healthcare's core is MD, the
【在 l********8 的大作中提到】
: this is exactly what infusion pharmacist do... basically what they are doing
: is they make IV product for patient to use at home. So they are sterile
: products needs to be used at home. Instead of dispensing oral meds, you are
: dispensing IV medication....
: YOu don't need to go to the patients, because you don't administer it. There are traveling nurses who administer them or patients/family get trained to do it. So infusion pharmacist dispense the drug...
:
: concentrating
: this
| k*****6
发帖数: 39 | 17 请教一下什么是agency和FLEX POOL？ | T*R
发帖数: 36302 | 18 这个术语用得可能不对.护士里是这样的.
就是大的COMPANY有RESOURCE TEAM.
比如我就为某一个连锁医疗机构工作,他们下面有多家医院,我事先安排好我的SCHEDULE
,到了我安排的日子,哪里缺人就把我派到哪.
这样的收入要比一般护士高很多,也比不要福利的PARTIME护士高很多.
不知道连锁药店是什么情况,因为每天也面对CALL OFF,缺人是肯定有的.特别是周末.
【在 k*****6 的大作中提到】
: 请教一下什么是agency和FLEX POOL？
| k*****6
发帖数: 39 | 19 问一下楼上“这样的收入要比一般护士高很多,也比不要福利的PARTIME护士高很多.”
是说“这样的药师的收入要比一般护士高很多,也比不要福利的PARTIME护士高很多.”
还是““这样的护士的收入要比一般护士高很多,也比不要福利的PARTIME护士高很多.
”？ | k*****6
发帖数: 39 | 20 另外问一下我们这里讨论的home infusion 是不是就是护士版里讨论的home health
care？
http://www.mitbbs.com/article_t/Nurse/31202959.html |
|
