Practices of pediatric hospitals regarding drug-nutrient interaction counseling programs
MetadataShow full item record
In recent years, the Joint Commission for the Accreditation of Healthcare Organizations has focused on assessment of needs, both educational and medical, with emphasis on drug-nutrient interactions. Registered Dietitians (R.D.s) were surveyed at forty-five freestanding, acute care pediatric hospitals to determine who performs inpatient and outpatient counseling, how patients are identified, and the drugs chosen. Seventy-eight percent (n = 35) of the surveys were returned. Nurses (38.2%) were the primary educator for inpatient counseling and pharmacists (32.3%) for outpatient counseling. The most common means of identification for inpatient counseling is the R.D. scanning charts (n = 19), and the pharmacist noting the interaction (n = 16). Outpatients were screened by pharmacists (n = 18) and R.D.s (n = l0). The top drug categories targeted for counseling include: anticonvulsants (n = 35), antibiotics (n = 33), diuretics (n = 26), bronchodilators (n = 19), and anticoagulants (n = 16). This survey provides insight into mechanisms employed for education and the targeted drugs most significant for this specialized population.