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MODULE 22: THE HOSPITAL ECOSYSTEM
Section 5: Masterclass: Deconstructing the Procedural Order Set
This is a deep dive into the pharmacist’s role in preparing patients for invasive procedures, focusing on the surgical order set as the ultimate blueprint for safe perioperative care.
The Pre-Flight Checklist
Imagine you are not a pharmacist, but an aircraft maintenance chief. A 747 has just rolled into your hangar. It’s scheduled for a transatlantic flight in a few hours. Your job is to work through the official pre-flight checklist. This is not a casual review. It is a rigid, multi-point inspection protocol where every single item—from fuel levels and engine status to hydraulic pressure and landing gear—must be verified. You don’t “eyeball” the fuel; you confirm the exact number of gallons. You don’t “assume” the landing gear is fine; you verify it is locked and secure.
The safety of hundreds of passengers rests on the absolute accuracy of your verification. Skipping a single step or making an assumption could be catastrophic.
This is precisely your role as the pharmacist verifying a pre-procedural order set. The order set is your pre-flight checklist. The patient is the 747. The procedure is the transatlantic flight. Your job is to meticulously verify every single data point—the VTE prophylaxis, the antimicrobial selection and timing, and the plan for the patient’s home medications. You are the final safety check before “takeoff,” and your vigilance is what ensures the patient’s safe journey through the procedural suites and back.
What This Section Will Teach You
This section provides a step-by-step masterclass on your role as the ultimate pre-procedure medication safety officer.
The Procedural Hubs
Get a guided tour of the key areas where invasive procedures are performed, from the main operating room (OR) to the Cardiac Cath Lab and Interventional Radiology (IR) suites, and understand the unique workflow of each.
Anatomy of a Pre-Surgical Order Set
Learn to deconstruct a pre-surgical order set like an expert, mastering the verification of the four critical pillars: the clotting plan, the infection plan, and the home medication plan.
The Pre-Procedure Safety Officer
Solidify your role as the indispensable medication safety expert by learning to spot and prevent the most common and dangerous errors related to periprocedural medication management.
