Diseño de un plan piloto para la implementación de la unidad de mezclas intravenosas en el área de farmacia del Hospital Pediátrico Alfonso Villagómez (Riobamba- Ecuador).

Abstract

The objective of the present titration work was to design a pilot plan for the implementation of the intravenous mixing unit in the pharmacy area of the Alfonso Villagómez Pediatric Hospital. For this, collection techniques were used as direct observation on the process of preparation of parenteral preparations, the application of a checklist based on current regulations on the space intended for conditioning and surveys were used for personnel who prescribe, prepare, dispense and administer intravenous mixtures. It was found that formulations were made in the hospitalization service in spaces not in accordance with the ideal conditions of environment, without suitable equipment and even without specific techniques for this type of parenteral preparations, evidencing that the personnel responsible for the preparation is not the one established, not the one established by the World Health Organization, because this activity is executed by the nursing staff. The evaluation through the survey determined that although intravenous mixtures are extremely important, according to the perception of 81% of health personnel did not consider it necessary to implement an exclusive area for this type of formulations because it has a low prescription number, However, 94% of respondents said that the implementation of the area of parenteral nutrition is more urgent due to the complexity of these preparations and the conditions required for their preparation. Therefore, strategies that formed the pilot plan to contribute to the future implementation of the area of parenteral preparations specifically parenteral nutrition were developed, within these elements consisted the writing of standardized procedures which were directed especially to processes of parenteral nutrition, besides designed the area taking into consideration the regulations and space that the institution has. It is recommended that the managers of the Alfonso Villagómez Pediatric Hospital implement conditioned areas for the safe preparation of sterile formulations.