Authors: Anderson Ferreira Rossatto e Gabrielle Gimenes Lima (FEBRAF, Brazil)
Multiprofessional residences and in the professional health area, created from the enactment of Law No. 11,129 of 2005, are guided by the principles and guidelines of the Unified Health System (SUS), based on local and regional needs and realities, and encompass health professions, namely: Biomedicine, Biological Sciences, Physical Education, Nursing, Pharmacy, Physiotherapy, Speech Therapy, Veterinary Medicine, Nutrition, Dentistry, Psychology, Social Work and Occupational Therapy (CNS Resolution No. 287/1998).
The National Commission for Multiprofessional Residency in Health - CNRMS, established through Interministerial Ordinance 1.077, of November 12, 2009, is coordinated jointly by the Ministry of Health and the Ministry of Education and its main duties are: to evaluate and accredit the Multiprofessional Residency in Health programs and Residency in a Professional Health Area according to SUS principles and guidelines and that meet the socio-epidemiological needs of the Brazilian population; accredit the Multiprofessional Residency in Health programs and Residency in the Professional Health Area, as well as the institutions, qualified to offer it; register certificates of Multiprofessional Residency Programs in Health and Residency in the Professional Health Area, of national validity, with category specification and program emphasis (MEC, 2010).
By definition, Pharmacy Hospital and other health services are presented as “clinical, administrative and economic unit, run by a pharmacist, hierarchically linked to the management of the hospital or health service and functionally integrated with the other administrative and patient care units”. In this context, the hospital pharmacy must develop clinical and management-related activities. The pharmacy is a sector of the hospital that demands high budget values and, therefore, the hospital pharmacist must assume managerial activities to contribute to administrative efficiency and, consequently, to reduce costs (OPS, 2019).
When practicing pharmaceutical care, the pharmacist is involved in several activities at the hospital level. Among them, we can highlight, (a) analysis of drug prescription where dose, dilution, and route of administration, dosage, incompatibilities, and drug interactions are evaluated; (b) participation in rounds with the multi-professional team to evaluate each patient individually; (c) search the scientific literature for the elaboration and updating of clinical protocols, ensuring the rational use of medicines; (d) assist in continuing education, promoting the exchange of knowledge with the entire multidisciplinary team; (e) development of Pharmacovigilance and Technovigilance (MAIA NETO, 2005).
Another activity of great importance is guidance during preparation for hospital discharge, since some of the main problems of non-adherence to treatment are the lack of knowledge by the patient and his family about the disease, the function of the medication used and its expected effects, and adverse effects and their correct use. This lack of knowledge can be related not only to insufficient information, but also to the lack of understanding of the guidelines transmitted by the health professional (PEREIRA, 2008).
BRASIL. Conselho Nacional de Saúde. Resolução CNS nº 287/1998.
BRASIL. Ministério da Saúde. Residência Multiprofissional, 2010.
BRASIL. Organização Pan-Americana da Saúde. Consenso brasileiro de atenção farmacêutica: proposta. Brasília, 2002. Acesso em: 13 jun. 2019.
MAIA NETO, J. F. Farmácia Hospitalar e suas interfaces com a Saúde. 1.ed. São Paulo: Rx Editora, 2005.
PEREIRA, L. R. P.; FREITAS O. A evolução da Atenção farmacêutica e a perspectiva para o Brasil. Rev. Bras. Cienc. Farm., São Paulo, v. 44, n. 4, 2008.