DEVELOPMENT OF A FORM TO REGISTER THE PHARMACEUTICAL CARE PROCESS IN A MATERNAL AND CHILD HOSPITAL IN SERIDÓ POTIGUAR

Abstract

Clinical indicators showed satisfactory results from the influence of the pharmacist’s performance incorporated into the multi-professional team, contributing to the provision of responsible pharmacotherapy and patient-centered attention. However, this practice must be documented using pharmaceutical records in medical records for proper monitoring, prescription assessment and preparation of the pharmacotherapeutic 
profile, and guidance/recommendations to the healthcare team. A form was develped to register the Pharmaceutical Care process for the Maternity and Obstetrics Sector of a hospital in the Seridó Potiguar region. This descriptive and exploratory study is based on direct observation and consultation with Google Scholar, Pubmed, Scielo, Micromedex, and Uptodate databases for developing a registration form based on Drug-Related Problems and “Subject, Objective, Assessment, Planning” methodology. The form includes patient identification items, clinical and laboratory parameters, patient complaints, allergy records, medications used, drug-related problems, pharmaceutical assessment, and care plan. Development and use of this form, an instrument of health technology, aims to improve, despite the observed reality, the rational use of medicines, in addition to reinforcing the strategic position of the pharmacist as a health promoter, contributing to quality assistance to users of the Brazilian National Health System (Sistema Único de Saúde).