Evaluation of Pharmacy Supplies as a Function of Surgical Company Clinical Requirements

摘要

The Operational Maneuver From The Sea concept, with its emphasis on rapid tempo, momentum, and flexibility, requires a medical support system that can keep pace with the speed and mobility of assault forces. To accomplish this objective, the logistical footprint of the forward resuscitative surgical function must be reduced without compromising the quality of clinical cam rendered. The clinical requirements of the Shock Surgical Team/Triage (SST), Acute Care Ward (Ward), and Operating Room (OR) at Echelon II determine in large part the contents of pharmacy AMALs 629 (Equipment) and 630 (Consumables). This study evaluated current pharmacy Authorized Medical Allowance Lists (AMALs) and proposed changes to them as a function of previously established clinical requirements for the SST, Ward, and OR. Recommendations include the exclusion of supplies, particularly drugs, if they have a duplicate purpose or if there is no clinical requirement for them. Quantities of supplies, both drugs and equipment, were reduced to fulfill clinical requirements without compromising care. As a result of this analysis, proposed AMAL 629 showed a 55% reduction in number of items, 2% reduction in total weight, and a 3% reduction in total cube. Proposed AMAL 630 showed a 69% reduction in number of items, a 65% reduction in total weight, and a 24% reduction in total cube.