Winston J. Durant's 10-Year Plan
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In the summer of 1966, Win Durant presented his 10-year plan for pharmacy services at the University of Wisconsin Hospital and Clinics. The vision began with:
"The pharmacist must assume complete responsibility for all medications, from the time of selection through the time of administration." The vision went on to describe pharmacist responsibilities as such:- View all medication orders as written by the physician
- Review patient medication therapy
- Prepare and identify the ultimate dosage form of the medication for administration
- Ensure that the medication is administered properly (right patient, drug, dose, route, and time)
- Oversee selection, procurement, and storage of all medications
- Design and implement a unit dose drug distribution system for all 800 inpatient beds
- Implement an I.V. admixture service covering all inpatient nursing units, including all intensive care beds
- Implement a decentralized clinical pharmacist service covering all inpatient nursing units from 6:30am until 11pm, seven days per week. Each pharmacist will cover 60 to 80 patients
- Implement a pharmacy-coordinated technician medication administration program. Pharmacy technicians would administer all scheduled oral, rectal, subcutaneous and intramuscular medications two shifts per day, seven days per week
- Implement a dedicated pharmacy minicomputer system to manage all medication orders, medication distribution, and medication administration for all inpatients
- The pharmacy department will take over management for central supply, materials reprocessing, and hospital purchasing