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Feasibility of using a community pharmacist within a Children’s Emergency Department
  1. Seal Patel1,
  2. Mala Khiroya1,
  3. Damian Roland2,3
  1. 1 TrustMed Pharmacy, University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2 SAPPHIRE Group, Department of Population Health Sciences, University of Leicester, Leicester, UK
  3. 3 Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr Damian Roland, Health Sciences, University of Leicester, Leicester, LE1 7RH, UK; dr98{at}

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Given increasing demand and constraints in ED staffing, pharmacists are a potential resource to expand the Children’s Emergency Department (CED) workforce. We determined whether a pharmacist in the CED could independently safely discharge eligible patients and whether the role would be acceptable to families.

A single community non-prescribing pharmacist was recruited to participate in CED care during weekdays (10:00–18:00) over a 12-week period (17 November 2021 to 11 February 2022, excluding bank holidays).

A set of criteria for referral to a non-prescribing pharmacist were determined based on existing criteria used to re-direct patients to a co-located minor injuries and illness unit at our hospital, this was modified with the input of a senior pharmacist (online supplemental appendix). As an initial pilot demonstrated nurses had more confidence in referrals to a pharmacist if they were present in the ED instead of the pharmacy, the pharmacist sat with the triage nurse who took a focused history and set of physiological observations. If patients met the criteria for pharmacist referral, the …

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  • Handling editor Shammi L Ramlakhan

  • Twitter @damian_roland

  • Contributors DR and MK proposed the initial idea. All authors participated in its development. SP wrote an initial draft, and all authors contributed to its development and agreed on the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.