Saturday, November 18, 2017

Rotation 3: Health System/Hospital

Posted by Josephine at Saturday, November 18, 2017

Hi Everyone,

I's been very busy recently (with the secondary projects of P4 year - finishing up the PharmD Investigations Project with a polished manuscript, and completing the P4 Seminar). It truly feels good to be done. But as a result of being busy I haven't been able to post about rotations, so I'll start with 3 now.

Block 3: Institutional/Health System/Hospital Rotation @ a local community-based teaching hospital
During this rotation, I was very fortunate to have a variety of responsibilities. The preceptor is very organized and open to feedback. I rotated through the various duties on a 4-day schedule with three other P4 students (2 from Michigan including myself, 1 from the University of Toledo, 1 from Midwestern):

  • Verification duties:
    • Unverified Orders Monitor (UVOM) - sitting in the central pharmacy and helping them clear the orders that have either already been given or have been discontinued
    • Anesthesia Trays
    • Pyxis Cart Refills
    • ACS Boxes and A-Packs
  • Patient Counseling:
    • Discharge counseling on Orthopedic Surgery patients
    • Anticcoagulation counseling on new-starts (rivaroxaban, apixaban, dabigatran)
  • Miscellaneous:
    • Constantly checking MedMined (the pharmacy's surveillance system) to assess the clinical significance of each alert and determine potential interventions (renal dose adjustments, duplicate medications, adverse effects)
    • Answering random DI questions
In addition to the above duties, I also was able to shadow several times (Emergency Department, Nursing, SICU, MICU, IV room). The preceptor is curious about your interests and works very hard to set up opportunities in that area. I also was required to present a journal club with all of the other P4 students rotating at this hospital (so there were about 10 students in the room). In addition, ther were miscellaneous other presentations to attend: student presentations, pharmacy presentations to nursing, as well as noon conferences for doctors (free food!)

Overall, this rotation was rather relaxing (compared to what I imagine an inpatient rotation would be like). The day was generally 7:30 AM - 4 PM (with 30 minutes for lunch). I never took work home and was not able to access the medical record from home anyway. The preceptors at this institution are very friendly and eager to teach. 

Besides all of this, the rotation was made the most enjoyable by the people! (ie: the other pharmacy students). As I said there were 3 other P4's with me (as well as a P3 from Toledo completing a 2-week IPPE). Honestly, the 5 of us had a lot of fun together, going through all the responsibilities and learning about each others' respective pharmacy schools and various interests. We would eat lunch together everyday and sometimes even hang out after rotation (I'm still in touch with one of the Toledo students even now). I think it could have been easy to simply go through all of our responsibilties without exchanging a word. But this rotation shows me that it's this camaderie-building relationship that truly makes work enjoyable (also, best way to network!). 

(See next post for Rotation 4 details)

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