IPPE Midpoint Reflection
Since I have been worked in Veteran Affairs Medical Center in Baltimore, Maryland, I was not surprised with the work load and the hospital setting at Millcreek Community Hospital (MCH). With a goal of enrichment my knowledge in a hospital pharmacy setting, I am enthusiastic in accomplishing the assigned duties. I have very high expectation during these four weeks of IPPE rotation; I expect to learn beyond what I already know in the past and apply what I learn during the past year in to pharmacy practice. Arriving at Millcreek Community Hospital, I was not surprised the pharmacy's setting in hospital but I'm surprised the different types of work I received. At Veteran Affairs Medical Center, all I ever did are filling the prescriptions, stocking, and managed automated machines but at MCH,
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there are so much work that I need to do. With the help of pharmacists, pharmacy technicians, pharmacy interns, and pharmacy residency, my first two weeks went very well and I learned lots of new things. They are very nice, friendly, and willing to help pharmacy students and answer any questions I have. In my first two weeks, I learned lots of new things include smoking cessation, print out reports, inventory, stocking, look up medications and compare patient's creatinine clearance, do creatinine clearance report, fill out the fall risk and core measures assessments, and bring those forms to the floors and place them in patient's chart so that physicians and nurses can easily look through. At first, I had trouble in locating medications on the shelves since I am used to use the carousel machine to get the meds ordered. But now, put meds on the shelves is not challenge for me anymore because I remember the common used meds and know where they located. If I don't remember where it locates, I always look in alphabet orders. Besides put meds on the shelves, I also went with pharmacy intern to deliver the medications and to fill the Pyxis machines. Pharmacy intern showed me how to scan the meds in and how to record of how many meds in Pyxis so that it's going to be easy when they do stocking. I never use Pyxis before so it's new to me but now I know how to function the machine, how to load and unload the medications from the Pyxis. During first two weeks, I have an opportunity to work pharmacy intern and do medication records in ED. I learned what to ask when patients come in such as prescription meds, OTC meds, vitamins/herbal/dietary supplements, allergies with reactions, any other issues, and their pharmacy. Besides that, I learned how to call pharmacy to ask patient's medications list and ask to fax over, and know how to report medications record in the system. It's really helpful when patients come in ED with their medication list but I still need to check their pharmacy and asking for their medication list to be sure that what drugs they have been taking. I also like when I seating down with pharmacy intern and look up patient's profile to see the result of patient's blood culture and urinalysis and to see if patients had correct diagnose and treatment, and to see if there is any treatment adjustment. I also learned how to use the Cadet machine to pre-packing medications. In my first week at MCH, I have 12 hours shift which I'm not get use to since I always have 8 hours shift. I was tired and not feeling well by the time I leave from hospital. Now, I have no problem with 12 hours shift because there are so much work to do and time goes by so fast that I'm not aware of. For future job, I really want to work 12 hours shift in 3 days a week. During first the two weeks at MCH, I observed all pharmacy employees work together very well as a team. They discussed patient's profile and came up a better solution. That is very important especially in a healthcare team. Pharmacists, pharmacy intern, pharmacy residency, and pharmacy technician worked together and provide best services to patients. Overall, it is positively affect the delivery of services because they work together as a team and provided best services to patients. It also same thing when I observed pharmacists interaction with other healthcare professionals such as physicians and nurses. Pharmacists received calls from the floors and they discussed about the issues and solve the issues together and came up a better plan for patients. There are several pharmacy coursework that covered in pharmacy practice during my P1 year.
For IV room, I learned the processing; know how to make IV, and IV calculation in my sterile dosage class. It's really helpful because I was able to apply the knowledge that I know in class and used it in hospital's setting. Also, when I worked with intern during weekend, he showed me patient's lab culture and urinalysis result. I notice bacteria that I learned in class and know what antibiotics to use for treatment. One of patient's profiles said that patient has BV and I know right away it stands as Bacterial Vaginosis. I'm so glad that I learned microbiology in the first year of pharmacy because not only I learned about different types of bacteria but I also learn the antibiotics. I also have pharmacy calculation in pharmacy coursework and it's really helpful when it comes to calculate CrCl and eGFR. My specific goals for the final two weeks of the rotation are an opportunity to make IV and successful complete every single tasks by myself. Overall, I enjoy having my institutional IPPE rotation at MCH and I learned so much than I
expect.
My studies through the IU School of Medicine have allowed me to become qualified for this position. I rotated for a month in the gross room, autopsy, and frozen section. They all taught me how to work with the residents and attendings and the different skills involved in each rotation.
According to Kasie, the most difficult part about her job was learning her way around the hospital and remembering where every med room was located. This is Kasie’s first hospital pharmacy tech job, she loves it! Her inspiration was that she has always been fascinated with medications and how they work, she is also amazed by the human body and science. She is a certified technician, because, where she is working she is required to be certified as well as registered, and it looks better on a resumé. She works at Baptist Health Jacksonville in Jacksonville,
I learned in the PACU how to line up nurses on the white board of who will get the patient next. I learned in Ortho where the operating room puts the stretchers that are dirty. I also learned how to check the oxygen level on the oxygen tanks under the patient beds.
It is this singular fact that very few people realize. A pharmacy technician who receives no formal training is responsible for not just the delivery of a patient’s medication, but also for their bill, their confidential information, and their life. The question now is, how can an uneducated individual be given so much responsibility? Technicians are granted these responsibilities because a pharmacist can not do the job alone. Pharmacists strive to mold each new technician into an employee that will realize what technicians really do.
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.
On my first day in TCU I focused on trying to adjusted and found where the equipment placed and how it worked like IV machine, and where to find medications, treatment supplies, and scavenger hunting, I also give care for three patient assessment and medication administration. In addition, I joined a nurse team meeting and introduced myself to everyone most. This meeting taught me how meeting was mainly about how to make a g...
I always check and ensure that the right patient, right route, right drug, right dose, and right time. I always tell myself these are very important to remember before I administrate medication. My first rotation stared at Dickson. I had learned many things and obtained the first hand of experience of the small hospital. Where are not many patients admitted and needed routine medication administration on the floor as bigger facility does.
Outside of class, I completed my internship in a hospital planning department and also in the laboratory where I worked as a laboratory assistant. I was solely responsible for series of tests such as packed cell volume test (pcv), hepatitis test, widal test, malaria parasite test, pregnancy test, venereal disease research laboratory test (vdrl), erythrocyte sedimentation rate test and Hiv
The subspecialty I plan on focusing my career around is medication therapy management (MTM), whether I work in a retail setting or not. Pharmacy informatics will be important to me, as the programs I use to fill prescriptions will also monitor the possible interactions, duplicative therapies, contraindications, etc. of the medications my patients will be receiving. This system will be my resource to ascertain which patients are in need of MTM and why, and by combining the information contained in the pharmacy’s records of the patient with information I may get from the patient’s other health care providers and the patient themselves, I will be able to see what points I need to bring up during an MTM session.
The aim of this study is to determine the impact of Grade Point Average (GPA), multiple clinical rotations, and the sequence of the clinical rotation on graduates’ of college of pharmacy performance on the North American Pharmacy Licensure Examination (NAPLEX test). Clinical rotations are defined as those clerkship experiences that are not based solely on order entering, or dispensing of medication but requires pharmacist-patient contact and patient monitoring. Examples of clinical experiences that meet the requirement of a clinical rotation include internal medicine, ambulatory care practice, and specialty areas such cardiology, infectious diseases, critical care unit and emergency medicine. Multiple clinical rotations are when a student is assigned to 3 or more clinical rotation within that academic year. Rotation order or sequence is defined as student completing three or more rotations in a sequence without interruption. In this case a student will have three or more clinical rotations in sequence for example in month one - internal medicine, month two - infectious disease and moth three - critical care rotation. The college of pharmacy GPA of 3.0 or better is considered a high GPA, while a GPA of 3.0 or less is considered low GPA. A score of 75 is considered a passing score in the NAPLEX test, a score below 75 is considered a failing score. Therefore, the study hypothesis is that the composite of multiple clinical rotation and sequence of the clinical rotation will have greater correlation to the student performance on the NAPLEX test compared to GPA alone.
IPPE Hospital Rotation Reflection During the last three weeks, I was able to complete my first introductory pharmacy practice experience (IPPE). The time spent at my site was exceptional and filled with many different scenarios in which I was able to work with not only members of the pharmacy care team, but also other providers and healthcare professionals. At the beginning of my rotation, I did not know what to expect so I set goals for myself that seemed reasonable to achieve in any healthcare environment and began my journey.
My personal goal this semester was to get more hands on experience especially with doing medications. My goal was definitely achieved this semester with the help of Rose and the nurses I had the chance to work with. I got more confident in drawing up the medications I was doing and being a littler faster with the process of doing all my checks, where before it took me forever. Also learning how to use the Pyxis machine for the first time, since that was not a availability in our first clinical setting! I also got great opportunities to do multiple wound dressings, including one on an amputation. I really enjoyed being able to be more involved in the patients care on a more hands on basis then I was in previous clinical.
My nursing career began 7 years ago at SSM on Medical Oncology Unit. I was certified in Chemotherapy and Wound Care. Although there were thirty staff nurses, only two of us were certified in wound care and five were chemotherapy certified. Besides caring for my medical-surgical patients, I was also responsible for administering chemotherapy and monitoring cancer patients as well as assessing, documenting, and recommend the appropriate treatments for different types of types of wounds, including surgical openings, ulcers, bed sores, feeding tube sites, and abscesses. I gained a diverse range of clinical skills in Emergency Department, Cardiology, Neurosurgery, and Orthopedic Surgery as floating was a staff nurse's requirement. Every nursing
I came to Andrews University to do my master in Medical Laboratory Science (MLS) in 2012. As a prerequisite for master, I started with a clinical year that included training at Hinsdale Hospital for 6 months. It was great experience to work in microbiology as part of my clinical. I gained extensive experience during this internship as a trainee in a hospital, working in all medical laboratory departments. I spent one month in the microbiology department and worked with different types of instruments such as BACTC (Automated blood culture) and VITEK 2 (Identification of microbe).