Sample Site and Rotation Descriptions

Sample Site and Rotation Descriptions

Site Descriptions:

Example 1

Pharmacy A

Pharmacy A is an organization centered around the only community hospital in Small Town, Florida.Pharmacy A is a 353-bed, full-service medical and surgical acute care center serving 14 counties and offering comprehensive cardiovascular care, oncology, orthopedics, neurosciences, minimally-invasive laparoscopic and robotic surgery, weight loss surgery and treatment, women's health and wound therapy, among other services. A proven leader, Pharmacy A has the following healthcare and quality distinctions:

• Certified as a Primary Stroke Center
• Quality Top Performer by the Joint Commission in 2010 and 2011
• Accredited Chest Pain Center
• Designated as a Blue Distinction ™ Center for Knee and Hip Replacement, Spine Surgery, and Bariatric Surgery
• Recognized by U.S.News & World Report for its High-Performing Gynecology Program in 2010

Department of Pharmacy Services

The Department of Pharmacy Services serves the inpatients of Pharmacy A from the main pharmacy as well as pharmacy satellites throughout the hospital. The decentralized practice provides increased opportunity for pharmacist collaboration with physicians, nurses and patients to optimize medication therapy. Our pharmacists are respected members of the healthcare team and work closely with caregivers throughout the organization.

The following rotations are available in the inpatient setting:

• Advanced Hospital Practice
• Adult Medicine
• Medication Safety
• Infectious Diseases
• Administration
• Informatics
• Pediatrics
• Critical Care

Mission

The mission of the Department of Pharmacy is to provide the highest quality pharmaceutical care through excellence in clinical services and collaborative practices with all members of the healthcare team. Our pharmacists are respected members of the healthcare team and work synergistically with caregivers and patients. We continually strive to improve patient care and operational efficiencies by the application of the most innovative technologies. Guided by relentless focus, we achieve greatness in the promotion of safe and effective medication use. Pharmaceutical care is our business; positive outcomes are the results.

Vision

The Department of Pharmacy's vision is to create an environment where staff can establish itself as a source of pride by advancing the health and well-being of the community members it serves.

Attestation Request Instructions for Gainesville and All other Regions Rotation Sites

1. 30 days prior to start of each rotation, students will contact site preceptor to verify clerkship requirements. If no clerkship requirements are necessary, do nothing else.

2. If there are clerkship requirements, student will contact (within 21 days of rotation's start) John Doe, Program assistant at the Gainesville Campus, via e-mail at . In order to expedite any attestation required for a particular rotation site, students will also need to include who this information is to be sent to (name, site name, and fax number).

3. The Office for Student Affairs will then verify you have met all other requirements (i.e. immunizations, background check) and will forward the attestation form to the rotation site as proof that the student has completed all the requirements.

Example 2

Pharmacy B is a home infusion, specialty pharmacy and licensed home health agency servicing the entire state of Florida via multiple locations. In addition to providing infusion drugs and nutritional support to patients at home, Pharmacy A also services patients for “specialty drugs” in their infusion suites.

Pharmacy Services

• Each patient has an individualized care plan which is developed by the pharmacy team.
• Ongoing communication and assessments are made to further educate patients in an attempt to preventhospital readmissions.
• Consultation is provided regarding both oral drugs dispensed by the retail pharmacy and the intravenous drugs provided by Pharmacy B.
• Supervision of USP797 compliant facility.
• Sterile compounding.
• Pharmacokinetic dosing.
• Development of TPN formulas.
• Ongoing assessments of lab results for clinical interventions.

Participation in performance improvement programs.

Example 3

Pharmacy C in Big City is a comprehensive health system offering medical services including cardiac care, neurosciences, obstetrics, gynecology, critical care, emergency care, rehabilitation, orthopedics, sports medicine, cancer care and surgery. It is a private, not-for-profit health system and is the County’s only trauma center.

Pharmacy Services

The Department of Pharmacy employs approximately 44 clinical and support staff, including 18 pharmacists and 3 PGY1 residents. Pharmacy APPE’s offered at Pharmacy C are in a block rotation with students assigned to a minimum of 4 months, rotating through the available required and elective rotations. Comprehensive pharmaceutical services include:

• Daily Family Practice rounds with Family Practice Medical Residents
• Specialized services in Nutritional Support, Pharmacokinetics, and anticoagulant monitoring
• Targeted drug monitoring programs which include renal dosing, IV to PO conversion and Therapeutic substitution
• Antimicrobial Stewardship Program
• Advanced automation including McKesson automated dispensing cabinets, McKesson MedCarousel, and clinical decision support tools.

APPE Rotations/Preceptors

Rotation Name / Preceptor / Rotation Type
Adult Medicine 1 / Required
Adult Medicine 2 / Required
Hospital Practice / Required
Nutritional Support / Elective
Pharmacokinetics / Elective

Example 4

Pharmacy D is a home infusion, specialty pharmacy and licensed home health agency servicing the entire state of Florida via multiple locations. In addition to providing infusion drugs and nutritional support to patients at home, Ambient also services patients for “specialty drugs” in their infusion suites.

Pharmacy Services

• Each patient has an individualized care plan which is developed by the pharmacy team.
• Ongoing communication and assessments are made to further educate patients in an attempt to prevent hospital readmissions.
• Consultation is provided regarding both oral drugs dispensed by the retail pharmacy and the intravenous drugs provided by Pharmacy D.
• Supervision of USP797 compliant facility.
• Sterile compounding.
• Pharmacokinetic dosing.
• Development of TPN formulas.
• Ongoing assessments of lab results for clinical interventions.
• Participation in performance improvement programs.

Example 5

Pharmacy F specializes in the treatment of the most critical and complex medical and surgical conditions. Pharmacy F in Small Town, Florida is a 44 bed hospital, including 6 ICU beds. Our programs and services have been designed to fit in the continuum of health care for those patients that are chronically critically ill and need of a longer acute hospitalization for their recovery. The Adult Medicine Pharmacy APPE has a strong emphasis on infectious diseases.

Rotation Name / Preceptors / Rotation Type
Adult Medicine / Alpha PreceptorPharm D. & Beta Pharmacist Pharm D. / Required – Patient care

Example 6

Please review the Appearance Standards form attached to this sites documents.

Development, implementation and management of clinical programs will be the primary focus of this rotation. In addition, this rotation is designed to further develop the student's knowledge and understanding of the activities, processes, procedures and skills necessary to provide, supervise and manage all pharmacy services within the Pharmacy Super Markets, Inc. pharmacy chain. The student will be exposed to various elements of pharmacy operations which include but are not limited to: 1) clinical services; 2) purchasing/inventory control; 3) staff training/recruitment; and 4) managed care.

Rotation Name / Preceptor / Rotation Type
Administration / Gator Doctor, Pharm D. / Elective – Non-patient care

Example 7

Pharmacy H is an independently owned community pharmacy serving the greater Big City area. Within Pharmacy H is Gator Medical Supply, offering medical equipment and diabetic supplies to patients. Students will work withpharmacists, registered pharmacy technicians, customer service personnel, and licensed nursing staff. The pharmacyoffers health screenings, cholesterol screenings, and vaccine clinics. Pharmacists provide MTM and compoundingservices, as well as compliance packaging and delivery services for assistedliving facilities.

Example 8

Pharmacy J Corporation is a specialty pharmacy focusing on patient specific preparations serving the nuclear medicine and pain management patient populations, as well as providing drugs used in clinical trials. Some examples of products prepared include radiation oncology solutions, diagnostic imaging solutions, intrathecal solutions, cartridge solutions, and hormone replacement therapy solutions.

Example 9

Pharmacy K is a large, national, retail pharmacy chain that offers pharmacy services and pharmacist-administered immunizations. The student will be exposed to filling prescription orders, providing patient counseling, and transcribing verbal prescription orders. At this particular location the student will also provide MTM counseling and discharge counseling at a nearby hospital.

Rotation Descriptions:

Administration

Throughout this four week rotation, the student will be exposed to the areas of management and administration of pharmacy practice. The student will gain exposure to and an understanding of the responsibilities of pharmacy administration within a complex integrated health care system, including financial management, personnel management, performance improvement and quality assurance, pharmacy operations, planning and project management, clinical pharmacy services and program development, and interdisciplinary collaboration, communication, and teamwork.

Adult Medicine

Throughout this eight week rotation, the student will gain exposure to and an understanding of the clinical responsibilities of the inpatient pharmacist including TPN monitoring, Pharmacokinetic dosing, Anticoagulant dosing, PCA dosing as well as drug information services. Students will function as part of the clinical services team by assisting the provision of clinical as well as drug information services on assigned floors. In addition, students will evaluate and monitor a minimum of four patients daily from their assigned floors and be prepared to present their patients to the preceptor and/or an agreed upon topic each day. Required responsibilities during the rotation include completion of an assigned project, a formal presentation and a Drug Use Evaluation. Students will attend any Drug Safety and Pharmacy & Therapeutics meetings as they occur during the rotation period.

Advanced Community Practice

The student will be exposed to and participate in the daily clinical activities of the community pharmacy setting with a focus on patient centered care. Students will be involved in patient education and counseling on self-care products, dietary/herbal products, medical and drug devices, and prescription drugs. Students will also participate in quality improvement processes within the pharmacy department and attend a CQI meeting if possible. Student activities to include at least one presentation (to pharmacy professionals or lay public), discussion and/or participation with activities related to pharmacy management (personnel, inventory, business management, etc), and coordinating the safe, accurate, and time-sensitive distribution of medication. Students are expected to comply with all federal, state, and local statutes and regulations and to discuss civil law as it applies to practice.

Advanced Hospital Practice

Throughout this four week rotation, the student will be exposed to the areas of inpatient pharmacy practice. The student will gain exposure to and an understanding of the responsibilities of the pharmacy staff members including ordering and receiving of medications, physician order review and intervention as well as medication preparation and delivery. Students will actively participate in daily activities by assisting the pharmacy staff with assigned responsibilities each day.

Ambulatory Care

Throughout this eight week rotation, the student will be exposed to and participate in the care of patients in multiple outpatient settings. The students will gain exposure to and an understanding of the responsibilities of a consultant pharmacist in a variety of healthcare settings working mainly in a geriatric primary care setting. Students will work closely with the consultant pharmacist to provide clinical services including Osteoporosis consultations, coordination of Prolia, Reclast and Forteo treatment, Warfarin protocol management, patient assistance, prior authorizations and MTM services including comprehensive medication reviews. In addition, the student will assist the consultant pharmacist in ensuring all off-site locations meet the Board of Pharmacy requirements of a Type B Modified Class II Institutional permit by assisting with monthly inspections, policy and procedure review and other tasks as assigned.

Hospice/Palliative

During the course of the month, the student may be exposed to and participate in the care of patients in either the in-patient or out-patient setting. Hospice/Palliative Care rotations may vary depending on which diseases they are specialized in. The patients receiving care from Hospice suffer from a wide spectrum of underlying diseases and are at the end of life. These patients are generally in need of pain relief and comfort during this time. Students will work with the healthcare team (in whatever form that takes) to find, solve, and monitor for drug therapy problems in the patients that they are assigned to. Students will learn about the role of hospice, patient selection, setting therapeutic goals in the terminally ill, and providing support for patient and family. The types of Hospice/Palliative Care patients and their frequency are often not as important as learning how to interact with the healthcare team, the patients and families in such a setting.

Infectious Diseases

During this four week rotation, students will be exposed to and participate in the care of patients in either the inpatient or outpatient setting. Students will work with the healthcare team to find, solve, and monitor for drug therapy problems in the patients assigned. Opportunities will be provided for the student to build on infectious diseases knowledge and skills acquired through didactic education and introductory pharmacy practice experiences and apply them in the care of patients at NFRMC. The goals for the student are to ensure appropriate antimicrobial therapy for assigned patients, effectively monitor a patient's progress and drug therapy, and strengthen communication and interpersonal skills through formal presentations and daily interaction with the healthcare team.

Medication Safety

During this four week rotation, students will be exposed to and become familiar with the key principles utilized in hospitals to improve medication safety. The rotation is designed to expose students to medication safety nomenclature, key principles, tools, and available resources. The student will participate in several activities designed to improve the student's working knowledge and experience with medication safety concepts. The rotation will enable the student to apply knowledge in any pharmacy practice setting to improve safety for patients. Students will attend any Drug Safety meetings as they occur during the rotation period.

Pediatrics

Patient population may include infants that are: premature, diagnosed as failure to thrive, suffer drug addiction, or have a wide variety of congenital abnormalities. Student activities include preparing pharmaceutical care plans (SOAP notes, chart progress note, etc), patient case presentations, and complete a journal club presentation and drug information questions as it applies to the specialized patient population.

Transplant

Transplant rotations may vary depending on which organ systems are being offered. Students will learn about organ procurement, organ matching, immunosuppressive drugs, antibiotic use, acute and chronic rejection protocols, and long-term side effects of these drugs. Students will work with the healthcare team to find, solve, and monitor for drug therapy problems in the patients assigned.