Pharmacy Residency - Rotation Description, Anticoagulation Center - Bronson Healthcare

Pharmacy Residency - Rotation Description, Anticoagulation Center

Anticoagulation Clinic

Preceptor:
Office:
Hours: 
Phone:            
Email:
Susan Dick, Pharm.D.
M-425
0800-1630
(269)341-7909
dicks@bronsonhg.org

General Description:

The Anticoagulation Clinic rotation offers the resident the opportunity to develop knowledge and skills necessary to assist patients taking anticoagulation medications.  

During this 4-week rotation, the resident will develop skills not limited to: 

  • Education of patient regarding anticoagulation therapy
  • Drawing capillary blood to test for PT/INR on point-of-care monitor
  • Adjusting dose of warfarin based on INR results, drug and diet interactions

During this rotation the resident will gain knowledge in the following disease states as they relate to anticoagulation therapy:

  • Atrial Fibrillation
  • Mechanical  and biomechanical heart valves
  • Deep vein thrombosis
  • Pulmonary embolism
  • CVA/TIA
  • Hypercoagulable states
  • Perioperative management of anticoagulants

 

Goals Selected:

R2.2
R2.3
R2.4
R2.8
R2.12
R5.1
R6.1
E7.2
E7.4

Activities

Activity

Goal

Observe anticoagulation pharmacist educate patient on anticoagulation therapy, and eventually conduct initial warfarin education for patients independently

R2.2

R2.3

R2.4

R5.1

E7.2

 

Document all patient interactions in Standing Stone Coag Clinic computer system

 

R2.12

Conduct finger poke for patient and utilized instrument to accurately check patient’s PT/INR, including calibration of machine

R2.3

R2.12

R6.1

Adjust patient’s warfarin doses based upon patient information and INR

R2.2

R2.3

R2.4

E7.2

Develop monitoring plan for patient and implement by scheduling patient’s upcoming visits

R2.8

R2.12

Complete any other assignments such as newsletter articles, journal clubs, or projects as determined by preceptor

E7.4

 

 

Preceptor Interaction

Week 1:  Orientation to anticoagulation clinic, Standing Stone Coag Clinic, and equipment used during patient visits.  Observe pharmacists during initial education visits as well as follow up visits. 

Week 2:  Begin to ask patient’s history questions and perform capillary blood draws under the supervision of a pharmacist

Week 3:  Conduct initial warfarin education and follow up visits with little assistance from pharmacist

Week 4:  Independently see patients for initial and follow up visits, documenting appropriately

[The length of time the preceptor spends in each of the phases of learning will depend BOTH on the resident’s progressions in the current rotation and where the rotation occurs in the residency program]

Evaluation Strategy

ResiTrak will be used for documentation of formal evaluations.  For formative evaluations, the resident will perform the activity appropriate to the snapshot with the preceptor.  Resident and preceptor will then independently complete the snapshot.  After both have signed the evaluation, the resident and preceptor will compare and discuss the evaluations.  This discussion will provide feedback on both their performance of the activity and the accuracy of the self-assessment.

 

What

Snapshot

Who

When

Formative

R2.3.1

Preceptor

End of week 1

Formative Self Evaluation

R2.3.1

Resident

End of week 1

Formative

R2.8.1

Preceptor

End of week 2

Formative Self Evaluation

R2.8.1

Resident

End of week 2

Formative

E7.4.1

Preceptor

End of week 3

Formative Self Evaluation

E7.4.1

Resident

End of week 3

Summative

 

Preceptor

End of week 4

Summative Self Evaluation

 

Resident

End of week 4

Preceptor Evaluation

 

Resident

End of week 4

Learning Experience Evaluation

 

Resident

End of week 4

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