Pharmacy Residency - Rotation Description, Neonatal Intensive Care - Bronson Healthcare

Pharmacy Residency - Rotation Description, Neonatal Intensive Care

Preceptors: Montgomery, Dave

Description:

Neonatal Intensive Care Unit (NICU) Rotation Preceptors: David Montgomery, R.Ph. and Shannon McLogan,

Pharm.D.

Office: N5007 Hours: 7:30- 4:00

Phone: (269)341-7622

Email: montgomd@bronsonhg.org , mclogans@bronsonhg.org

General Description:

The Neonatal Intensive Care Unit (NICU) is an elective four-week rotation at Bronson Methodist Hospital. The NICU rotation allows the resident to practice basic skills needed for patient-oriented pharmacy services in neonatology. The resident will be responsible for monitoring patients admitted to the NICU at the Children's Hospital at Bronson Neonatal intensive care unit. The resident will become proficient in neonatal patient monitoring, while utilizing diagnostic and laboratory tests in neonatal patient therapy evaluations and the clinical use of serum drug concentrations. Emphasis will be placed on the resident demonstrating an understanding of common neonatal disease states in hospitalized patients and the treatment of those diseases. The resident will also utilize information from the mother's records as they relate to the care of the NICU baby. The resident will work closely with the medical staff to identify, resolve, and prevent medication issues for neonatal inpatients admitted to this hospital service. Good communication skills and interpersonal relationships will be essential in this practice setting. The resident will participate in several academic activities during the rotation. These activities may include, but are not limited to, journal club; disease state topic discussions and patient case presentations. The resident will provide direct patient care while attending daily patient rounds and will also attend educational events. The resident will assist with drug information requests from health care providers at Bronson and provide parent/caregiver education when opportunities arise. The resident may also be assigned to complete newsletter articles or other short-term projects at the discretion of the preceptor. The resident must be able to develop methods for accomplishing the required activities within this four-week time frame.

Expectation of Residents:

  • The resident will be responsible for monitoring patients admitted to the Neonatal Intensive Care Unit of The Children's Hospital at Bronson.
  • The resident will become proficient in neonatal patient monitoring, while utilizing diagnostic and laboratory tests in neonatal patient therapy evaluations and the clinical use of serum drug concentrations.
  • The resident will demonstrate an understanding of common neonatal disease states in hospitalized patients and the treatment of those diseases.
  • The resident will utilize information from the mother's records as they relate to the care of the NICU baby.
  • The resident will work closely with the medical staff to identify, resolve, and prevent medication issues for neonatal inpatients
  • The resident will participate in several academic activities during the rotation. These activities may include, but are not limited to, journal club; disease state topic discussions and patient case presentations
  • The resident will assist with drug information requests from health care providers at Bronson and provide parent/caregiver education when opportunities arise.
  • The resident must be able to develop methods for accomplishing the required activities within this four- week time frame.

 

Taught and Evaluated Objectives

Activities

Goal R1.1

In collaboration with the health care team, provide safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication regimens, and multiple medications following a consistent patient care process

 

OBJ R1.1.1

(Applying) Interact effectively with health care teams to manage patients' medication therapy

Act ethically in the conduct of all job-related activities Actively participate in multi-disciplinary rounds and ensure issues discussed during rounds are followed up

Discuss with provider, nurse, and/or family member any potential problems to obtain more information or potential solution

Prioritize problems for concise discussion with preceptor and/or the team

OBJ R1.1.2

(Applying) Interact effectively with patients, family members, and caregivers

Act ethically in the conduct of all job-related activities Discuss with provider, nurse, and/or family member any potential problems to obtain more information or potential solution

Identify appropriate source to gather pertinent patient data (ex: Epic, patient/family, PCP, pharmacy, etc).

OBJ R1.1.3

(Analyzing) Collect information on which to base safe and effective medication therapy

Actively participate in multi-disciplinary rounds and ensure issues discussed during rounds are followed up

Analyze patient medication profiles, labs, procedures, etc on a daily basis

Analyze patient specific profiles prior to rounds to identify any pharmacy related issues

Ensure recommendations made are both evidence based and best for each patient based on cost, adherence, and patient preference considerations.

Identify appropriate areas within Epic to gather pertinent patient data (ex: Media tab, Notes, etc).

Identify appropriate source to gather pertinent patient data (ex: Epic, patient/family, PCP, pharmacy, etc).

Utilize guidelines and primary literature to develop evidence based, patient specific plan and explain the literature behind recommendation if asked

OBJ R1.1.4

(Analyzing) Analyze and assess information on which to base safe and effective medication therapy

Actively participate in multi-disciplinary rounds and ensure issues discussed during rounds are followed up

Analyze patient medication profiles, labs, procedures, etc on a daily basis

Analyze patient specific profiles prior to rounds to identify any pharmacy related issues

Analyze the data collected from various sources and develop an appropriate plan based on the data obtained.

Ensure recommendations made are both evidence based and best for each patient based on cost, adherence, and patient preference considerations.

Utilize guidelines and primary literature to develop evidence based, patient specific plan and explain the literature behind recommendation if asked

Verify new orders entered by physician to determine appropriateness

OBJ R1.1.5

(Creating) Design or redesign safe and effective patient- centered therapeutic regimens and monitoring plans (care plans)

Analyze patient specific profiles prior to rounds to identify any pharmacy related issues

Analyze the data collected from various sources and develop an appropriate plan based on the data obtained.

Evaluate patient's improvement through use of objective clinical information found in the medical record alongside with subjective information gathered from patient and care providers.

Formulate appropriate therapeutic plan changes based on patient's individual response

Utilize guidelines and primary literature to develop evidence based, patient specific plan and explain the literature behind recommendation if asked

 

OBJ R1.1.6

(Applying) Ensure implementation of therapeutic regimens and monitoring plans (care plans) by taking appropriate follow-up actions

Actively participate in multi-disciplinary rounds and ensure issues discussed during rounds are followed up Formulate appropriate therapeutic plan changes based on patient's individual response

Review patient's progress on current regimen

OBJ R1.1.7

(Applying) Document direct patient care activities appropriately in the medical record or where appropriate

Document Pharmacy Notes accurately in Epic for pharmacy consults

Initiate orders (verbal and per protocol) accurately into Epic, after discussion with medical team if appropriate

OBJ R1.1.8

(Applying) Demonstrate responsibility to patients

Act ethically in the conduct of all job-related activities

Evaluations:

Evaluation

Evaluator

Evaluated

Timing

Summative Evaluation

All Preceptors

Each Resident Taking this Learning Experience

Ending and Quarterly if Needed

ASHP Learning Experience Evaluation

Residents

Learning Experience

Ending and Quarterly if Needed

ASHP Preceptor Evaluation

Residents

All Preceptors of this Learning Experience

Ending and Quarterly if Needed

Summative Evaluation

Residents

Each Resident Taking this Learning Experience

Ending and Quarterly if Needed