Orientation to Pharmacy Practice
Orientation is a required five-week learning experience providing the resident an opportunity to gain an understanding of essential duties of the staff pharmacist relating to clinical support and distributive services.
The resident will be scheduled to work in different areas within the pharmacy department to develop a baseline comfort level of hospital pharmacy and the different roles staff members have. This will be further developed during service component of residency. The resident will interact with hospital pharmacists, attending physicians, medical residents and nursing staff. The resident will learn how to give direction to technicians and interns as necessary for the purpose of completing all tasks in delivery of patient care in accordance with hospital pharmacy.
At the end of the Orientation to Pharmacy Practice period, the Residency Advisory Committee will discuss the Resident’s Development Plan.
The Critical Care rotation is a required six weeks learning experience. The Nazareth Hospital Critical care unit serves both adults and geriatrics. The overall goal is to gain knowledge and skills in pharmaceutical care for diverse population of patients seen in mixed medical/surgical, cardiovascular and neurologic intensive and progressive care units. With the critical care pharmacist modeling and coaching initially, the resident will develop thought processes necessary to promote a rational and systemic approach for identifying, evaluating and resolving patient-specific drug related problems.
Effective healthcare team and patient interactions, written and verbal communication skills, pharmacokinetic and pharmacodynamic application, independent learning, provision of drug information are emphasized through daily encounters with patients, ICU team and other disciplines responsible for the care of the critical care patients. During ethical discussions on rounds with a chaplain and/or a member of ethics committee, the resident will learn to understand and demonstrate empathy in psychosocial, financial and ethical issues involved in the critical care patients. When available, residents may have an opportunity to design, participate and assess a research project (ongoing or new).
The Emergency Medicine rotation is a four* week learning experience. This is a physician led rotation where the resident will be shadowing ED physician in different areas of the department. The Nazareth Hospital Emergency Department (ED) serves pediatrics, adults and geriatrics. The overall goal is to gain understanding, knowledge and skills in pharmaceutical care in ED practice setting which has high patient volume, high patient acuity, and a wide range of disease state management.
The learning experience will involve collaborative practice not only with ED clinicians and nurses, clinicians from other services, but also with patient care and other hospital staff.
Learning opportunities will include: identifying and learning ED pertinent medications, developing the multidisciplinary approach to managing patients’ medication therapy, providing drug specific and toxicology consults, education to staff and patients, ensuring certain guideline compliant medication selection and dosages, participating in Acute Ischemic Stroke, MI and Sepsis management, ensuring continuity of care during transitions of care between settings and identifying opportunities for improvement of the medication-use system. The resident will also serve as a mentor and assist in the education of APPE and IPPE rotation students.
The infectious Disease (ID) rotation is a required six weeks rotation. The Nazareth hospital serves both adults and geriatrics (no peds, OB/GYN). This learning experience is aimed at providing care for patients with infectious disease processes while practicing antimicrobial stewardship.
The ID stewardship preceptor will instruct the resident on the clinical activities with goals of providing the most appropriate and optimized antimicrobial therapy. Residents will spend time reviewing microbiology reports, antimicrobial utilization and other data available via EMR daily. They will participate in microbiology lab days and outpatient HIV clinic off site, consult service at given weeks, antimicrobial stewardship rounds, and available educational opportunities.
Residents will be responsible for assigned patients from admission to discharge as well as coordination of short/long term antimicrobial agent(s) use post discharge. When available, residents may have an opportunity to design, participate and assess a research project (ongoing or new).
The Internal Medicine rotation is a six weeks required rotation. The rotation will involve collaborative practice with the Internal Medicine Teaching Service at Nazareth Hospital. Learning opportunities will include a multidisciplinary approach to managing patients’ medication therapy, ensuring continuity of care during transitions of care between settings, and identifying opportunities for improvement of the medication-use system. The resident will also serve as a mentor and assist in the education of APPE rotation students.
Leadership and Management
The Leadership and Management rotation is a five-week learning experience. With the Manager instructing, modeling, coaching, and facilitating, the main goal is to provide the resident with an opportunity to become familiar with policy development and review process, organization and department structure, departmental systems relative to patient and departmental demands versus resource allocation, accreditation and regulatory requirements, human resources, departmental performance improvement initiatives, quality and safety practices, staff management and engagement, information systems and budgeting.
Medication Safety is a required five-week learning experience at Nazareth Hospital. The experience provides the resident with an opportunity to become familiar with processes within the medication management system and to identify opportunities to enhance the medication use system. The resident will gain an understanding of the administrative duties related to medication safety and the clinical analysis of medication error reports.
The role of the medication safety pharmacist is to provide medication safety education to hospital staff, perform medication/patient safety projects, run the medication management meeting, and provide medication error reports. The medication safety pharmacy works proactively and actively to prevent medication errors from occurring in the hospital setting. The population served is both adult and geriatric.
Transitions of Care
Transitions of Care is a five-week rotation that provides medication therapy management opportunities for patient care in different settings. The resident will participate in collaborative professional relationships with pharmacists and other healthcare professionals.
Additionally, opportunities to provide patient education and teaching on drug therapy will be performed. Other learning experiences include, but are not limited to medication pass, educating healthcare professionals on medications with potential for fall risk and pharmacotherapy management in a skilled nursing unit.
Advanced Transitions of Care
Advanced Transitions of Care is a four-week elective rotation that provides medication therapy management opportunities for patient care in various settings. The resident will participate in collaborative professional relationships with physicians, pharmacists and other healthcare professionals. Opportunities to conduct comprehensive medication reviews and patient education will be available. Other learning experiences include, but are not limited to an ambulatory care setting, participation in multidisciplinary rounds, drug therapy review for geriatric patients in the Emergency Department and pharmacotherapy management in a skilled nursing unit.
General Cardiology is an elective six weeks rotation. This is a physician led rotation and the resident will be shadowing different cardiology subspecialists throughout the rotation. Nazareth Hospital specializes in stroke, heart failure, cardiovascular care with PCI accreditation and serves adult and geriatric population. The attending cardiologist will serve as a preceptor along with a clinical pharmacist as a co-preceptor. Through multidisciplinary rounds and patient education, the role of pharmacist will be demonstrated.
The residents will participate in daily cardiology morning rounds, provide heart failure, atrial fibrillation and ACS patient education as it relates to therapy, attend cath lab procedures and committee meetings related to cardiovascular care. Upon completion of the rotation, the residents will have increased knowledge of the pathophysiology, diagnosis and pharmacological treatment of cardiovascular disease states including; heart failure, hypertension, acute coronary syndromes, arrhythmias, and anticoagulation.