Pharmacy Practice Residency Manual (2007-2008)€¦ · Pharmacy Practice Residency Manual...

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Pharmacy Practice Residency Manual (2007-2008) Table of Contents

Section I Training Manual Page

1. Purpose and philosophy 3 2. Organization Structure 4 3. Program Goals 5 4. Residency Program Structure 6 5. Benefits 7 6. Verification of licensure 8 7. Supervision and Work Ethic 8 8. Policy Access 8 9. Required experiences and activities 10-11 10. Tracking Form 12-13 11. Residency Project 14 12. Residency Project Worksheet 15 13. Past Residency Project List 16-17 14. Project/Activity Timeline 18 15. Evaluations 20 16. Documentation 21 17. Drug Information Overview 23 18. Hospital Pharmacy Practice (Staffing) Overview 24-25

Section II Schedules / Calendars 1. Resident Rotation schedule 28 2. Evaluation Due Date Schedule 29 3. Residency Council Dates 29 4. Presentation Calendar 30 5. Orientation Discussion schedule 31 6. Orientation Checklist 32-35 7. Orientation Schedule 36

Section III Resident Portfolio 1. Presentations 2. Projects 3. Assignments 4. Evaluations

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Pharmacy Practice Residency Program: Structure

Purpose and Philosophy Departmental Organization Chart Program Goals Program Structure Benefits

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PURPOSE AND PHILOSOPHY

The purpose of a pharmacy residency is to prepare pharmacists for practice. Residency training is designed to provide residents experience working with a wide range of patients. Residency training also offers other advantages:

• A competitive advantage in the job market – More and more employers recognize the value of residency training. A pharmacist who has completed a residency will have a clear advantage over applicants who have not.

• Networking opportunities – Many opportunities arise for residents to establish or expand their network of professional acquaintances and contacts including preceptors and other residents.

• Career planning – During the course of training, most residents gain a clearer picture of what type of practice best suits them. Residency preceptors are committed to providing personal attention to assist each resident in further defining professional goals.

• Professional vision – Many programs also offer the opportunity to see how pharmacy is practiced in different parts of the country, by arranging for residents to visit other residency programs or by allowing residents to complete a portion of the residency at another site (e.g., acute care, community care, home care, long-term care, managed care, etc.).

Philosophy

The ASHP accreditation standard provides criteria that every program must meet in order to receive and maintain accreditation. Although the standard requires experiences in certain core areas, there is room for concentration in a practice area and for additional experiences. Programs vary in their strengths, but each program is flexible and can be tailored to meet the needs of the individual resident. The mission of our program includes developing a core skill set in drug information and literature evaluation, pharmacotherapy evaluation and management, project based research and team functioning, presentation development and delivery, and direct patient interaction.

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Sheree Foster Mark Sullivan Walt Woods Harold Willingham David Gregory

Steve Huffines

Jim Knight

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PROGRAM GOALS The residency program will provide each resident with specific learning/practice experiences designed to enable the resident to expand the scope of his/her practice skills. Patient Care R2.10 Evaluate patients’ progress and redesign regimens and monitoring plans.. R2.11 Communicate ongoing patient information R2.12 Document direct patient care activities appropriately. R2.2 Place practice priority on the delivery of patient-centered care to patients. R2.3 As appropriate, establish collaborative professional pharmacist-patient relationships. R2.4 Collect and analyze patient information. R2.5 When necessary, make and follow up on patient referrals. R2.6 Design evidence-based therapeutic regimens. R2.7 Design evidence-based monitoring plans. R2.8 Recommend or communicate regimens and monitoring plans. R2.9 Implement regimens and monitoring plans.

Practice Foundation Skills

E7.3 Provide concise, applicable, comprehensive, and timely responses to requests for drug information from patients, health care providers, and the public.

E8.1 Use approaches in all communications that display sensitivity to the cultural and personal characteristics of patients, caregivers, and health care colleagues.

E8.2 Communicate effectively. E8.3 Balance obligations to oneself, relationships, and work in a way that minimizes stress. E8.4 Manage time effectively to fulfill practice responsibilities. R2.1 As appropriate, establish collaborative professional relationships with members of the health care team. R3.1 Exhibit essential personal skills of a practice leader. R3.3 Exercise practice leadership.

Practice Management E1.1 Design, execute, and report results of investigations of pharmacy practice-related issues. E1.2 Participate in clinical, humanistic and economic outcomes analyses. E2.2 Understand the pharmacy procurement process. E2.6 Understand the process of managing the practice area's human resources. E6.1 Participate in the organization’s formulary process. E7.1 Identify a core library, including electronic media, appropriate for a specific practice setting. E8.5 Make effective use of available software and information systems. R1.1 Identify opportunities for improvement of the organization’s medication-use system. R1.2 Design and implement quality improvement changes to the organization’s medication-use system.

R1.3 Prepare and dispense medications following existing standards of practice and the organization’s policies and procedures.

R1.4 Demonstrate ownership of and responsibility for the welfare of the patient by performing all necessary aspects of the medication-use system.

R3.2 Contribute to departmental leadership and management activities. R4.1 Conduct practice-related investigations using effective project management skills.

R5.1 Provide effective medication and practice-related education, training, or counseling to patients, caregivers, health care professionals, and the public.

R6.1 Use information technology to make decisions and reduce error.

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STRUCTURE

Orientation Core Rotations Transitional Elective Rotations Hospital Orientation Residency/RLS Computer Training Hospital Practice Drug Information

Administration/Practice Mgmt General Internal Medicine

Hospital Pharmacy Practice Satellites Projects ASHP Midyear

Solid Organ Transplant Bone Marrow Transplant General Pediatrics ICU Pediatrics NICU Pediatrics BMT/Onc Pediatrics Nutrition Critical Care Medicine Trauma Burn Surgical Geriatrics Coumadin Clinic HIV/AIDS Cardiology

Longitudinal Drug Information P&T MUE Journal Club Case Conference Hospital Pharmacy Practice Residency Project Seminars Tx Exg CE 60min Residency Project 15-30min Criteria Based Assessments

A 4 week block during the November – December time period is usually a transitional period. This period includes staffing, ASHP midyear meeting, project time, and other activities appropriate to this time period.

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BENEFITS

Educational leave Full access to Biomedical Library

Books directly related to the residency Lab coats are the responsibility of the resident, but can be purchased through the hospital

Two weeks paid vacation, select holidays Sick leave

Travel & relocation expense directly related (moving company, rental, fuel, hotel) to the move –

up to $1500

Financial support and professional leave for the University of Tennessee

Annual Residency Program, the ASHP MYCM and the Annual Southeastern Residency Conference in Athens, GA

Life insurance Discounts at local merchants

Professional liability insurance supplied by the Medical Center

Limited financial support for presentations at Vanderbilt and outside the campus – depends on the residents activities at

the meeting (officer, presentation, etc)

Health care plan options, including an HMO plan All ACPE approved continuing education provided by the Department of Pharmaceutical Services

Payment of Tennessee Board of Pharmacy license fee in June – license fee and

professional tax. We do not pay NABPLEX fees or for reciprocation of license to TN.

We will pay for transfer of NABPLEX scores.

Immunizations and other health related costs required by the Medical Center

Photocopying directly related to residency House staff & hospital orientation programs Office space & computer workstation Competitive stipend

Employee Assistance Program Employee Wellness Program Concierge Service

Provision of personal electronic devices will be supplied by the hospital if they are essential to the work of the

resident.

Membership in professional organizations is the responsibility of the resident

Purchase of software, books, or other materials must be directly related to the achievement of residency objectives, and must be approved beforehand by the Residency Director.

Explanation of Time Off: Residents (Exempt status)

o Fifteen vacation days are accrued over the course of the year. Ten (10) vacation days are available for use and must be taken during the year. Each resident must sign up for and take no less than one week of vacation time prior to January 15 of the residency year. (Residency Director may approve alterations in certain situations). Five (5) of the 15 days accrued will be paid out to each resident at the completion of the residency. Vacation may not be taken during Concentrated Drug Information weeks, ASHP Midyear Meeting or SERC meeting days, or scheduled holidays/weekends in the staffing component of the residency. Vacation requested for June is discouraged and will be reviewed on a case by case basis by the Residency Director. Residents may not be absent more than 5 days from any rotation experience.

o 12 Sick Days are accrued over the course of the year. Refer to the hospital/department policy for details. o Seven (7) Holidays (July 4th, Labor Day, Thanksgiving Day, Christmas Eve, Christmas Day, New

Year’s Day, Memorial Day) and 3 personal days are accrued over the year. These must be taken. If required to work a holiday, the holiday is to be taken on an alternate day within 30 days of accrual. Residents will agree with rotation preceptor if the resident is to work the actual holiday or take an alternate day as the holiday. If the resident is scheduled on the pharmacy staffing schedule for a holiday, that shift prevails.

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LICENSURE VERIFICATION Pharmacy licensure in Tennessee is a requirement for pharmacy practice residents at VUMC. The residency program director will confirm that each resident has taken the NABPLEX and the Tennessee pharmacy law exam, or will take the Tennessee law exam upon transfer of NABPLEX scores from another state, or already had a valid Tennessee pharmacy license. Upon notification of successful completion of the NABPLEX and/or law exam the resident will provide documentation of licensure to the residency program director. The resident will provide the department the licensure certificate for display during the resident’s year at VUMC. Licensure must be obtained no later than August15th of the residency year. SUPERVISION AND WORK ETHIC

The resident is expected to achieve the objectives of the Residency Program related to both administrative and professional practice skills. The resident reports to and is supervised by the rotation preceptor and the residency director. During staffing, the resident is under the supervision of the pharmacist in charge.

Hours of practice vary according to the requirements set forth by the preceptor and director. The resident is expected to be present in body, mind and spirit at all assigned activities of the service they are currently a part of, including medical staff rounding, education classes, and administrative activities. It is not uncommon for the resident to be assigned duties that require work overnight or that may continue during days away from the hospital. Although these assignments will be frequent, they will not be beyond the expectations of other pharmacy professionals’ duties. An eight hour day is a minimum requirement for physical presence on site during assigned work days.

The work of the Department is the resident’s most important commitment. Working outside the residency program (moonlighting) is strongly discouraged, particularly at the beginning of the residency. Should posted time be available inside the Department, the resident will be paid at a competitive staff pharmacist rate. To work overtime, the resident must be trained in the area. Extra work moonlighting and overtime work must be approved by the Residency Director, and hours worked will be reported on a monthly basis by each resident. The ACGME duty hour requirements are to be followed at all times.

Additional Policies Applicable to Pharmacy Residents Should be reviewed at the following websites: Vanderbilt Human Resources WebSite: http://hr.vanderbilt.edu/ VUMC Website: http://vumcpolicies.mc.vanderbilt.edu VUH Pharmacy Residency Policy: http://vumcpolicies.mc.vanderbilt.edu/E-MANUAL/Hpolicy.nsf/AllDocs/A09FD26D92F6770886257289005AB35F

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Pharmacy Practice Residency: Activities/Requirements

Residency Experience Synopses Tracking Form for requirement completion Residency Project Requirement Overview and Timeline Residency Project Description Worksheet Completed Residency Project List (1999-2007) Suggested Timeline for Requirements Completion

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RESIDENCY EXPERIENCE ACTIVITIES Out-of-State Conferences:

• ASHP Midyear: Usually occurs the first week of December. Residents should start registration process for this meeting in August.

• Southeastern Residency Conference: This is usually in April or May in Athens, Georgia. Registration begins in January/February and Abstract submission deadline is February 15. Residents are responsible for meeting these registration deadlines. Residents are to confirm these deadlines and register in early January. Information for this conference can be found at: http://www.rx.uga.edu/main/home/ce/programs-and-seminars/serc.asp#dates

Hospital Pharmacy Practice: The residents will practice in a guided hospital practice scheduled every fourth weekend, selected holidays and one morning per week. The resident will gain experience in the IV room, Central dispensing area, Narcotic Room procedures, and responsibilities of the pharmacist in charge. Journal Club: This is a longitudinal activity. Residents will sign up to formally present two current pharmacotherapy related studies during the residency year. This will include a self-evaluation and a formal evaluation. Resident attendance is required at all sessions. The primary goal of journal club is to exercise skills in critical thinking and literature evaluation. Case Conference: This is a longitudinal activity. Residents will sign up to formally present two case presentations during the residency year. The cases presented should revolve around pharmacotherapy topics and include primary literature and be a case in which the resident was directly involved. This will include a self-evaluation and a formal evaluation. PowerPoint is used for this presentation. Resident attendance is required at all sessions. Seminars: Two formal presentations by each resident will be conducted during the residency year:

• One of these will be a Therapeutic Exchange slot. This presentation should be a pharmacotherapy topic that includes some controversy and/or is a hot topic in pharmacotherapy. This is a 60 minute CE presentation. This is not just a review of a disease state. Primary literature is to be used as a guiding force to put this presentation together. This is to be prepared and presented with MS Power Point. This will include a self-evaluation and a formal evaluation. Objectives are to be submitted 30 days prior to presentation date.

• The second formal presentation will be a 10-15 minute presentation of the resident’s residency project. This includes several practice sessions then the formal presentation with feedback/evaluation from preceptors and residents during practice and attendees at SERC.

These presentations will be presented to the pharmacy department and other guests. Resident attendance is required at all sessions. Pharmacy and Therapeutics Committee: Each resident will attend one P&T committee meeting and related subcommittees during the residency year. A drug monograph will be written and presented during this experience. This will be assigned by the P&T Pharmacist. Drug monographs require review and presentation of primary literature. A 10 minute power point presentation will be prepared that focuses on the drug’s place in therapy, with a literature supported comparison and analysis of efficacy, safety and cost of the drug and its competitors. An opinion should be outlined with recommendation for formulary status. This will be presented to the P&T Committee. As new agents are constantly be approved by the FDA, monographs will be assigned as they come to the attention of the P&T Committee. A resident will have approximately 30 days to prepare the monograph once assigned. Newsletter/Fast Facts: Each resident will make 2 fast fact contributions to the newsletter. Additionally, each PGY1 resident will be in charge of coordinating the publication of the newsletter on a quarterly basis. Research Project: Each resident will conduct a research project over the course of the residency year. This project will include idea development, literature review, study design, IRB submission, data collection, data analysis, data interpretation, oral presentation and a written manuscript. The written manuscript is to include identification of an appropriate journal for potential submission and the following of the instruction to authors for that journal. The manuscript must be written and submitted in final form prior to completion of residency. The manuscript must be reviewed by the project mentor(s) and approved by the residency director.

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MUE: Each resident will complete one medication use evaluation during the residency year. These are assigned in the first or second quarter of the year and depending on the scope of the MUE chosen may be conducted individually or in pairs. Findings are to be summarized in a 10 minute power point presentation with recommendations of the most appropriate course of action based on the findings to the P&T Committee and/or appropriate committee. Recruitment: Residents will assist in the resident recruitment and candidate selection process. Therapeutic Exchange: This is a weekly conference held at noon on Thursdays by the pharmacy department for pharmacists and technicians to obtain continuing education hours. Attendance by residents is strongly encouraged throughout the year. Concentrated Drug Information Experience: The drug information component of the residency is comprised of a brief orientation day and 2 one week long concentrated experiences. Block Rotations: Residents will fulfill many of the clinical core requirements of the residency as well as develop interest areas through selected rotations. Rotation requirements may vary based on preceptor. Criteria based assessments should be reviewed at the outset of each rotation by resident and preceptor to assure completion of all requirements by the end of the residency year. Medical Center Educational Programs: Noon conferences, departmental grand rounds, and other educational conferences are offered throughout VUMC. These are posted in the Vanderbilt publications. Residents are encouraged to attend various conferences related to specific rotations.

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RESIDENCY EVALUATION TRACKING FORM RESIDENT: ____________ (Indicate date of completion in box) SUMMATIVE EVLAUATIONS Rotation Period Rotation 1 Rotation 2 Rotation 3 Rotation 4 Rotation 5 Rotation 6 Rotation 7

Preceptor’s Evaluation

Resident Self Assessment Preceptor/Rotation Eval LONGITUDINAL EVALUATIONS Hospital Practice Quarter 1 Quarter 2 Quarter 3 Quarter 4 Preceptor’s Evaluation Resident Self Assessment Preceptor/Rotation Eval. Residency Project Preceptor’s Evaluation Resident Self Assessment Training Plan Progress Residency Council Report Resident Training Plan Self Assess PRESENTATIONS Case Presentations #1 #2 Preceptor’s Evaluation Resident Self Assessment Formal Presentations #1 #2

Therapeutic Exchange/Seminar SERC

Therapeutic Exchange/Seminar Self-Assessment JOURNAL CLUB/DRUG INFORMATION Journal Club #1 #2 Preceptor’s Evaluation

Resident Self Assessment DI Questions #1 #2 #3 #4 #5 #6 #7

DI Researched Question Eval

***Turn in to corresponding preceptor during rotation Concentrated DI Experience #1 Preceptor’s Evaluation Resident Self Assessment Preceptor/rotation Eval

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PHARMACEUTICAL CARE/FOUNDATION SKILLS

Care Plan #1 #2 #3 #4 Preceptor’s Evaluation Resident Self Assessment Drug Therapy or Practice Related Problem Solving #1 #2

Preceptor’s Evaluation

Resident Self Assessment Patient Counseling #1 #2 Preceptor’s Evaluation Resident Self Assessment Documentation #1 #2 Preceptor’s Evaluation

Resident Self Assessment PROJECTS

Title Proposal IRB Data Collection Presentation Manuscript

MEDICATION USE EVALUATION

Topic Proposal Data Collection Report Presentation

P&T MONOGRAPH

Topic Written Presented Evaluated Newsletter/Fast Fact

#1 #2

Direct Patient Care #1

Sterile Product Preparation* *Per Dept. Competency Procedures

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RESIDENCY PROJECT

A project, administered by the resident and mentored by a primary preceptor, is required of all residents. The project is to be of benefit to the individual, the Department, and to the institution. There is to be a significant amount of literature review, project design, data gathering, statistical evaluation, writing, and reporting done by the resident. The end product is a presentation at the Southeastern residency Conference and a written manuscript suitable for publication in the pharmacy refereed journal, written in according to the Instructions for Authors of the American Journal of Health-System Pharmacists or selected journal requirements. Residency project ideas will be submitted by the Department to the residents early in the year. Deadlines are set for initial submission of project plans. Projects must be evaluated for feasibility and approved by the residency director before performing the project. One preceptor will be selected for each project who will act to facilitate the project, mentor the resident, and who shares responsibility for meeting deadlines, submission of applications for research (IRB, etc.), presentations and manuscript development and submission. The project plan submitted should be binding to the resident and to the preceptor(s) involved. Project designs will be reviewed by the program director. The program director will serve as a consultant and advisor for the residency project. Residents should make every attempt to stick as close to the following schedule as possible: Month Day Progress Point August 15 Project topic and preceptor identified and submitted August 30 Initial literature review completed and bibliography compiled and submitted. September 15 Project design and statistical plan proposal due for presentation to the Residency Director/Council September 30 IRB applications submitted (background and materials/methods written) Oct. to Feb. 10 Project initiation and data collection February 28 Meeting with statistician complete or established March 10 Final results complete and slides underway March 30 Analysis and interpretation of results complete and slides complete April 1-24 Practice Sessions April 26-27 SERC May 15 Manuscript submitted to project mentor for review May 25 Final Edits Complete June 15 Final Manuscript due to residency director

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Residency Project Description Worksheet July, 2007

_________________________________________________________________ Resident: Project Advisor: Date of Initiation: Date of Completion: Responsible Investigators: Department(s) Involved: Key Personnel to Obtain Approval From: Question to be Answered: Expected Outcomes of the Study: Rationale for the Study: Defining Measurements: Data that will be Collected: Databases to Study or Create: Data Analysis: Description of Results: Benefit to the Resident: Benefit to the Department: Likelihood of Publication: Commitments: ___________ _________ __________ Resident Preceptor Other

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Past Residency Projects 1999 – 2006

Year Resident Title Comment

1998 - 1999 Darryl McGuire, Jr. Evaluation of Empiric Treatment of Community Acquired Pneumonia

*

1999 - 2000 Leigh Black Assessment of Pharmacists Knowledge and Attitudes Regarding Pain Management

* Submitted for publication

D’Andrea Forbish-Skipwith

Study of Dietary Supplement Use Among Medicine Patients

*

2000 2001 Amy Maulsby Preparing and Modeling Pharmacy Analysis Techniques in a Managed Care Plan Physician Order Entry - Vanderbilt Health Systems

* ◊

2001 – 2002 Carly Feldott Pharmacist Involvement in a Managed Care Clinic Setting – A Focus on Asthma Disease Management, Cost Management, and Practitioner Prescribing Patterns

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Lisa Izlar The Usage of Prophylactic Antibiotics in Coronary Artery Bypass Surgery

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Kimberly Moyers Pharmaceutical Care in an Epilepsy Clinic * Jill VonDielingen The Role of Pharmacists in Disease State

Management (Diabetes Focus) in a Managed Care Setting

*

2002 – 2003 Marty Baker Reestablishment of an Institutional Antibiogram Phase I: Identifying Trends in Resistance

*◊

Christie Buchanan Pharmaceutical Intervention Improves Efficiency for High Risk Dyslipidemic Patients Compared to Usual Care – Part I

*◊

Lindy Taylor Factors and Issues to Consider in the Assessment of Adverse Drug Events among Hospitalized Patients

*◊ To be published in AJHP

November 2006

Karen Wilson Preventing Medication Errors with Smart Infusion Technology

*◊ Published in AJHP Jan

2004 2003 – 2004 James A. Carr Pharmaceutical Intervention Improves Efficiency for

High Risk Dyslipidemic Patients Compared to Usual Care – Part II

*◊☼ To be submitted

Brian Fontenot Development and Implementation of a Pharmacy Discharge Counseling Service for the Patients of Vanderbilt Children’s Hospital

*◊☼

Brandy Greene Vancomycin Utilization Following Computerized Prescriber Order Entry (CPOE) Intervention

*◊☼

Natalie Kittrell Protocol for Diagnosing and Treating Relative Adrenal Insufficiency

*◊☼

2004 - 2005 Paige Fuller Validation of an Innovative Computerized Vancomycin Dosing Nomogram Utilized by a Tertiary Care Teaching Hospital Gentamicin and Sodium Citrate Antibiotic Lock Solution in the Prevention of Dialysis Catheter-Related Infections

◊☼

Shivani Patel Utilization of Computerized Prescriber Order Entry (CPOE) for the Conversion of Intravenous to Oral Medications Complications of Corticosteroid Therapy for Adrenal Insufficiency in Critically Ill Trauma Patients

◊☼ *

Hayley Rector Evaluation of Piperacillin/Tazobactam Utilization at a Tertiary Care Teaching Hospital Assessment of an Alcohol Withdrawal Prevention Protocol

◊☼ *

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Katie Smith Factor VIIa Utilization at a Tertiary Care Teaching Hospital Appropriate Use of Patient-Controlled Analgesia Infusion Devices

◊☼ *

2005-2006 Jennifer Fosnot Effect of Bisphosphonates on Fracture Rates in Renal Transplant Patients

*

Matt Conley Impact of Pharmacist Interventions on the Medication Use Process

*

Kim Kelly Effects of Sympathetic Blockade on Outcomes in the Acutely Injured Patient

*

Stacie Soja Implementation and Reliability Testing of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in Trauma Patients

*

2006-2007 Lindsay Dyer High Dose Antioxidant Therapy in Acutely Injured Trauma Patients

*

Nikki Lokker Parents and OTC Medications: Do Literacy and Numeracy Impact Product Use?

*

Mindy Mann Vasopressin Use in Trauma Patients with Severe SIRS * Kanan Shah Out-of-hospital medication errors:

A six-year analysis of the poison control national database

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* Presented at the Southeastern Residents Conference in Athens, GA ◊ Presented at the ASHP Residency Poster Presentation ☼ Presented at the UHC Poster Presentation

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RESIDENT REQUIREMENT/ACTIVITY TIMELINE** (For Guidance Purposes Only; Dates are subject to change based on individual resident goals/assigned tasks) **This may not be all inclusive – watch your residency requirements tracking form!** July Baseline self-assessment (Entering resident interest and preference information) Project topic/preceptor selected Dates for Journal Club, Case Presentation Selected, CE Presentation August Project topic/preceptor confirmed

Project literature review and bibliography completed and submitted. MUE topic selected and timeline for completion established.

Register for ASHP Midyear Meeting September Project design/Methods write-up complete Project Proposal Presentation – follow-up with IRB submissions If taking a poster to MYCM, investigate deadlines for abstract submission

How many Criteria Based Assessments have you completed? Pace yourself! Evaluate where you stand with longitudinal assignments (P&T Monograph, MUE)

If you have not started your MUE – start now! October Once IRB approved, establish timeline for project data collection and analysis etc. Are you working on your MUE? Just checking!!!

Recruitment Showcases Topics for Therapeutic Exchange selected

November MUE data reviewed, presentation prepared

If taking a poster to MYCM need to complete slide by Nov 20th. Recruitment Showcases How many Criteria Based Assessments have you completed? Pace yourself! Résumé preparation and interview skills

December ASHP Midyear – UHC Posters, showcase MUE must be completed and presented no later than Dec 30 January Register for SERC and Prepare SERC abstract

Therapeutic Exchange – 2 residents (noon and 7am) February Complete and submit SERC abstract Wind up data collection for project Begin organizing data – preliminary results

How many Criteria Based Assessments have you completed? Pace yourself! Therapeutic Exchange – 2 residents (noon and 7am)

March Project Final results due March 10th. Project Results interpreted and slides complete March 30th. April Pre-SERC project presentation I, II, III, IV, SERC

How many Criteria Based Assessments have you completed? Pace yourself! May Project manuscript – first draft completed early May June Final Project manuscript due June 15 All Criteria Based Assessment Requirements completed by Jun 15.

All requirements fulfilled no later than June 23.

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Pharmacy Practice Residency:

Evaluation Process and Requirements

Evaluation Process Description Resident Documentation Requirements

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EVALUATIONS

An essential component of developing the skills of a resident is frequent two-way feedback between residents and preceptors. The preceptors, program director, and residents will frequently provide feedback to one another via formal evaluation. Evaluation will occur as described below:

a. Rotation Summative Evaluations: Due no later than 3 days after the end of the previous rotation period (3 business days). This is a written evaluation of the resident’s performances in meeting the objectives of each rotation. The resident and preceptor will review these evaluations together. The resident will also complete a preceptor and rotation evaluation and a self-evaluation. Additionally, the resident will complete selected criteria assessment instrument’s as a self-evaluation to be discussed with appropriate preceptor and/or program director.

b. Pharmacy Practice Quarterly Evaluation (Staffing)/DI Concentrated Summative Evaluation: PP is a longitudinal evaluation where a written evaluation of the resident’s progress is completed. Rotation and preceptor evaluations must also be completed on a quarterly basis for these experiences. Drug information is a concentrated learning experience where evaluations will be completed at the end of the concentrated experience.

c. Criteria Based Assessments: evaluations of selected activities will be completed as a self-evaluation as well as a designated preceptor will evaluate the resident.

Counseling (evaluation preceptor=primary preceptor during that experience) Documentation (evaluation preceptor=primary preceptor during that experience) Problem solving (evaluation preceptor=primary preceptor during that experience) Researched DI Questions (evaluation preceptor=primary preceptor during that experience or DI PharmD) Case Conferences (evaluation preceptor will be assigned) Journal Club (evaluation preceptor will be assigned) Therapeutic Exchange (evaluation preceptor will be assigned) Monograph (evaluation preceptor will be assigned) d. Residency Council Reports – a written evaluation based on period review by the residency council.

This evaluation examines overall progress, including integration of skills learned in separate rotations, non-rotation objectives/experiences, progress on longitudinal requirements/rotations (residency project, criteria assessments etc.) and any pertinent trends or information found in evaluations to that date.

a. Progress on yearly goals/objectives b. Acute Care progress (rotations) c. Staffing d. Drug Information e. Practice Mgmt: Inter-professional communications/relations f. Practice Mgmt: Professional presentation (verbal communication, dress, style, content) g. Practice Mgmt: Planning and Organizing/meeting deadlines h. Enthusiasm/initiative/disposition i. Status of: scheduled presentations, residency project, MUE, Performance Improvement, drug

information, criteria based assessments, time worked, time off

All evaluations are to be discussed personally between resident and preceptor. All evaluations (rotation summative on resident, resident on preceptor and resident on rotation overall), CBAs, and self-assessments, should be forwarded to the resident program director or designee in electronic format. A hard copy should be printed and signed by resident, evaluator, and program director. The hard copy should be filed by the resident in the resident’s residency notebook.

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RESIDENT DOCUMENTATION Each resident will maintain/submit the following documentation: 1. Summative Self-Evaluation: Required for each rotation, concentrated experience, longitudinal experience. Due 3 business days after the completion of the previous Rotation period.

• Self -Assessment on progress of goals and objectives assigned to the learning experience. • Summary of how your residency goals and objectives were met/unmet during the rotation period. • Summary of your professional strengths and weaknesses during the rotation period. As the year progresses, compare to previous time periods and always include what is a focus for improvement for the next time period as well as what has been achieved.

2. Rotation and Preceptor evaluations will be submitted to the preceptor and then program director or designee

3 business days following the completion of the rotation or designated quarterly evaluation completion dates.

3. Many Criteria Based Assessments (CBAs) are to be initiated by the resident as opportunities are

encountered then evaluated with corresponding preceptor and then forwarded to the program director or designee. Resident initiated CBAs:

Care plans* Counseling* Documentation* Problem solving* Drug Information Researched Questions Case Conferences* (evaluation preceptor will be assigned) Journal Club* (evaluation preceptor will be assigned) Therapeutic Exchange* (evaluation preceptor will be assigned)

*Require self-assessment 4. A record of interventions is to be compiled on an ongoing basis. Many preceptors request a list of these

pertaining to the rotation as part of the rotation summative evaluation. 5. Each resident will compile a residency notebook for the year to include: The contents is to include suggestions/edits/drafts/final copies as worked on between resident and preceptor(s) as well.

1. Documents described above 2. All evaluations 3. Inservices presented (handouts and outlines, slides) 4. Cases presented 5. Any education programs presented 6. MUEs, monographs, reports etc. 7. Written projects or proposals

*The contents of the residency notebook serve as documentation of activities completed during the residency year. The residency yearbook is a permanent record which is the property of Vanderbilt University Medical Center.*

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Pharmacy Practice Residency: Longitudinal Rotation Experience Descriptions Drug Information Hospital Pharmacy Practice (Staffing)

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DRUG INFORMATION Introduction to Drug Information Goal: Half-day orientation to provide the residents the foundation for handling drug information questions during their residency during July and August Process: Dr. Barker will meet with the residents to review the drug information program, search strategy skills and literature assessment. Guidance on filling out drug information forms will be discussed and assessment of current drug information skills assessed. Assessment: An assessment of the resident’s drug information skills will be assessed during this orientation, concentrated rotation, and quarterly throughout the year. The residents should have achieved all goals of the drug information program by the end of their residency. Concentrated Rotation (2 weeks) Goal: To provide the resident an introduction to drug information and a basic understanding of toxicology. Schedule: 8:30am – 4:30pm Reading Assignments: Packet of articles will be given on the first day of the rotation. These will include a wide range of articles on toxicology, antidotes, drug information literature selection and other topics. The resident will have dates assigned for articles to be discussed so they may come prepared for an interactive discussion. Computer Training: The resident will learn how to enter cases into the computer database for poison information calls and drug information calls. Poison Center Rounds: The resident will participate each morning on a discussion of current overdose cases in which the Poison Center is providing consultation. The team rounding will include the PharmD resident, a third-year emergency medicine resident on a toxicology rotation, Dr. Donna Seger the medical director of the Poison Center, Dr. Saralyn Williams, staff toxicologist, and Dr. Kim Barker the managing director of the Poison Center. The resident should be able to answer questions about the medications ingested in the overdose and demonstrate an understanding of the toxicodynamics and toxicokinetics relevant to the case. Toxicology/Drug Information Consults: The resident will see patients and review charts with the MD toxicology resident when requested for inpatients with possible overdose or adverse effects of medications. Recommendations on therapy will be provided to the MD toxicology resident after consultation with Dr. Barker. When requested may also have the opportunity to see patients in the outpatient toxicology clinic and answer questions about drug therapy. Discharge Instructions: When possible, the resident will see the family of pediatric patients being discharged following a poisoning and provide them with poison prevention material and answer questions regarding medication use as appropriate. Lectures/Case discussion: The resident will spend time each day with Dr. Barker for a discussion of assigned reading and lectures on specific drug toxicity. Individual cases will be discussed as well as general topics. Case History and Drug Information Requests: The resident will be expected to demonstrate proficiency in attaining a detailed case history. Focus on key questions to ask will be discussed. The role of social, occupational, and environmental factors related to case history will be discussed. The resident will be expected to learn how to clearly fill out a drug information request form and keep organized data related to the request. This includes demonstrating knowledge of data retrieval. Data Retrieval: The resident will be expected to know the difference between the weight of evidence-based data types and identify the search process and the type of literature used in responding to the drug information request.

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HOSPITAL PHARMACY PRACTICE (STAFFING) (This is a guideline and will be dependent on staffing location assignment) Expectations for Residents in First Quarter – Staffing Assignment

• Orient to the Central Pharmacy and learn the procedures of both the unit dose area and the sterile products preparation areas.

• Adjust to the scheduling assignments and focus on being present and ready to work in the assigned area at the assigned time. Stay in the work area during your entire shift and be available to focus on the work at hand. Observe appropriate break time such as 30 minutes for lunch breaks. Learn to indicate any scheduling adjustments on the posted pharmacist schedule such as swaps in assignments

• Develop an understanding of the systems and processes and develop skills such as with CPOE order processing (“VOP”).

• Develop relationships with the Central Area team. Be careful to ask a more senior pharmacist before making changes to work processes. Follow the established dress code and other workplace policies. Be sensitive to the needs of the other staff in the area and do not routinely ask to leave early. Make sure that work is caught up prior to leaving your assignment.

• Begin to develop a broader view of the work place and rotate among the various stations (Pyxis check or cart check, labels on PR16, extemp prep, packaging machine, phones, tube station, IV Room, etc.) in order to maintain and effective work flow and efficiency level.

• Learn to collaborate with other staff members shift regarding work flow issues or whenever time may become available to work on projects but remain available to return your focus to the work at hand whenever workload increases.

• Remain flexible and ask questions. • Once initial training is complete, primary assignment will be in the Unit Dose area. • Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to

see if there are suggestions for improvement. If mentors are not working on the same weekend, resident will check in with their mentors at the next available opportunity to discuss any questions.

Expectations for Residents in Second Quarter – Staffing Assignment

• Demonstrate proficiency in all areas of the Central Pharmacy. • Demonstrate proficiency with systems and processes and manage the established levels of efficiency. • Demonstrate a broad view of the work place and rotate among the various stations maintaining effective

work flow and efficiency. • Primary assignment will be to float between the IV Room and Unit Dose areas • Begin to observe the Pharmacist in Charge (PIC) role • Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to


Expectations for Residents in Third Quarter – Staffing Assignment

• Begin training in the Junior Pharmacist in Charge (PIC) role • The resident (junior) and the normal (senior) management person on the weekend will both be

designated as PIC. These two persons will work together to manage the personnel and workflow. The normal management person can help teach the resident how to solve problems that arise during a shift.

• The resident will not be in the float position unless scheduling dictates this as a need. However, part of being PIC includes assessing both the unit dose and IV areas and helping in all areas.

• The resident has an increased responsibility to keep in touch with the workflow and employees during the shift. The resident should assure all work has been completed for the shift prior to approving anyone to leave early (then check with the lead tech and check who is working in an overtime slot to help with these decisions).

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• Communicate end of shift issues to the unit dose area evening pharmacist prior to leaving. • Personnel conflicts, staffing problems, catastrophes, occupational health issues will defer to the senior

management person designated for the weekend. • Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to


Expectations for Residents in Fourth Quarter – Staffing Assignment

• Resident will be assigned as the PIC and make independent decisions regarding issues that arise with little assistance from the senior pharmacists. Residents should keep track of DI calls, extra tasks and problem solving they are involved with to review with his/her mentor.

Expectations for Mentors

• Check in with residents at the end of each weekend workday or as soon as possible after their weekend to work to discuss their staffing and PIC roles and answer any questions that arise.

• Observe the residents during their staffing and PIC roles and offer tips and suggestions for improvement. • Provide feedback to the resident from other staff members as appropriate regarding their work

performance. • Prepare the quarterly evaluations for the residents in regard to their staffing experiences.

Expectation of Residents

• Submit a report of activities learned, accomplishments, problems solved etc. as well as areas in need of clarification or focus for the next weekend by Monday following your weekend worked.

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Appendix

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QUARTERLY RESIDENT TRAINING PLAN SELF ASSESSMENT ASSISTANCE SHEET

If you want to grow personally and/or professionally you have to take an honest look at where you are before you can decide where you want to go. A serious self-evaluation is very helpful if done on a regular interval basis. Prepare a summary of how your residency goals and objectives were met/unmet during the rotation period, what were your professional strengths and weaknesses during the rotation period and the progress you have made on longitudinal requirements (projects, criteria based assessments etc.) and an assessment of personal/professional life balance.

The following questions facilitate a positive self-reflection and make the process more effective. These questions will be fuel for helping you understand how progress is being made and what course corrections are necessary. They also open the door for some serious career mentoring. You may want to discuss the answers you arrive at, or not. Most importantly, the questions may help you discover the skills you need to achieve your goals.

Think about these types of questions when completing your progress review form. Use the Assessment FORM to complete this exercise.

Career 1. What are my desired professional outcomes for the next year? 2. What are the most significant professional challenges for the next year? 3. What are the most significant professional opportunities for the next 3 to 5 years? 4. Who am I not working well with, and how can I make the relationship better? 5. What issues keep me up at night? 6. What have I learned about myself while working at my job? 7. What would I like to see my hospital modify? 8. What have I learned from my staff/co-workers and from working for my hospital? 9. What will I commit to make me better and to make those around me better? Personal 1. What are the most valuable achievements/goals I attained in the past 4 months? 2. How can I improve the way I am dealing with the current challenges in my life? 3. What are my most significant personal goals for the next period? 4. What do I need to keep doing? 5. What would I like to change about myself? 6. What are my most significant personal challenges for the next period? 7. How am I treating the most important people in my life? 8. How could I treat the most important people in my life better? 9. How will I add joy to my life in the next period? 10. What do I wish for the future? Preparing for my next step 1. Would I work better in a large or small organization? 2. Do I prefer working in a team environment or on my own? 3. Am I more comfortable following than leading? 4. Do I prefer to analyze situations and projects over actual implementation of an action plan? 5. Do I prefer to work with people or things? 6. How do I work under pressure? 7. Am I a good planner or idea person? 8. Am I a good listener? 9. Am I able to think quickly and articulate myself “on the spot”? 10. Am I able to make decisions in a timely manner? 11. Do I express myself well verbally and in writing? 12. What characteristics do I admire in others? 13. What do I enjoy most about my major? 14. What aspects of my current job do I enjoy? What do I dislike? 15. In the next five years what would I like to accomplish? 16. What level of responsibility do I hope to reach in the future? 17. How will I achieve my career goals? What skills, knowledge, and experience do I need?

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Rotation Schedule for 2007-2008 Pharmacy Practice Residents Jon Aston

Erin Bedard

Alyson Gibson Erika Hunt

Orientation Jul 2 – Aug 3

Jul 2 – Aug 3 Jul 2 – Aug 3 Jul 2 – Aug 3

Rotation 1

Aug 6 –Sep 14 Solid Organ TX* Christie Buchanan

Aug 6 –Sep 21 Internal Medicine* Cori Nelsen

Aug 6 –Sep 14 Administration Steve Huffines

Aug 6 –Sep 21 Trauma* Sloan Fleming

Rotation 2 Sep 17– Oct 26 Cardiology* Dan Johnson

Sep 24 – Nov 9 General Peds* Paige/Sheri

Nutrition/Trauma Sep 17–Sep 28 Nutrition-Vanessa

Sep 24 – Nov 9 General Peds* Paige/Sheri

Oct 1-Oct 26 Trauma* -Sloan Fleming

DI Oct 29-Nov 9 NA Oct 29 – Nov 9 NA

Transitional Nov 12 –Dec 7 Pre-Midyear, Midyear, Projects

Nov 12 –Dec 7 Pre-Midyear, Midyear, Projects



Rotation 3 Dec 10 – Jan 18 Administration Steve Huffines

Dec 10 – Jan 11 Cardiology* Dan Johnson

Dec 10 – Jan 18 SICU* Marcus Dortch

Dec 10 – Jan 11 Internal Medicine* Cori Nelsen

DI NA Jan 14 – Jan 25 NA Jan 14 – Jan 25

Rotation 4 Jan 21 – Feb 29 Nutrition Vanessa Kumpf

Jan 28 – Feb 29 Solid Organ Tx Christie Buchanan

Jan 21 – Feb 29 Burn ICU Cathy Oleis

Jan 28 – Feb 29 Administration Steve Huffines

Rotation 5 Mar 3 – Apr 11 Internal Medicine* Cori Nelsen

Mar 3 – Apr 11 Administration Steve Huffines

Mar 3 – Apr 11 Solid Organ Tx* Christie Buchanan

Mar 3 – Apr 11 NICU Amy Potts

Rotation 6 Apr 14 – May 23 BMT* Kim Moyers

Apr 14 – Apr 25 Toxicology Kim Barker

Apr 14 – May 23 Internal Medicine* Cori Nelsen

Apr 14 – Apr 25 Toxicology Kim Barker

Apr 28 - May 23 Trauma* Sloan Fleming

Apr 28 - May 23 Nutrition* Vanessa Kumpf

Rotation 7 May 26 – June 27 Trauma Sloan Fleming

May 26 – June 27 SICU Marcus Dortch

May 26 – June 27 PICU (Julie/Alison)

May 26 – June 27 Solid Organ Tx Christie Buchanan

* Patient Care plan required

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Evaluation Due Dates and Residency Council Schedule Due Dates Sept 26 Nov 12 Jan 23 Mar 5 Apr 16 May 28 June 20 Due Dates Sept 26 Dec 31 March 5 Jun 20

Aug 21 Oct 2 Nov 13 Jan 8 Jan 15 Mar 11 Apr 22 June 3 June 24

1. Rotation Summative Evaluations 2. Resident Self Progress Review Reports 3. Preceptor/Rotation Evaluations

Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7

Longitudinal Summative Evaluations 1. Residency Project 2. Hospital Pharmacy Practice

A B C D

Mtg 1 Mtg 2* Mtg 3 Mtg 4* Mtg 5 Mtg 6 Mtg 7

Residency Council Meeting Dates

Mtg 8 Mtg 9

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Resident Presentation Series: 2007-2008 Pharmacy Conference Room: 12pm to 1pm

Journal Club Resident Evaluator

August 29, 2007

September 12, 2007

September 26, 2007

October 10, 2007

October 24, 2007

January 16, 2008

January 30, 2008

February 13, 2007

February 27, 2008

March 12, 2008

May 7, 2008

May 21, 2008

Case Conference Resident Evaluator

September 19, 2007

September 19, 2007

October 3, 2007

October 3, 2007

November 7, 2007

November 7, 2007

February 8, 2008 February 8, 2008 March 5, 2008 March 5, 2008 April 1, 2008 (Tuesday) All – SERC Practice: Mandatory All: 12pm- 2pm April 9, 2008 (Wednesday) All – SERC Practice: Mandatory All: 1pm- 3pm

April 14, 2008 (Monday) All – SERC Practice: Mandatory All: 12pm- 2pm April 17, 2008 (Thursday) All – SERC Practice: Mandatory All: 12pm- 2pm April 24, 2008 (Wednesday) All – SERC Practice: Mandatory All: 12pm- 2pm April 28, 2008 (Monday) All – SERC Practice: Mandatory All: 12pm- 2pm

May 14, 2008

May 14, 2008

Therapeutic Exchange Resident Evaluator

January 17, 2008

January 24, 2008

February 7, 2008

February 14. 2008

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Pharmacy Practice Residency Orientation Series: 2007-2008

Date Topic Objective Presenter Time Place July17 Getting Started and the

Pharmacy Practice Residency Manual

Introductions Follow-up on questions so far Rotation Schedules Review Resident Policies: vacation, time-off tracking/requesting/reporting; moonlighting; travel; Performance monitoring; Project ideas???

2 to 4 TBA (PCR or Res Office)

July 18 Getting Started and the Pharmacy Practice Residency Manual

Residency Manual and Binder Review Residency Requirements/Expectations RLS System; Evaluations

2 to 4 Resident Office

July 20 Project Developing a project idea, Finding a good mentor, sponsor, and workers, and bringing them along, and, developing the details of a proposal IRB, and the steps required for successful completion

2 to 4 PCR

July 24 Mentor Meeting and MUE, P&T, Monograph

MUE with examples, a monograph, and examples of administrative projects

2 to 4 PCR

July 25 Presentations and teaching

Description of the journal club, case presentations and therapeutic exchange; teaching undergraduate students; classroom teaching

2 to 4 PCR

July 26 Evaluation Database Summative evaluations, self evaluations, CBAs, quarterly evaluations, rotation evaluations, the residency council’s job in evaluating Tracking form How to use evaluation database

2 to 4 PCR

July 31 DI orientation DI orientation Kim Barker

12-4pm PCR

Aug 1 Patient Care Pearls and Policies

Useful things to know in Wiz and Starpanel for rotations.

2 to 4 PCR

Aug 2 Project Getting the proposal together 2 to 4 PCR

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Pharmacy Resident Orientation Checklist

2007-2008 Central Pharmacy Orientation Checklist

Orientation Items Resident Initials Trainer Initials Date ReviewedGeneral Daily work flow Unit Dose Area Times and associated tasks

Review Pharmacist Shift slots and associated duties Pharmacist in charge IV/Central UD Float Central UD

Review how to read/interpret staffing schedule Review daily Technician slots and associated responsibilities

Product Locations How to find things in the store room – who to contact in the store room How to find UD area items How to find refrigerated items How to find IV items How to find non-formulary items

Pyxis Fill Process Checking Pyxis Doses Pyxis Log-in and Filling Pyxis Machines Documentation of Errors for QA Narcotic Check in Narcotic Room

Narcotic Room Procedures Filling narcotic orders Recording in HMM (patient specific)

Cart Fill Process Location Code List Check Process Documentation of Errors for QA Catch-up Doses Census Activity Report Delivery of meds to patient specific med drawers

Look alike – Sound alike medications Oral Syringe Policy and Procedures Compounding area Order Processing (Vopping) in Central Areas Central order processes for What to send to the ED How to Clarify an order (resident pager list/operator)

Crash Carts 6 month expiration Red Locks Charges ED Trays

Specific References: Psych book, IV reference manual etc. Blood Factor book, Clozaril, MSDS, etc.

Borrow/Loan policy and procedures Unit dose packaging: machine and manual way Tube system policy and procedures *Outpatient prescriptions, Stallworth and Psych Hospital Procedures on weekends (cover on first weekend)

IV Room

Resident:________________

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Orientation Checklist Orientation Items Resident Initials Trainer Initials Date ReviewedGeneral workflow and distribution of responsibilities amongst pharmacists and technicians

How to find things in the IV room IV preparation policy and procedures Set up of IV Preparations and Batches Reconstitution of vials Preparation of syringes, PB, LVP and checking these Storage of medications prior to delivery Delivery Schedule

Sterile products preparation check off Call for medications Review of how we meet USP 797

Latex allergy policy and procedures Review of IV resources: how to determine compatibilities, expirations, Vandy IV manual, IV room website

Narcotic Preparation and wastage Log sheets Wastage record Record of RX number in patient maintenance

Standard Time Schedules Investigational Drug Area Outpatient Areas Orientation Checklist Orientation Items Resident Initials Trainer Initials Date ReviewedReview of what and where all outpatient pharmacy services are located, hours, key persons

Sample pharmacy: policy and procedures, location, products available

Indigent Med Program: policy and procedures Discharge Meds and Counseling Program: policy and procedure Process for prior authorization etc of high cost drugs and our policy/procedure for handling these (identify main agents etc.)

Outpatient infusion area Hemophilia Clinic introduction Coumadin Clinic – Tommy and Suzanne Who is serviced/eligible How to enroll a patient (Starpanel) How information is communicated/documented Policy and Procedures/Protocol CC follows

Satellite Pharmacies: Mark Sullivan – 3,4,11 Orientation Checklist Orientation Items Resident Initials Trainer Initials Date ReviewedOrient to satellites Locations Areas serviced be each and Pyxis locations Hours

Practice in HMM Medication order processing

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Access patient, med profile, update information, generate missing dose labels/charges, schedule IV fluids Area specific order entry issues: epidural orders, PACU orders, OB ABX orders, dialysis, Chemo meds, ACLS dosing sheets Order clarifications Work flow Pharmacist and technician responsibilities Adverse Drug Reaction reporting , Medication Error reporting Customer Service Focus Intervention Documentation Telephone Courtesy/Etiquette IV medication administration policy and chart Meds/Devices brought from home PCA Pump Policy DI Resources: Micromedex, Lexi-Comp, Kings, Facts&Comp, Up to Date, Trissell’s, Pubmed

Alaris GuardRails for IV pumps How to use phone and beeper system Oncology Satellite Orientation Checklist Orientation Items Resident Initials Trainer Initials Date ReviewedProper procedures for reviewing an oncology order Oncology references Proper procedures for preparing chemotherapy Review and demonstration Proper procedures for disposing of chemotherapy Study Protocols/Investigational Drugs Peds Pharmacy Orientation Checklist Orientation Items Resident Initials Trainer Initials Date ReviewedService locations and hours of operation Work flow UD/IV/Narcotic room Clinical staff and their roles Steps to verifying and processing a pediatric med order Process for drug level review in peds patients Anything else pertinent to peds pharmacy Residency Requirements: □ Name Badge □ Computer Log-ins (HMM, Starpanel, WizOrder, Pyxis) □ Hospital Orientation (2 days assigned) □ Mailboxes □ Understand what comprises the RLS □ Project requirements □ CBA description and requirements □ Monograph requirements □ MUE requirements □ Journal Club and Case Presentation Requirements □ Care Plan and Newsletter/FastFact Requirements □ Therapeutic Exchange Requirements □ Evaluation Process □ Self evaluation process □ Drug Information requirements □ Ambulatory Care requirements □ Recruitment responsibilities □ Staffing Schedule: must trade weekends, vacation should not be used for assigned weekends □ MidYear ASHP : when to register, UHC, ShowCase □ SERC: when to register; when to submit abstract, who is there, what is expected on the presentation

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Policies to review: □ Vacation/Time off □ Holiday rotation □ Moonlighting/Overtime □ Extended Leave of Absence □ Sick Time □ Pharmacy access and security □ Standards of Conduct □ Conflict of Interest □ Confidentiality □ Electronic Communications

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Resident Orientation Schedule July 2007 Date Transplant

Specialty: Lindsay Sakai Weekends 2,6,10 Holiday to Work: Labor Day Staffing Mentor: Shelia Martin, D.Ph.

Nutrition Specialty: Meera Patel Weekends: 3,7, 11 Holiday to Work: Memorial Day Staffing Mentors: Rick Osteen, D.Ph.

Pharmacy Practice: Jonathan Aston Weekends 3,7,11 Holiday: Thanksgiving Staffing Mentor: Rick Osteen, D.Ph.

Pharmacy Practice: Erin Bedard Weekends 4,8,12 Holiday: Christmas Day Staffing Mentor: Cathy Oleis, DPh.

Pharmacy Practice: Alyson Gibson Weekends 1,5,9 Holiday: Christmas Eve Staffing Mentor: Molly Knostman, Pharm.D.

Pharmacy Practice: Erika Hunt Weekends 2,6,10 Holiday: New Years Day Staffing Mentor: Shelia Martin, D.Ph.

Monday 7/2/07 Tuesday 7/3/07

Start Date 7/5/07 Start date 7/9/07 Departmental Welcome and Orientation w/ Gayle Lane and Mark Sullivan

Departmental Welcome and Orientation w/ Gayle Lane and Mark Sullivan



7/4/07 Start Date 7/5/07 Start date 7/9/07 Holiday Holiday Holiday Holiday Thursday 7/5/06

Departmental Welcome and Orientation w/Christie Buchanan

Start date 7/9/07 Pediatric Pharmacy Darlene

Central Pharmacy (UD) Molly

Outpatient Pharmacy 8-12 Hayley Rector 322-8268 1-4 Coumadin Clinic Suzanne 322-7102

IV/TPN Rick

Friday 7/6/06 Start date 7/9/07 3rd floor satellite Mark Meet with David in PCR : 12-2pm

Central Pharmacy (UD) Molly Meet with David in PCR : 12-2pm

Pediatric Pharmacy Darlene Meet with David in PCR : 12-2pm

IV/TPN Rick Meet with David in PCR : 12-2pm

Saturday 7/7/06 Weekend #10

Off Start date 7/9/07 Off Off Off Off

Sunday 7/8/06 Weekend #10

Off Start date 7/9/07 Off Off Off Off

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Date Transplant







Monday 7/9/07 To Tuesday 7/10/07

Medical Center Orientation / Learning Center






Wednesday 7/11/07 To Friday 7/13/07

Computer Systems Training w/ Phillip Stewart B-149, VUH







Off Off Off Off Off Off



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Date Transplant







Monday 7/16/07

3rd floor/11th floor satellite Mark Sullivan

Departmental Welcome and Orientation w/ Vanessa/Sloan



4th floor satellite Mark

IV/TPN Rick

Tuesday 7/17/07

IV/TPN Rick


4th floor satellite Mark Residency Mtg: 2-4pm

Central Pharmacy (UD) Mark Residency Mtg: 2-4pm


IV/TPN Rick Residency Mtg: 2-4pm

Wednesday 7/18/07

IV/TPN Molly


IV/TPN Molly Residency Mtg: 2-4pm

Pediatric Pharmacy Darlene Residency Mtg: 2-4pm

Central Pharmacy (UD) Molly Residency Mtg: 2-4pm

3rd floor satellite Mark Residency Mtg: 2-4pm

Thursday 7/19/07

IV/TPN Rick


IV/TPN Rick

Outpatient Pharmacy 9-12Coumadin Clinic Suzanne 322-7102 1-4 Hayley Rector 322-8268


Pediatric Pharmacy Darlene

Friday 7/20/07

IV/TPN Rick






Saturday 7/21/07 Weekend # 12




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Date Transplant







Monday 7/23/07

IV/TPN Rick


IV/TPN Rick

3rd floor satellite Mark


Oncology Pharmacy Julia

Tuesday 7/24/07



Oncology Pharmacy Julia Residency Mtg: 2-4pm




Wednesday 7/25/07





Oncology Pharmacy Julia Residency Mtg: 2-4pm


Thursday 7/26/07







Friday 7/27/07


IV/TPN Rick


Oncology Pharmacy Julia







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Date Transplant







Monday 7/30/07

1st clinical rotation



IV/TPN Rick



Tuesday 7/31/07


IV/TPN Rick

4th floor satellite Mark DI Orientation 12-4pm

11th floor satellite Mark DI Orientation 12-4pm

IV/TPN Rick DI Orientation 12-4pm

Central Pharmacy (UD) Molly DI Orientation 12-4pm

Wednesday 8/1/07


IV/TPN Rick



IV/TPN Becky Residency Mtg: 2-4pm


Thursday 8/2/07


IV/TPN Rick





Friday 8/3/07


IV/TPN Rick



IV/TPN Rick



7-3:30 Central Staffing

Off Off Off Off 7-3:30 Central Staffing


7-3:30 Central Staffing

Off Off Off Off 7-3:30 Central Staffing

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