Akpene Tetteh

Email:	atett1@stu.mcphs.edu
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Co-Curricular ActivitiesUpdated: 04-06-23

Co-Curricular Activities: Akpene Tetteh

IPPE Community Rotation Reflection Part 1 (Duplicate)

Date:	08/19/2022
Rotation Type:	Wor/Man IPPE Community
Comments:
Write Reflection Here::	I. Description - A patient called over the phone to make a follow-up on her prescription from the doctor. She was insisting on a higher strength of the medication as her prescribed medication. I kept quiet over the phone and allowed her to express herself, and in the process, she said: "I am not trying to challenge what you are saying, maybe I did not hear the doctor well. We discussed a lot of things, and I might be mistaken." II. Feelings - I felt speechless for a moment. I was relieved when she realized she might be wrong. At this point, I felt sympathy and empathy for what she is going through. III. Evaluation - I was able to de-escalate the situation by remaining calm and being a good listener. In the process, the patient on her own came to the point that she might be wrong. She then apologized and retracted her earlier assertion on her own. IV. Analysis - I felt so sorry for her as she went from a high pitch tone (confidence) to a low one (uncertain) as she spoke. I felt sympathy for her situation and wish her a speedy recovery. V. Conclusion/Action - This has affirmed to me, the importance of speaking less and listening more.

Co-Curricular Activities: Akpene Tetteh

co-curr

Elective 2

Co-Curricular Activities: Akpene Tetteh

Elective 1_Leadership

Co-Curricular Activities: Akpene Tetteh

Professionalism

Co-Curricular Activities: Akpene Tetteh

IPPE Institutional Rotation Reflection Part 2

Date:	09/30/2022
Rotation Type:	Wor/Man IPPE Institutional
Comments:
Write Reflection Here::	My career goal is in compounding, regulatory affairs, and R&D. My objectives are: (1) to improve the quality of life via the patient care process; (2) to formulate cost-effective ways of managing disease conditions; (3) to strategic plan and forecast drug price at the R&D level. Reflecting on my IPPE institutional experiences over the last 4 weeks as they relate to my career goals reaffirms my career path of interest. Two events or experiences which reaffirmed my previous goals are: I have witnessed claims rejected because they are not covered under the patient's insurance coverage. There are many factors that account for claims being rejected, and one of the main reasons is the price of the drug. The insurance company wants to maximize profit but what happens if the patient cannot afford out-of-pocket? This challenges me to pursue my second objective of finding alternate cost-effective ways to manage the same conditions. In addition, I observed the CQI initiatives put in place at the rotation site to ensure the patient through their caregiver receives the right medication, accurate dosing, and zero tolerance for medication errors. These also reaffirm my first objective of improving the quality of life of patients.

Co-Curricular Activities: Akpene Tetteh

Student Interventions, Interactions with Diverse Patient Populations

Date:	09/12/2022
Rotation Type:	Wor/Man IPPE Institutional
Comments:
Patient Sex:	F
Patient Ethnicity:	White
Age:	Geriatric (65 years old +)
During this intervention did you collaborate with a prescriber or student prescriber?:	Yes
How many medications were involved in this intervention?:	1
Disease/Disorder:	Other
Type of Intervention:	Dose Adjustment
Outcome of Intervention:	Recommendation Accepted by Provider
Please select the following values/skills that have contributed to your growth, development or learning.:	Accountability Care giving Collaboration Empathy Leadership Problem Solving Professionalism
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities: Akpene Tetteh

IPPE Institutional Rotation Reflection Part 1

Date:	09/16/2022
Rotation Type:	Wor/Man IPPE Institutional
Comments:
Write Reflection Here::	I. Description - I noticed the direction on one of the prescriptions was still not transcribed from the medical terminology to a patient-friendly language. So, I drew the attention of one of the pharmacists on duty for the day, and the direction was edited accordingly. II. Feelings - I was not surprised III. Evaluation - There are systems in place to monitor processes, but errors can still occur. Therefore, there is a need to pay attention to every detail of each step of the medication processing. IV. Analysis - It was a reflection for me that some errors identified in my school lab actually happen in the real world. V. Conclusion/Action - I plan to check prescriptions the second time before dispensing to avoid medication errors.

Co-Curricular Activities: Akpene Tetteh

IPPE Community Rotation Reflection Part 2

Date:	09/02/2022
Rotation Type:	Wor/Man IPPE Community
Comments:
Write Reflection Here::	My career goal is in compounding, regulatory affairs, and R&D. Reflecting on my IPPE community experiences over the last 4 weeks as they relate to my career goals reaffirms my career path of interest. I observed and noticed that all processes were structured in compliance with laws and protocols laid down by the statutory regulatory bodies or departments. As a regulatory consultant, I was proud to witness the significance of regulations and their applications in all spheres of life and operations. I enjoyed the production activities such as filling in the prescription and most importantly the quality checks such as product, patient name, and expiration matching the prescribed medication for the patient. Also, I had the opportunity to do data entry, triage, and verification of prescriptions. These laid emphases for me on the importance of having quality systems in place and the role of the pharmacist in ensuring there is zero medication error.

Co-Curricular Activities: Akpene Tetteh

Student Interventions, Interactions with Diverse Patient Populations

Date:	08/09/2022
Rotation Type:	Wor/Man IPPE Community
Comments:
Patient Sex:	F
Patient Ethnicity:	White
Age:	Geriatric (65 years old +)
During this intervention did you collaborate with a prescriber or student prescriber?:	No
How many medications were involved in this intervention?:	1
Disease/Disorder:	Infectious Disease
Type of Intervention:	Immunizations
Outcome of Intervention:	Patient Education
Please select the following values/skills that have contributed to your growth, development or learning.:	Collaboration Empathy Professionalism
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities: Akpene Tetteh

IPPE Community Rotation Reflection Part 1

Date:	08/19/2022
Rotation Type:	Wor/Man IPPE Community
Comments:
Write Reflection Here::	I. Description - A patient called over the phone to make a follow-up on her prescription from the doctor. She was insisting on a higher strength of the medication as her prescribed medication. I kept quiet over the phone and allowed her to express herself, and in the process, she said: "I am not trying to challenge what you are saying, maybe I did not hear the doctor well. We discussed a lot of things, and I might be mistaken." II. Feelings - I felt speechless for a moment. I was relieved when she realized she might be wrong. At this point, I felt sympathy and empathy for what she is going through. III. Evaluation - I was able to de-escalate the situation by remaining calm and being a good listener. In the process, the patient on her own came to the point that she might be wrong. She then apologized and retracted her earlier assertion on her own. IV. Analysis - I felt so sorry for her as she went from a high pitch tone (confidence) to a low one (uncertain) as she spoke. I felt sympathy for her situation and wish her a speedy recovery. V. Conclusion/Action - This has affirmed to me, the importance of speaking less and listening more.

Co-Curricular Activities: Akpene Tetteh

IPPE Community IPE

Date:	08/19/2022
Rotation Type:	Wor/Man IPPE Community
Comments:
Interprofessional collaboration occurs when multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care. (WHO, 2010):	Yes
Interprofessional education occurs when learners, educators, or health care workers from two or more health professions learn about, from and with each other to enable effective interprofessional collaboration and improve health outcomes. (adapted from WHO, 2010 & Buring, et al. AJPE 2009;73(4): article 59):	Yes
If you selected "Other" or "Other - Student" from the list above, please list the type of health care professional you interacted with here::	Pharmacist, pharmacy technician, and customer
I was able to place the interests of patients at the center of interprofessional health care delivery.:	Strongly Agree
I was able to act with honesty and integrity in relationships with patients, families, communities, and other team members.:	Strongly agree
I was able to recognize the roles and responsibilities of other health care providers.:	Strongly Agree
I was able to recognize how the team works together to provide patient care.:	Agree
I was able to recognize limitations of my skills, knowledge, and abilities.:	Agree
I was able to express my knowledge and opinions to team members involved in patient care with clarity and respect.:	Agree
I was able to listen actively to other team members.:	Agree
I was able to encourage ideas and opinions of other team members.:	Agree
I was able to engage other health care professionals in shared problem-solving appropriate to the specific patient care situation.:	Agree
I was able to reflect on my individual performance for improvement.:	Agree
Please provide one example of an interprofessional observation and/or interaction that you had during this IPPE rotation in one to two sentences.:	A new dad wanted to know the cost of medication per his baby's refill. After telling him the out-of-pocket cost, I recommended he updates the child's profile with her health insurance to reduce the cost of the medication.

Co-Curricular Activities: Akpene Tetteh

Innovation and Entrepreneurship

220330054552_Co_Curricular_Activity_Documentation_Form_Innovation_and_Entrepreneurship.docx (.docx) 0.03mb

Co-Curricular Activities: Akpene Tetteh

Leadership

220330054442_Co_Curricular_Activity_Documentation_Form_Leadership.docx (.docx) 0.03mb

Co-Curricular Activities: Akpene Tetteh

Self- Awareness

220330054411_Co_Curricular_Activity_Documentation_Form_Self_Awareness.docx (.docx) 0.03mb

CPD Plan Management: REFLECTIONUpdated: 04-06-23

CPD Plan Management: REFLECTION: Akpene Tetteh

Ethics - Reflection on the case: Parents and Children and HIV

The ethical rules applied to this case were “respect for autonomy” and “beneficence”. The mother discontinued her antiretroviral therapy and declined to take peripartum zidovudine therapy during her active labor. The doctor violated her autonomy by conniving with the pharmacist to inject the peripartum zidovudine into her intravenous infusion, in an attempt to do good (beneficence). Mother decides she will do exclusive breastfeeding with the belief she is HIV disease free.

I was surprised the doctor did not go the extra mile to educate his patient and demystify the myth that “viral load being undetectable means disease-free”. And is unclear what the recommendation of the doctor was four months ago when his patient first discontinued the antiretroviral therapy.

The group was all surprised by the misinformation by the woman’s husband and thinks there should be more education on the HIV disease and available interventions. In addition, it was disturbing having minors involved whose autonomy lies in the hands of their parent. The baby, for instance, cannot decide what she will be fed, and the health workers cannot force a nursing mother not to breastfeed her baby. I also feel, there must be an age-appropriate education for the children, ages 5 and 10 on their health status and how they can protect themselves and society.

I have seen people refusing to take the COVID-19 vaccine despite the recommendation by healthcare professionals. These people are exercising their right to autonomy.

I learned in this discussion, that as much as healthcare professionals want patients to be involved in medication therapy management and be accountable for their therapy, there will be some patients that will still make the wrong choice. One way to help such patients in the future is to be a good listener, get to the root of their stand, assure them that they are not alone, and give them medically acceptable alternative recommendations that they will be comfortable with and adhere to.

CPD Plan Management: REFLECTION: Akpene Tetteh

IPPE Institutional Rotation Reflection Part 1

I. Description - I noticed the direction on one of the prescriptions was still not transcribed from the medical terminology to a patient-friendly language. So, I drew the attention of one of the pharmacists on duty for the day, and the direction was edited accordingly.
II. Feelings - I was not surprised
III. Evaluation - There are systems in place to monitor processes, but errors can still occur. Therefore, there is a need to pay attention to every detail of each step of the medication processing.
IV. Analysis - It was a reflection for me that some errors identified in my school lab actually happen in the real world.
V. Conclusion/Action - I plan to check prescriptions the second time before dispensing to avoid medication errors.

CPD Plan Management: REFLECTION: Akpene Tetteh

IPPE Community Rotation Reflection Part 1

I. Description - A patient called over the phone to make a follow-up on her prescription from the doctor. She was insisting on a higher strength of the medication as her prescribed medication. I kept quiet over the phone and allowed her to express herself, and in the process, she said: "I am not trying to challenge what you are saying, maybe I did not hear the doctor well. We discussed a lot of things, and I might be mistaken."

II. Feelings - I felt speechless for a moment. I was relieved when she realized she might be wrong. At this point, I felt sympathy and empathy for what she is going through.

III. Evaluation - I was able to de-escalate the situation by remaining calm and being a good listener. In the process, the patient on her own came to the point that she might be wrong. She then apologized and retracted her earlier assertion on her own.

IV. Analysis - I felt so sorry for her as she went from a high pitch tone (confidence) to a low one (uncertain) as she spoke. I felt sympathy for her situation and wish her a speedy recovery.

V. Conclusion/Action - This has affirmed to me, the importance of speaking less and listening more.

CPD Plan Management: REFLECTION: Akpene Tetteh

Pharmacy Administration: Business Planning Project Reflection

220409061730_Reflection_Questions_2022.docx (.docx) 0.02mb

CPD Plan Management: REFLECTION: Akpene Tetteh

Service-Learning: Concluding Essay

220330072119_Concluding_Essay.docx (.docx) 0.02mb

CPD Plan Management: REFLECTION: Akpene Tetteh

SPPD I: Opportunities for Enhancement Reflection

220330070108_Assignment_5_Reflection_on_Opportunities_for_Enhancement.docx (.docx) 0.01mb

CPD Plan Management: REFLECTION: Akpene Tetteh

SPPD I: Reflection on the book "Who Moved My Cheese?"

220330065758_Who_Moved_my_Cheese.docx (.docx) 0.02mb