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During my rotation at St. Joseph Hospital, I have had the invaluable opportunity to shadow the pharmacy technicians. I observed their essential role in maintaining medication inventory, filling orders, compounding medications, and delivering them to inpatient units. These dedicated professionals work both in the hospital and the Cancer Center, ensuring that all patient medications are accurately prepared for pharmacist review.
What struck me most was the difference in the medication dispensing process between the hospital and community pharmacy settings. A particularly memorable moment occurred while I was in the IV room, where I shadowed the IV pharmacist. I was genuinely impressed by their diligence and attention to detail in ensuring that medications are prepared safely and free from contamination.
This experience has profoundly reinforced my understanding of the vital role pharmacists play in healthcare. Being directly involved in patient care within a hospital setting allowed me to witness firsthand the crucial contributions of pharmacists and pharmacy technicians in delivering the right medication at the right time and dosage. This has truly been a positive and enlightening experience for me.
Date: | 09/19/2024 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Patient Sex: | M |
Patient Ethnicity: | White |
Patient Age Category: | Adult (19-64 years old) |
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?: | No |
How many medications were involved in this intervention?: | 1 |
Disease/Disorder: | Other |
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist:: | Problem Solving Professionalism |
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.: | I participated in recommending Sudafed 12 Hours to assist a patient with sinus congestion. After gathering all relevant information from the patient and with the guidance of the supervising pharmacist, I recommended Sudafed 12 Hours at a dosage of one tablet every 12 hours, with a maximum of two tablets per day. I also counseled the patient on potential side effects, including increased blood pressure and heart rate, CNS stimulation,axiety, insomnia, shakiness, and the risks associated with overdosing. Through this patient care intervention, I learned to analyze clinical data, consider the patient's history, and evaluate the efficacy and safety of treatment options. This experience enhanced my clinical reasoning and decision-making skills, both of which are essential for effective pharmacist practice. Moreover, actively engaging in patient care helped me develop my professional identity as a future pharmacist. Ultimately, this hands-on learning experience has reinforced my commitment to becoming a pharmacist and has helped me envision myself as a healthcare provider who plays a crucial role in improving patient outcomes through medication management. |
Type of Intervention: | Dose Recommendation |
Outcome of Intervention: | Patient Education |
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.: | Yes |
Date: | 08/30/2024 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: |
As I conclude my rotation at Rite Aid Pharmacy, I reflect on the significant personal and professional growth I have experienced over the past four weeks. At first, I was pretty nervous because I didn't have a lot of hands-on experience beyond what I learned in school and my part-time job. But working in the busy environment of a retail pharmacy really helped me connect my classroom lessons to real-life situations. I learned how to follow New Hampshire pharmacy laws and handle insurance issues while focusing on patient care. I have also learnt how to collaborate in out patient setting with interprofessional team member. On my first day, I felt overwhelmed by the number of prescriptions and how well the team worked together to make sure everything was done accurately. Fortunately, my preceptor and the other pharmacists were incredibly supportive, helping me gain confidence and understand the complexities of patient treatment. For example, I discovered that while loperamide is often suggested for treating traveler's diarrhea, it might not work if the cause is a stomach bug. This taught me that real-world healthcare can be more complicated than what we learn in textbooks. By the end of my rotation, I felt proud of what I accomplished, applying skills like giving vaccines, counseling patients, and checking medication safety and working with nurses and doctors to fix prescrition issues. Working with such a dedicated team made this experience truly rewarding and strengthened my commitment to becoming a pharmacist. |
Date: | 08/18/2024 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: | I. Description - Describe the event. One event where I felt the most engaged and puzzled was during my interaction with a member of the interprofessional team. During my community pharmacy rotation, I had the opportunity to interact with a nurse as interprofessional team members. I needed to contact the doctor's office to clarify a prescription for Protonix. The prescription was for Protonix 40 mg granules, but no additional information was provided for a patient who, based on his history, didn't seem to have any swallowing issues. Under the supervision of my pharmacist preceptor, I contacted the doctor's office to voice my concerns regarding the inappropriate dosage, dosage form, and frequency. The nurse informed me that they would follow up with me after consulting their clinical team. However, they did not call the pharmacy back, despite my providing all the necessary information, including the pharmacy's phone and fax numbers. II. Feelings - Describe the feeling you experienced during this event. I anticipated a callback as promised by the nurse, so I was puzzled when no one reached out to the pharmacy. Instead, a few hours later, a new prescription for the same condition arrived, but with a different strength and frequency. III. Evaluation - What is your evaluation (positive or negative) of your experience? This was an interesting real life experiment for me. Overall, I was satisfy that I participated in the better outcome of a patient who would have without the intervention of the pharmacist received an inappropriate pharmaceutical therapy. IV. Analysis - Why do you feel this way? I feel this way because my experience taught me that while pharmacists are expected to interact effectively with other professionals, this is not always an easy task, particularly in outpatient care. V. Conclusion/Action - What actions do you plan to take Based on what you learned from this experience? I also learned that, some time I will call and not receive follow up from doctor's office or nurses, or any healthcare providers, which shouldn't impede on professional pratice to take the necessary measure to ensure medication safety and overall positive outcomes of patients. |
Date: | 08/18/2024 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
1. During this IPPE rotation, which of the following health care professionals did you interact with? Select all that apply: | Nurse |
2. Values and Ethics (VE) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to values and ethics were you involved directly with? Select all that apply: | Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Apply high standards of ethical conduct and quality in contributions to team-based care. (VE8) |
3. In 3-5 sentences, describe an encounter where you were involved with team members working together to maintain a climate of shared values, ethical conduct, and mutual respect.: | Shared value refers to the concept that business can generate economic value while simultaneously addressing social and environmental challenges. Ethical conduct refers to behavior that is aligned with established moral principle,standard and values. Mutual respect envolves trating individuals with dignity, valuing their opinions and acknowledging their contribution regardless of different backgrounds, beliefs, or positions. Based on the submention definitions, these concepts allow the promotion of collaboration and sustainable pharmacy practice. Pharmacy team members implement these practices daily to ensure compliance with safety protocols, policies, and regulations from the moment a prescription is dropped off to the point of drug dispensing. We collaborate closely to guarantee that we provide the correct medication, in the appropriate dosage, to the right patient. |
4. Roles and Responsibilities (RR) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved directly with? Select all that apply: | Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4) |
5. In 3-5 sentences, describe an encounter where you observed or were directly involved with team members using knowledge of your role as well as the team members expertise to address individual and population health outcomes.: | During my community pharmacy rotation, I had the opportunity to interact with a nurse as interprofessional team members. I needed to contact the doctor's office to clarify a prescription for Protonix. The prescription was for Protonix 40 mg granules, but no additional information was provided for a patient who, based on his history, didn't seem to have any swallowing issues. Under the supervision of my pharmacist preceptor, I contacted the doctor's office to voice my concerns regarding the inappropriate dosage, dosage form, and frequency. The nurse informed me that they would follow up with me after consulting their clinical team. However, they did not call the pharmacy back, despite my providing all the necessary information, including the pharmacy's phone and fax numbers. I was puzzled to see that a few hours later, a new prescription for the same condition was sent in with a different strength and frequency. Overall, I was satisfy that I participated in the better outcome of a patient who would have without the intervention of the pharmacist received an inappropriate pharmaceutical therapy. |
6. Communication (C) is a core competency for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved with? Select all that apply: | Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) |
7. In 3-5 sentences, describe an encounter where you were directly involved with communicating in a responsive, responsible, respectful, and compassionate manner with team members.: | In my daily interactions with my preceptor, I typically experience a strong sense of respect, responsiveness, responsibility and compassion. I often have numerous questions about how to implement effective pharmaceutical interventions for patients, recommend appropriate pharmaceutical over the counter products, and provide patient counseling. I greatly appreciate the patience my preceptor and other pharmacists demonstrate when answering my questions and guiding me to resources that can help. I recognize that I am in the learning process and value the constructive feedback they provide, which is instrumental in helping me improve. |
8. Teams and Teamwork (TT) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to teams and teamwork, were you involved with? Select all that apply: | Reflect on self and team performance to inform and improve team effectiveness (TT6) |
9. In 3-5 sentences, describe an encounter where you were directly involved in teamwork and adapted your role in a team setting.: | I had the opportunity to design an immunization quiz under the supervision of my pharmacist preceptor to assess our pharmacy technicians' understanding of the immunization schedule. For me, creating this quiz was a chance to complete a project successfully and acquire new skills. For the team, it provided an opportunity to enhance their knowledge and skills, promoting a culture of continuous improvement. After grading the immunization quiz, I provided valuable feedback to some team members. The team's performance in general was impressive. Overall, the immunization quiz served as an effective tool for strengthening team dynamics, facilitating knowledge sharing, and clarifying areas that were still unclear. |
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