Hospital Pharmacy Practice Rotation
Advanced Pharmacy Practice Experience (APPE)
Taking place in hospital-based pharmacy services, this experience emphasizes administrative and pharmacy service functions, to include: drug distribution; D.U.E.; A.D.R. reporting, formulary review and amendment; cost containment outcome assessment; quality assurance; inventory control; and maintenance of mandated pharmacy records. Building upon previous internship experiences, assignments will be made to facilities that can provide the greatest degree of new and unique exposure for a particular student.
Task List for Hospital Pharmacy Rotations
A list of specific tasks has been established for each of the core rotations to serve as a guide to the minimum requirements necessary to demonstrate competency. Provided below are samples of a few of the tasks defined for each specific core experiential rotation. (Note: Completion of this activity or task may be dependent on site expectations, practice of the preceptor and expectations of the preceptor. Reasonable effort should be made to accomplish these tasks when possible.)
- As frequently as possible, attend clinical / operational meetings: Pharmacy and Therapeutics Committee (PTC), PTC subcommittees, Patient Safety, Pharmacy Staff, Nursing/Pharmacy and others as identified by preceptor.
- As frequently as possible, attend educational meetings: staff in-services, Grand Rounds, Mortality/Morbidity and others as identified by preceptor: Conferences attended included: _____________________________.
- Effectively utilize automation / informatics. Participate in an assigned activity that provides insight into the benefits & challenges of automation / informatics. (e.g. CPOE, decision support, distribution (robotics or “pyxis”), compounding, drug information retrieval, etc.
- Participate in the drug dispensing process related to providing meds for new orders and ongoing supply (unit dose, “pyxis”, etc.), OR/anesthesia meds, controlled substances, etc. in order to understand system flow and verification that meds dispensed are correctly prepared.
- Under the supervision of a pharmacist, process a broad variety of new medication orders. Processes to include: medication order assessment, order entry or order verification, evaluation and application of computer alerts, resolution of problems and over-sight of medication dispensing. Alternatively, if limited by policy (e.g. computer security for verification), closely observe and simulate those processes from printed profile and demonstrate an understanding of workflow.
- Prepare a number and variety of sterile parenteral products sufficient to demonstrate acceptable competency. Syringe, small and large volume, etc. Participate in TPN and chemotherapy processing and preparation if feasible. Discuss both patient and environmental safety issues.
- Develop/discuss/document resolution of 10 patient profile reviews or new medication order problems.