Acute Patient Care Practice Rotation

Advanced Pharmacy Practice Experience (APPE)

Rotation Description

Taking place on a variety of inpatient services located in acute care hospitals, this experience emphasizes primary patient care using a case management approach with activities that resemble the General Medicine rotation. Service options include: Bone Marrow Transplant, Cardiac Care Unit, General Medicine, Heart Failure Unit (requires CCU in advance), Hematology/Oncology, Infectious Disease, Medical Intensive Care Unit, Neurosurgical ICU Organ Transplantation, Pediatrics, and Pediatric Intensive Care Unit and Neonatal Intensive Care Unit (both require Pediatrics in advance). Actual availability of specialty options varies from year to year.

Task List for Acute Patient Care 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.)

  1. Discuss at least 3 therapeutic guidelines relevant to the acute care site’s patient population.
  2. Assess all potential ADRs. Complete adverse drug reaction(s) report as per hospital policy. *
  3. Develop/Document written Drug Information responses from preceptor, patients, caregivers or prescribers (> 5).
  4. Attend conferences required of the medical team (e.g. Grand Rounds, Teaching Rounds, Case Conference, etc.).
  5. Interface with pharmacy staff regarding unusual medication orders, patient issues, non-formulary needs, etc.
  6. Present patients to preceptor (and others) (Pharmacotherapy Rounds): List patient problems, drug therapy, monitoring parameters, therapeutic end-points, dosage, potential ADRs and interactions. Discuss appropriateness of current or alternate medication/doses and nutritional therapies.
  7. Assess and monitor applicable doses and medication therapy outcomes (including potential ADEs) in relation to renal function, pharmacokinetic analysis of serum concentrations and other lab or quantitative or clinical monitoring parameters.
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