(Also refer to the general goals and objectives for PhPr 803)
- To become familiar with the provision of clinical pharmacy services to surgery patients.
- To be responsible for providing accurate and timely drug information to surgeons and other health care professionals related to a surgery service.
- To gain a general understanding of the medications involved with a surgery service with emphasis on antibiotic therapy, nutritional support, and pain management.
At the completion of this rotation, the student should be able to:
- Consistently obtain complete and accurate drug histories including previous adverse reactions to medications.
- Present well-organized and accurate patient case histories including subsequent problem-plan management.
- Effectively and appropriately communicate with both patients and other health care professionals.
- Punctually and thoroughly complete and present the results of a literature search related to a disease, medication, or surgery performed on a surgery service.
- Spend the necessary amount of time in the patient care area to complete all service responsibilities related to his/her patients.
- Initiate interactions with other health care professionals.
- Understand the pathophysiology and pharmacology of the medications used on a surgery service with special emphasis on antibiotics and pain management.
- Understand the fundamental principles of acid-base balance, and fluid and electrolyte therapy.
- Have a general understanding of the role of parenteral and enteral nutrition in the surgery patient.
- Recognize and monitor adverse effects of medications and make a rational decision for their prevention and/or treatment.
- Understand the controversies involved with deciding which is the most effective and least toxic drug in specific clinical situations.
- Calculate a measured creatinine clearance given the appropriate data.
- Discuss the effects of renal and/or liver disease on the appropriate dosing of medications.
- Quickly and accurately calculate doses for medications used on the surgery service with emphasis on antibiotics and pain relievers.
- Realize that medication-related questions from health care professionals should only be answered when all of the relevant facts are known and that accuracy is of highest priority.
- Promptly and accurately search and answer questions from health care professionals when the answer is not initially known.
- Realize the importance of patient confidentiality.
- Know how to decide the order of priority for monitoring patient medications when on a busy surgery service.
Additional Information for a Successful Rotation
The responsibilities will include but are not limited to the following:
- Punctual attendance at daily morning rounds with the assigned surgery team.
- Punctual attendance at clinical pharmacy conferences.
- Punctual attendance at morbidity and mortality rounds with the surgeons if applicable.
- Completely, accurately, and promptly responding to questions from health care professionals.
- Initiating interactions with other health care professionals.
- Filling out drug reaction forms for any undesired or unintended effect of a medication.
- Completing and presenting two literature searches relating to a surgery topic.
- Monitoring and making decisions related to nutritional support especially with regards to total parenteral nutrition (TPN).
- Being a professional when interacting with patients and other health care professionals.
- Obtaining complete and accurate medication records for each patient.
- Presenting patient-related information completely, succinctly, and accurately during rounds with preceptor as well as other health care professionals when queried.
- Deciding which medications to use and how to use them with reference to pharmacokinetics and pharmacodynamics.
- Completely and accurately evaluating the medications of all assigned patients on the surgery service.
Absence from Rotation
- Sick days: more than two missed days must be made up, e.g., weekends.
- Extended absences (those that cannot be made up on weekends): these will be evaluated on an individual basis with input from director of experiential programs.
- Excused absences due to exceptional circumstances: these will be allowed with permission of preceptor. They will not be allowed for frivolous reasons, e.g., birthdays.