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Transcript
ROTATION SYLLABUS
P2 SPRING SEMESTER
PHRM 6201: Introductory Pharmacy Practice Experience 3
Institutional Pharmacy Practice
Preceptor & Site Information This is for preceptors to complete.
Preceptor Name
include credentials
Site Name
Street Address
City State Zip
Telephone Fax
Email
Course Description PHRM 6201, Introductory Pharmacy Practice Experience III
Introduces students to the health care system and fosters a sense of community involvement. Early exposure to practice
will make didactic instruction more relevant to civic involvement, humanistic care of patients, and social awareness of
unmet medical needs. Unmet medical needs include: companionship, patient care, medication-related services, and
screening for medical problems. Potential practice sites for this fall semester segment include: institutional and hospital
pharmacies, long term care facilities, and home infusion clinics. (Spring P2 year; one 4-hour day per week x 12 weeks
during the semester; pass/fail only)
Course Meeting Times
This second introductory institutional rotation is a longitudinal experience which meets for 4 hours each week on either a
Tuesday or Thursday morning, for 12 total weeks. These 12 weeks are divided into two 6-week segments, both taking
place in an institutional/hospital, long-term care, or home infusion pharmacy. After students attend their respective
morning experiences, they travel to the school to attend their afternoon classes. Students should discuss arrival and
departure times with their preceptors when the student calls to inform the preceptor of their impending arrival, 2 weeks
prior.
SIte Description (edit as necessary) This is for preceptors to describe.
Describe your site (i.e. as described on facility website, if applicable), and list all pharmacy related activities to which
students will be exposed, and/or in which they will be allowed to participate.
Patient Populations To Whom Students Exposed This is for preceptors to select.
Institutionally-based patients consisting of, but not limited to (select all that apply):
African-American
Men
Caucasian
Women
Hispanic
Children 3-12 years old
Other
Teens 13-19 years old
Adults 20-55 years old
Seniors 55-80 years old
Course Credit Hours: 2
1
Site Requirements for Students This is for preceptors to select.
Describe or outline specific department or site requirements. For example, “HIPPA training to be conducted by district
office or PIC on Day 1 of rotations.” Also include information such as directions to facility, parking instructions, specific
attire requirements, and specific time considerations or instructions.
Course Prerequisite
Second year status, in good standing with the PCSP program.
Methods of Assessment
The student will be assessed by the preceptor on performance and professionalism via electronic IPPE evaluations on
E*Value rotation management database. Students will receive a grade at midpoint*, which will not be used in the
calculation of the final grade. The grade received at midpoint will be used for student self-reflection and to set goals for
the remainder of this rotation segment. Students will receive a Pass or Fail final grade on the last day of the IPPE.
Grading Scale:
70-100%
Pass (S)
<70%
Fail (U)
(Grading scale approved by faculty)
Grade Appeals
Students who wish to appeal a rotation grade must do so within one week of the date of the preceptor’s completed
evaluation. Please refer to the Academic Affairs policy regarding grade challenges and appeals.
Attendance Requirements
Students are required to contact their preceptor at least 2 weeks before the start of any IPPE or APPE rotation.
Otherwise, students should abide by the attendance requirements set forth in the PCSP Bulletin.
http://pharmacy.presby.edu/wp-content/uploads/2012/08/PCSP_Bulletin_2012-2013.pdf
It is the responsibility of the Student to notify both the Office of Experiential Education (OEE) and the Preceptor of any
absence. Time missed during any experience must be made up at Preceptor’s discretion. Failure to do so may
result in an automatic unsatisfactory evaluation.
Dress Code, Rotation Etiquette & Professionalism
Students are expected to abide by the dress code requirements set forth in the PCSP Bulletin:
http://pharmacy.presby.edu/wp-content/uploads/2012/08/PCSP_Bulletin_2012-2013.pdf
Required minimum attire include clean and pressed PCSP lab jacket and PCSP student name badge.
Professionalism, as detailed in the PCSP Code of Professional Conduct, is exemplified by student behavior at the
experiential site. Failure to demonstrate the following characteristics of professional behavior can result in an automatic
grade of “Unsatisfactory” for the course:
Reading assignments (including this & all course related syllabi) should be completed by end of Day 1.
Students are expected to arrive at the assigned site at the scheduled time and remain until dismissed.
Students should avoid any behavior which interferes with the ability of others to hear and learn.
Cell phones and other electronics should be muted, turned to vibrate, or turned OFF during rotations.
ACTIVE student participation during all experiences is expected by the School and should be encouraged by
the Preceptor, Preceptor delegate, and their associates.
Textbook
Required: NONE, unless specified by Preceptor.
Honor Code
The School of Pharmacy supports and enforces the Presbyterian College Honor System. Pharmacy Students are
expected to read, understand, and abide by the tenets of the PC Blue Book. Quizzes, tests, examinations, projects, and
papers to be graded or submitted should be accompanied by the pledge “On my honor, I pledge that I have neither
given nor received any unacknowledged aid on this assignment,” followed by the Student’s signature.
Unacknowledged aid includes aid that is not allowed by the instructor. On some rotations, Students will be expected to
work in small groups on certain assignments or projects. When authorized by the Preceptor, these activities are not
Honor Code violations. However, the interpretation of data and the reporting of results and conclusions are, unless
stated otherwise by the Preceptor, individual responsibilities.
2
Preceptor Notes
“PC-12” Curricular Competencies
The professional pharmacy curriculum at Presbyterian College entails a competency-based framework, using integrated
content and teaching, problem-based approaches when appropriate, and experiential exposure threaded throughout.
The curriculum is designed to provide knowledge, teach models of care management, allow students to demonstrate
their understanding, and allow plentiful experiential opportunities for practice. Finally, the goal of the academic program
is transform students from dependent to independent learners as they progress through the curriculum.
The School of Pharmacy has twelve general outcomes, which are referred to as the Presbyterian College 12
Competencies, which are:
I. Communication: The student will demonstrate effective written and verbal communication skills.
II. Evidence-based Decisions in the Practice of Pharmacy: The student will demonstrate competency in using drug
information skills to promote evidence-based practices.
III. Problem Prevention and Solving: The student will effectively evaluate information and critically think through
issues to provide appropriate solutions to drug-related problems.
IV. Dispensing of Pharmaceuticals: The student will demonstrate the ability to assess and evaluate the patient’s
medication orders, effectively procure appropriate products, prepare, dispense, distribute, and if necessary administer
medications in an effective manner which contributes to the healing of individual patients.
V. Providing Pharmaceutical Care to Individual Patients: The student will exercise appropriate clinical judgment to
provide optimal pharmaceutical care to patients with common disease states.
VI. Providing Pharmaceutical Care to Patient Populations: The student will provide therapeutic guidance by
responding to the many factors that influence health, disease and disability, besides those of a biological nature. These
factors include socio-cultural, familial, psychological, economic, environmental, legal, political, and spiritual aspects of
health care seekers and of health care delivery. Through sensitivity to the interrelationships of individuals and their
communities, the student will respond to the broader context of pharmacy practice.
VII. Inter-professional Interaction and Teamwork: The student will demonstrate effective interpersonal and team
behaviors in a variety of social and professional situations and circumstances.
VIII. Ethical and Legal Judgment: The student will recognize the ethical dimensions of pharmacy practice and health
policy; identify alternatives in difficult ethical choices; analyze systematically the conflicting considerations supporting
different alternatives; and formulate, defend, and effectively carry out a course of action that takes account of these
ethical complexities. The student will combine a willingness to recognize the nature of the value systems of patients and
others with commitment to his/her own system and the ethical choices necessary to maintain his/her own ethical
integrity.
IX. Personal and Professional Growth: The student will approach the practice of pharmacy with awareness of his/her
limits strengths, weaknesses and personal vulnerabilities. The student will establish personal values and priorities in
order to balance personal and professional commitments. The student will seek help and advice when needed for
his/her own difficulties and develop personally appropriate coping strategies. The student will accurately hear and
appropriately respond to constructive criticism. The student will be aware of the limits of his/her personal knowledge and
experience and has an intellectual interest in general education and pharmacy science. The student will actively set
clear learning goals, pursues them, and applies the knowledge gained to the practice of his/her profession.
3
X. Management Skills: The student will be able to effectively manage human, financial and other resources related to
the practice of pharmacy.
XI. Advancement of Pharmacy and Health Care: The student will be able to identify issues of public, professional and
institutional concern and works for the common good to bring resolution.
Promotion of Good Health and Public Welfare: The student will be proactively involved in community and
professional efforts to promote good health for the public welfare
P2 Institutional
ACPE Goals for this IPPE: (adapted from ACPE Guidelines, Appendix C)
The primary goal of this experience will be to allow the student to participate in the following:
 Process and dispense new/refill medication orders
 Respond to drug information inquiries
 Interact with other health care professionals
 Interpret and evaluate patient information
 Perform calculations required to compound, dispense, and administer medications
 Evaluate appropriateness of medication dosing utilizing basic dosing principles
 Prepare and compound extemporaneous preparations and sterile products
 Interact with pharmacy technicians in the delivery of pharmacy services
Additionally, students should be exposed to the following when possible:
 Conduct patient interviews to obtain patient information
 Create patient profiles using information obtained
 Participate in educational offerings designed to benefit the health of the general public
 Triage and assess the need for treatment or referral
 Identify patient-specific factors that affect health, pharmacotherapy, and/or disease state
 Assess patient health literacy and compliance
 Administer medications
 Provide point-of-care and patient-centered services
 Conduct physical assessments
 Communicate with patients and other health care providers
 Observe documentation of interventions in patient records
 Present patient cases in an organized format covering patient information
 Billing third parties for pharmacy services
Course Learning Outcomes
4
Upon completion of this IPPE segment, the student should be able to:
1. Interpret the appropriateness and accuracy of a prescription order, and prepare / dispense
medications in compliance with existing standards of pharmacy practice and the site’s policies and
procedures.
2. Demonstrate the ability to communicate verbally and in writing with healthcare providers and patients
by gathering , organizing, and appropriately recording information.
3. Utilize the primary, secondary, and tertiary references accessible on site while providing
pharmaceutical care.
4. Understand steps that must be taken to ensure compliance with accreditation, legal, regulatory and
safety requirements.
5. Participate in basic administrative activities relevant to the pharmacy and/or pharmacy department.
6. Interpret available patient information according to specific task.
4
This is a customizable chart which allows the preceptor to see an example of the way their rotation could be designed to meet all
learning objectives with a variety of activities broken down day to day. Please use this as a guide to make the activities specific to
your site and rotation.
Learning Objective(s)
Activities/Assignments
(general examples)
Day 1 Interpret the
Week 1 appropriateness of a
Mapped Evaluation
Competency
1. Participate or observe the
1.
dispensing of controlled and nonprescription or medication controlled medications in an
order and prepare /
institutional setting while following the
dispense medications in health system’s policies and
compliance with existing procedures.
standards of pharmacy
2. Interpret the appropriateness of a
practice and the site’s
medication order (drug, dose, route,
policies and procedures
frequency, etc.) before preparing or
permitting the distribution of the first
dose for X number of medication
orders.
3. Use patient-specific parameters for
basic dosing (i.e. weight, renal
function, etc.) for _ mediations per
week (or day or rotation segment)
4. Discuss the technology or
automation that is used in each step
of the medication use process.
Patient Safety
1. Verify that IV orders and PO orders •
are correct for dosage, compatibility,
preparations and sterile
patient-specific data, and
products following existing administration before preparing or
standards of practice and permitting the distribution of the
the health system’s
product.
policies and procedures. 2. Prepare or simulateIV preparations
using aseptic technique.
3. Describe the differences between
preparation of chemotherapeutic and
non-chemotherapeutic agents.
4. Perform calculations that are
required to compound, dispense, and
administer medications for X number
of IV orders.
5. Deliver medications with pharmacy
technicians to appropriate locations
within the institution including
automated dispensing cabinets..
Medical Information
Day 2 Prepare, dispense, and
Week 2 deliver extemporaneous
Day 3 Demonstrate the ability to 1. Organize all written or oral
Week 3 communicate verbally and information in a logical manner when
in writing with healthcare speaking to preceptor or other
providers and patients by healthcare team members.
gathering, organizing, and
appropriately recording
information.
Day 4 Use the primary,
Week 4 secondary, and tertiary
references accessible on
site while providing
pharmaceutical care.
5
Activities/Assignments
Preceptor Defined
1. Discuss with preceptor the facility’s
systematic drug information retrieval
processes.
2. Discuss appropriate resources to
obtain different types of drug
information.
Problem-solving / Critical
Thinking
Mathematics
Teamwork & Interaction
Drug Information Analysis
Drug Information & Literature
Research
Problem-solving & Critical
Thinking
Professionalism
Teamwork & Interaction
Problem-solving / Critical
Thinking
Medical Information
Drug Information Analysis &
Literature Research
Medication Information
Drug Information & Literature
Research
Day 5
Week
5
Learning Objective(s)
Activities/Assignments
(general examples)
Understand steps that
must be taken to ensure
compliance with
accreditation, legal,
regulatory and safety
requirements.
1. Discuss how the pharmacy
department is guided by DNV
requirements, ASHP standards,
NIAHO, state and federal laws
regulating pharmacy practice and
OSHA regulations.
2. Participate in any audits
performed.
3. Attend any meetings discussing
DNV, Board of Pharmacy, or other
upcoming accreditations.
4. Describe the appropriate and
necessary licensure, permits and
equipment needs of the pharmacy.
Day 6 Participate in basic
Week 6 administrative activities
relevant to the pharmacy
and/or pharmacy
department.
Activities/Assignments
Preceptor Defined
Mapped Evaluation
Competency
Problem Solving / Critical
Thinking Skills
Pharmacotherapy
Knowledge
1. Discuss inventory control and
•
purchasing procedures for controlled
and non-controlled medications in the
institutional setting
2. Discuss the process for ordering
controlled and non-controlled
medications from a vendor, when to
reorder and the process for dealing
with back-ordered medications.
3. Participate in the process of
checking for expired medications in
the pharmacy and the subsequent
disposition of the mediations.
4. Discuss staff scheduling with a
pharmacy manager and technician
manager.
5. Discuss the organizational
structure of the hospital and
pharmacy department.
6. Attend the pharmacy department’s
staff meeting, if possible/applicable.
7. Observe a multidisciplinary
committee meeting (Pharmacy &
Therapeutics (P&T), Anticoagulation,
Alaris Pump CQI, Emergency
Preparedness, Medication Safety,
Mayday.
Professionalism
Teamwork & Interaction
Problem Solving / Critical
Thinking
•
6