APPE Reflection: Advanced Community & Enhanced Clinical Services

As with any new rotation, I was very nervous going into this one. However, I had an amazing experience. I got to do things during my community rotation that I feel like a lot of people don’t get the chance to do.

What were those things? Lots of clinical services! I worked with several of our Chronic Care Management (CCM) patients and was able to call and check in on them and see how they were doing with their chronic conditions and how they were dealing with COVID. This is a task that I feel not many people relate to pharmacists, but we are in the perfect position to do these types of services! It’s important to check in on these patients and make sure that they do not have  any pressing issues with regards to their medications or their health in general. Pharmacists partner with physicians to provide these services to their patients. Another important clinical service that I was a part of was Medication Therapy Management (MTM). This involves calling patients and making sure their medication regimen is up to date, they are adherent to their medications, and they are not having any unwanted side effects. It’s important to make sure patients are taking the medications as they are prescribed to them. 

I also participated in 4 flu shot clinic days where I was able to give ~200 flu shots to teachers and other government employees. 

Aside from the clinics, I also gave flu shots, shingles shots, pneumonia shots, and tetanus/diphtheria shots in the pharmacy. 

I also did a lot of blister packaging. For those of you who may not know what that is, it’s where the pharmacy packs all of a patients medications in a weekly or monthly pack with the foil backing to so that the patient can see that they did or did not take their medications on a certain day. Not only did I pack them, I was able to check a few that my preceptor packed (to get experience actually acting as the pharmacist) and looked through patient charts to make sure that their medication regimen made sense. I was able to find some areas where the packs could be improved and was able to prevent some medication errors.

I was able to also check a few prescriptions (with my preceptor) to make sure I understand what it’s like to actually be the pharmacist.

Here’s a couple pie charts that show some of the things that I was able to do over this rotation!

August Patient Care Tasks
September Patient Care Tasks

I really, really enjoyed my time at this rotation site, and I’m so excited for my Ambulatory Care rotation next month! 

Stay Golden,

Emily

To My Love,

Hi, it’s me. The girl who fell madly in love with you. Truth is, we’ve known each other and been best friends for over three years now, so it shouldn’t surprise me how quickly it happened, but it does.

You were truly a blessing in disguise. Three years ago, you helped me to get over my ex, who honestly broke me to the point that I didn’t know who I was. I didn’t know if I could ever love or be loved again. And by “help me get over him”, I don’t mean in the way a boyfriend would. I just mean that you were a friend to me when I needed it the most and you showed me just by being you and my friend that there were still good guys in the world. It was so easy for me to fall in love with you. You made it simple.

I’m writing this because I really want you to know how much you mean to me.

You mean the world to me. I hope I never let you forget it. I used to be the kind of girl that got anxious when I didn’t hear from my boyfriend for a while. I used to worry that he was out with another girl because that’s what I was used to. I can honestly say that being with you, I’ve felt more loved and less anxious than I ever have before. I’m able to trust that you aren’t going to do anything to hurt me. It’s an amazing feeling.

I appreciate you. I appreciate everything that you’ve done for me so far. I appreciate you just being here for me. I appreciate you supporting me in everything that I do.

I’m incredibly blessed to have you in my life.

You are so handsome. Every time I look at you, it makes me smile. Heck, you ALWAYS know how to make me smile/laugh even when I’m in a bad mood.

I have a really good feeling about us and the future. Thank you for allowing me to be a big part of your life.

You are so perfect for me… it’s honestly crazy. We complement each other so well. I lack a little in the common sense department and you help me with that. You help me grow as a person, and I think I can say the same thing about my influence on you. I’m so glad I can be myself around you.

I’m so proud of you. You’re an amazing teacher, and I can tell that you love what you do. I know that you are gonna do such great things with your life, and I can’t wait to be with you every step of the way.

Never stop being you.

Stay Golden.

Yours,

Emily

APPE Reflection: Critical Care

I was very intimidated going into this rotation because it is only my 2nd APPE experience and the CCU is such a fast-paced environment. However, I have learned a lot over this rotation, and I had the best experience I could have imagined. My confidence in making recommendations to providers has increased significantly, and I was able to do a lot of independent learning.

During the first week, I had my first counseling experience of the month. I was able to counsel a patient on a new prescription for warfarin. It was a great experience because there are so many different things to consider when counseling on warfarin (diet, bleed risk, goal INR, etc).

I also had my first ED shift of the month this week and was able to complete several medication histories as well as make calls to pharmacies to gather information/cancel prescriptions that were sent to them by mistake. It is the job of the ED pharmacist to make calls for patients who tested negative for COVID and make sure that they no longer had a fever. I was able to practice with this on week 1.

I witnessed my first rapid sequence intubation during week 1 and was able to assist the pharmacist in drawing up medications to make sure it ran as smoothly as possible.

Week 1 was also where I began rounding every day on the CCU. Every day, I spent half of my shift sitting on the unit by myself and assisting with any medication related questions that the nurses/providers may have. Of course, being a student, I had to report to my preceptor with all of the recommendations that I had to make sure they were appropriate before recommending them to the provider.

Moving on to week 2, I was able to dose a new start vancomycin in a patient and adjust a heparin drip based on the patient’s aPTT level.

Week 2 was also where I had my weekend ED shifts. I completed 7 medication histories, 16 negative COVID callbacks, and another intubation.

The rest of the month was pretty chaotic. I attended 4 rapid responses, 2 codes, rounded on a total of 35 patients, dosed and prepared TPA, and made daily recommendations to providers. I pretty much handled the CCU patients on my own, with verification with my preceptor.

My big projects for the month were to present a case presentation on a COVID patient that had been in the CCU for most of my month long rotation and create a reference sheet on how to treat hypertensive crises.

I also had 1-2 topic discussions a week on critical care topics such as FASTHUGS, Sepsis, the ABCDEF bundle, RSI/NMBA, PADIS, and ACLS.

The hardest part of this rotation was experiencing codes and seeing how intense and emotionally draining they can be.

I have nothing but good experiences to report for this rotation, and I’m so sad to be leaving this hospital until January. I have really connected with the pharmacy staff here and really have started to feel like family. I hope to have as good of an experience during my Ambulatory Care and Community rotations that I have over the next few months.

I will continue to keep you all updated with all of my rotations!

Stay golden,

Emily

APPE Reflection: Advanced Hospital

First things first, I’d like to mention that I am extremely blessed to be granted permission to continue onto my APPE rotations even in the midst of COVID-19.

This was my first APPE rotation, and I can honestly say that I had an amazing experience. It was better than I could ever have expected. I was not only able to see how to complete orders in the pharmacy, I was able to complete a lot of clinical coursework and attend a lot of meetings.

Throughout my first week, I worked on improving my ability to work through the pharmacy system and find important information in the patient chart. I wrote several brief SOAP notes on the patients that I worked up. On Friday of the first week, I did a lot of research on remdesivir and its dosing because we had a COVID positive patient that we were going to start on remdesivir, and it was our first time gaining access to the drug. I helped one of our pharmacy residents put together a protocol on how we were going to administer it and store it, and even helped prepare a folder full of information on the drug to keep in the pharmacy for the pharmacy staff to refer to.

Then, on my second week, I worked in the main pharmacy for 3 of the days. I was able to assist the pharmacist in checking orders in patient charts, checking IV preparations, and checking cart fill to make sure everything was appropriate and given for the right patient. I really learned a lot during this time. Thursday and Friday I spent most of my time working up patient charts. I did some vancomycin kinetic dosing based on trough levels, warfarin dosing based on INR levels, and increasing/decreasing insulin regimens based on patient 24 hour BG levels. One of my biggest passions so far in pharmacy is diabetes management and education, so it was really exciting to actually be able to make recommendations on insulin regimens. I was actually able to document my intervention notes and discuss recommendations with providers.

On week 3, I was able to spend some time shadowing the pharmacy technicians. I really enjoyed this week because it is important to know exactly what the technicians are responsible for in the pharmacy, and the technicians at the hospital that I am doing rotations at are all really sweet and welcoming. I was also able to help compound oral liquids and a few IVs. On Friday, I spent my day in the Emergency Department. Our hospital is fortunate enough to have an ED pharmacist. I was able to help give recommendations to the physicians and research things that I was unsure of. I learned a lot down in the ED and was able to shadow some medication history reviews.

Week 4 involved more clinical work and a presentation. Monday was spent in the ED again doing similar things. I spent Tuesday up on the surgery floor working through new-start TPN dosing and making sure the post-surgery patients had all of their post-surgery medications on their profile. Wednesday-Thursday, I worked on the medical floor and learned a lot about my patients (because I was able to follow them for 2 days). I learned a lot about alcoholic cirrhosis and meningitis. I also gave a presentation on Malignant Hyperthermia on Wednesday afternoon to the pharmacy staff. Friday was my day off to attend my cousin Ben’s wedding.

Throughout the course of the month, I was also able to attend a lot of meetings with my preceptor and other pharmacists. This was very beneficial for me because I was able to see all of the responsibilities that pharmacists may have and the roles they play on a multidisciplinary team. I attended a meeting on the hospital’s metrics, a P&T committee meeting, and an antimicrobial stewardship meeting.

I can honestly say that I learned a lot from this rotation. I learned more than I ever thought would be possible in just 1 month.

I can’t believe I only have 8 more rotations to go! I’m super excited to begin my next APPE rotation, which is an inpatient elective in Critical Care. I’ll make sure to keep track of everything that I do so that I can keep y’all updated!

Until then…

Stay Golden,

Emily

Why Pharmacy?

Everyone thinks that I am crazy because I have wanted to be a pharmacist since I was in the 5th grade, but I have.

Everyone wonders how I came up with that as a career that early in life. How does a 12-year-old want to become a pharmacist? Why would you want to count pills all day? How does that sound appealing?

The truth is, I didn’t make the decision by myself. Honestly, it has always felt like God was leading me in this direction my whole life. All of the pieces of the puzzle have consistently been falling into place.

I have always looked up to my cousin, Laura, who is an amazing pharmacist. Growing up, I saw how much she was able to help her patients. I saw the passion that she had for helping the community, and I wanted that. My dad was always reminding me how much my study habits and personality reminded him of Laura, and that was another reason I felt like I would be perfect for the job.

Some people go through pharmacy school because they know that pharmacists can make a 6-figure salary, but that was never it for me. I am truly passionate about being able to help patients become the healthiest that they can be.

My end goal is to own my own independent pharmacy where I will be able to treat patients how I see fit without the oversight from a corporation. I want to host educational classes for patients and their families to be able to learn about their disease and how to best manage it with lifestyle modifications, not just medication. I want to get patients to their healthiest while making sure they are on the appropriate therapies and they are able to get taken off of therapies that are not working for them or are unnecessary.

I am constantly told that this is a pipe dream and that independent pharmacies are going out of business, but I truly believe that once patients see how I’m willing to treat them, they’ll be excited to start their healthcare journey with me and my team.

I am willing to do whatever it takes to get to this goal because I know that God has called me to this career and to make the community a better place for everyone in it.

No matter how big or small your dream is, it will succeed if it is what you are truly called to do.

Never forget to dream and to shoot for the stars.

Stay Golden,

Emily

Thoughts on COVID-19

Hey y’all! I hope everyone is doing the best to stay safe in this pandemic that we find ourselves in. 2020 has not been kind to us. I am writing this blog post to put into words how I feel about the Coronavirus.

The panic that has ensued in our beloved country is partially reasonable, however, we have become fearful of things that could have been avoided if the media would not blow things out of proportion. Here is what we (rather I) DO know about the virus:

  1. “Coronavirus” is not a new term for us. We, as a society, have seen many strains of this virus through the years. HOWEVER, this is a new, seemingly more deadly, strain of the virus.
  2. Everyone can get infected, but the virus seems to be most deadly for individuals >60 years old or with decreased immune system function (i.e. smokers, cancer patients, HIV/AIDS patients, etc.) If you know any of these people, volunteer your time to go to the store and get them what they need so that they can avoid exposure as much as possible.
  3. The most important things that you can do to avoid getting COVID-19 is wash your hands (if nothing else, make sure you wash your hands before eating ANYTHING), avoid crowded areas, and cover your mouth when you cough/sneeze (by using your elbow, a tissue, or the inside of your shirt).
  4. Healthcare workers and emergency personnel are not immune but have to continue to work to keep everyone safe. Keep that in mind.
  5. Stockpiling excess supplies does not do you any good and takes them away from others who may desperately need them. By the way, if you buy up all of the hand sanitizer/soap, how are people going to wash their hands and prevent the spread? Only keep what you will need.
  6. Cancelling classes, requiring work from home, and cancelling large events may seem like a drastic measure, but the goal is to stop the spread of the virus so that the country can get a better handle on the situation and prevent healthcare system over-saturation.
  7. Most of the information about the life-cycle of the virus is still unknown to the general public. This is an unknown strain, but that doesn’t mean that we cannot do anything about it.

Here are the websites from the CDC and WHO about COVID-19, strategies to prevent transmission, and updates on confirmed cases: https://www.cdc.gov/coronavirus/2019-ncov/index.html https://www.who.int/health-topics/coronavirus

Stay Safe and Stay Golden,

Emily

You Will Prevail.

I don’t know about y’all, but I have been having a rough time maintaining my motivation this semester. I’ve been feeling an increasing amount of stress, and it’s been harder to manage than it normally is.

I’m writing this blog post because I’m sure that I’m not the only one who feels like this sometimes.

I want you to know that you’re not alone in this.

It is OKAY to admit that you get overwhelmed sometimes.

It is OKAY to admit that you are exhausted sometimes.

It is OKAY to be unmotivated sometimes.

It is OKAY to want to give up sometimes.

We all go through times when we feel that we can’t handle any more stress or work put on us. There is nothing wrong with you.

When you go through these times, think about why you put yourself into the situation that you are in. For example, when Pharmacy School gets overwhelming, I try to remember the reasons that I’m here. My passion is helping people. I’ve been on this path since I was 12 years old. This is what I have always wanted. I LOVE my profession. Those are the reasons that I’m in this profession. That is why I’m in school. If I keep these motivations in the forefront of my mind, it’s easier to get back to work and focus on what I need to do.

What is it that gets you up in the morning? What is it that motivates you? Try to bring that to the forefront of your mind.

And when in doubt…

Breathe.

You’ve got this!

Stay Golden,

Emily

Preparing for Rotations

Hey guys! I’m writing today to list out how to best prepare to be on your A-Game when you start APPE rotations. Note: This is just what has helped me feel prepared as I go into rotations in May. Other things may work better for different people.

1. First things first, during the first 3 years of pharmacy school, study hard and study well. It is beneficial to work hard to get short-term memory into long-term memory so that you remember all the important stuff for all of the years ahead of you in your career. One of the ways that I do this is to make Quick Disease Fact Sheets after each disease state (or set of disease states) tackled in pharmacy school. I have discussed these before and the link to that blog post is here. You can also do the same thing with specific medications or classes of medications to make sure you remember the BIG, IMPORTANT points.

2. Second, it is important to continue studying, even when you begin rotations. What has been beneficial to me is to buy an RxPrep book (several years old) that was relatively cheap on Amazon. I am going through these topics nightly so that I’m well versed in what I need to know. We do not receive our RxPrep book for the current year until around September/October, so having the older model around before that comes will prove worthwhile.

3. Stay organized. It is very important to remain organized as APPEs are approaching. You should know which rotation is coming up when so you know where to focus your energy in the week or so leading up to that rotation. For example, if your first rotation is a cardiology rotation, it would be a good idea to brush up on the cardiology disease states before heading into that rotation.

4. Be prepared to be wrong or to not know an answer. It is important to be okay with not knowing everything. As pharmacy students, a lot of us are worried about being seen as ignorant. However, the preceptors on rotations understand that it is impossible for us to know everything about the world of pharmacy. A lot of that comes with being in the career field itself. A lot of the time, they aren’t testing our knowledge, but are testing our ability to admit when we don’t know something and our ability to look it up in a reputable source. This is not to say that they don’t expect us to know something… I mean, if they ask you what the brand/generic name or indication is of something… you NEED TO KNOW that.

5. And last but not least, the most important way to prepare for APPE rotations is to just trust yourself and breathe. It will all be okay. You’ve got this. WE’VE GOT THIS. I’m right there with you. If you ever need anything, feel free to reach out.

And as always…

Stay Golden,

Emily

Study Tips: Final Exams in Pharmacy School

In order to best study for final exams, I start studying ~3-4 days BEFORE I EVEN THINK THAT I NEED TO STUDY for an exam. It is critical to give yourself enough time. Here are some tips that I have to make that happen:

Make “Quick Disease Fact Sheets” or “Quick Medication Fact Sheets”

Example Quick Disease Fact Sheets That I’ve Created

I suggest for Disease States to focus on Key Features of the Disease, Pathophysiology, Risk Factors, Medication Management, and Non-Pharmacological Interventions. For Medications, I suggest focusing on Indication, Generic and Brand Names, Side Effects, and Therapeutic Class. It might be helpful to include pictures and charts.

Create a Rough Schedule for Studying

By this, I mean plan out which days leading up to exams that you are going to spend on each subject. For example: Monday: Pharmacotherapy 1, Tuesday: Research and Design, Wednesday: Integrated Pharmaceutical Sciences 1, etc.

Listen to Study Music

Here, I’ve attached a Study Music Playlist that I listen to on Spotify! It may be helpful to create your own.

Avoid Distractions

Put that phone down. Turn off that TV. Go somewhere quiet. Anything to help you avoid distractions.

Use a Timer!

There are lots of Study Timers online. I like the Pomodoro Method of Studying where you have 25 minutes of studying and then a 5 minute break. After an hour, you get a 15 minute break. Here is a useful online timer!

TAKE BREAKS

Going along with the last one, remember to take breaks! Your brain will stop absorbing information after about 20-25 minutes without a break because, as humans, we have a short attention span.

Avoid Cramming

This kinda goes without saying, but I feel like I still have to say it. Don’t wait until the last minute to study.

Make Quizlets or Practice Tests

This one has worked really well for me over the year. Being able to create my own questions with the material gets me thinking about it in different ways. I’ve even been able to anticipate almost the exact question that a professor is going to ask.

Focus on What You Don’t Remember!

If you spend most of your time going over the stuff that you got right on previous tests, you are going to neglect the stuff that you had a hard time with. The point of studying is to get a better grasp on the things that you don’t know or have a hard time remembering.

Get some SLEEP.

It is extremely important to sleep, especially during this time. It allows you to better retain information and leads to increased performance.

Good luck on your exams!!

Stay Golden,

Emily

I Need Some Serenity

Mirror, Mirror

Sometimes I’m ready to hit publish on one of these posts, BUT something (ahem, Jesus) whispers “no, not yet!” And, of course, He is right every time! Before I could hit submit, I first needed more review on a lesson I thought I already knew by our wonderful, Heavenly Father.

Merriam Webster defines serenity as “the quality or state of being serene.”

It defines serene as “marked by or suggestive of utter calm and unruffled repose or quietude,” and “clear and free of storms or unpleasant change,” and “shining bright and steady.”

Who doesn’t want to be free of storms or unpleasant change? Who wouldn’t want to be steady?

Put me first in line for all that. Yes, please and thank you!

At the start of this academic season, I was sent the serenity prayer over email. I was going through some stuff, as we all do from time to…

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