IPPE Rotation Paper

The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill

My interest in the PGY1 Residency Program at Kaiser Permanente Orange County has been sparked by my attraction to the field of hospital pharmacy. More specifically, I am interested in an inpatient hospital pharmacy experience that the Kaiser Permanente provides. During summer 2017, I was an intern pharmacist at Pomona Valley Hospital Medical Center, and I learned a lot about the pharmacist’s role in a hospital setting. After completing that rotation, I hoped I could learn more about the pharmacist’s role in a hospital setting. The reason I am more interested in residency program at Kaiser Permanente is many different kinds of experiences that Kaiser provides, such as Ambulatory Care, and Drug Use Management.

This writer escorted the patient to Nursing Coordinator Kesley office as the Nursing Supervisor was not in her office. Upon entering Kesley office, Kesley was having a discussion with another nurse and this writer apologized for the intrusion. This writer addressed to the Nursing Coordinator that the patient is experiencing bedbeg and the patient is aware he will not be dose by the Nursing window, only curbside. It appeared that Nursing Coordinator was being abrasive towards the patient as she explained to the patient as to what is needed before the patient can reenter the clinic. The patient then became agitated and shouted at Kesley and says, " Kiss my Ass, " and then proceeded storm out into the lobby area.

She stated she did not have the patient and the only contact was with the nurse was the phone call.

Traditionally, pharmacists had no power of questioning any order made by the physician. It was also stated that a pharmacist had no power of advising the patient on the usage of medication. Currently, pharmacists have been given more power and therefore have the mandate of questioning any prescription from the physician. It has been observed that pharmacist can today share information with the doctor and ensure that patients get the right medication. Laws have allowed pharmacists to be consulted on some medications by patients, allowing patients to trust pharmacist on some simple questions that they do not need to visit their doctor. Pharmacists play a significant role in advising the patient today on the type of medication they are taking they are also held to the same standard when it comes to rules and

In my Aboriginal and Indigenous week, I went to Aramac for Indigenous Cardiac Outreach program (ICOP). I work with the cardiac team from Brisbane, which consist of cardiologists, cardiographer, and electrocardiographer. I did mainly an ECG in female patients and my second patient for that day is an elderly aboriginal female who came in with another female nurse. I did the ECG on the patient and print out her ECG, and then I went outside of the room to show the results to the electrocardiographer. Without me realizing it, I left the room door open while the patient was still lying on the bed and have no tops on her. The nurse told at me to close the door in an angry tone, which really makes me scared. I felt really bad at that time and quickly

I’m enjoying and learning a lot during my first IPPE Community rotation. I am however still a bit timid working in this setting because there are many responsibilities involved with this career. I supposed my apprehension should be obvious because this is only my second week working in a pharmacy.

A patient calls the physician’s office because she is concerned that her prescription medication looks different from what she normally takes. She mentions that her co-pay was lower too.

On April 20, 2017 I was volunteering in the nurse’s Administration and a patient entered the room. She asked where her appointment is taking

She introduces herself as Dr. Vanessa and just when I think that I'm in heaven a young Asian girl in her early twenties she has a face of innocence. The girl was about 5 and a half feet tall wear tight pink scrubs and she had her hair gathered up into a ponytail. Dr. Vanessa kindly explained that she has taken a young medical student under her wing, then she asks if her intern may stay to observe and practice. In the back of my mind I have the vilest thoughts but a gather my composure and give her permission. Dr Vanessa steps out to allow her intern to take my vitals. I awkwardly begin to strike up a conversation while she is taking my vitals I learn that her name is bekka and she has been in med schools for one year. I figure that I have nothing to lose so I tell her a crude joke and to ,y surprise she loses her composure and abruptly laughs but, before I can react she returns to her serious persona. Bekka opens the drawer and removes a thermometer and some KY jelly. nearly smilling she asks me"have you ever had ur temperature taken rectally." I have a face of pure shock point at my genitals and she responds with a nod. The next thing I hear bekkha snapping one a

While I was on my clinical rotation at Wal-Mart, I counseled a patient on her Warfarin prescription. During this rotation, I was doing most of the counsels under the direct supervision of the pharmacist. This particular experience, however, stood out from the rest of the consultations because she seemed very angry when picking up the medicine. I approached her and was prepared to deal with an angry patron. I started counseling her regarding her medication and she stated, “don’t worry, it doesn’t work anyway. My INR keeps going down even though they are upping the dose, and nobody cares about it.” This really raised a red flag with me because of the class of medication this is. I informed her that we cared and asked her what I could do to help her.

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

Patient counseling is a key competency element of the pharmaceutical care process. Give the advertising for medication in the media and essay access to information on the web, it is important for pharmacist to provide appropriate , understandable and relative information to patients about their medication .

This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”

As a first year professional program student, I had the opportunity to intern at Winn-Dixie at Crawfordville for three Thursdays starting from September 24th to October 8th for my first Introductory Pharmacy Practice (IPPE) . I was able to work with two pharmacists, Dr. Kris, a 2004 Florida A&M University Pharmacy School Graduate, and Dr. Curtis, from whom I was able to learn the different perspectives of pharmacy due to his experience in the pharmacy field.