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Cardiology Rotation

Rotation Goal

The cardiology rotation is designed to allow the resident to gain expertise in providing pharmaceutical care to cardiovascular patients. Goals of this rotation include learning to extract information from a patient's medical record, clinically monitoring patients and their drug therapy, providing patient-specific therapeutic recommendations, providing useful and accurate drug information, and developing effective communication skills.

Rotation Description

The pharmacy resident will identify disease status, determine appropriate drug therapy, assist in determining and monitoring therapeutic endpoints, and evaluate laboratory and clinical data necessary for patient follow-up. The resident will demonstrate an appropriate level of knowledge of the pathophysiology and treatment of cardiovascular disease states including, but not limited to:

  • Hypertension
  • Hyperlipidemia
  • Acute Coronary Syndrome
    • Unstable Angina
    • NSTEMI
  • Myocardial Infarction (STEMI)
  • Congestive Heart Failure
  • Atrial Fibrillation
  • Hypertensive Urgency/Emergency

Rotation Activities

  • Assess patients with heart failure for readmission risk and document appropriate recommendations for medical staff
  • Daily monitoring of drug therapy for appropriateness, efficacy, and toxicity
  • Provide written drug therapy consultation upon requests
  • Obtain and document medication histories as appropriate on newly admitted patients
  • Provide counseling and education as appropriate/requested to patients
  • Present newly admitted/transferred patients to preceptor and provide daily follow-up on remaining patients
  • Perform drug information requests from physicians and allied health professionals
  • Provide pharmacokinetic monitoring on cardiovascular medications, aminoglycosides, and vancomycin as appropriate
  • Present a cardiology nursing in-service on a particular topic of interest or necessity
  • Observe exercise stress testing, echocardiogram, a catheterization and/or angioplasty
  • Provide continual surveillance for the prevention, identification and documentation of adverse drug reactions and medication misadventures

Rotation Requirements

  • Present a journal club on a cardiology topic of interest to pharmacists
  • Attend medical emergencies in designated areas, utilizing advanced cardiovascular life support (ACLS) techniques
  • Provide practice coverage on cardiology units
  • Meet with preceptor twice weekly for topic discussions
  • Complete all assigned readings and present cardiovascular topics from current primary literature prior to meetings and/or patient discussion
  • Maintain all therapeutic monitoring logs in the clinical decision support software, TheraDoc?.according to department policy
  • Attend all conferences relevant to the service or individual patients

Preceptor

Michael Paul Everett, Pharm.D

Jennifer Garde, PharmD, BCPS



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