Week 2: Distribution
Monday and Tuesday: Attended SES Conference
Wednesday: Verified orders, checked with the pharmacists if I had any questions.
Thursday: Discussed Site procedures, PDTM and TPN with Raymond.
Meeting with Dr. Loewen: Today was the first time during residency when I really felt that I am not applying my knowledge well. When I met up with Dr. Loewen, I told him everything was going fine and it has been a smooth transition, but if he had asked me few hours later it would have been a different answer. Later on in the afternoon, I discussed the orders that I had verified with my preceptor. After discussion, I realized I was not using the process of Necessary, Effective, Safe and Adherence when assessing orders. Although, I followed the process for renal failure patients I failed to think through it for all the patients. Initially, I paid attention to technical things (for example when an order of metronidazole was entered as 500 mg Q8H vs. Q12H), but as a pharmacist my role is to verify the order in terms of its requirement by the patient, safety and efficacy along with checking if it was entered correctly. I am glad we had this discussion as it would make me focus more on paying attention to clinical details. It is a learning process and I will get better and better.
Friday: Verified orders, discussed TPN and orders I verified
Today was much better as I was more comfortable with verifying orders. For each order I followed the steps of assessing the prescription by focusing on if it was necessary, effective and safe.
rajwantminhas 