Objectives for this rotation:
1. Apply the principles of pharmacokinetics in the care of at least 4 patients, e.g. phenytoin, digoxin, aminoglycosides, vancomycin
2. Perform at least 1 med rec during admission and discharge
3. New medication teaching x2 Discharge counsel x2
4. Do lab interpretation during case presentation to preceptor
Site: Eagle Ridge Hospital
The last two weeks were much better than the first two. Reasons: I was more efficient, I understood what I was supposed to do and how to do it. The feeling of unfamiliarity and fear of not knowing how to do things had vanished. I finally understood why one should, “JUST DO IT”! If I had written my first chart appropriate note or comprehensive pharmacy note in first two weeks, it would have not been that hectic in last two weeks. Doesn’t matter if you get it completely wrong the first time. It is much better to do it wrong, get feedback and improve next time vs. waiting to make it perfect the first time. Most days, I was at the hospital for around twelve hours. I thoroughly enjoyed the process and working as a part of the team. The nurses got to know me well and did not hesitate to approach me whenever they had a question. I was comfortable asking them questions about my patient and getting updates in case it was not clear from the patient’s chart or by talking to them. The presentation went well but it would have been better if I had followed the format more closely. The first presentation done! There are more to come and it would get better with each. As Dr. Tejani mentioned during my rotation with him, “one should never pass on an opportunity to speak in the public”.
I passed the oral exam during my first try. It was not all a smooth ride as I need to improve on my prioritizing skills. Listing the medical problem list was a challenge for me. We discussed my strengths and weaknesses and came to a conclusion that I am good at getting history and talking to the patient but I definitely need to improve on the MPL section of the Assessment. I was able to pick the most relevant and important DRP and solve it. However, there is still room for improvement in terms of prioritizing the drug related problems. I need to create opportunities in order to utilize the information I have acquired during this rotation, for example applying pharmacokinetics, reading ECGs, monitoring vitals, doing medication history etc. If I don’t use it, I will lose it!
Overall, it was a great experience and I wish my rotation was longer! I know it sounds crazy but the amount I learnt is amazing. Everyday is a new day and brings new challenges and opportunities to learn something new.