Gradually, I am learning to be skeptical about everything as the key is to question everything unless you are convinced why something is being done. Physicians are great at diagnosis but it is my role as a pharmacist to make sure everything pertaining to medications is being taken care of. My preceptor has shared many real examples from her practice which have made me realize how important it is to convince myself. For example, if someone has recently been diagnosed with atrial fibrillation and I have been asked to anticoagulate the person, I am not just going to blindly follow that. It is my responsibility to ask is this drug even indicated, is the dose effective and safe. May be the patient has hypethyroidism which can be treated before I think of starting an anti-coagulant.
As a licensed practitioner, I have the right to say no when something doesn’t make sense to me and I feel it is unsafe for the patient. For example, my preceptor shared a case where a patient was put on ASA, plavix, warfarin and heparin all simultaneously in an acute stroke. Even if the physician disagrees with me, I need to voice my opinion and chart my role in the process.
Advanced Cardiac Life Support
Wrote notes in the chart re:
Digoxin, warfarin and phenytoin dosing
Emergency is a busy atmosphere but I find it very rewarding as it provides me to exposure to lots of different disease states. I am being given the opportunity to talk to different physicians and make changes to the orders. This is being very helpful as my communication skills and confidence will only improve with more practice.