CertifiPediatric Asthma and Allergyed Asthma Educator Review

Course Title: Pediatric Allergy Patient Care Elective Advanced Pharmacy Practice Experience

 

Course Purpose:

The goal of the Patient Care Elective Advanced Pharmacy Practice Experience is to provide opportunities for students to build on knowledge and skills acquired through didactic education and introductory pharmacy practice experiences and apply them in the care of a specialized patient population.  This course will take place in an environment where care is provided to patients who a) have unique dosing and/or medication requirements and b) require a specialized level of care and monitoring to ensure patient safety and/or appropriate outcomes.

 

Preceptor(s) and Site Information:

Elizabeth LeFave, DNP, ARNP, PNP-BC, AE-C 

Clinical Instructor, Department of Pharmacotherapy and Translational Research

UF Health, Shands Medical Plaza, Pediatric Specialties

1600 SW Archer Road Gainesville, FL 32610

Preceptor Name(s): Elizabeth LeFave, DNP, ARNP, PNP-BC, AE-C Clinical Instructor, Department of Pharmacotherapy and Translational Research and Leslie Hendeles, PharmD Professor, Pharmacotherapy and Translational Research, and Professor of Pediatrics

Preceptor Phone: (352) 273-8504

Preceptor Email: rnlefave@peds.ufl.edu

Fax Number (352) 294-8068

 

Location:

• Pediatric Allergy Office (HD-411, fourth floor, Human Development Center)
• Pediatric Allergy Clinic (Shands Medical Plaza, second floor)

 

Pre-Rotation Requirements for Student
Students are responsible for completing requirements set forth by the University of Florida, College of Pharmacy.  Check the PharmAcademic website for site-specific forms and requirements (i.e., Drug Screen Requirements, Immunization forms. Students must request attestations at least 30 days BEFORE the scheduled rotation is to begin. Current Influenza vaccination is required for this rotation.

 

Obtain user ID and password for EPIC.

Learning Objectives:

At the conclusion of the Patient Care Elective Advanced Pharmacy Practice Experience, students should be able to:

 

1. Formulate a concise and evidence-based patient-centered care plan in collaboration with other health care professionals, patients, and/or their caregivers which considers the patient's health literacy, culture, and psychosocial factors.
2. Implement, monitor, evaluate, and adjust pharmaceutical care plans with accuracy and timeliness. Ensure continuity of pharmaceutical care for a patient across health care settings.
3. Conduct a journal club presentation to a group of peers/health professionals.
4. Collaborate as an interprofessional team member in a variety of healthcare settings.
5. Demonstrate general principles for good communication with patients and other providers when listening, talking, and writing.
6. Communicate with another health care professional about the appropriateness of a patient's pharmacotherapy with clarity and accuracy (drug, dosing, dosage forms, routes of administration, delivery systems).
7. Present a patient summary with confidence and in an organized format that includes only pertinent information. (Example: brief patient summary during rounds or when proposing recommendations to a care provider.)
8. Give a formal case presentation that includes presentation of patient data, development of a comprehensive care plan, a summary of literature pertinent to the medication-related problems, and an oral defense of recommendations.
9. Prepare an accurate, concise, and organized written patient care plan.
10. Work with individuals of other professions to maintain a climate of mutual respect and shared values.
11. Use the knowledge of one's own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served.
12. Demonstrate the ability to assimilate and apply basic, clinical, and social science knowledge in the care of patients and resolution of practice problems.
13. Demonstrate ethical behaviors that are essential to the practice of pharmacy.
14. Adhere to legal requirements in pharmacy practice
15. Apply critical thinking, problem-solving, and scientific reasoning skills to the practice of pharmacy (both when solving patient problems and general practice problems.
16. Gather, analyze, and apply relevant scientific data, evidence-based data, and other information when solving practice problems (both patient-specific and general practice problems).                                                                         

Course Outline, Schedule/Activities, and Assignment Deadlines:

Student Schedule: 8:00 am-4:30 pm

*Student may need to arrive earlier or leave later depending on daily activities and amount of time needed to complete responsibilities and prepare for rounds. An updated rotation schedule may be obtained from your assigned preceptor. A 30 minute lunch break may be taken.

 

Sample Rotation Schedule
Week	Monday	Tuesday	Wednesday	Thursday	Friday
1	Work Study   Reading assignment: Allergic rhinitis and Immunotherapy	8 am work study   12:30 SMP direct patient care	8 am SMP direct patient care 1:30 SMP direct patient care	8 am Pediatric Grand rounds 9:30 am work study 12:30 SMP Direct Patient Care	Progress note due 8 am SMP direct patient care 12:30 SMP direct patient care
2	Work Study   Reading and Video assignment: Asthma Atopic dermatitis	8 am work study   12:30 SMP direct patient care	8 am SMP direct patient care 1:30 SMP direct patient care	8 am Pediatric Grand rounds 9:30 am work study 12:30 direct patient care	Progress note due Midpoint Evaluation 8 am SMP direct patient care 12:30 SMP direct patient care
3	Work Study   Reading Assignment: Anaphylaxis Drug allergy Food allergy	8 am work study   12:30 SMP direct patient care	8 am SMP direct patient care 1:30 SMP direct patient care	8 am Pediatric Grand rounds 9:30 am work study 12 pm Journal club presentation   12:30 direct patient care	Progress note due 8 am SMP direct patient care 12:30 SMP direct patient care
4	Work Study   Reading Assignment: Urticaria Angioedema	Formal patient case Due   8 am work study   12:30 SMP direct patient care	8 am SMP direct patient care 1:30 SMP direct patient care	8 am Pediatric Grand rounds 9:30 am  work study 12 pm Case Presentation 12:30 SMP Direct Patient Care	Progress note due Final Evaluation   8 am SMP direct patient care 12:30 SMP direct patient care

 

 

 

 

Interprofessional Experience Opportunities:

During this clerkship, students will participate with physicians and nurse practitioners in providing care to children with allergic diseases and solving pharmacy-related problems.  During clinics, they will interview new patients to determine what and how medications have been used.  For example, if a patient has been using a metered-dose inhaler, the student will give them a placebo inhaler and ask them to demonstrate how they take a dose.  Then the student will present their findings to the physician or nurse practitioner.  After the diagnosis is made, the physician will ask the student to provide asthma education to the family.  This will include discussing how to use each medication, when to call the pulmonary physician and how to use and clean the prescribed devices. 

 

Required Activities/Assignments:

In order to achieve the stated learning objectives, students completing the Elective Patient Care Advanced Pharmacy Practice Experience should complete the following activities/assignments:

 

1. Prepare at least four pharmaceutical care plans (pharmacy notes, chart progress note, etc.) in a concise, organized, and clear format to be included in the patient record as permitted in the practice site. Care plans should address any pertinent dosing, pharmacokinetic, monitoring, or other pharmacotherapy considerations applicable to the specialized patient population.
2. Present at least one formal patient case presentation, including analysis and interpretation of the primary medical literature as it applies to the patient case. The audience will be selected by the preceptor.
3. Present at least one journal club presentation, including analysis and interpretation of the primary medical literature as it applies to the specialized patient population.
4. Complete at least 2 written drug information responses using appropriate institutional documentation or the UF College of Pharmacy Drug Information Question Intake/Tracking Form.

 

Other Learning Activities:

Students will benefit from exposure to the following learning activities during their Elective Patient Care Advanced Pharmacy Practice Experience, when feasible within the rotation/site: 

 

1. Shadow other healthcare professionals to participate in other aspects of care: medication access, administration, care planning, etc.
2. Discuss with the preceptor any specific legal or regulatory requirements involved in the care of the patient population (e.g., dialysis center, hospice care).
3. Discuss with the preceptor any additional training or certification requirement for pharmacists wishing to pursue a career in the area (e.g., Elective residency, CGP, BCOP, etc).
4. Participate in the processing of drug orders for the patient population.

 

Students are responsible for accomplishing the rotation requirements (i.e., evidences that must be submitted in the course site).

Rotation Assignments:

1. Four (4) Pharmacy Notes – De-identified Pharmacy/Progress Notes
2. One (1) Handout of Slides Used for Formal Case Presentation
1. Discussion of disease state
2. Discussion of drug therapy options
3. Individualized drug therapy plan
4. Conclusion and critique of therapy
3. One (1) Journal Club Presentation – Handout or brief written critique of an article
4. Two (2) Drug Information Responses
5. Post-rotation Reflection and Future Goals – Use the Word document entitled “CPD & Career Goals” to complete this activity.  Students will update this document at the end of each rotation and post the latest version in their portfolio.

 

Prerequisite Knowledge and Skills:

Students must have successfully completed Introductory Pharmacy Practice Experiences and required didactic courses prior to beginning their Elective Patient Care Advanced Pharmacy Practice Experience.  Students are required to complete any other required readings or assignments prior to beginning their Elective Patient Care Advanced Pharmacy Practice Experience, at the preceptor’s discretion.

 

Student Evaluation and Grading:

Students will be evaluated using the SUCCESS system (log in or get more information about SUCCESS at: https://copnt17.cop.ufl.edu/ugsp/).  Preceptors are encouraged to provide students with written copies of their midpoint and final SUCCESS evaluations, and to review and discuss each of these with the student.

 

Competency	Description	Weight
Competency #1	Drug Distribution Systems	5
Competency #2	Disease State Knowledge	10
Competency #3	Drug Therapy Evaluation and Development	5
Competency #4	Monitoring for Endpoints	5
Competency #5	Patient Case Presentations	5
Competency #6	Patient Interviews	15
Competency #7	Patient Education/Counseling	10
Competency #8	Drug Information	10
Competency #9	Formal Oral Presentations	5
Competency #10	Formal Written Presentations	5
Competency #11	Professional Team Interaction	10
Competency #12	Professionalism/Motivation	10
Competency #13	Cultural Sensitivity	5
TOTAL		100%

 

 

Attendance Policy:

Attendance is mandatory as the quality of learning experiences is directly related to the time spent in the clinical environment.  If sickness or other problems require absence during rotation time, students must arrange to make up lost time with the preceptor.  Failure to participate in the assigned number of hours will result in an "Incomplete" grade for the course.

 

Excused Absences: each excused absence will be made up at the discretion of the instructor. Absences may be excused secondary to health or family issues (personal illness, dependent’s illness, doctor appointment, family crisis, etc.), professional issues (interview for position, educational meeting, etc.) or at the discretion of the preceptor for other reasons not listed here.  Absences that are planned require notification prior to the day of the absence. A minimum of 1-week notice regarding planned absences is expected.

 

Unexcused Absences: an unexcused absence will result in a deficient evaluation of Competency 12 in the SUCCESS evaluation and the subsequent loss of grade that would produce. Each absence must be made up at the convenience of the instructor. Failure to notify at the time of the absence in the case of unexpected situations will result in an unexcused absence. Failure to notify in advance of planned activities will result in an unexcused absence.

 

Time missed due to administrative issues (e.g. fees not paid, lack of portfolio requirements) are counted as unexcused absences unless made up at the preceptor’s discretion after the originating offense is corrected.

 

Tardiness:  two unexcused tardies will be the same as one unexcused absence. The definition of tardy will be left up to the instructor.

 

Minimum attendance for a complete rotation is 17 out of 20 working day rotations or 35 out of 40 day rotations.  Students missing more than 3/20 or 5/40 for any reason that are NOT made up must reschedule the entire rotation at a later date.

 

Educational meetings are an important part of being a professional. Attendance will be encouraged, but not required. Faculty and instructors will encourage the students to attend meetings.

 

Residency and position interviews likewise are and important for professional advancement but must not be scheduled in time and number to significantly degrade the quality of the ongoing Advanced Pharmacy Practice Experience. This should be taken into consideration when they are scheduled. Days missed due to these events will be made up at the discretion of the preceptor.

 

Additional Policies and Information

 

Rotation Demeanor: APPE Student Dress Code:

The following is a basic checklist for professional dress during APPEs. Additional requirements or guidelines may be instituted at the discretion of the site or preceptor.

• All students must wear neat, clean, white laboratory coats unless otherwise directed by the preceptors.
• Students should wear their College of Pharmacy ID as well as any nametag or badge issued by the rotation site. Nametags from places of employment should not be worn at a rotation site.
• Female students may wear skirts, dresses, or dress slacks with appropriate hosiery and shoes. Closed-toe shoes are preferred in any practice site. Some sites require closed-toe shoes, and students must comply with that requirement at those sites.
• Male students must wear dress slacks, collared shirts, ties, socks and appropriate shoes.
• Jeans, shorts, mini-skirts, thong sandals, T-shirts, etc., are inappropriate dress at any rotation site, and are NOT allowed.
• All students must maintain good personal hygiene.
• Students may be asked to leave a rotation site due to dress code violations. This absence is unexcused.
• All students will also be expected to adhere any institutional policy relating to personal appearance and/or grooming not covered in this manual.

 

UF’s Honesty Policy - UF students are bound by The Honor Pledge which states, “We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honor and integrity by abiding by the Honor Code. On all work submitted for credit by students at the University of Florida, the following pledge is either required or implied: “On my honor, I have neither given nor received unauthorized aid in doing this assignment.” The Honor Code (http://www.dso.ufl.edu/sccr/process/student-conduct-honor-code/) specifies a number of behaviors that are in violation of this code and the possible sanctions. Furthermore, you are obliged to report any condition that facilitates academic misconduct to appropriate personnel. If you have any questions or concerns, please consult with the Director of Experienctial or Regional Coordinator for this rotation.

Preceptor Evaluations – Students are expected to provide feedback on the quality of instruction during this rotation.  This evaluations is completed in PharmAcademic™ and is made available on the last day of the rotation.  A blinded summary of the assessment result is sent to the preceptor at the end of the academic year after rotations are completed.

 

Complaints:

Please contact your Regional Coordinator should you have any unresolved complaints or issues with your rotation experience after speaking with your preceptor and/or site coordinator.  You can determine who the assigned Regional Coordinator is for the site by looking at the site’s information in PharmAcademic™.  Regional Coordinator contact information can be found at http://pharmacy.ufl.edu/experiential/contact-information/. Please contact the Director of Experiential Programs should your complaint or issue remain unresolved.