Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232


(615) 936-1000

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Rotation Descriptions
 

Activities will be tailored to each type of residency program. Pharmacy practice (PGY1) activities focus on establishing basic clinical skills and understanding the clinical pharmacist's role on a health care team. These activities will also focus on developing a fundamental knowledge of disease states, focusing on the basics of drug therapy, for example, mechanisms of action, adverse effects, and indications, monitoring parameters. PGY1 activities will also include more preceptor involvement and oversight. Pediatric pharmacy practice (PGY2) activities, while similar to that in the PGY1 program, will focus on fine-tuning population-specific clinical skills and knowledge base and residents will function more independently.

Ambulatory Care

  • Ambulatory Care is a required longitudinal experience spanning the entire year 
  • The resident will attend a pediatric clinic one half-day per week
  • Activities:
  1. Routinely follow patients and help construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  2. Provide medication counseling to pediatric patients and their caregivers
  3. Provide drug information to pediatric patients, their caregivers, and other health care professionals
  4. Document all clinical interventions and drug information responses in the established clinical database

Distributive Services

  • The resident will staff the pediatric pharmacy on a scheduled weekend and holiday rotation.
  • Activities:
  1. Review medication orders for appropriateness which includes dose, allergy, and drug-interaction checks
  2. Enter medication orders accurately and efficiently
  3. Process orders transferred to the pharmacy system through our prescriber order entry system
  4. Check IV and oral medications prior to dispensing
  5. Provide drug information to nurses, physicians, and other clinicians over the phone and in writing when necessary
  6. Provide pharmacokinetic consult notes for antibiotics following the established system for interpreting laboratory drug levels

Administration/Practice Management

  • The Administration rotation is a year-long longitudinal experience for the PGY2 resident and a concentrated month for the PGY1 resident.  Practice management is incorporated as a concentrated rotation as well for PGY1's only
  • Goals for the rotation are established early in the residency year and incorporate the resident's interest areas as well as the pharmacy department's ongoing management issues
  • The resident will meet regularly with the Director and Program Director and become actively involved in management activities
  • Activities for Administration include: 
  1. Assist with the evaluation and revision of medication policies
  2. Assist with the medication review process
  3. Participate in the yearly evaluation of pharmacy employees
  4. Participate in the interviewing and hiring process of new employees
  5. Participate at P&T Committee meetings
  6. Participate at pediatric area policy meetings

Practice Management  

  1. Assist with the review, revision, and upgrade of pharmacy systems and computerized order entry systems to enhance clinical decision support for health care professionals
  2. Understand key elements of pediatric pharmacy practice, automation and medication safety
  3. Participate in formulary management through active involvement with P&T including a drug monograph or drug class review
  4. Attend multidisciplinary quality/safety and informatics meetings
  5. Meet with the preceptor to discuss progress on practice management projects
  6. Identify a core library of references used in the pediatric setting
  7. Provide clinical pearls for weekly newsletter

Neonatology

  • The resident will complete a minimum of one month of Neonatology
  • Activities: 
  1. Round daily with a neonatal team
  2. Maintain a database of information for all patients and construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  3. Provide drug information to members of the neonatal team
  4. Meet regularly with the preceptor to discuss patients and neonatal topics
  5. Document all clinical interventions and drug information responses in the established clinical database
  6. Present at NICU housestaff orientation
  • Topic discussions:  fluid and electrolyte management, apnea of prematurity, patent ductus arteriosus, bronchopulmonary dysplasia, pain management, neonatal seizures, surfactant therapy, neonatal drug withdrawal, necrotizing enterocolitis, sepsis, and nutrition.

Pediatric Critical Care

  • The resident will complete a minimum of one month (PGY2), two months (PGY1) of Pediatric Critical Care.
  • Activities:  
  1. Round daily with the pediatric critical care team
  2. Maintain a database of information on all patients and construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  3. Provide drug information to members of the pediatric critical care team
  4. Meet regularly with the preceptor to discuss patients and pediatric critical care topics
  5. Document all clinical interventions and drug information responses in the established clinical database
  6. Attend PCCU Morbidity and Mortality Conference
  • Topic Discussions:  Pharmacokinetic monitoring in the critically ill, cardiovascular medications and congenital heart disease, medication use during ECMO, renal issues in the critically ill, sedation/pain management and paralytic use, infectious disease in the critically ill, seizure management, respiratory issues in the critically ill, electrolyte management and TPN in the critically ill, diabetic ketoacidosis, GI issues in the critically ill.

Pediatric Medicine

  • The resident will complete a minimum of two months of pediatric medicine
  • Activities: 
  1. Actively participate on daily rounds with a pediatric medicine team
  2. Maintain a database of information for all patients and construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  3. Provide pharmacotherapeutic recommendations for pediatric patients
  4. Attend pediatric conferences including morning report, pediatric grand rounds, and chief residents' conference
  5. Provide oral and written drug information to pediatric medicine team
  6. Meet regularly with preceptor to discuss patients and pediatric medicine topics
  7. Document all clinical interventions and drug information responses in the established clinical database
  • Topic Discussions:  developmental pharmacology, fluid and electrolyte considerations, meningitis, sepsis, urinary tract infections, pneumonia, asthma, cystic fibrosis, respiratory syncytial virus, bronchiolitis, gastroesophageal reflux disease, epilepsy, diabetes, and Kawasaki disease

Oncology

  • The resident will complete a minimum of one month of pediatric oncology
  • Activities:
  1. Round daily with the pediatric hematology/oncology team
  2. Maintain a database of information for all patients and construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  3. Provide drug information to members of the pediatric hematology/oncology team
  4. Meet regularly with preceptor to discuss patients and pediatric hematology/oncology topics
  5. Document all clinical interventions and drug information responses in the established clinical database
  6. Attend Tumor Board
  7. Present a hematology/oncology housestaff inservice
  • Topic Discussions:  Acute leukemia (ALL, AML), lymphoma, neuroblastoma, sarcomas, brain tumors, oncologic emergencies (tumor lysis syndrome), infections disease in hematology/oncology patients (fever & neutropenia, infection prophylaxis), nausea & vomiting, chemotherapy use (safety, ADR/toxicity management), pain management, hospice/palliative care/end-of-life

Stem Cell Transplant (SCT)

  • The resident will have the option to participate in one month of pediatric SCT after fulfilling the pediatric oncology requirement
  • Activities: 
  1. Round daily with the pediatric SCT team
  2. Attend SCT clinic on Tuesdays and Wednesdays
  3. Maintain a database of information for all patients and construct patient care plans that include pharmacotherapeutic goals and appropriate medication monitoring parameters
  4. Provide drug information to members of the pediatric SCT team
  5. Meet regularly with preceptor to discuss patients and pediatric SCT topics
  6. Document all clinical interventions and drug information responses in the established clinical database
  • Topic Discussions:  Bone marrow transplantation (auto, allo, nonmyeloablative), graft versus host disease, venoocclusive disease, infectious disease in SCT patients (prophylaxis, CMV), immunosuppressive agents, complications of SCT (acute, chronic)

Last Edited: August 26, 2015
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