Blogs

Virtual ASHP APPE - Week Two

By Rachel Crusius posted 3 days ago
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Time is flying at this ASHP rotation! Even though this was a short week due to Labor Day, the amount of work and meetings still felt like a full week’s worth! Here is a little run down about my week.   This week included the closing of some projects and initiations of some new ones. We were able to submit some comments on the measure revisions regarding the simultaneous prescription of opioids and benzodiazepines being reviewed by the National Quality Forum. This was so rewarding to get to see the final submission of a project that I worked on from the start. My preceptor, Anna Dopp, works closely with organizations like the National Quality Forum (NQF) and ...
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Take Care of Yourself

By Autumn Pinard posted 8 days ago
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It is crazy how time flies. As I reflect on the last few years, I realize how different time has felt. So much has happened and at the same time, so much hasn’t. The pandemic continues, and we’ve continued with it, but life is not the same as it used to be. I’ve seen the least of my family and friends than I think I ever have in almost two years - in person anyway. At the same time, I’ve continued with pharmacy school, and now I am on my fourth APPE rotation and am almost halfway done with my final year in pharmacy school. It feels like only a few months ago I was starting my final didactic year and then suddenly… it was time to start APPE rotations. I am incredibly ...
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Virtual ASHP APPE - Week One

By Rachel Crusius posted 8 days ago
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Last September, I was so excited when I received my acceptance email to participate in the ASHP APPE! Since then, I have been imagining who I would meet, what I would to do, and all the things I’d learn while there. Even though this experience has been virtual, my preceptor and the staff of ASHP has excelled as making me feel welcomed and included in the various projects the organization takes on.     One of the things that I noticed first and foremost is how friendly everyone is here. I have scheduled many Meet and Greets and, even though these encounters only last half an hour, everyone I have met has left a positive impact. Several team members have ...
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COVID-19 Vaccine Mandates in Healthcare Settings

By Paul Abramowitz posted 08-03-2021
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Dear Colleagues, Pharmacists have been on the front lines of patient care throughout the pandemic, leading efforts to immunize millions of people across the nation and serving as medication use experts. Yet, in many communities, due to highly contagious variants, including the Delta variant, the number of cases of COVID-19, hospitalizations, and deaths are on the rise once again. ASHP, in collaboration with nearly 100 organizations and societies, including the American Medical Association and the American Nurses Association, took an important step by calling for all healthcare and long-term care employers to require their workers to receive the COVID-19 ...
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Welcoming Wellbeing Into Your Daily Routine

By Kendall Wick posted 07-12-2021
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I am a student pharmacist, and recently I have learned the importance of mental health and personal wellbeing. In fact, the importance of maintaining my mental health and wellbeing has been reinforced throughout my summer internship with ASHP. ASHPs mission statement on wellbeing and resilience is; “ ASHP is committed to fostering and sustaining the well-being, resilience, and professional engagement of pharmacists, pharmacy residents, student pharmacists, and pharmacy technicians .” I believe in this mission whole heartedly.    There is a lot of stress that can naturally come with a job in the health care field. As pharmacists, this stress can be due ...
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Interviewing Tips and Tricks

By Kendall Wick posted 06-30-2021
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Pharmacy has become a very competitive and saturated healthcare field. As a student pharmacist I understand that I will encounter many interviews while in school, applying for residencies, fellowships, and jobs. Interviews are inevitable, so it is something I want to try to master as soon as possible. I wanted to share some tips I have learned along my way with other students and pharmacists.   Preparing for the interview is key in how you will do on the day of your interview. Make sure that you do thorough research on the institution or program where you applied. This could include the mission statement of the health system, the size of the hospital (beds, ...
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Preceptor Roles: A Focus on Modeling

By Kristin Watson posted 06-29-2021
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The ASHP residency accreditation standards require that at least one of six criteria be met for a person to be deemed a qualified preceptor.  One option is “Demonstrating the ability to precept residents’ learning experiences by use of clinical teaching roles (i.e., instructing, modeling, coaching, facilitating) at the level required by residents”. 1-3   The time a preceptor spends in each of these roles can vary during the learning experience. It is also possible that a preceptor may not need to employ each of these on a given rotation based on the learner’s experience and/or rotation goals. The only exception, in my opinion, is   modeling . Modeling should ...
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Preceptor Roles: A Focus on Modeling

By Kristin Watson posted 06-29-2021
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The ASHP residency accreditation standards require that at least one of six criteria be met for a person to be deemed a qualified preceptor.  One option is “Demonstrating the ability to precept residents’ learning experiences by use of clinical teaching roles (i.e., instructing, modeling, coaching, facilitating) at the level required by residents”. 1-3 The time a preceptor spends in each of these roles can vary during the learning experience. It is also possible that a preceptor may not need to employ each of these on a given rotation based on the learner’s experience and/or rotation goals. The only exception, in my opinion, is modeling . Modeling should ...
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Overview of Cloud Electronic Health Record Systems

By Matthew Delisle posted 06-28-2021
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Cloud-based vs Server-based EHRs – Things to consider Is your institution in the market for a new EHR? Congratulations - there are now more options than ever before. While increased options allow a greater likelihood that you can find precisely the EHR that you need, it also means there are more decisions to make and details to consider. This can make this seem like a daunting task. Choosing an EHR is an incredibly complex decision. Dozens of variables need to be evaluated to determine which EHR works best for your situation. With this blog post, we wanted to focus on one particular variable – cloud-based versus server-based EHRs– and highlight some key ...
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ASHP’s Advocacy to Protect the 340B Drug Pricing Program Yields Important HRSA Ruling

By Paul Abramowitz posted 05-25-2021
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Dear Colleagues, ASHP has been leading patient-focused efforts to protect the 340B Drug Pricing Program, and I am pleased to share with you that our steadfast advocacy has paid off. The Health Resources and Services Administration (HRSA), which manages the 340B program, recently announced that it has directed six drug manufacturers to comply with 340B pricing requirements or risk financial penalties.  The 340B program is essential to many hospitals’ ability to provide healthcare services to vulnerable patients and communities, including providing access to medications for uninsured and underinsured patients. The 340B program is designed to allow providers ...
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OIG report card on DSCSA

By Dennis Tribble posted 05-21-2021
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For those of you who may have missed this (like I did), over a year ago the Office of the Inspector General (OIG) performed a study on the ability of the current compliance mechanisms for the Drug Supply Chain Security Act by tracing the movement of 44 drug products they characterized as high-risk "billed to Medicare Part D by high-risk dispensers" by reviewing tracing documents to "determine whether the information necessary to trace drugs was present and accurate".  I recommend the document to your review. It is most enlightening. The observations were interesting: Ownership was traceable for 37 of the 44 selected drug products - the remaining 7 were ...
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Virtual Interviews: Reflective Tips and Tricks for Interviewers and Interviewees

By Lauren Pamulapati posted 05-17-2021
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This past year presented a new challenge and opportunity for conducting residency interviews in a virtual format. Due to this new experience, the Ambulatory Care Pharmacotherapy SAG felt it would be worth sharing tips and tricks that worked within our programs, should similar models be continued in the future.  We also surveyed our students and residents to determine what tips and tricks they had from their perspective. Feel free to share with your colleagues.   Program/Interviewer Tips To introduce candidates to the culture of your program and the surrounding area, consider putting together a video highlighting the area and the program (walking ...
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ASHP Broadens Vaccine Confidence Outreach

By Paul Abramowitz posted 05-14-2021
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Dear Colleagues, This week’s announcement that the Food and Drug Administration has expanded the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine in adolescents 12 to 15 years of age, and the Centers for Disease Control and Prevention’s subsequent recommendation, is another encouraging step in our efforts to bring an end to this devastating pandemic. There are more opportunities than ever for pharmacists to lead vaccination programs, build community trust, and direct public education campaigns to protect our communities from COVID-19. Today, I want to share some important updates on the continued work that ASHP and our members are ...
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preparation of critical care infusions

By Kim Runge posted 05-09-2021
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When making critical care drips at our hospital, we remove volume from the IV bag that is equivalent to the volume of the medication to be added before adding the med to the bag.  For instance, when making an infusion of norepinephrine 8mg/500ml D5W, the techs first remove 8 ml of D5W before adding the 8 ml of norepinephrine. I have never seen this done before. At your institution, how do you prepare critical care drips? Do you remove volume from the IV bag like this?  If so, why?  If not, why not?
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Prioritizing Self-Care During a Pandemic...or Any Other Time

By Vanessa Elliott posted 05-04-2021
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I want you to picture a scenario most of us haven’t been able to experience much over the past year. Imagine that you’re on a plane. You’re flying to see family, going on an adventure, or just getting away from everything for a bit. You’re listening to the in-flight lecture on safety and how to take care of yourself in the case of an emergency. Now, think...what is the first thing the flight attendant says when talking about putting on your oxygen mask? It’s to put your own oxygen mask on first, before helping anyone else. This isn’t just good first aid advice, it’s good self-care advice, too. Because before you can provide quality patient care, you have to be ...
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Switching GLP-1 Receptor Agonists

By Cheyenne Frazier posted 04-23-2021
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Patients with type 2 diabetes mellitus are commonly started on glucagon-like peptide -1 (GLP-1) receptor agonists due to their benefits in atherosclerotic cardiovascular disease and chronic kidney disease. While many patients tolerate these agents well, there may be circumstances when providers need to switch patients to a different GLP-1 receptor agonist. These reasons include gastrointestinal side effects, desire for greater glycemic or weight control, injection site reactions, difficulty with the injection device, better adherence with weekly instead of daily agents, or insurance formulary changes. Recently the Veterans Health Administration’s drug pricing ...
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Important Wins in Expanding Access to Pharmacist Care

By Paul Abramowitz posted 04-22-2021
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Dear Colleagues, The COVID-19 pandemic’s impact has been immense in our communities and across the world. The public health crisis has also shined a critical light on the essential role of pharmacy practitioners, and helped to give way to some strong advocacy momentum as we work at the state and federal level to increase recognition of pharmacists as patient care providers. Expanding Medicare Patients’ Access to Pharmacists Today, I’m pleased to announce that provider status legislation that ASHP has long supported, the Pharmacy and Medically Underserved Area Enhancement Act, was reintroduced in Congress. The legislation would give millions of Medicare ...
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PAI Week 2021 Blog -- MUSC SSHP Chapter

By Dorothy Gaddis posted 04-16-2021
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Medical University of South Carolina Charleston, SC Student Society of Health-System Pharmacists Chapter PAI Week Blog – Dorothy Gaddis, Drew Sauck, and Emily McTish Blog Subject: PAI Week Reflections from MUSC The Practice Advancement Initiative (PAI) was developed in 2010 to drive change of pharmacy practice at local levels. It started as a set of recommendations to improve and advance the pharmacy profession across the continuum of care, and evolved as healthcare and technology integrations changed with each decade. The most recent version of this initiative is PAI 2030, which aims to drive pharmacy practice sites on a local and state level (through ...
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GTMRx Establishes National Task Force to Build Vaccine Confidence

By Paul Abramowitz posted 04-06-2021
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Dear Colleagues, As we pass the one-year mark of the global COVID-19 pandemic, it is encouraging to see some very positive signs as the availability of vaccines and the number of people who are receiving them increases. As of today, at least a dozen states have made COVID-19 vaccinations available to everyone 16 and over, with all remaining states announcing their plans to do the same. To support this positive momentum, it is vital that we as a healthcare community continue to work together to build widespread public confidence in the vaccines, as they are the key to ending the harm caused by COVID-19 and getting our lives back to normal. Today I am extremely ...
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Ambulatory Care Pharmacy Practice Expansion during a Pandemic

By Rachel Steele posted 03-29-2021
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Over this last year of the COVID-19 pandemic, the questions and unknowns that arrived with the reality of practicing in a new context have prompted many practice advancements while perhaps pausing others – such as the expansion of disease states within one’s collaborative practice agreement for those in ambulatory care Within ambulatory pharmacy at my health system, our model of care quickly evolved to prioritize safety while optimizing patient care. Initially, face-to-face visits transitioned to telephonic visits. Shortly thereafter, virtual visits were added as another opportunity. Now a year later, we provide ambulatory pharmacy care utilizing a hybrid mix ...
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