Thursday, March 24, 2011

XCIX : IPPE Hospital

Today was the last day I was at my hospital rotation for IPPE (Introductory Pharmacy Practice and Experience). It was my first exposure to what pharmacists (and the pharmacy) do in the hospital setting, so everything was new and something to learn about. I'll leave that to another day because there's just so much I got out of it, yet there's so much more I want to know about.

Because today was the last day, my preceptor had to fill out an evaluation of our skills as externs. He commented, "You're kind of shy. But not in the way that you don't speak with people or ask questions when you want to. Give your opinions and get other people's opinions more."

hmm, I guess that's what I've been missing? I never could identify it until someone said it clearly to me, even though in the past, I remember saying to myself to be objective and fair. That's why I've kind of lost my own opinions of things. But, as a pharmacist, ethics plays a significant role, and my opinions will have to be well-defined with the best interest of the patient in mind. It's scary, but I'll work on it. Two interviews to prepare for.

Saturday, March 12, 2011

XCVIII : A Changing Profession

It's not just USC that is pushing for the pharmacy profession to move forward from its traditional role of dispensing and compounding based on a physician's recommendation. This article talks about the changing profession. As the older generation of pharmacists is being replaced by the newer generation of PharmD-carrying pharmacists, the profession is shifting toward a more patient-centered care. This means that pharmacists are actively participating in the treatment of an ill patient. This means that pharmacists can do what they are expected to do best: know about drugs. This means that pharmacists can provide the insight and knowledge about drugs to monitor how the patients respond to therapy. What am I getting at? Pharmacists play an important role in patient treatment, just as physicians, nurses, and all other health professions do.

"The primary care physician shortage is acute and growing," Schommer continued. "Nursing and pharmacy are being called upon to take a lot of the load that physicians once carried. Physician groups are saying this is a good time to let go and focus on what they do best, which is diagnose and treat. When it comes to nonmedical care, nursing is very well positioned to take on the load. When it comes to medication therapy management, you think of us [pharmacists] as the best-trained experts."

In the end, it doesn't matter if the physician makes the perfect diagnosis if the patient doesn't get the right medication, or the physician also writes the prescription but the patient doesn't even believe the medication works. Each person in the health care team is specialized in a certain aspect of patient care, and because there are some overlaps, the team can make the best decisions about the treatment that a patient receives.

As a specific example, consider the roles in a hospital. Everyone knows that doctors go on rounds to check up on patients in their sick beds. Everyone knows that nurses take over caring for the patient after the doctors do their rounds. But, what do pharmacists do in a hospital? I may not know everything that the pharmacist does, but ever wonder where the medications that nurses give come from? Where do the IV bags that nurses infuse come from? Where do the emergency medications come from? Who checks that these supplies are always available? Who prepares everything so that nurses and physicians don't need to look for them? Who knows all the medications that the patients are on and how they interact? Who monitors that the medication is actually given to and taken by the patient?

It's true pharmacists are still mainly in dispensing and distribution, but it's changing. Pharmacy is a profession, and I'm proud to be going into part of the health care team.

I think I'm more suited for the hospital than the community because I'm feeling more strongly about being in the hospital setting right now. This rotation is really getting to me. I want to see more. I want to know more. I want to experience more.

Friday, March 4, 2011

XCVII : Treats

It must be nice to have a job, to be able to say, "I can pay for you" to someone. Or rather, to be able to say, "I want to pay for you."

It must be nice to have that comfort, to know that you have that capability to do something for someone, and not jeopardize your own future.

It must be nice to know most certainly that there's a specific something you want to do, even if you are still interested in so much more. That way, you can pursue it without worries about going in the wrong direction and still branch out in other appealing areas.

It must be nice to have something about yourself that people rely on and think of you when they need it most. More importantly maybe, it must be nice to actually know what that unique trait is and see it for yourself as true.

It must be nice to have these special treats to share with others.