F. Institutional APPE Rotation

1. DESCRIPTION

The Institutional Professional Experience Rotation course comprises a four credit hour course, intended to be taken as part of the Pharmacy Practice series. A variety of public and private hospitals within and outside the state of Oklahoma are utilized as teaching/practice sites. During this rotation, the student will be assigned to one of these institutions. The course is designed to expose the pharmacy student to the practical aspects of working in an institutional pharmacy, the organization of a pharmacy department, and the required support services necessary for a progressive institution. The student will participate in functions of the inpatient pharmacy, pharmacy administration, quality control, and/or clinical services.

A significant portion of this course uses practical experience. During the rotation, each student will be placed under the supervision of an approved preceptor who is selected by the director of pharmacy. Depending on the size of the institution, the rotation may involve rotating with a number of preceptors. The student will devote a minimum of 40 hours per week practicing as an intern, always under the supervision and direction of a preceptor. The student will be involved in the routine activities with the pharmacy as well as special projects assigned by the preceptor.

In addition to reporting to an assigned preceptor, each student will also report to a designated SWOSU Pharmacy Practice Experiential faculty member. During the rotation, various reading assignments and projects will be required by the faculty member. Completed projects will be submitted to the appropriate faculty member. The faculty member will visit with each student to discuss and provide feedback for assignments and projects. Assignments and projects are separate from the institutional preceptor’s assignments.

2. DAILY ACTIVITIES

Each student will be required to participate in various activities within the site to which they are assigned. Activities will vary from site to site depending on the services the institution offers.

3. OBJECTIVES

The preceptor(s) and student(s) will work together to meet rotation objectives by setting goals, guiding activities, performing assessments, and conducting self-reflections.

1. Foundational Knowledge and Skills
   1. Demonstrate appropriate depth and breadth of pharmacotherapeutics and disease-related knowledge for making decision or recommendations
   2. Effectively prioritize responsibilities and workload
   3. Interpret drug literature and other resources to formulate an appropriate response to drug information requests
   4. Accurately perform pharmacy calculations that pertain to oral, IV, and compounded medications
   5. Apply pharmacokinetic dosing principles
2. Direct Patient Care
   1. Perform drug utilization reviews to determine the presence of the following:
      1. Therapeutic duplication, drug-disease contraindications, drug-drug interactions, incorrect dosage, incorrect duration of therapy, drug-allergy interactions, suboptimal utilization
      2. Demonstrate effective verbal and/or written communication
      3. Provide patient care through the application of the Pharmacist Patient Care Process as it applies to the institutional rotation setting
      4. Identify opportunities for health promotion and/or counseling on wellness behaviors
      5. Provide patient education in a well-organized and patient specific manner.
      6. Develop, document, and monitor therapeutic plans that accommodate patients’ psychosocial, behavioral, socioeconomic, religious, moral, and cultural factors
3. Interprofessional Collaboration
   1. Identify roles and responsibilities of healthcare team members
   2. Effectively communicate and collaborate with members of an interprofessional healthcare team to advocate for pharmacy-related patient care needs
   3. Describe the role of pharmacy-related hospital committees and/or attend meetings involving such committees
4. Practice/Systems Management
   1. Describe the function, use, and potential benefits and errors associated with medication use systems
   2. Describe the appropriate roles of technicians, interns, and pharmacists, understanding the importance of personnel management.
   3. Identify the organizational structure and general management policies of the site
   4. Describe how safety, licensing, and accreditation organization strive to ensure quality of healthcare
   5. Apply pharmacy laws and regulations to practice
   6. Comprehend and utilize the pharmacy or institution’s formulary policy, understanding the formulary development process
      1. Describe the processes related to financial decision-making in the pharmacy or institution, including inventory control and insurance reimbursement
      2. Describe pharmacoeconomic factors that impact safety and provision of patient care
      3. Describe the appropriate preparation and use of non-sterile, sterile, and hazardous medications, including injectable preparations
      4. Accurately, safely, and efficiently process and dispense medication orders utilizing onsite technology
      5. Participate in medication safety and quality assurance processes
      6. Apply evidence-based guidelines in patient-specific and population-based care
      7. Identify, prevent, and/or resolve medication-related problems
      8. Act as a patient advocate
5. Professionalism and Accountability
   1. Demonstrate ability to engage in self-assessment and self-directed learning
   2. Demonstrate an ability to work on a team with others, including preceptor, staff health care professionals, and other students
   3. Explore innovative approaches to improve quality or overcome barriers in the practice pf pharmacy
   4. Demonstrate professionalism as it relates to appearance, timeliness, initiative, responsibility, judgment, and insight

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4. REQUIRED ASSESSMENTS

Students will have the opportunity to demonstrate progress and will be evaluated by the preceptor via the APPE Midpoint and Final Evaluation tool.

During the rotation, completion of various reading assignments, projects, and a final examination will be required. Each of these must be completed by the date set by the preceptor and/or the SWOSU Pharmacy Practice Experiential faculty member. Assigned activities may require time outside the rotation. Students should consult their preceptor and faculty member to inform them of planned projects before beginning any assignment. If you have any questions regarding the projects, contact the preceptor or faculty member. Additional assignments may be assigned by the preceptor or faculty member.

5. GRADING AND EXAMINATION

The final grade will be assigned based on the evaluations in the following areas:

Projects = 20 points
Final Examination = 30 points
Preceptor Evaluation = 50 points
Total Points Possible = 100 points

The following scale will normally be used in evaluation all areas of performance in the Institutional Professional Experience rotation.

A = 93 or above
B = 86 – 92
C = 75 – 85
D = 70 – 74
F = 69 or below