scholarly journals Value of Pharmacy Students Performing Population Management Activity Interventions as an Advanced Pharmacy Practice Experience

2019 ◽  
Vol 83 (5) ◽  
pp. 6759 ◽  
Author(s):  
Elizabeth C. Cannon ◽  
Emily B. Zadvorny ◽  
Sarah D. Sutton ◽  
Sheila L. Stadler ◽  
Leslie K. Ruppe ◽  
...  
Keyword(s):  
Pharmacy Practice ◽  
Population Management ◽  
Pharmacy Students ◽  
Management Activity ◽  
Practice Experience

Prevalence of Cognitive Impairment Among Elderly Patients Upon Hospital Admission Using Mini-Cog™ Assessments Performed by Advanced Pharmacy Practice Experience Students

2018 ◽  
Vol 33 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Nghi (Andy) Bui ◽  
Mobolaji Adeola ◽  
Rejena Azad ◽  
Joshua T. Swan ◽  
Kathryn S. Agarwal ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Hospital Admission ◽  
Patient Outcomes ◽  
Hospital Readmission ◽  
Hospital Readmissions ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Day Hospital ◽  
Practice Experience

Background: Older adults with cognitive impairment may have difficulty understanding and complying with medical or medication instructions provided during hospitalization which may adversely impact patient outcomes. Objective: To evaluate the prevalence of cognitive impairment among patients aged 65 years and older within 24 hours of hospital admission using Mini-Cog™ assessments performed by advanced pharmacy practice experience (APPE) students. Methods: Students on APPE rotations were trained to perform Mini-Cog™ assessments during routine medication education sessions from February 2017 to April 2017. The primary end point was the prevalence of cognitive impairment indicated by a Mini-Cog™ score of ≤3. Secondary end points were the average number of observed Mini-Cog™ practice assessments required for APPE students to meet competency requirements, caregiver identification, and 30-day hospital readmissions. Results: Twelve APPE students completed the training program after an average of 4.4 (standard deviation [SD] = 1.0) graded Mini-Cog™ assessments. Of the 1159 admissions screened, 273 were included in the analysis. The prevalence of cognitive impairment was 55% (n = 149, 95% confidence interval [CI]: 48%-61%). A caregiver was identified for 41% (n = 113, 95% CI: 35%-47%) of patients, and 79 patients had a caregiver present at bedside during the visit. Hospital readmission within 30 days of discharge was 15% (n = 41, 95% CI: 11%-20%). Conclusion: Cognitive impairment could substantially impair a patient’s ability to comprehend education provided during hospitalization. Pharmacy students can feasibly perform Mini-Cog™ assessments to evaluate cognitive function, thereby allowing them to tailor education content and involve caregivers when necessary.

Discrepancies Identified Through a Telephone-Based, Student-Led Initiative for Medication Reconciliation in Ambulatory Psychiatry

2017 ◽  
Vol 31 (3) ◽  
pp. 304-311 ◽  
Author(s):  
Marie E. Albano ◽  
Jolene R. Bostwick ◽  
Kristen M. Ward ◽  
Thomas Fluent ◽  
Hae Mi Choe
Keyword(s):  
Retrospective Analysis ◽  
Medication Reconciliation ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Prescription Medications ◽  
Medication Discrepancies ◽  
Team Members ◽  
Practice Experience ◽  
Call Schedule ◽  
Clinically Significant

Purpose: To identify the number of medication discrepancies following establishment of a telephone-based, introductory pharmacy practice experience student-driven, medication reconciliation service for new patients in an ambulatory psychiatry clinic. Secondarily, to identify factors impacting medication discrepancies to better target medication profiles to reconcile and to evaluate whether the implementation of a call schedule effected clinic no-show rates. Methods: This was a retrospective analysis of a telephone-based medication reconciliation service from June 2014 to January 2016. Results: At least 1 medication discrepancy was identified among 84.7% of medication profiles (N = 438), with a total of 1416 medication discrepancies reconciled (3.2 discrepancies per patient). Of the 1416 discrepancies, 38.6% were deletions, 38.9% were additions, and 22.5% were changes in dosage strength or frequency. Discrepancies pertaining to prescription medications totaled 57.8%. Student pharmacists were critical team members in the service. Patient’s age, number of medications on the patient’s list, and number of days since the last medication reconciliation were not clinically significant determinants for targeting medication profiles. There was a statistically significant reduction in the clinic no-show rates following implementation of a call schedule compared with no-show rates prior to call schedule implementation. Conclusion: This student pharmacist–led telephone medication reconciliation service demonstrated the importance of medication reconciliation in ambulatory psychiatry by identifying numerous discrepancies within this population. Further, we demonstrated pharmacy students across various levels of education can assist in this process under the supervision of a pharmacist.

Prevalence and Impact of Pharmacy Students as Patient Care Extenders in Medically Underserved Community Pharmacies

2019 ◽  
pp. 089719001988106
Author(s):  
Nicole White ◽  
Kimberly Galt ◽  
John E. Ridgway ◽  
Maryann Z. Skrabal ◽  
Rhonda Jones ◽  
...  
Keyword(s):  
Patient Care ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Medically Underserved ◽  
Care Needs ◽  
Student Placement ◽  
Care Services ◽  
Practice Experience ◽  
Underserved Community ◽  
Care Activity

Objective: The objective of this study is to evaluate the prevalence and describe the patient care impact of student pharmacists completing community pharmacy rotations in medically underserved areas (MUAs) in Nebraska. Methods: A list of pharmacy student advanced pharmacy practice experience placements over a 3-year period were obtained from 2 pharmacy schools in Nebraska and then mapped in relation to MUAs in the state. A mixed-methods approach was used to compare and relate findings of a student-logged patient care activity database and semistructured interviews with pharmacy preceptors of participating students. Results: Pharmacy students were placed in 21 (13%) of 159 identified pharmacies located in MUAs. Pharmacy preceptors felt students improved the quality of patient care provided as a result of more uninterrupted time with the patient. Preceptors also indicated that student presence assists both the student and the practicing pharmacist engage in more patient care services. Conclusion: There exists a significant opportunity to utilize advanced pharmacy practice students to extend patient care services and address health-care needs in underserved communities, but student placement in MUAs should be optimized.

scholarly journals Creation of a Pharmacy Student Longitudinal Rotation to Expand the Scope of an Antimicrobial Stewardship Program

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 135
Author(s):  
Tiffany Ward ◽  
Jaela Fredenrich
Keyword(s):  
Antimicrobial Stewardship ◽  
Skin Testing ◽  
Pharmacy Practice ◽  
Pharmacy Education ◽  
Pharmacy Students ◽  
Scope Of Practice ◽  
Antimicrobial Stewardship Program ◽  
Education Standards ◽  
Practice Experience ◽  
Stewardship Program

Allergy assessments and penicillin skin testing have emerged as a vital intervention for Antimicrobial Stewardship Programs (ASPs). Investment and involvement in such programs by ASPs, however, are often limited due to resources, time, and personnel constraints. Harnessing an underutilized resource, 4th-year advanced pharmacy practice experience (APPE) students, allows for expanded ASP involvement and scope of practice. We aim to outline and provide insight on how 4th-year APPE students serve as an asset to an ASP. Through our novel longitudinal rotation experience, APPE students complete penicillin allergy assessments, patient education, and work alongside a clinical pharmacist to refer patients for penicillin skin testing if appropriate. Students also achieve many of the education standards required by the Accreditation Counsel for Pharmacy Education (ACPE) for graduation within the Doctor of Pharmacy degree while developing a strong foundation in antimicrobial stewardship and gaining invaluable knowledge for their future. The addition of APPE pharmacy students to our ASP has also enabled our program to achieve its goals and expand involvement and reach within our facility.

scholarly journals Use of a Structured Method of Antimicrobial Stewardship at a City Hospital by Pharmacy Students

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 188
Author(s):  
Kimberly E. Ng ◽  
Nicole Bradley
Keyword(s):  
Student Perceptions ◽  
Antimicrobial Stewardship ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
City Hospital ◽  
Student Knowledge ◽  
Exact Test ◽  
Practice Experience ◽  
Before And After ◽  
Review Form

The objective of this study was to determine the utility of a structured method of antimicrobial stewardship by Advanced Pharmacy Practice Experience students and assess student perceptions of the tool. Pharmacy students on rotation were trained to utilize a structured team antibiotic review form (TARF) as a tool to participate in antimicrobial stewardship. Students completed anonymous evaluations regarding their confidence in performing stewardship after completing their rotation, and preceptors quantified total student interventions. Data analysis was conducted using descriptive statistics. The Fisher’s Exact Test was used to compare students’ confidence before and after using TARFs. Twenty-six students participated in antimicrobial stewardship using TARFs, resulting in 889 interventions. Nearly 96% of students reported that TARFs helped them evaluate patient antibiotics in a way that was easy to follow and that TARFs provided them with an organized and structured way to systematically evaluate antibiotics. All students felt that the TARFs increased their knowledge on how to evaluate antibiotics. Significantly more students were confident in participating in antimicrobial stewardship after using the TARF. TARF use allowed students to substantially contribute to stewardship, and provided them with a structured guide allowing for improved student knowledge and confidence.

A Comparison of the Satisfaction and Evaluation of Hospital Pharmacy Practice Experience between Pharmacy Students and Preceptors

Yakhak Hoeji ◽  
2020 ◽  
Vol 64 (6) ◽  
pp. 475-484
Author(s):  
Young Ah Cho ◽  
Jinkyung Ock ◽  
Sujung Lee ◽  
Seoyoung Jung ◽  
Jiwon Cho ◽  
...  
Keyword(s):  
Hospital Pharmacy ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Practice Experience

Engaging Pharmacy Students, Residents, and Fellows in Antimicrobial Stewardship

2014 ◽  
Vol 28 (6) ◽  
pp. 585-591 ◽  
Author(s):  
Elias B. Chahine ◽  
Rania M. El-Lababidi ◽  
Mariette Sourial
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Health Care Cost ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Practice Experience ◽  
Formally Trained ◽  
The Impact

Antimicrobial stewardship programs are mainly established by infectious diseases physicians and infectious diseases-trained clinical pharmacists with the goal of optimizing patients’ outcomes while halting antimicrobial resistance, decreasing adverse events, and controlling health care cost. The role of the infectious diseases-trained clinical pharmacist in antimicrobial stewardship is well established; however, there are not enough formally trained pharmacists to assume the challenging responsibilities of the steward coordinator. The purpose of this article was to review the available literature and resources and propose a model to engage introductory pharmacy practice experience students, advanced pharmacy practice experience students, postgraduate year (PGY) 1 pharmacy residents, PGY2 infectious diseases pharmacy residents, and PGY2 or PGY3 infectious diseases pharmacy fellows in antimicrobial stewardship. Further studies are needed to assess and document the impact of pharmacy students and postgraduate trainees on antimicrobial stewardship programs.

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