APPE Reflection- Surgery

Wow. I’m finally done with my APPE rotations. All that stands between me and my PharmD is a 1-month NAPLEX review course. This rotation was a really good experience. I feel like I learned a lot and was able to help improve patient outcomes.

You might be wondering what in the world a pharmacist or pharmacy student would be doing during a surgery rotation, so let me give you a little insight into what I was doing.

My preceptor and I sat on the surgical floor (near the nurses) and worked through our patients. We dealt with any pre or post-op medication issues or issues relating to a patient’s home medications. We made sure the patients got their antibiotics on time and didn’t get them if they were not needed. We also worked directly with the nursing staff to make sure the patient’s pain was well controlled. The main reason we sit with the nurses and not down in the main pharmacy is so that we can hear everything that goes on and can act fast when something happens.

Every day this month, I looked at about 7-10 patients, went through their medical chart, and completed a whole workup on them. A “whole workup” includes their background, the reason that they were in the hospital, any pertinent lab values, drug allergies, home medication list, current inpatient medication list, etc.

Along with working the patient up, I went to speak with them after their surgeries to make sure that their medication list that we have was correct (i.e. a medication reconciliation) or ask them any questions that we had about their medications.

I also spent a lot of time talking to the nursing staff and the providers to try and get antibiotics corrected or stopped on time or change doses of a patient’s medications.

Overall, this month I have become more confident making recommendations to the providers and talking to patients. I was able to get patients sent home on appropriate antibiotics and stop antibiotics when they were no longer necessary. I feel like I was truly able to make an impact on the care of the patients that I interacted with.

Over the course of the month, I also had 4 topic discussions with my preceptor (Post-operative Nausea and Vomiting, TPN management, Appendicitis, and Septic Joint Infections) and a presentation to the pharmacy staff on Post-Operative Ileus Prevention and Management.

Of course I also helped in several COVID vaccine clinics as well.

I cannot believe that it has already been a year since I started this journey.

I cannot believe that I’m almost a pharmacist. If you know me, you know that I’ve wanted this for as long as I can remember and now its ~6 weeks away (well.. I guess a few months until I’m licensed to practice).

I hope you’ve enjoyed walking through this journey with me.

I’ll keep you all updated on my post-graduate plans, and I’ll continue to blog as a practicing pharmacist.

Once I pass the board exams, be on the lookout for a blog post on helpful study tips!

Stay Golden,

Emily

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