Patient Management project ideas

[ZakMeister]

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So I am on my APPE at an independent, who mostly dispense psych meds and nurses either have them delivered or they pick up. So I can't think of a possible project that has to do with direct patient contact, like counseling or similar. I wanted to go on home visits, but my preceptor wouldn't allow that. Any suggestions as to what type of patient management project I can do? Thanks!


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[pharmdit]

That's tough since you can't educate patients and compliance is probably decent since they have visiting nurses. I would pick a specific psych drug and learn the dosing and kinetics real well, and evaluate their current patients on those medications. When I had a psych hospital rotation, I picked gabapentin and did a case presentation focusing on a particular patient that had weird dosing. A couple physicians came by for the presentation and they were intrigued. At the time, every single patient except one came in on ridiculous doses of gabapentin, and that lone patient asked to be prescribed it. That'll give you a lot to work on.


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[ZakMeister]

That's tough since you can't educate patients and compliance is probably decent since they have visiting nurses. I would pick a specific psych drug and learn the dosing and kinetics real well, and evaluate their current patients on those medications. When I had a psych hospital rotation, I picked gabapentin and did a case presentation focusing on a particular patient that had weird dosing. A couple physicians came by for the presentation and they were intrigued. At the time, every single patient except one came in on ridiculous doses of gabapentin, and that lone patient asked to be prescribed it. That'll give you a lot to work on.


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At least yours was at a hospital. My rotation is at a pharmacy, don't know how beneficial the pharmacokinetic info will be to the nurses


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[pharmdit]

At least yours was at a hospital. My rotation is at a pharmacy, don't know how beneficial the pharmacokinetic info will be to the nurses


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Even if the information isn't directly useful for the nurses (it's a discussion to be had with the prescriber), it's helpful for you which is the purpose of the rotation. It shows that you know how to research information related to drugs and translate it to clinically useful information.


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[NateRobinson]

Dude, just make some stupid **** up and make your preceptor happy. This is such progressive bull****. Pharmacy academia knows no bounds to their stupidity.

It's even worse that you're doing an APPE at a RETAIL INDEPENDANT and you're doing this. Newsflash; you will never, ever, ever, EVER do something like this in the real world. EVER. And pharmacy school and rotations is supposed to prepare you for real life, right? Ha! Rotations is the 2nd biggest scam in pharmacy history. Residency is the first.

6 years in pharmacy school to ultimately dispense and make recommendations. Hey, if you do another 2 years of residency, now you *MIGHT* be able to prescribe warfarin to some patients if the doctor gives you a standing order at the coumadin clinic!!!! Oh wait, Eliquis, Pradaxa and Xarelto came out now? Goodbye coumadin clinic!

I hate residency and hospital pharmacy with a passion. Dispensing hospital pharmacy is fine, because that is our job. But just thinking of these acute care, internal ambulatory rotation sites and bringing back those horrible memories pisses me off so much. How much of my life was wasted, how much space in my brain was dedicated and filled with garbage that I KNEW I would never ever use after that rotation site?

This is precisely why I barely studied for all of the non-retail stuff, passed with a "C", bull****ted all of my rotation site projects to the point where the professors knew I was trolling them, but they had no choice but to pass me.

I dedicated my time in pharmacy school to working retail, developing good relationships with my district manager, region manager, etc, and it is why I got promoted to Pharmacy Supervisor about 5 years after graduating. I'll take this job ANYDAY over residency, thank you very much.

So, yes, OP, TLDR= bull**** the god damn presentation, go enjoy life. Go play 2K17, have sex with some chicks (or guys) and enjoy the nice autumn air. Stop stressing over this.

Edit: Can't wait to grab my popcorn and soda and just wait for the comments to start trickling in from you losers who did residency, (basically spent 8 years in PHARMACY SCHOOL when you could have just become a doctor- which is what you clearly want to be since you don't want to be a dispenser). I'll be waiting!

 

[ldiot]

Dude, just make some stupid **** up and make your preceptor happy. This is such progressive bull****. Pharmacy academia knows no bounds to their stupidity.

It's even worse that you're doing an APPE at a RETAIL INDEPENDANT and you're doing this. Newsflash; you will never, ever, ever, EVER do something like this in the real world. EVER. And pharmacy school and rotations is supposed to prepare you for real life, right? Ha! Rotations is the 2nd biggest scam in pharmacy history. Residency is the first.

6 years in pharmacy school to ultimately dispense and make recommendations. Hey, if you do another 2 years of residency, now you *MIGHT* be able to prescribe warfarin to some patients if the doctor gives you a standing order at the coumadin clinic!!!! Oh wait, Eliquis, Pradaxa and Xarelto came out now? Goodbye coumadin clinic!

I hate residency and hospital pharmacy with a passion. Dispensing hospital pharmacy is fine, because that is our job. But just thinking of these acute care, internal ambulatory rotation sites and bringing back those horrible memories pisses me off so much. How much of my life was wasted, how much space in my brain was dedicated and filled with garbage that I KNEW I would never ever use after that rotation site?

This is precisely why I barely studied for all of the non-retail stuff, passed with a "C", bull****ted all of my rotation site projects to the point where the professors knew I was trolling them, but they had no choice but to pass me.

I dedicated my time in pharmacy school to working retail, developing good relationships with my district manager, region manager, etc, and it is why I got promoted to Pharmacy Supervisor about 5 years after graduating. I'll take this job ANYDAY over residency, thank you very much.

So, yes, OP, TLDR= bull**** the god damn presentation, go enjoy life. Go play 2K17, have sex with some chicks (or guys) and enjoy the nice autumn air. Stop stressing over this.

Edit: Can't wait to grab my popcorn and soda and just wait for the comments to start trickling in from you losers who did residency, (basically spent 8 years in PHARMACY SCHOOL when you could have just become a doctor- which is what you clearly want to be since you don't want to be a dispenser). I'll be waiting!

My professor did 2 years of residency just so he can manage antibiotic doses, he thinks he's a ****ing ID doc too. Even if he knows as much as an ID doc why not just become one in the first place? It makes no sense to me.

 

[lord999]

Constructive suggestion: why don't you find patients who are multiple antidepressants or antipsychotics, look up the current practice guidelines, and counsel the patients on when to time their doses (and some, you really don't want them to take it at the same time, figure that out). This is rather simple, but it's still useful.

 

[ZakMeister]

Constructive suggestion: why don't you find patients who are multiple antidepressants or antipsychotics, look up the current practice guidelines, and counsel the patients on when to time their doses (and some, you really don't want them to take it at the same time, figure that out). This is rather simple, but it's still useful.

This sounds fun, unfortunately I can't interact with patients as they are home deliveries. Gotta talk to the VNAs


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[lord999]

Constructive Suggestion 2: Construct a quick in-service (5 minutes at most) about some side effects of these meds as a refresher, and give the VNAs a list of patients that they serve to look at with the talk. Write it up as a systems-based approach to patient care.