2021 Hospital Practice Seminar - CORE

• Review new agents and the resistance mechanisms they overcome
• Discuss use of micro tools used to detect and diagnose multi-drug resistant organisms

• Review the pathophysiology and diagnosis of pulmonary arterial hypertension (PAH)
• Identify targeted therapeutic options for PAH, understand their side effects, and recommend pathways for safe use
• Define treatment goals and develop drug regimens for the management of PAH based on current guidelines

• Review new agent and treatments for COVID-19
• Review the history of treatment and agent development through the pandemic
• Discuss new agent guidelines, best practices, safety review in hospital settings

• Describe ventilation basics and patient goals.
• Analyze the differences in managing the patients with COVID-19 versus pneumonia versus non-infectious sources.
• Illustrate the lessons learned in medication management of new disease state.

• Describe the challenges faced in a hospital pharmacy during a pandemic- including staffing, fears, supplies, and medications.
• Illustrate the urgency of protocol development and frequency of changes to treatment approaches during a pandemic
• Evaluate the lessons learned, technology utilized, and flexibility of managing a hospital pharmacy during a pandemic that will mold the future of hospital pharmacy.

Disclosure: Dr. Cavanaugh has no relevant financial relationship(s), potential or perceived, with commercial or conflicts of interest to disclose.

• Review of clinical trials and demonstrated safety and efficacy research of a variety of novel heart failure medications
• Review new agents in the treatment of HFrEF

• Define the reversal medications available
• Categorize the reversal agents that are needed immediately versus when available
• Describe the analysis of hospitals and hospital systems in preparing for the unexpected

• Cite recent changes in pharmacy law and rule and their impact on daily hospital pharmacy practice
• Discuss impact of the COVID-19 pandemic on pharmacy practice rules and procedures

• Review current status of COVID-19 Immunizations.
• Discuss the characteristics of the U.S. COVID-19 vaccines
• Identify the key clinical considerations when administering COVIC-19

• Discuss preceptor pearls learned through the pandemic
• Review approached specific with IPPE and APPE students
• Discuss advantages and disadvantages of using virtual technologies in residency recruitment, staff meetings, teaching and precpting, etc

• Compare and contrast master formulation records (MFR) and compounding records Examine example master formulation record (compounding recipe)
• Evaluate a MFR (compounding recipe) selected by participant
• Debate "hot potato" topics including garbing order, removing overfill from IV bags, following which version of USP <797>, et al.

Dr. Holli Temple is a Clinical Assistant Professor in the Health Outcomes & Pharmacy Practice Division. She is a Course Coordinator for Introduction to Patient Care and the associated Care and Respect for the Elderly (CARE) Program. Additionally, she is the Inpatient Coordinator for Advanced Health Outcomes & Pharmacy Practice Experiences, Austin/Temple/Waco region.  Previously, Dr. Temple practiced pharmacy at North Austin Medical Center (NAMC) from 1995 – 2011.  Her responsibilities at NAMC focused on implementing and managing Clinical Pharmacy Services. In addition, she facilitated the Medication Safety Group and served as the NAMC representative to the Austin Multi-Institutional Review Board.   From 2000-2011, Dr. Temple precepted students on Adult Medicine and Institutional Pharmacy rotations and served the UT College of Pharmacy as the Institutional Coordinator for the Austin/Temple/Waco region. She has contributed to ASHP’s PharmPrep publication as an author and continues to be a section editor for the Renal Disorders chapter.  Academically, Holli completed her B.S. in Biomedical Science from Texas A&M University in 1992, her B.S. in Pharmacy from the University of Texas in 1994, and her Doctor of Pharmacy from the University of Texas in 1999. Dr. Temple has received the following honors and awards associated with her pharmacy practice: recipient of the 2004 Caregiver of the Year award from North Austin Medical Center, named to the 2003 Rho Chi Alumni Honor Roll, and recipient of the 2002 Wm. Arlyn Kloesel Outstanding Preceptor Award.

Disclosure: Dr. Temple has no relevant financial relationship(s), potential or perceived, with commercial or conflicts of interest to disclose.

• Explain the need and methods of site-specific IV training at onboarding.
• List the TSBP-required onboarding competency assessments.

Emory is a native of Houston, Texas and married Carolyn Reed of Rexburg, Idaho after he completed two years of voluntary missionary service in Japan.  They have five children and 16 grandchildren. Emory graduated with a PharmD degree from UC San Francisco in 1984.  In his first month of hospital clinical rotations as a pharmacy student, he set a career path toward hospital pharmacy and student precepting. He completed two years of clinical residency training at University of Michigan Hospitals, Ann Arbor.  In 1986, he joined the clinical pharmacy faculty at The University of Texas College of Pharmacy precepting adult medicine rotations.  In 1990 he transitioned to part-time UT faculty status as he practiced hospital pharmacy in Austin, Round Rock, and Temple serving as a clinical pharmacy coordinator, hospital pharmacy director, and multi-hospital system pharmacy administrator.  He continued to precept hospital pharmacy, adult medicine, infectious disease, and pharmacy administration APPE rotations, as well as IPPE rotations with students through 2017 – for a total of thirty years of student precepting.  For eight years he served as hospital pharmacy residency program director. Emory has held a visiting professor appointment with Toho University Faculty of Pharmaceutical Sciences, in Chiba, Japan for 12 years. He served on the Board of Directors of the Texas Society of Health System Pharmacists for 10 years, including serving one term as President.

Disclosure:  Dr Martin has no relevant financial relationship(s) with commercial interests or conflicts of interest to disclose.

• List key components for compounding formula documents.
• List some advantages and challenges of electronic systems for IV Workflow Management and documentation for required USP <797>-related tasks

• Recognize the general types of written compounding formulas.
• List some advantages of electronic technology for IV Workflow Management and documentation of routine tasks required by USP <797>.

Emory is a native of Houston, Texas and married Carolyn Reed of Rexburg, Idaho after he completed two years of voluntary missionary service in Japan.  They have five children and 16 grandchildren. Emory graduated with a PharmD degree from UC San Francisco in 1984.  In his first month of hospital clinical rotations as a pharmacy student, he set a career path toward hospital pharmacy and student precepting. He completed two years of clinical residency training at University of Michigan Hospitals, Ann Arbor.  In 1986, he joined the clinical pharmacy faculty at The University of Texas College of Pharmacy precepting adult medicine rotations.  In 1990 he transitioned to part-time UT faculty status as he practiced hospital pharmacy in Austin, Round Rock, and Temple serving as a clinical pharmacy coordinator, hospital pharmacy director, and multi-hospital system pharmacy administrator.  He continued to precept hospital pharmacy, adult medicine, infectious disease, and pharmacy administration APPE rotations, as well as IPPE rotations with students through 2017 – for a total of thirty years of student precepting.  For eight years he served as hospital pharmacy residency program director. Emory has held a visiting professor appointment with Toho University Faculty of Pharmaceutical Sciences, in Chiba, Japan for 12 years. He served on the Board of Directors of the Texas Society of Health System Pharmacists for 10 years, including serving one term as President.

Disclosure:  Dr Martin has no relevant financial relationship(s) with commercial interests or conflicts of interest to disclose.

• Describe the components of TSBP’s required viable environmental sampling program.

Emory is a native of Houston, Texas and married Carolyn Reed of Rexburg, Idaho after he completed two years of voluntary missionary service in Japan.  They have five children and 16 grandchildren. Emory graduated with a PharmD degree from UC San Francisco in 1984.  In his first month of hospital clinical rotations as a pharmacy student, he set a career path toward hospital pharmacy and student precepting. He completed two years of clinical residency training at University of Michigan Hospitals, Ann Arbor.  In 1986, he joined the clinical pharmacy faculty at The University of Texas College of Pharmacy precepting adult medicine rotations.  In 1990 he transitioned to part-time UT faculty status as he practiced hospital pharmacy in Austin, Round Rock, and Temple serving as a clinical pharmacy coordinator, hospital pharmacy director, and multi-hospital system pharmacy administrator.  He continued to precept hospital pharmacy, adult medicine, infectious disease, and pharmacy administration APPE rotations, as well as IPPE rotations with students through 2017 – for a total of thirty years of student precepting.  For eight years he served as hospital pharmacy residency program director. Emory has held a visiting professor appointment with Toho University Faculty of Pharmaceutical Sciences, in Chiba, Japan for 12 years. He served on the Board of Directors of the Texas Society of Health System Pharmacists for 10 years, including serving one term as President.

Disclosure:  Dr Martin has no relevant financial relationship(s) with commercial interests or conflicts of interest to disclose.