Monday, April 1, 2013

Pharmacy 3-25-13 & 3-27-13

Learning Report:

What were your responsibilities this week?
I worked with an pharmacy intern on the first day and then with a pharmacist on the second day. The intern gave me an informative tour of the pharmacy. Later, he let me do his job by typing in prescriptions and refills on the computer. While I typed in the refills, he printed the orders and labeled the drug with a label. Then he placed the drug onto a cart to distribute to the other departments.
What new knowledge or skill did you learn this week?
I learned how to refill prescriptions and drugs by using the program called Autophon. While typing in the drug name, I also became familiar with some of drug names like Lidocaine, Ibuprofen, Misoprostol, Naloxone, etc. I also talked with a pharmacist and learned that they keep track of every narcotic in the hospital.
What was the best thing that happened at the unpaid work-based learning site this week?
 I worked with very kind and informative employees. The pharmacist I worked with explained her duties, medications of patients, and how she did her job. The best part was typing prescriptions onto the computer. Although the task was fairly simple and time consuming, I liked doing a something a pharmacy intern would do.
What was the worst thing that happened at the unpaid work-based learning site this week?
Nothing bad happened at the pharmacy today. The first day was fairly slow, but I learned a lot about the careers and functions of the pharmacy.

This week was: Fair
The pharmacy had really sweet employees and they like to joke around sometimes. I could tell they enjoyed having students there because they explained every aspect of the pharmacy and what they did.

Experience Record:

Technology Observed: Freezers- temperature kept at 10°C to 25°C, keeps drugs like Penicillin, also tells you how effective a drug is after a number of days. Novolog Refrigerators- keeps insulin and antibiotics. Pyxsis Carousel with autoPharm- Auto packager that moves around like a carousel, packs individual drugs/ prescriptions into packages.These packages include information like generic names and the strength of the drug. Documax Printer, Meditech- used by pharmacists to track and view narcotics to patients. McKessa Connect,
Diagnostic Procedures Observed: Although I did not see any procedures being done physically, I did read some patient profiles while working with the pharmacist. One man had an infection in his stomach and had to have numerous drugs put inside him to see any reaction. Other tests included urine samples and blood tests.
Therapeutic Procedures: Some patient profiles I saw were being given a variety of drugs to help alleviate pain, infection,or sickness. Some drugs I noticed on the pharmacist's computer screen were Naloxone, Misoprostol, Lidocaine, morphine, and others.
Diseases/disorders observed: One patient the pharmacist had explained to me was a man who was over 900 lbs. He suffered from an infection underneath the large lard folds of his skin. This was caused by the constant rubbing of skin and gave him ulcers. He had a high blood pressure and cholesterol, but surprisingly, the patient claimed he did not have diabetes. He was also lethargic and had major depression. 
Another patient I read about was a 21 year old female who was a dwarf. She had suffered from major respiratory problems ever since she was 3. For this reason, she was constantly kept on a ventilator and had a difficult life.
Medical Terminology: A notable word I heard the pharmacist use was enterococcus, and this a lactic aid bacteria. This was the type of bacteria that was coming out of the infected wound of the 900 lb patient.


Enterococci bacteria
 
Experience Journal:


    When I first entered the Pharmacy, an Intern gave me an informative tour about the area. He showed me the crash cart, where drugs and supplies were stored in trays in a huge, red cart. This cart is used for emergencies in the hospital. I visited the compartment room which has prescription drugs, oral syringes, and bar codes. Then he showed me the IV Room, where drugs like morphine are stored. To enter this particular area, the employee must be free of make-up and wear PPE. It is imperative that the room be germ-free, so I saw technology like a Vertical and Horizontal Hood. These hoods are big black filters that help maintain the air quality in the room.  In the pharmacy, there are 10 pharmacists that work at different times, pharmacy interns, and pharmacy technicians. The pharmacist I talked to explained that her job was to keep track of every narcotic given to patients. 
     The pharmacy was not as busy as I expected it to be. Nevertheless, the employees still worked hard. Overall, the employees used both informal and formal language when speaking to each other. Some even talked about their personal life and commented on patients' medical profiles. It is evident that the employees work collaboratively to provide the right drugs to the right patient and to deliver them in a timely fashion. Some safety procedures I noticed is when a pharmacy employee made sure to wear PPE before entering the IV Room. This is to prevent any contamination of drugs when she is mixing substances.
    I learned a lot when I did a pharmacy intern's job of typing prescription names and adding them onto a huge list on the computer. This list would be used by the intern to pack the drugs from the Pyxsis Carousel onto the drug cart. A word that I learned was 'enterococcus', which refers to a lactic acid bacteria. This is the bacteria that is located in your stomach. 
    Overall, my experience was enjoyable and I learned a lot. Professionally, this will benefit me because now I am aware of how Pharmacy employees work and what they do. I found it interesting to have actually done an intern's job. Educationally, this will help me if I choose to go into Pharmacy-related career in my life. And personally, I learned a lot on how every narcotic must be tracked and be sent to patients at the right time. Moreover, I was also surprised at the large amount of drugs and narcotics that existed.

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