Pharmacy and Pharmaceutical Sciences Commons^™

Implementation Of Order Sets For Opioid Alternatives In Community Hospital Emergency Departments., Jared Netley Pharmd, Mpa, Bcps, Bcccp, William Armstrong Pharmd, Bcps, Sarah Meeks Pharmd

Parkview Pharmacy Department

PURPOSE: The design and implementation of alternatives to opioids (ALTO) order sets for the treatment of acute pain in a community health system's emergency departments are described.

SUMMARY: Healthcare institutions nationwide have incorporated policies and procedures to assist prescribers in the safe and effective management of pain. These adopted approaches may be targeted at mitigating opioid prescribing as well as promoting the optimization of nonopioid analgesics. Institutions that enact innovations and track outcomes may be eligible for reimbursement through the Centers for Medicare and Medicaid Services' Merit-based Incentive Payment System. Emergency departments may monitor implementation progress and outcomes through participation …

Characterization Of Antibiotic Use And Culture Data In Covid-19 Pandemic Patients, Ashley Logan Pharmd, Stacy Clore Pharmd, Bcps, Alissa Keillor Pharmd

Parkview Pharmacy Department

Poster Presentation

2020 ASHP Midyear Clinical Meeting / Virtual / Poster # RP-609

Objective: The objective of this study was to identify the prevalence of bacterial, viral, or fungal coinfections and to describe the empiric antimicrobial regimens in patients with confirmed COVID-19.

Assessing Duration Of Therapy Recommendations Based On Clostridium Difficile Guidelines Within The Parkview Health System, Curtis Stump Pharmd, Trent Towne Pharmd, Bcps, Aubrey Mills Pharmd

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual / Poster

Objective: The objective of this study was to evaluate the appropriateness of first episode CDI treatment (non-severe and severe cases) within the Parkview health system

Evaluation Of Pharmacy To Dose Heparin Protocol In Neurological Conditions, Leslie Siegel Pharmd, Timothy L. Johnston Pharmd, Karen Dunkelberger Bs Pharm, Mshi, Cpps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual / Poster

The objective of this study was to assess the safety and efficacy of the current pharmacy to dose heparin protocol for neurological conditions.

Evaluation Of The Diagnosis And Treatment Of Asymptomatic Bacteriuria At A Community Hospital, Halie Mcmillan, Abby L. Todt Pharmd, Bcps, Sarah Ferrell Pharmd, Jamie Gaul Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual Meeting / Poster #SP-511

Objective: To evaluate the diagnosis and treatment of asymptomatic bacteriuria (ASB) within a community hospital setting.

Evaluation Of Dexmedetomidine Use As An Adjunctive Therapy In The Management Of Alcohol Withdrawal Syndrome, Zsanett Kormanyos Pharmd, Dustin D. Linn Pharmd, Bcps, Bcccp, Jillian Coons Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / New Orleans, Louisiana / Poster # RP-606

The objective of this medication use evaluation (MUE) was to assess the utilization and outcomes associated with dexmedetomidine in the treatment of alcohol withdrawal syndrome

Impact Of Extended Interval Inr Testing During The Covid-19 Pandemic, Jordan Holder Pharmd, Maryam Noureldin Pharmd, Bcps,Bcacp, Priya Verma Pharmd

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting

Objective: To determine if extended INR interval monitoring during the COVID-19 pandemic would significantly impact TTR or be associated with emergency department (ED) visits and hospitalizations with bleeding or clotting events.

An Evaluation Of Vancomycin Use In Patients With Urosepsis, Curtis Stump Pharmd, Shahinda Mohmed, Dustin D Linn Pharmd, Rph, Bcccp

Parkview Pharmacy Department

Poster Presentation

Background and Objective:

Urosepsis is an infection that originates from the urinary tract and accounts for 9% of all sepsis cases. 1 Pathogens commonly associated with urosepsis include E. coli, Proteus spp., Enterobacter spp., Klebsiella spp., and P. aeruginosa, and gram-positive bacteria (5% of cases). Sepsis treatment guidelines do not provide specific recommendations for the management of urosepsis; however, they state to utilize anti-MRSA agents, such as vancomycin, when risk factors for MRSA exist. 2 The prevalence of urosepsis caused by gram-positive organisms has been reported at low rates. The objective of this study is to evaluate how …

Implementation Of A Pediatric Pharmacy Education Program At A Community Regional Medical Center., Chelsea L Ferguson Pharmd, Sarah Ferrell Pharmd, Karen Kovey Pharmd, Joanna Young, Sara Trovinger

Parkview Pharmacy Department

OBJECTIVES: This study aimed to implement a web-based pediatric education program designed for pharmacists who participate in neonatal and pediatric order verification at a community-based health system and to evaluate the success through measuring outcomes related to both comfort and competence of pharmacists in pediatric and neonatal pharmacotherapy.

METHODS: This prospective quality improvement study assessed changes in confidence and competence from before to after education. Eight educational modules were designed to provide education based on the needs of this institution. All pharmacists who participate in neonatal and pediatric order verification were eligible for inclusion throughout the health system. Time in …

An Evaluation Of The Medical Management Received In The Institutional Setting During Cardiac Arrest At A Community Hospital, Danielle Carr, Jillian Coons Pharmd, Bcps, Jamie Gaul Pharmd, Bcps, Sarah Ferrell Pharmd, Abby L. Todt Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual Meeting / Poster # SP-501

Objective: To evaluate the medical management patients receive in the institutional setting during cardiac arrest compared to the 2019 American Heart Association (AHA) advanced cardiac life support (ACLS) treatment algorithms

Appropriateness Of Intravenous Acetaminophen Use In The Emergency Departments Across A Multi-Hospital Community Health System, Allison Clemens Pharmd, Sarah Meeks Pharmd, Bryan Statz Pharmd

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting

The objective of this study was to evaluate adherence to institutional restriction criteria for intravenous acetaminophen use in the emergency departments within a community hospital system.

Evaluation Of Beta-Lactam Allergy Classification And Carbapenem Use In Patients Admitted To The Medical-Surgical Floors Of A Large, Community Hospital, Zachary Brown Pharmd, Dylan Walker, Trent Towne Pharmd, Bcps

Parkview Pharmacy Department

Background and Objective

Background • CDC reports half of patients admitted to the hospital received at least 1 dose of antibiotics from 2006-2012 • Approximately 32 million people in the United States have a documented allergy to a beta-lactam (BL) antibiotic • Approximately 10% of all US patients report having an allergic reaction to a BL in their lifetime • Fewer than 1% has a true IgE (immunoglobulin E) mediated allergy to a BL • Over 80% of those patients with an IgE-mediated allergy lose sensitivity after 10 years • Penicillin-skin testing cost: ~$220 • Per the CDC, carbapenem use …

Evaluation Of A Pharmacy Managed Vancomycin Dosing Protocol For Critically Ill Adult Patients Requiring Continuous Renal Replacement Therapy (Crrt) At A Community Hospital, Ally Fulton, Aubrey Mills Pharmd, Abby L. Todt Pharmd, Bcps, Sarah Ferrell Pharmd, Jamie Gaul Pharmd, Bcps

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting / Virtual Meeting/ Poster

Objective: The purpose of this medication use evaluation (MUE) was to evaluate a pharmacy managed vancomycin dosing protocol for patients on CRRT patients in a community hospital.

A Retrospective Evaluation Of Non-Operative Use Of Push Dose Phenylephrine In Critically Ill Adults, Erin Dark, Dustin D Linn Pharmd, Bcps, Bcccps, Jamie Gaul Pharmd, Bcps, Abby L. Todt Pharmd, Bcps

Parkview Pharmacy Department

Poster Presentation

Objective: To investigate the efficacy, safety and usage patterns of push-dose phenylephrine in non-operative, critically ill patients.

Evaluating The Effects Of Pre-Treatment With Diltiazem Bolus In Acute Atrial Fibrillation, Marwah Dabaja, Tara Jellison Pharmd, Mba, Fashp

Parkview Pharmacy Department

Presented at: American Society of Health-System Pharmacists Midyear Clinical Meeting, Las Vegas, NV. December 2019

Objective: Evaluate the impact of administering a diltiazem bolus for the initial treatment of atrial fibrillation at Parkview Regional Medical Center (PRMC)

Expanded Access (Compassionate Use) For Investigational Drugs Or Biologics, Lukas Gilmore

Parkview Pharmacy Department

A presentation given at the Parkview Cancer Institute (PCI) Oncology Research Committee meeting in October 22, 2019.

Investigational Drug Service Department of Parkview Health

Evaluation Of Prescribing Patterns Of Long-Acting Injectable Antipsychotics Within A Community Health System., Jared Netley Pharmd, Mpa, Bcps, Jamie Gaul Pharmd, Bcps, Chelsea L Ferguson Pharmd

Parkview Pharmacy Department

PURPOSE/BACKGROUND: Long-acting injectable antipsychotics (LAIAs) are used in the management of schizophrenia, bipolar disorder, and related psychiatric conditions. The efficacy of LAIAs has been established in randomized controlled trials; however, usage of LAIAs outside of randomized controlled trials may not correlate to naturalistic prescribing habits. The purpose of this analysis was to evaluate the prescribing patterns of LAIAs within our health system and identify any inconsistencies between medications' published labeling information and clinical practice.

METHODS/PROCEDURES: All patients who received a LAIA at the time of the analysis were included for review. Areas of inconsistency between the prescribed LAIA and each …

Efficacy Of Sodium Polystyrene Sulfonate In Hyperkalemia, Rajandeep Kaur Pharmd, Dustin D Linn Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

Poster Presentation

Background:

Clinically significant hyperkalemia, defined as potassium ≥ 6.0 mEq/L can be a life-threatening, and urgent lowering of serum potassium is needed to prevent life-threatening arrhythmias. There are many potential causes of hyperkalemia including acute or chronic kidney disease, medications (e.g. ACE-inhibitors), and rhabdomyolysis among other causes.

Time To Achievement Of Mean Arterial Pressure Goal In Patients With Septic Shock Based On Initial Norepinephrine Dose, Meagan R. Ellinger Pharmd, Dustin D Linn Pharmd, Bcps, Bcccp, Michael Todt Pharmd, Bccp

Parkview Pharmacy Department

Poster Presentation

2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada / Poster # 11-133

Objective: Evaluate whether the initial norepinephrine dose in septic shock patients is associated with the time to achievement of MAP goal

Evaluation Of An Adjusted Body Weight Based Heparin Protocol, Jenna Deininger Pharmd, Elizabeth Meisberger Pharmd, Bcps, Kris Howard Pharmd, Bcps

Parkview Pharmacy Department

Poster Presentation

2019 ASHP Midyear Clinical Meeting/ Las Vegas, Nevada/ Poster 11-136

Objective: Determine the efficacy and safety of a pharmacist-driven adjusted body weight protocol for therapeutic intravenous (IV) heparin dosing in patients of all weights in a community health system.

Impact Of A Primary Care Pharmacist Utilizing A Team-Based Model Of Care, Priya Verma Pharmd, Rachel Steele Pharmd, Bcacp, Ashley Parrott Pharmd, Mba, Bcps, Bcacp

Parkview Pharmacy Department

2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada / Poster 11-134

Objective: To characterize the impact of a primary care pharmacist working in a team-based care model, by determining: • The acceptance rate for all recommendations • The total number of each recommendation type • The number of referrals to the primary care pharmacist, if the patient was an appropriate candidate for comprehensive medication management

Assessing Appropriateness Of Inpatient Rifaximin Use In A Community Health System, Alissa Keillor Pharmd, Sarah Pfaehler Pharmd, Mba, Bcps, Lorin Yolch Pharmd, Bcgp, Bcac

Parkview Pharmacy Department

2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada / Poster # 11-135

Objective: To evaluate the appropriateness of inpatient rifaximin use and healthcare resource utilization best-practices within a community health-system.

Impact Of Atypical Antipsychotics On Sedation Requirements In Mechanically Ventilated, Critically Ill Patients, Michael Genday Pharmd, Dustin D Linn Pharmd, Bcps, Bcccp, Jim Roy Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada

Objective: To determine if atypical antipsychotics lower continuous infusion sedation requirements while also assessing risk

Standardized Approach To Implementation Of Infusion Pump Interoperability, Tara Jellison Pharmd, Mba, Fashp, Rebecca S. Mahuren Bsn, Rn

Parkview Pharmacy Department

2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada / Poster #708041 08-105

Purpose: Describe the process to implement smart pump–electronic health record (EHR) interoperability technology throughout a multi-facility community health system to improve intravenous (IV) medication safety and efficiency with auto-programming, reducing keystroke errors and edits from 17 step manual process to 7 steps.

Bivalirudin Anticoagulation Dosing Protocol For Extracorporeal Membrane Oxygenation: A Retrospective Review., Jared W. Netley Pharmd, Mpa , Bcps, James Roy Pharmd, Joseph Greenlee Iii Md, Shaun Hart Np, Michael Todt Pharmd, Bryan Statz Pharmd

Parkview Pharmacy Department

Anticoagulation with unfractionated heparin during extracorporeal membrane oxygenation (ECMO) is common, but alternative agents are being evaluated for safety and efficacy. The objective of this analysis was to assess if a comprehensive bivalirudin dosing and monitoring protocol effectively guides dose adjustments and monitoring of bivalirudin in patients during ECMO. Our analysis included 11 patients who received bivalirudin during ECMO therapy and had dosing managed using our hospital derived protocol. Patients treated over a 1-year period were included in this retrospective analysis. Clinical characteristics and changes in activated partial thromboplastin time (aPTT) were evaluated from medical records to determine the efficacy …

Evaluation Of Bleeding And Thrombotic Risk In Patients Receiving Triple Antithrombotic Therapy, Katharine Lundy Pharmd, Elizabeth Meisberger Pharmd, Bcps, Kris Howard Pharmd, Bcps, Aacc, Jennifer Sposito Pharmd

Parkview Pharmacy Department

2018 ASHP Midyear Clinical Meeting / Anaheim, California / Poster # 11-309

Objective: Evaluate bleeding and thrombotic risk of patients receiving triple antithrombotic therapy (TAT) versus dual antithrombotic therapy (DAT) and characterize prescribing patterns.

Evaluation Of Prothrombin Complex Concentrate Use In A Community Health System, Corissa L. Piatka Pharmd, Tim Johnston Pharmd, Bcps, Bcccp, Jim Roy Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

Poster Presentation

2018 ASHP Midyear Clinical Meeting / Anaheim, California / Poster # 11-310

Objective: Evaluate by indication the appropriateness of prothrombin complex concentrate (PCC) use in a community health system.

Implementation Of A Pharmacist-Guided Procalcitonin Protocol In A Community Hospital, Jasmine Coatie Pharmd

Pharmacy Residency

Presentation given at Great Lakes Pharmacy Residency Conference 2018

Team Based Approach To Fall Prevention In Elderly Population: A Four Year Review, Britney Schwartz Bsn, Rn, Anne Yaple, Jamie Gaul Pharmd, Bcps, Jennifer Ferguson, Katelyn Hougham, Fenlei Chang Md, Phd

Parkview Pharmacy Department

Poster Presentation

“The research reported on this poster was supported by Parkview Health, Indiana University School of Medicine, and Aging & In-Home Services of NE Indiana. The investigators retained full independence in the conduct of this research”

Methods:

The Fall Prevention Clinic was established 4 years ago as an outpatient service within a community hospital.  The patient completes a series of two appointments after a physician referral is received • 1st Visit – Composed of evaluation by a multi-disciplinary team: Neurologist (Neuro),RN Care Advisor (RN), Physical Therapist (PT), Pharmacist (RPh), Occupational Therapist (OT), and Aging & In-Home Services (AIHS) …

Evaluation Of Acute Kidney Injury With Vancomycin Therapy In Adult, Sarah Ferrell Pharmd, Sarah Pfaehler Pharmd, Mba, Bcps

Parkview Pharmacy Department

Poster Presentation

Objective: To evaluate the outcomes and risk of acute kidney injury (AKI) associated with a pharmacy-driven vancomycin dosing protocol at a community hospital.