Pharmacy and Pharmaceutical Sciences Commons^™

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.

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.

Impact Of Sepsis Order Set Updates On Carbapenem Utilization In A Community Regional Medical Center, Brandon Euen Pharmd, Michele Walters Pharmd, Bcps, Aq-Id, Luke Keller Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

2018 ASHP Midyear Clinical Meeting / Anaheim, California / Poster # ADD

Background: Patients with penicillin allergies who require broad-spectrum antimicrobial therapy for the treatment of sepsis often receive a carbapenem instead of a cephalosporin due to concerns of penicillin-cephalosporin cross-reactivity. • As rates of antibiotic resistance continue to increase, institutions should prioritize efforts to preserve the efficacy of carbapenems. • Reduction of carbapenem use in institutions has been shown to lower incidence rates of carbapenem-resistant organisms . • Cephalosporins have previously demonstrated low rates of cross-reactivity in penicillin allergic patients. • As of May 29th, 2018, updates to our …

Effect Of Compliance Of Enhanced Recovery After Surgery Protocols On Pain Control At A Community Medical Center, Julia Dickman Pharmd, Stacy Clore Pharmd, Bcps, Jamie Gaul Pharmd, Bcps, Sarah Fitzpatrick Pharmd, Bcps

Parkview Pharmacy Department

2018 ASHP Midyear Clinical Meeting / Anaheim, California / Poster 11-307

Objective: Determine the utilization of the Enhanced Recovery After Surgery (ERAS) protocols at Parkview Regional Medical Center (PRMC) • Assess the impact of both preoperative (pre-op) and postoperative (post-op) ERAS protocols on post-op pain management and nausea and vomiting in comparison to utilization of only pre-op or only post-op ERAS protocols.

Adherence To Guideline Recommended Treatment Of Copd In Discharged Patients Following An Acute Exacerbation, Kalee N. Swanson, Alissa Keillor Pharmd, Dustin D Linn Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

Poster Presentation

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States, affecting more than 10 million Americans. Worldwide COPD is a disease of increasing public health importance as estimates suggest that COPD will rise from the fourth to the third most common cause of death by 2020. Increased exposure to risk factors and an aging population will attribute to even more patients with COPD. Adherence to guideline-recommended treatment regimens may decrease healthcare costs and improve patient outcomes. According to the GOLD guidelines, COPD pharmacotherapy recommendations are derived from the “ABCD” assessment tool, which …

Evaluating Prescribing Patterns Of Long-Acting Injectable Antipsychotics At A Community Health System, Chelsea L Ferguson Pharmd, Jamie Gaul Pharmd, Bcps, Jared Netley Pharmd

Parkview Pharmacy Department

2017 ASHP Midyear Clinical Meeting / Orlando, Florida / Poster 10-084

Poster Presentation

Objective: Describe prescribing patterns for long-acting injectable antipsychotics and identify knowledge gaps in prescribing within our health system.

Use Of Steroids For Early Stage Ards In Icu Patients, Jasmine Coatie Pharmd, Michael Todt Pharmd, Megan Straub Pharmd

Parkview Pharmacy Department

2017 ASHP Midyear Clinical Meeting / Orlando, FL / Poster #10-085

Poster Presentation

Compare outcomes in patients treated with high-dose and low-dose corticosteroids in the early stage of Acute Respiratory Distress Syndrome (ARDS).

Characterization Of Rapid Sequence Intubation In The Emergency Department, Jason P. Eakins Pharmd, William Armstrong Pharmd, Bcps, Bryan Statz Pharmd, Sarah E. Sienko Pharmd

Parkview Pharmacy Department

Poster Presentation

2017 ASHP Midyear Clinical Meeting / Orlando, Florida / Poster # 10-096

• Rapid sequence intubation (RSI) is a sequential process performed to facilitate safe and emergent tracheal intubation

• Based on the urgency of RSI, medication errors may occur due to the need for immediate selection of medications and accurate dosing

• To characterize the overall RSI process in the emergency department

• Identify possible areas for education and improvement

• Identify adverse events associated with RSI medications

Methicillin-Susceptible Staphylococcus Aureus: Utilization Of Decolonization Protocol And Incidence Of Surgical Site Infections In Orthopedic And Cardiac Bypass Surgical Patients, Carley Thompson Pharmd, Tara Jellison Pharmd, Mba, Fashp, Jennifer Sposito Pharmd

Parkview Pharmacy Department

2017 ASHP Midyear Clinical Meeting / Orlando, Florida / Poster #10-095

Poster Presentation

Objective:

Evaluate the utilization of a decolonization protocol in methicillin-susceptible Staphylococcus aureus (MSSA) colonized patients following pre-admission testing at Parkview Health and the incidence of methicillin-resistant Staphyloccous aureus (MRSA) and MSSA in orthopedic, spinal, and cardiac surgical site infections (SSIs)

Is Time To Thrombolytic Therapy A Predictor Of Mortality In Patients With Severe Pe, Alison Koelling Pharmd, Brooke Vonada Pharmd, Dustin D Linn Pharmd, Bcps, Bcccp

Parkview Pharmacy Department

Poster Presentation

Venous thromboembolism (VTE) which comprises pulmonary embolism (PE) and deep vein thrombosis (DVT) has been a public health concern for several years. VTE accounts for an estimated 60,000 to 100,000 deaths per year in the United States. Specifically, patients who present with an acute PE, it has been estimated 25% of these patients have sudden death as the first symptom. Clinical presentation of an acute PE can manifest as nonspecific symptoms which may include: chest pain, cough, hemoptysis, dyspnea, tachypnea, shortness of breath, wheeze, and some patients may present in cardiopulmonary arrest. Severe acute PE can be classified …