Cambridge Medical Center Pharmacy

Institutional Mission Statement and Vision

Mission
We serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care.

Vision
We will:   
- put the patient first
- make a difference in people’s lives by providing exceptional care and service
- create a healing environment where passionate people thrive and excel
- lead collaborative efforts that solve our community’s health care challenges

Values

Integrity
We live our values and mission in our decisions and actions.  We match our actions with our words. We are honest and just in everything we do. We hold ourselves accountable to each other and the communities we serve.

Respect
We treat everyone with honor, dignity and courtesy. We respect the values, cultures, beliefs and traditions of others. We value the skills, talents and dedication of everyone with whom we work. We are committed to working collaboratively with one another and to providing consistent, coordinated care. We demonstrate cooperation and teamwork in all our actions.

Trust
We commit to meet the expectations and act in the best interests of our patients, physicians, communities and one another. We are thoughtful and purposeful in all our actions. We strive to foster an internal community of mutual trust.

Compassion
We are dedicated to creating a healing and caring environment and supporting the emotional, physical and spiritual well-being of all. We recognize and honor the individual needs of our patients, caring deeply for them in life an death.

Pharmacy Services
We have 3 pharmacists scheduled during the dayshift, and one of them is decentralized.  We have 1 pharmacists scheduled during the evening shift and 1 during the weekend shift.  All pharmacists are considered “clinical” and rotate through the decentralized role.  The pharmacists are very involved in inpatient care and relied upon and consulted frequently for assistance in dosing and monitoring of medication therapy (including aminoglycosides, vancomycin, renal dosing, warfarin, LMWH, automatic substitution protocols, and others).  Each pharmacist is encouraged to be involved in a specialty area and/or projects of their preference by participating in multidisciplinary committees and specific projects.  Pharmacists are expected to assist with medication administration of cardiac/respiratory arrests (“code blue”) and some other acute treatment scenarios.  Some of the hospital pharmacists also work in the outpatient clinic pharmacy.  We function similar to a metro pharmacy but at a smaller scale, and are a part of the larger network of Allina hospitals and clinics. 

Professionalism and Assessment
Students will meet with Diane usually weekly to assess progress and to coordinate additional special experiences. A semi-formal assessment is usually completed at the halfway point of the experience and then a formal assessment is completed at the end of the experience.  The assessments include input from all staff that participated in the student’s learning environment, and Diane will collate the information for the formal grading process.  Students must complete some paperwork from our facility’s educational department before the rotation begins, which includes the typical background information for the facility (ie. immunization evaluation, safety information, patient confidentiality review, and other general information) and is required due to regulatory needs for Joint Commission.  Any student is encouraged to set up an interview ahead of time, if desired.

Resources
The facility is located in a community that is relatively rural, population is about 8,000.  The parking lots are free and surround the building.  We have a dining and lounge area within our pharmacy space but also have a facility cafeteria with meals that may be purchased.  We do periodically have educational programs offered for staff and students that do include a free meal.  We have several computers in our pharmacy that all have internet access and a direct link to the Allina library services.  We also communicate and network with pharmacy staff at other Allina facilities for questions as needed

Institutional – Hospital Pharmacy Practice
Patient Care - General Patient Care for Hospitalized Patients

Preceptors
Patient Care and Institutional- all pharmacists participate in teaching

Patient Care- decentralized for most of rotation, some order-entry to learn computer access to charts, chart review, drug therapy monitoring, rounding with specific physicians in hospital for 1-2 weeks, presentation to staff at end of rotation, encouraged to attend patient care-related committee meetings (ie. P&T, Med Error, ICU, etc)

Institutional- first 2 weeks in central pharmacy to learn various roles and workflow and order entry, next 2 weeks decentralized for patient monitoring and chart review, last week for projects and/or decentralized focus, presentation to staff at end of rotation, encouraged to attend committee meetings also

Student Roles and Responsibilities
Assist pharmacist in role in central and/or decentral areas, including chart review, patient interviews, provider consultation, etc. (see notes for # 4) 

Educational Opportunities
Physician and staff educational programs (lunch and learn) are usually available one or two times per month; and students give a presentation to pharmacy staff at end of rotation (free lunch provided by pharmacy coordinator).

Other Requirements
All students must complete paperwork from our facility educational department, before the rotation begins.