Cambridge Medical Center Pharmacy

APPE Experience Types Institutional Care Patient Care Address Cambridge Medical Center 701 S Dellwood Cambridge, MN 55008 Phone 763-689-7944 (direct to pharmacy, choose #1 for main pharmacy extension)

Region: St. Cloud Web site Mapquest Directions

Main contact Diane Solbrack, PharmD, Pharmacy Clinical Coordinator
Institution
Main Preceptor Diane Solbrack, PharmD, Pharmacy Clinical Coordinator  EMail Phone 763-689-7944 (direct to pharmacy, choose #1 for main pharmacy extension)		Teaching Philosophy Diane Solbrack coordinates the student learning environment, but all pharmacists are involved in direct teaching of the student.  The student is encouraged to be hands-on and function like a pharmacist would, including patient consultation, lab and chart review, order entry, physician and nurse consultation.  The student is expected to give one presentation to the pharmacy staff which is medication and/or disease management related.  We encourage experiences in a variety of areas within our facility (ie. observation of surgery and codes and other procedures).  We also allow flexible scheduling to increase experiences and for personal needs.  We are a relatively small group and the student will meet and work with all of our staff during their experience.

Cambridge Medical Center includes an 86-bed hospital along with an attached large clinic that includes an outpatient pharmacy and other outpatient clinic services. The hospital pharmacy provides in house pharmacy services from 7am-11pm and satellite services during night in addition to pharmacists being on-call.  Examples of hospital services and inpatient areas include: Medical, general Pediatrics, Surgical, Maternity and Nursery Care, Mental Health and Behavioral Health, Emergency, Ambulatory, OR/PACU, ICU (6-beds).  We staff 3 pharmacists during day shift with one of them being decentralized, and 1 pharmacist during evening shift and weekends. 

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.

Stewardship
We recognize that health care essential to the common good and hold our resources in trust. We commit ourselves to using these resources wisely and distributing them with utmost care and consideration. We commit ourselves to being thoughtful stewards of our time, energy and talent. We hold ourselves accountable for good financial management that enables us to provide for the present and future needs of our patients, physicians, employees and communities.

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

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

Primary Preceptor
Patient Care and Institutional - Diane Solbrack, PharmD

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.