PharmD Professional Program > Experiential Education Program > Experience by Type, Region, and Site Name > APPE Sites > St. Cloud Hospital/ CentraCare Health System
St. Cloud Hospital/ CentraCare Health System
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Main contactRyan Lamberg, Pharm.D., James Mahowald, Pharm.D., Clinical Coordinator
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Teaching PhilosophyOur goal at the St. Cloud Hospital is to provide students with a balanced learning environment that will help prepare them for the evolving role of the pharmacist. Our pharmacists deliver all necessary pharmacy functions, including clinical consultation, through a central and decentral pharmacist practice model. Students will observe and participate in day to day activities of the pharmacy staff, improving their ability to understand the role of the health-system pharmacist, communicate with patients and health care providers, and apply clinical knowledge in a relevant manner. Students will often have specific direction, but are also expected to pursue independent learning opportunities that arise during their rotations. |
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Detailed Site Information
Institution
As the largest health care facility in the region, St. Cloud Hospital offers a full spectrum of inpatient and outpatient services. From state-of-the-art care for heart disease and cancer to preventive health screenings and behavioral health counseling, we have the technology and skilled professionals to meet the needs of the region. Currently the hospital has more than 4,100 employees and a medical staff of 379 physicians. The hospital has 489 licensed beds and serves a 12-county service area with an estimated population of 643,000. St. Cloud Hospital is the largest employer in the St. Cloud area. The hospital has received numerous awards including the Solucient Top 100 Hospital 2005-2007 and the U.S. News and World Report “America’s Best Hospital” 2005-2007. Institutional Mission Statement and Vision Mission: As a Catholic, regional hospital, we improve the health and quality of life for the people we serve in a manner that reflects the healing mission of Jesus. Core Values:
Vision: Through our Catholic healing ministry, St. cloud Hospital will be recognized regionally and nationally for our compassionate care, outstanding clinical outcomes, and a superior patient experience.
Pharmacy Services
Professionalism and Assessment
Resources The department has a refrigerator and microwave oven for student use. There is full service cafeteria (Riverside Dining) onsite as well as a small café (Devine) where you can purchase lunch and snacks. Students will be provided lockers in the department as well as a mailbox. The St. Cloud Hospital requires each student to have mantoux skin tests results on file with our Occupational Health Service. Please bring a copy of your test result on the first day of the rotation. If you do not have a copy of your results, you will be required to get a new mantoux skin test at your expense ($15.00) Also, a copy of your criminal background check will be required along with your MN Board of Pharmacy interns license. The hospital is currently undergoing a $200 million major expansion that includes new parking lots and ramps. During this construction phase, parking will only be available at an off-site location free of charge. Shuttle buses run continuously in the morning and afternoon, transporting staff and students back and forth between the hospital and designated parking lots. Attire should be professional and include a lab coat. You will be given a SCH ID badge when you arrive. Typical hours are Monday through Friday, 7:00 AM to 3:30 PM. Institutional PracticePrimary PreceptorRyan Lamberg, Pharm.D., Student Coordinator, Staff Pharmacist Email – lambergr@centracare.com James Mahowald, Pharm.D., Clinical Coordinator
Preceptors
Mary Phipps, Pharm.D., Director of Pharmacy Jane Scherber, Coordinator of Pharmacy Operations
Student Roles and Responsibilities Daily Expectations: While following technicians, the student will be expected to actively participate in the task at hand. When following managers, the student will attend meetings and assist as directed by the preceptor. The student may be asked to help with a project. When following central pharmacists, the student will learn about and participate in distributive & checking functions and the day-to-day operations of a hospital pharmacy. When working with the decentralized pharmacists, the student will follow the patients on the decentralized pharmacist’s worklist. Activities will include writing TPNs, following vancomycin and aminoglycoside kinetics, following renal dosing patients, following patients on various other protocols and patients on medications requiring specific monitoring. For patients being followed, the student will need to make sure all medication therapy is appropriate, home medications have been reconciled, and any discrepancies on the MAR are resolved. Students will discuss patients with a preceptor on a daily basis. Students may also expect to be given assigned reading based on the preceptor’s judgement. Case Presentations: Each student will be expected to present 1 formal and 1 informal presentation per 5-week rotation. The informal presentations will include a patient case and an abridged review of the disease state focusing on medication management. A PowerPoint presentation is not necessary; handouts are appreciated. Primary literature references are not required. As an alternative to the informal presentation, the student may elect to review a journal article (preceptor approval required). The formal presentations will include a patient case and a review of the pathophysiology and treatment of a disease state with emphasis on drug therapy. A PowerPoint presentation, handouts, and primary literature references are required.
Educational Opportunities:
Other Requirements Acute Care
Primary Preceptor James Mahowald, Pharm.D., Clinical Coordinator
Jennifer Clark, Pharm.D., Staff Pharmacist Jennifer Hubers, Pharm.D., Staff Pharmacist Mollie Huls, Pharm.D., Staff Pharmacist Tracy Krueger, Pharm.D., Staff Pharmacist Jane Malmskog, Pharm.D., Staff Pharmacist Lance McNab, Pharm.D., Staff Pharmacist Kelly Harris, Pharm.D., Staff Pharmacist
APPE Structure
Student Roles and Responsibilities Daily Expectations: The student will follow the patients on the decentralized pharmacist’s worklist. Activities will include writing TPNs, following vancomycin & aminoglycoside kinetics, following renal dosing patients, following patients on various other protocols and patients on medications requiring specific monitoring. The student will be expected to follow at least two patients daily using the Acute Care Rotation Student monitoring form. The student will be expected to know PMH, HPI, allergies, height, weight, CrCl, current medical problems, labs, cultures, home medications, and current medications as well as make sure all medication therapy is appropriate, home medications have been reconciled, and any discrepancies on the MAR are resolved. Students will discuss patients with a preceptor on a daily basis. Students may also expect to be given assigned reading based on the preceptor’s judgement. Case Presentations: Each student will be expected to present 1 formal and 1 informal presentation per 5-week rotation. 1st informal presentation - latter part of week 2 or week 3 2nd informal presentation – latter part of week 7 or week 8 2nd formal presentation – week 10 The informal presentations will include a patient case and an abridged review of the disease state focusing on medication management. A PowerPoint presentation is not necessary; handouts are appreciated. Primary literature references are not required. As an alternative to the informal presentations, the student may elect to review a journal article (preceptor approval required). The formal presentations will include a patient case and a review of the pathophysiology and treatment of a disease state with emphasis on drug therapy. A PowerPoint presentation, handouts, and primary literature references are required.
Educational Opportunities Patient Care – Medication Reconciliation
Primary Preceptor James Mahowald, Pharm.D., Clinical Coordinator
Preceptors
Joseph Smoley, Staff Pharmacist
APPE Structure
Student Roles and Responsibilities Daily Expectations: The student will train with the medication reconciliation pharmacist and review our current reconciliation process. They will also be oriented and trained into our hospital electronic medical record system. On a daily basis, the student will look at all new admissions for the previous day, examine the medication list and look for discrepancies. During the process they will review medical charts, contact prior medication providers, and interview the patients. A medication reconciliation pharmacist preceptor will provide oversight of the student. Upon completion of the APPE, the student will become knowledgeable with JCAHO’s goal of medication reconciliation, develop communication skills with patients, pharmacists, nurses, physicians, and other healthcare workers, and become familiar with medication names (brand and generic), dosage forms and available strengths, therapeutic categories as well as indications for medications. Case Presentations: Each student will be expected to present 1 formal presentation per 5-week rotation. The formal presentation may include information pertaining to an interesting patient case or a study involving medication reconciliation at St. Cloud Hospital. A PowerPoint presentation and handouts are required.
Educational
Opportunities
Other Requirements Ambulatory Care – Mid-MN Family Practice ResidencyPrimary PreceptorRyan Lamberg, Pharm.D., Student Coordinator, Staff Pharmacist Email – lambergr@centracare.com James Mahowald, Pharm.D., Clinical Coordinator
APPE Structure
Student Roles and Responsibilities Daily Expectations: Students will meet the Mid-MN hospital group (consisting of about 5-7 residents plus an attending physician) each morning for patient rounds. Daily patient lists will be generated and the student will prepare for morning rounds. Physician residents, medical students, and pharmacy students will make recommendations following each patient case. Once rounds have been completed in the physicians’ lounge, there will be bedside rounds. You will walk with the group from room to room to interview the patient. This will provide students the opportunity to make interventions and see procedures the physicians perform. After bedside rounds, the student will head over to the CentraCare Heartland Clinic for lunch and noon hour lecture. Afternoons will be spent in the Mid-MN precepting room where physicians and residents will bounce questions and ask for recommendations for their clinic patients. Case Presentations: Each student will be expected to present 1 formal presentation per 5-week rotation. This presentation will be given to the Mid-MN group during their noon hour lecture as well as the St. Cloud Hospital pharmacy staff. The formal presentation will include a patient case and a review of the pathophysiology and treatment of a disease state with emphasis on drug therapy. A PowerPoint presentation, handouts, and primary literature references are required.
Educational Opportunities:
Other Requirements |
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