Avera Marshall Regional Medical Center

Vital Site Stats

Host Site: Avera Marshall Regional Medical Center
NMS Match Code: 111228
Site Emphasis: Ambulatory Care/Rural Health
Program Length: 1 year
Number of Positions: 1 per year
Site Coordinator: Rachelle Kunde, PharmD
Additional Preceptors: Kathy Opdahl, PharmD; Mary Foy, PharmD

Site Profile

Avera Marshall Regional Medical Center is a 25 bed critical access hospital, including six obstetric beds, 4 critical care unit beds, and 15 medical/surgical beds. Hospital services include emergency medicine, general and orthopedic surgery, intensive care, OB/GYN, and a 10 bed Behavioral Health Unit. A provider-based clinic is attached to the hospital offering family practice, pediatrics, internal medicine, oncology, surgical services, OB/GYN, mental health, ophthalmology, and several outreach services. Avera Marshall also includes Avera Morningside Heights Care Center, a skilled nursing long term care facility with 76 beds, including a transitional care unit.

Mission: As a health ministry rooted in the Gospel, Avera’s mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

Values: Avera is guided by Gospel values of compassion, hospitality and stewardship. Avera’s 16,000 employees are encouraged to live out the mission and values, each and every day, in every patient encounter.

Pharmacy Services: Avera Marshall pharmacy staff consists of four full-time pharmacists in addition to the director of pharmacy, 2 full-time technicians, and 2 part-time technicians. Avera Marshall pharmacist services include order entry verification, pharmacokinetic dosing, medication reconciliation, medication therapy management, anticoagulation management, diabetes management, inpatient rounding, decentralized pharmacy services, sterile IV compounding, infusion center medication preparation, patient education, antimicrobial stewardship, and LTC consultation services. Avera Marshall has a fully integrated EMR and Pyxis® automation throughout the facility.

Educational Experience

There are numerous educational opportunities at Avera Marshall with at least 50% of the resident’s time being dedicated to integrating the pharmacy services into various clinic settings. Outpatient activities will include anticoagulation management, diabetes management, MTM, and LTC consulting. Inpatient activities will include antimicrobial stewardship, pharmacy dosing services, patient education, sterile compounding, medication reconciliation, P&T committee, formulary management, medication error tracking/reporting/prevention, etc. The resident will be expected to provide education for staff as well as assist in training pharmacy students.

The resident will share staffing responsibilities, which include weekends, weekday evenings, and on-call staffing.

Site Coordinator

Rachelle KundeRachelle Kunde, PharmD, BCACP, earned her Doctorate of Pharmacy degree from North Dakota State University College of Pharmacy in 2013. Following graduation, she completed the Rural Health/Ambulatory Care Residency at the Minneapolis VA Health Care System in Minneapolis, MN and Rice Lake, WI. Rachelle returned to her hometown of Marshall in 2014 as the Clinical Pharmacist at Avera Marshall Regional Medical Center. Her primary roles include ambulatory clinic management, inpatient clinical pharmacy, antimicrobial stewardship, expanding clinical pharmacy services, and precepting IPPE and APPE students. 

Preceptors

Kathy Opdahl, PharmD, earned her Doctorate of Pharmacy degree from South Dakota State University College of Pharmacy in 2011. She had worked for Tyler Healthcare Center since 2011 before they were bought by Avera Marshall in 2016. She now spends half of her time at Avera Tyler and the other half at Avera Marshall. Her primary roles at Avera Tyler include anticoagulation clinic, pharmacist in charge, long term care consulting, and providing medication services to two rural health clinics. Her primary roles at Avera Marshall include inpatient clinical pharmacy, medication reconciliation, general staffing, and precepting IPPE and APPE students.

Mary H. Foy, PharmD, earned her Doctorate of Pharmacy degree from the University of Southern California College of Pharmacy in 1993. She moved to Miami, Florida where she worked as a manager in various retail pharmacy settings. Mary later moved into the hospital setting at the University of Miami Hospital and Clinics, working as a staff pharmacist. She then spent the last 8 years of her Miami career at Kendall Regional Medical Center as a clinical pharmacy specialist in the intensive care unit. Mary moved to Tyler, Minnesota in July, 2016, and currently holds the position of Director of Pharmacy Services at Avera Marshall. She is settling into her new role and is looking forward to having more involvement as a preceptor for the future residents.