Direct Patient Care
Objectives for DPC
Objective 2a– Establish a relationship with the patient & other health care providers on the multi-disciplinary team.
2010 Standard 3.1 The resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams.
Expected level
- Consistently demonstrate a professional, patient-centered, team-orientated presence in the day-to-day performance of his/her clinical duties.
- Proactively intervene with the patient caregivers, and/or immediate care team to resolve or prevent actual or potential continuity of care issues.
Objective 2b– Establish a patient database – Information Gathering
2010 Standard 3.1 The resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams.
Expected level
- Consistently demonstrate a professional, patient-centered, team-orientated presence in the day-to-day performance of his/her clinical duties.
- Proactively intervene with the patient caregivers, and/or immediate care team to resolve or prevent actual or potential continuity of care issues.
Objective 2C– Drug-related Problems – Identification & Prioritization
2010 Standard 3.1 The resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams.
Objective 2d– Solving Drug-related problems – Establish Desired Outcomes, Determine Options, and Recommendation
Patient Interview Skills
2010 Standard 3.1 The resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams
Objective: To formulate a process and/or approach to interviewing patients that will allow you to carry out your Pharmaceutical Care activities during your Direct Patient Care rotations.
Communicating with Physicians
2010 Standard – 3.1 Provide Direct Patient Care as a Member of Interprofessional Teams. The resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams.
August 7th, 2009
This week we started our direct patient care rotation. Basically it is an introduction on the process we use to assess patients. We talked about pharmaceutical care, how to communicate with physicians, the different “types” of DRPs, and how to “systematically” interview and assess a patient. We spent two mornings with Sean (Spina) practicing physical assessment on each other. Although, I am not sure if I am comfortable doing that on real patients without someone supervising me. I think the physical assessment part will help though when I am reading charts and will help me understand different information in the progress notes.
I actually went to see a real live patient yesterday and observed an interview. I also hadn’t look at a patient chart since May so I had to get my bearings around that again. It was a bit overwhelming in the sense that there are so many factors to consider and I am scared when I’m the one doing the interviews that I will miss something. But I guess that’s why there is a systematic approach! We managed to raise a couple of DRPs that weren’t resolved and will continue to follow the patient next week.
One thing I will always have to keep in mind is that not all patients will be able to give you answers to all your questions and to be patient when they are answering questions. Our patient was elderly, just had 8 mg of morphine and had delirium so she was having trouble staying awake when we talked to her.
All in all, it was a good introduction and I am slowly learning the “process”. Hopefully, I will be preped for August 17th when I start my first clinical rotation!
August 14, 2009
We had our final week of our DPC rotation. We got to watch a couple of patients interviews and determine their DRPs. Then we wrote SOAP notes and discussed and critqued them as a group. This really helped me determine what I needed to work on when writing chart notes (i.e. giving reasons WHY I’m giving a recommendation or choosing one therapy over another and to be as concise as possible).
We got to interview a patient at EMP who had bipolar disorder with manic symptoms. It was definitely something I have never experienced. The patient was exhibiting classic symptoms of mania, talking extremely fast, very tangental, and was “in your face”. I think my psychiatry rotation in April will be very interesting and I think it will keep a different perspective compared to the types of patients on my other rotations.
On Thursday, I interviewed a patient on 7N by myself and I am happy that she was really nice and easy to talk to. There are a few things I think I will change, especially when I do a review of systems. I am hoping to establish my own “process” when I interview patients over the next couple of months.
Today we ended with a couple of different activities. I did a five minute presentation on my research project to the undergrad pharmacy students. Afterward, I was paired up with a couple of the students and we went over an anemia case. Even though I am doing a residency and often “feel like I don’t know anything”, I realized I did know/learn SOME things. It was different to be the “teacher” in this case. I am looking forward to taking SPEP students when I am actually working as a pharmacist.
The past two weeks have prepped me for Monday. I start my first clinical rotation (geriatrics) on Monday. I am a little nervous but also excited at the same time.
heatherchui
Heather Chui's E- Portfolio 
Leave a comment