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Rotation Faculty
Rotations
Components
Service
Teaching
Research
Compensation
Current Resident
Past
Resident
Contact Information
Application Information
Pharmacy Residency Manual
Related Links
ASHP
NCAP
NC Board of Pharmacy
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The Nephrology rotation is one of the elective
options that may be selected as part of the PGYI
residency. The rotation is a month-long study that
will be appropriately scheduled within the 12 month
residency program. The resident will divide their
time between the Nephrology and Hemodialysis units
at Cape Fear Valley Health System and one of the
Health System-affiliated outpatient dialysis clinics
in the county. The resident will round daily with
the on-call nephrologist and actively participate in
therapeutic decision making for patients on the
nephrology service. The resident will review
patient profiles for appropriateness of drug dosing
and will become proficient in adjusting medication
regimens in the renal population. In addition, the
resident will provide pharmaceutical care by
obtaining accurate medication histories, addressing
drug information inquiries by physicians and nurses,
attending interdisciplinary rounds, providing
pertinent educational inservices for unit staff, and
offering discharge medication counseling to patients
and their caregivers.
Resident Learning
Activities
- Actively
participate in daily patient rounds with the
on-call nephrologist.
- Actively
participate in weekly interdisciplinary rounds
with the nephrology unit staff.
- Observe and
understand the daily routine in the inpatient
hemodialysis unit.
- Visit outpatient
hemodialysis clinic on a weekly basis and
observe the daily routine in that patient care
setting.
- Discover and
devise opportunities for pharmaceutical care in
the outpatient hemodialysis clinic.
- Implement a
mini-project that demonstrates the impact of
pharmaceutical care in the outpatient
hemodialysis setting.
- Provide
bi-weekly educational inservices to the
nephrology unit staff on a relevant topic.
- Present one
journal club article to the pharmacy staff that
is specific to pharmaceutical care in the renal
population.
- Present a
patient case to your preceptor each week.
- Obtain accurate
medication histories and perform allergy
assessments on a daily basis.
- Provide
discharge counseling to patients when
appropriate.
- Perform renal
dose adjustments and pharmacokinetic monitoring
on all renal and hemodialysis patients.
- Become familiar
with colony stimulating factors (Epogen®,
Procrit®,
Aranesp®,
etc.) and develop an understanding of the use
and dosing of these agents in the renal
population.
- Review patient
profiles daily for appropriateness of drug
therapy, renal dose adjustments, and make
recommendations to physicians when necessary.
- Develop problems
lists and define therapeutic goals.
- Document
interventions/recommendations in the patient’s
medical record when appropriate.
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