Pharmacy Practice Model

Admission Medication Reconciliation

Our Emergency Department pharmacy technicians were created to address gaps effecting patient-safety and efficiency of medication review practices. Pharmacy technicians are responsible for completing the medication reconciliation process for patient admitted through the emergency department. This includes validation of home medications, allergy clarifications and immunization histories.

Patient Discharge Counseling

Patients started on various new medication regimens, including anticoagulants and insulin pens are counseled by a pharmacy team member prior to discharge. The counseling includes directions for use, expected action, side effects, contraindications and more. In addition, our pharmacy team provides education for all pediatric patients upon discharge, which includes a patient safety component.

Multidisciplinary Rounds

St. John’s is a teaching-based hospital dedicated to the future of healthcare. The multidisciplinary approach helps provide an environment for the best possible practice of medicine. Prior to rounding, a pharmacist will review each patient’s profile for therapeutic appropriateness, drug management recommendations, appropriate prophylactic therapy and more. These multidisciplinary rounds occur in a variety of areas including general medicine, intensive care and stroke care.

Pharmacokinetic Drug Monitoring

The pharmacy team offers a vancomycin and aminoglycoside dosing service to improve time within therapeutic range and prevention of adverse events. Adjustments are made to the service based on continuous quality assessments.

Emergency Medicine

A pharmacist is in the emergency department Mon-Fri from 12 pm to 8 pm. This pharmacist is responsible for providing drug and therapeutic recommendations, drug information and assisting with the medication reconciliation process. Furthermore, the Advanced Cardiovascular Life Support (ACLS) trained pharmacist is present during emergent situations including cardiac arrests and strokes to provide medication support.

Community Outreach

Our pharmacy team actively participates in various community events providing drug and safety information. These educational events include Diabetes Day, Family Wellness Day, Stroke Walk and Talk series and our Festival of the Arts. Pharmacy also plays a role with disease specific classes including diabetes, cardio-pulmonary and much more.