Pain Management
Overview
The one month rotation will provide the resident a focused experience in pain
management. During the rotation, the resident will study the philosophy of pain
management and will gain the expertise and knowledge of the most current pain
management strategies. During the rotation there will be extensive education
to physicians, pharmacists, and patients regarding pain management.
Preceptor
Mary Foss, Pharm D, Clinical Manager, Residency Director
Contact information
Phone: (763) 236-4135
Fax: (763) 236-4143
E-mail mary.foss@allina.com
Rotation location
Mercy & Unity Hospital Inpatient Units
Hours
Monday - Friday
(Approximate) 0730-1600
Goals
Goal S1: Take personal responsibility for attaining excellence in one’s own ability to provide pharmaceutical care.
Goal S2: Demonstrate ethical conduct in all job-related activities.
Goal S3: Demonstrate the characteristics of a professional.
Goal S5: Appreciate the need to adapt direct patient care to meet the needs of diversity.
Goal S6: Use an organized system for staying current with pertinent literature.
Goal S7: Communicate clearly when speaking or writing.
Goal S9: Solve practice problems efficiently.
Goal S10: Function effectively as a member of the health care team.
Goal S15: Understand direct patient care delivery systems in multiple practice settings.
Goal S19: Manage time effectively to fulfill practice responsibilities.
Goal P2: Design, recommend, monitor, and evaluate patient-specific therapeutic regimens that incorporate the principles of evidence-based medicine
Goal P3: Provide concise, applicable, comprehensive, and timely responses to requests for drug information from patients, health care providers, and the public.
Goal P4: Document direct patient-care activities appropriately
Goal P5: Provide inservice education to physicians, nurses, and other practitioners.
Goal P8: Prepare and dispense medications following existing standards of practice and the health system's policies and procedures.
Goal M2: Prepare and disseminate written drug information.
Goal M16: Utilize pharmacy technical and clerical personnel effectively.
Goal M18: Provide instruction to pharmacy technicians, pharmacy students, pharmacy residents, and pharmacists.
Daily rotation activities
The resident will round daily with clinical nurse practitioner and may elect
to round on patients at one site or both depending on other daily requirements.
The resident will prepare for rounds through interviewing the patient to gather
subjective information and reviewing the chart to gain objective information.
Rounding will also involve consultation with the patient, clinical nurse specialist,
and pharmacists. The resident will be writing consults for physicians in the
medical record.
Interaction with healthcare providers
The resident will work with decentral pharmacists. The resident will round with
the pain service team consisting of Penny Fearing or Marisa Arnoldi, Clinical Nurse
Practitioners for Pain Management. In addition the resident will have interactions
with physicians through writing consults.
Meeting attendance
The resident will set up a weekly with preceptor for 30 minutes to review rotation
activities from the previous week. The resident will also set up a meeting on
the last day of the rotation to review the preceptor and resident evaluation.
Additional meetings include attending the pharmacist meetings, Continuing Medical
Education, Hospitalist Care Improvement, Leading Edge Educational Seminar, and
P&T Committee (if applicable).
Topics/disease states for discussion
- Palliative Care
- Hospice
- Cancer Pain
- Post-operative Pain
- Post Trauma Pain
- Pain Management in the Chemical Dependent
- Chronic Pain
- Orthopedic Pain
- Addiction
Orientation to the rotation - the preceptor will:
- Provide the resident the goals and objectives for the learning experience
- List the activities the resident will be engaged in during the month to
accomplish the goals and objectives (see step 7 of the RLS process)
- Describe how the preceptor will evaluate the resident (e.g., objective data,
criteria based checklist)
- Provide the resident with self evaluation forms (e.g., rotation evaluation
from, criteria based checklist), and
- Communicate how will the resident evaluate the preceptor
- Establish routine meetings during the month to provide feedback and allow
time for clarifying expectations. Monitor the growth and development of the
resident during this time.
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