COURSE TITLE:
CRITICAL CARE ADVANCED PHARMACY PRACTICE EXPERIENCE
COURSE NUMBER:
PHA 568
SEMESTER HOURS:
FIVE CREDIT HOURS (40 contact hours per week)
REQUIRED:
NO
PREREQUISITES:
SUCCESSFUL COMPLETION OF ALL DIDACTIC COURSES WITHIN
THE PHARM.D. CURRICULUM
BULLETIN
DESCRIPTION:
JUSTIFICATION:
COURSE
OBJECTIVES:
The Critical Care Advanced Pharmacy Practice Experience (APPE) is a
clinical elective rotation in which the student gains competency in patient
medical management in the intensive-care unit of a hospital.
Critical care patients have a higher acuity level of care and it is essential for
students to learn how to be efficient in providing and optimizing
pharmaceutical care in a timely manner with this patient population.
Students will gain experience managing the pharmacotherapy of medical,
surgical, and trauma patients. Patient care in the critical care environment
involves a multidisciplinary team approach where pharmacists work closely
with physicians, nurses, and respiratory therapists.
Upon completion of this rotation, the student shall be able to:
Course objectives
Educational
Outcome
Competencies
Educational
Activities
Assessment
Measure(s)
1.Describe the etiology,
pathophysiology and clinical
presentation of common critical
care diseases and the
pharmacotherapy recommended
for each according to current
standards of care.
2. Independently gather, monitor
and assess pertinent patient
information and recommend
changes if necessary to ensure
safe, effective and economical
medication therapy.
Patient Assessment,
Medication Therapy
Management
5.1, 5.3, 5.4,
5.7,
6.2, 6.3, 6.4,
6.8
Assigned
readings,
Lecture, Group
discussions, Case
study
presentations
Quizzes,
Preceptor
Evaluation of
Educational
Activities
Professionalism,
Citizenship and
Leadership, Critical
Thinking,
Communication,
Patient Assessment,
Medication Therapy
Management
Critical Thinking,
Communication,
Drug Information
2.2, 2.4, 2.5,
3.5, 3.6,
4.1, 4.2, 4.3,
5.1, 5.2, 5.3,
5.4, 5.6, 5.7,
6.1-6.13
Direct patient
care, Case study
presentations,
Documentation
of interventions
Preceptor
Evaluation of
Educational
Activities
3.2, 3.3, 3.4,
3.5, 3.6,
4.1, 4.2, 4.3,
8.1,
8.3, 8.4, 8.5
Preceptor
Evaluation of
Educational
Activities
Critical Thinking,
Communication,
Medication Therapy
Management, Drug
Information
3.1,
3.5, 3.6,
4.1, 4.2, 4.3,
6.1-6.13,8.2,
8.5
Answer drug
information
questions,
Documentation
of interventions,
Assignments
(Journal Club)
Direct patient
care,
Documentation
of interventions
3. Retrieve and evaluate current
drug therapy information from
the literature and make
recommendations utilizing
evidence-based medicine to
health care professionals.
4. Demonstrate the ability to
identify, prevent, and resolve
potential medication-related
problems in patients with renal
dysfunction, hepatic dysfunction
Preceptor
Evaluation of
Educational
Activities
or with significant drug
interactions through the
monitoring of basic
pharmacokinetics and
pharmacodynamics paramaters
INSTRUCTIONAL
METHODS:
ACTIVE LEARNING
METHODS:
REQUIRED
ACTIVITIES:
Patient care rounds, lectures, individual and group discussions, patient care
conferences,role modeling, care plan development, readings, oral
presentations .
Role modeling, patient rounds, individual patient management and
discussion, independent problem-solving of pharmaceutical care dilemmas,
oral presentations,.
Clinical monitoring of critical care patients (inpatient hospital intensive care
unit)
Pharmacokinetic monitoring of patients
Patient case presentation and discussion
ADDITIONAL ACTIVITIES
AS DIRECTED BY THE
PRECEPTOR:
Rounds
Inservice(s)/Presentation(s)
Exams/Quizzes
Journal Club
Projects
GRADING:
Grading for this rotation will be established by the preceptor based on the
following:












Attendance, attitude, and professional attire
Professionalism, ethics and responsibility
Communication and interpersonal skills
Presentation of patient information
Demonstration of pharmacotherapeutic skills (including patient
assessment and monitoring, therapeutic decision-making, and
intervention), and integration of basic biomedical, pharmaceutical
and clinical science knowledge to optimize patient care outcomes.
Demonstration of critical thinking skills
Documentation of interventions
Daily activities
Case presentation(s)
Written/oral presentation(s)
Quizzes/Examination(s)
Project(s)
A failure on any dimension or assignment is grounds for failure of the
rotation.
Specific evaluation criteria will be presented to the student within 48 hours
from initiation of the rotation. A final grade is assigned according to the
following grading scale. Grades will not be rounded:
100-90
< 90 and
< 85 and
< 80 and
< 75 and
< 70
≥ 85
≥ 80
≥ 75
≥ 70
A
B+
B
C+
C
F
The final grade will be weighted in the following way:
10% Patient Assessment
40% Medication Therapy Management
20% Communication Skills
5% Drug Information
5% Professionalism, Ethics, Responsibility
20% Rotation Specific Projects/Assignments
Unprofessional and/or unethical behavior will not be tolerated, and will be
grounds for immediate failure of the rotation, and/or dismissal from the
program.
An unexcused absence, including excessive tardiness, is grounds for failure
of the rotation.
EXAMINATIONS:
Students arriving late for an examination/quiz will receive a zero. This may
result in failure of the rotation.
Students who are unable to take an examination/quiz as scheduled due to
circumstances deemed “excusable” by the instructor, must make
arrangements to make up the examination/quiz as soon as possible.
Students must notify the preceptor of an impending absence prior to the
exam. The determination as to whether the reason for absence is excusable
lies solely with the preceptor.
Students who are unable to take an examination/quiz due to circumstances
deemed “non-excusable” by the instructor will receive a grade of zero. This
may result in failure of the rotation.
INSTRUCTOR:
Director, Office of Experiential Education
Assistant Director, Office of Experiential Education
Stacey Friedman, Pharm.D.
Mark Malesker, Pharm.D., FCCP, FCCP, FASHP, BCPS
TEXTS:
None. Required readings, articles and other reading material may be
provided by the instructor.
**The latest policies, including those regarding students with disabilities and misconduct can be found
on the School of Pharmacy and Health Professions’ website at
http://spahp2.creighton.edu/oasa/PolicesProceduresGuidelines.aspx.
Each student is responsible for adhering to all of the latest policies.
**"Faculty reserve the right to make changes in the course that they deem necessary, and will
provide a copy of such changes to the Pharmacy Program Curriculum Committee for review before
the next offering of the course."