CREIGHTON UNIVERSITY SCHOOL OF PHARMACY AND HEALTH PROFESSIONS OFFICE OF EXPERIENTIAL EDUCATION PHARMACY EXPERIENTIAL EDUCATION MANUAL June 8, 2015 through April 22, 2016 Rhonda M. Jones, Pharm.D. Director, Office of Experiential Education Professor of Pharmacy Practice 402-280-2020 rjones@creighton.edu Maryann Z. Skrabal, Pharm.D., CDE 402-280-5834 Assistant Director, Office of Experiential Education Associate Professor of Pharmacy Practice mskrabal@creighton.edu Kelli Coover, Pharm.D., CGP 402-280-3167 Assistant Director, Office of Experiential Education Associate Professor of Pharmacy Practice kellicoover@creighton.edu Patricia Lyons Coordinator, Office of Experiential Education 402-280-2590 plyons@creighton.edu Kathy Widman Coordinator, Office of Experiential Education 402-280-3664 kwidman@creighton.edu Kathy Stuhr Coordinator, Office of Experiential Education 402-280-3539 kathystuhr@creighton.edu Experiential Office Information: Fax: Web Site: Address: 402-280-1888 http://spahp.creighton.edu/experiential Creighton University School of Pharmacy & Health Professions Hixson-Lied Science Building – Pharmacy Experiential Office 2500 California Plaza, Omaha, NE 68178 1 Table of Contents Rotation Dates ........................................................................................................................................................ 3 Rotation Timeline ................................................................................................................................................... 3 Rotation Schedule ................................................................................................................................................... 4 Specific Requirements & Responsibilities............................................................................................................... 5 A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. Professionalism ................................................................................................................................... 5 Dress Code........................................................................................................................................... 6 Time Requirements ............................................................................................................................. 7 Communication ................................................................................................................................... 8 Learning Principles/Tips for Success ................................................................................................... 8 Assignments ........................................................................................................................................ 9 Intervention Documentation ............................................................................................................ 10 Intern License .................................................................................................................................... 10 Evaluation of Your Progress and Development ................................................................................ 11 Evaluation of Sites and Preceptors ................................................................................................... 11 Grading Scale ..................................................................................................................................... 11 Proof of Health Status & Immunity ................................................................................................... 12 Other Requirements.......................................................................................................................... 12 Housing Arrangements...................................................................................................................... 12 Disability Accommodations…………………………………………………………………………………………………………..12 E-Mail ................................................................................................................................................ 12 Addresses .......................................................................................................................................... 13 Educational Outcomes for Graduates .................................................................................................................. 14 2 ROTATION DATES SUMMER 2015 THROUGH SPRING 2016 June 8 – July 10, 2015 ..............................................................July 3 off – Independence Day July 13 – August 14, 2015 ........................................................ August 17 - September 18, 2015 .............................................September 7 off - Labor Day September 21 – October 23, 2015........................................... October 26 - November 25, 2015 ............................................Rotation ends Wednesday prior to Thanksgiving November 30, 2015 – January 8, 2016 ....................................Off January 11 – February 12, 2016 February 15 – March 18, 2016 March 21 – April 22, 2016........................................................March 25 off – Good Friday Graduation May 14, 2016 The University calendar does not apply to the rotation schedule. Rotation Timeline Two Weeks before Rotation: Contact your preceptor two weeks before the start date to find out specific information on when and where to report. DO NOT wait until the Thursday or Friday before the start date, the preceptor may not be available that day. Or, if there is a problem with the rotation (e.g., the site cannot take you at the last minute), this does not allow enough time for the Experiential Office to schedule a different site/preceptor and it may delay your graduation! For your January rotation, contact your preceptor by the second week of December - many preceptors take vacation over the Christmas holidays and will not be available the week or two before the start of the January rotations. If you page a preceptor, please do not have the return number as a long-distance number. (Many preceptors do not have a long-distance code at their site.) When you contact a site and are directed to someone other than the person whom the Experiential Office has given you, it is your responsibility to contact Pat Lyons or Kathy Widman to let them know that there has been a change in the contact person. This is very important to make sure that this new person has received the appropriate paperwork from our office! Please do this prior to the start of the rotation so that the appropriate preceptor receives the evaluation link and that you will receive a final grade. If you don't contact us with the information, we have no way of knowing that there has been a change! Prior to arrival at each new rotation, review the objectives of the rotation listed in the syllabus. Day One of Rotation: Talk with your preceptor about your background experience, career goals, and initial self-assessment relative to the objectives of this rotation. Tell him/her where you expect to need help and/or where you have some confidence to further develop. Agree on areas of focus (i.e., areas you need to improve and/or areas you wish to especially expand by doing special projects). Verify that the preceptor has received an e-mail with a link to rotation information sent from the Experiential Office. The coordinator or the director/manager at the site may have received it and not passed it along, or they may have misplaced it. The link to the preceptor rotation information is 3 http://spahp.creighton.edu/departments-offices/pharmacy-practice/experiential-education/currentpreceptors . If you have a different preceptor than listed on your schedule, contact the Experiential Office as soon as possible. You will need to get the following information: First name, Middle initial, Last name, Degree, License number, Email address, and Telephone number. If needed, contact Pat Lyons or Kathy Widman as soon as possible to have another information email sent to them. You may also print off many of the forms, such as the assessment form and rotation syllabi, from the experiential website (http://spahp.creighton.edu/experiential) under “Current Preceptors”. Rotation Mid Point: Complete a self-assessment of your progress midway through the rotation. You will receive an email with a link to the evaluation. If you go into https://www.e-value.net and log in, click on Evaluations > To Be Completed. Scroll down to the corresponding rotation/site and click on Edit Evaluation. Discuss your progress with your preceptor. If you haven’t received any specific feedback from your preceptor regarding your progress and performance, respectfully request your preceptor to give you an interim evaluation of your strengths and weaknesses. Encourage your preceptor to submit the mid-point evaluation in E*Value. (Preceptors will also receive an email with a link.) Graciously accept constructive feedback and then work on improving those areas. Contact the preceptor for your next rotation. Last Day of Rotation Discuss your final evaluation with your preceptor. Remind external preceptors to electronically submit or mail your grade to the Experiential Office within one week. Complete your Site and Preceptor Evaluation. You will receive an automatic email from E*Value prior to the last day of the rotation with a direct link to the evaluation form or go to the E*Value web site (http://www.EValue.net). After you have logged in, click on Evaluations > To Be Completed. Scroll down to the corresponding rotation/site and click on Edit Evaluation. Prior to arrival at your next rotation, review the objectives of the rotation listed in the syllabus. Rotation Schedule The rotation schedule can be found on E*Value at http://www.E-Value.net. Under Schedules > Reports > Roster. Make sure your start and end dates are inclusive and click Next. As of April 15, 2015 please consider the schedule for your rotations as final for the year. Please keep in mind however that changes may occur in the schedule due to uncontrollable circumstances (e.g., preceptor resignation, site unable to accommodate a student, maternity leave, etc.). Pat Lyons or Kathy Widman will email the student if his/her schedule is affected during the experiential year. It is important that you check your e-mail regularly in order that the Experiential Office can communicate important issues to you in a timely manner. Please keep in mind that a change in the schedule may affect several people (i.e., the sites, preceptors, and other students). Therefore, the Experiential Office must keep rotation changes to an absolute minimum. The Experiential Office reserves the right to deny a student request for a change in their 4 rotation schedule! The Pharmacy Experiential Education Change Request Policy can be found at the following link: o http://spahp.creighton.edu/sites/spahp.creighton.edu/files/basicpage/file/Pharmacy%20Experiential%20Education%20Change%20Requests.pdf If a student fails a rotation at a distant site or cannot complete a distant rotation due to illness or family emergency, the Experiential Office reserves the right to schedule the repeat rotation with a Creighton faculty member in the Omaha/Lincoln area. SPECIFIC REQUIREMENTS & RESPONSIBILITIES A. Professionalism Students working within a particular institution during rotation experiences will be recognized as part of the pharmacy operation. The student’s conduct and actions directly reflect upon the pharmacy department and Creighton University. The student should always follow all policies and procedures of the pharmacy in a professional manner. Students must be respectful, kind and courteous to pharmacists, technicians, physicians, nurses, staff, and other students at all times during rotations. Arguing with pharmacists, technicians, physicians, nurses, staff or other students is unprofessional and will not be tolerated. Students should direct any concerns about preceptors, staff or other students to either Dr. Jones or Dr. Skrabal. Complaining about preceptors and/or the rotation in a public area is unprofessional and will not be tolerated. Students need to display a positive attitude and a motivated willingness to learn. Negative, demanding, and entitlement attitudes are unprofessional and will not be tolerated. Students are expected to arrive on time as directed by the preceptor. Tardiness, leaving earlier than expected, or not showing up for any rotation responsibilities (e.g., patient care activities, preceptor meetings) are unacceptable and will be considered unexcused absences, which are grounds for failure of a rotation. The preceptor assigns the responsibilities, expectations, activities, and assignments for the rotation. These are not "negotiable." If the student has any concerns about these, he/she should contact either Dr. Jones or Dr. Skrabal. Students should not "expect" time off for personal reasons during the rotation. The student must ask permission from the preceptor to be absent from the rotation for any personal reason (e.g., residency interview, doctor appointment, etc.). The preceptor has the right to deny the student's request and/or require that the student make up the time that he/she misses from the rotation. All students are expected to behave in a professional and ethical manner during all rotations! If the student behaves in an unprofessional or unethical manner, he/she may be asked to leave the site, which is grounds for failure of the rotation. 5 B. Dress Code General Appearance The student must exhibit a professional appearance both in manner and dress and must adhere at all times to the standards specified by his or her preceptor. The student's general appearance and hair must be clean and well groomed. Offensive body odor and poor personal hygiene is not acceptable. Appearance should not distract from a patient-centered focus. Students are required to wear a clean, pressed, short white lab coat and must wear their Creighton University name badge at all times (unless otherwise directed by the preceptor for a particular site). If you need a new name badge, please e-mail Laurie Massa (lauriemassa@creighton.edu) in the Office of Academic and Student Affairs. Some sites will require you to wear you Creighton Photo ID. Insert it in a clear name badge holder and attach to your white coat. Clothing and Shoes Men must wear a shirt and tie and dress pants for all rotations unless instructed otherwise by the preceptor. At all times, clothing should be neat and clean, moderate style and color. Women must wear dress pants, skirt or dress. Skirt lengths must be of a conservative nature; no mini-skirts are allowed. Approved professional clothing includes business casual attire, which is pressed, clean and in good condition with no tears or stains. Clothing needs to fit properly and be loose enough to allow performance of rotation activities. Unacceptable dress includes: Logo t-shirts, which include t-shirts with pictures/printing and undershirts of any color (except when worn under another approved garment). Shorts, carpenter pants, leggings, stirrup pants, wind pants, sweats or jogging suits, capris, mini-skirts and skorts. Jeans or any pants made to be or to resemble jeans, regardless of color or fabric. Denim material shirts, skirts or dresses (includes chambray material). Halter tops. Tank tops/camisoles (unless worn under a jacket). Midriff top. Thermal or flannel shirts. Lycra or tight attire. Any clothing where cleavage, bras, or briefs/underwear are consistently visible. Flip-flop shoes and sandals. Hair, Nails and Jewelry Hair (including facial hair) is to be neatly trimmed and styled. Length may be individualized but extreme looks are not allowed. Fingernails are to be neat, clean and well maintained. All visible tattoos need to be covered. All visible body piercing/adornments (other than in the ears) are not permitted to be worn during rotation hours, including nail, tongue, eyebrow, nose, lip or any other facial piercing/adornments. Visible ear adornments are limited to three per ear. All unapproved piercing/adornments must be removed while at the rotation site. Jewelry and other accessories need to be conservative/moderate style and not excessive. Pins and insignia are permitted. 6 Any student not following the above dress code may be asked to leave the rotation until they meet the appropriate codes listed above. Any time lost from being asked to leave a rotation must be made up. Dr. Jones or Dr. Skrabal must also be notified of any students being asked to leave a rotation. C. Time Requirements The student is required to devote a minimum of 40 hours per week to each rotation. Rotation hours are specific for each site but are generally conducted from 8:00 a.m. to 4:30 p.m. at hospitals and 9:00 a.m. to 5:30 p.m. at community pharmacies unless otherwise directed by the preceptor. Please note that the specific hours/schedule will vary from site to site. In addition, the student may need to arrive earlier or stay later than the scheduled start time or end time to prepare for rotation activities and/or follow-up with specific responsibilities of the rotation. o As part of the expectations/responsibilities of the rotation, it may be necessary to devote more than the scheduled time to the experience. For example, the student may need to come in early to review patient charts before rounds begin (rounds may begin at 7:00 or 8:00 a.m. so the student may need to arrive as early as 6:00 a.m.). The student should be punctual in meeting his/her rotation schedule and arrive ahead of the preceptor whenever possible in order to observe procedures involved in commencing practice. o The student may be asked to complete assignments that require additional work outside of rotation hours. Outside job responsibilities do not excuse the student from completing these assignments on time. o If the student is unable to attend the rotation for any reason, the student must contact the preceptor as soon as possible, before the start of the day. In addition, the student must submit an excused absence request through the Student Tracking and Retention System (STARS), which is found on the Office of Academic and Student Affairs website (http://spahp.creighton.edu/departmentsoffices/academic-and-student-affairs/policy-procedures/excused-absence-request-stars). Dr. Jones or Dr. Skrabal will be notified of your absence and will determine if the absence is excused or unexcused. If a STARS absence request is not submitted and it is discovered that the student missed rotation time without contacting the school, it is grounds for an unprofessionalism citation. All absences and tardiness must be made up unless otherwise directed by the preceptor. This includes absences for illness and residency/job interviews. If several interviews need to be scheduled, try to stagger them over different rotations so you don’t miss an excessive amount of time from one rotation. One or more unexcused absences and/or tardiness on more than two occasions are grounds for failure of the rotation. Failure to comply with the schedule and/or time requirements is grounds for failure of the rotation. In order to complete all rotation requirements, some students may need to commute an hour or more oneway to the rotation site. This is not unreasonable and sometimes necessary to complete all rotations. The student is responsible for planning enough commute/travel time to arrive at the site on-time for the rotation day. The student is responsible for arranging childcare if needed to meet the time/schedule requirements of the rotation. The student should also arrange back-up childcare in case of primary childcare illness and or vacations/absences. There is no automatic ‘sick day benefit’ that applies to the experiential year. If no support is available and the student must miss the rotation, the time will need to be made up. 7 The student is responsible for transportation and housing for all rotations. If he/she does not have a car, then he/she must arrange alternate transportation (e.g., carpool or public transportation). Rotations will not be changed or moved if housing accommodations fall through. The student is responsible for finding back-up housing to meet original rotation schedule commitment. The University calendar, in regards to vacation periods and holidays, does not apply to the rotation schedule. Students are allowed July 3rd, September 7th and March 25th off. Other than those dates, the student must follow the schedule that is developed by the preceptor. Outside job responsibilities DO NOT take precedence over time, expectations, and responsibilities that are required during the rotation. This includes but is not limited to assignments to be completed. D. Communication The student is obligated to respect any and all confidences revealed during his/her training period including patient/customer information, pharmacy records, pricing systems, professional policies, etc. as detailed in the “Student Agreement.” Violation of these confidences will be grounds for failure of the rotation. Each student will be asked to abide by a "Student Agreement" which the student has signed and is filed in the Office of Experiential Education. Students may also be asked to sign additional confidentiality agreements for the site. The student should always be respectful of his/her preceptor, pharmacists, technicians, and other health care professionals at the site. You should never question the advice or directions of the preceptor in public, but discuss any disagreements in private, in a courteous, respectful manner. All criticism and feedback should be viewed as a means of learning and not embarrassment. The student should encourage communication with all persons involved in his/her training including the pharmacists, physicians, other health professionals, and patients. The student should take initiative in communicating with physicians and patients but should not step beyond the realm of professional courtesy or common sense. The student should not make professional decisions or judgments without checking with his/her preceptor first. The student should never be hesitant to admit that he/she does not know something, but should seek help whenever he/she needs it. This may include faculty at the school (e.g., Dr. O’Brien: parenterals, Mr. Hospodka: law, etc.), the preceptor, or various drug information resources. E. Learning Principles/Tips for Success Since you are obtaining a pharmacy degree, it is very important that you learn the technical dispensing skills, as they pertain to that particular rotation, as well as various clinical skills. The student must keep in mind that learning is not a passive process but requires an active, motivated, and assertive involvement in all expectations and responsibilities of the rotation. Each rotation site and preceptor style is unique and different, which means that the specific activities that the student participates in will vary depending on the type of environment. Keep in mind that, for example, a small private hospital pharmacist may have different coverage requirements and demands compared to a 8 large, teaching hospital pharmacist and the activities that the student participates in to learn the pharmacists’ roles will be different. But, the overall objectives of learning in the hospital pharmacy environment are the same. The experiential year is a chance to gain pharmacy practice experience in difference settings to create a competent and well-rounded professional. Please keep in mind that another integral part of the learning process is evaluation and feedback for improvement. The student should not view this as negative personal criticism but as a positive way to become a better pharmacist! A student should be constantly alert to the laws and regulations that govern his/her practice and seek clarification of any points that are not clear. The student MUST NOT accept payment for work experience pertaining to the Professional Experience Program. The student should contact Dr. Jones, Dr. Skrabal, Pat Lyons, or Kathy Widman immediately if a troublesome situation has arisen or may arise with a preceptor or fellow student! The following are recommendations from Creighton University faculty to enhance your learning experiences throughout the rotation year: F. Faculty preceptors from Creighton offer advice to help pharmacy students be successful on rotations. To access these Preceptor Pearls, please go to the experiential website. Each day of your rotation go home and read in Harrison’s Textbook of Clinical Medicine® online about one disease state that each of your patients has. By the end of the year, you will have read almost everything in Harrison’s. Go to the HSL website (http://hsl.creighton.edu), choose Resources, choose Medicine, and it is under Access Medicine in the General References/Textbook section. Take 1-2 hours each week to read about one drug in Clinical Pharmacology® with which you are unfamiliar. By the end of the year, you will have learned the details about several different medications and will be better prepared for the NAPLEX exam. Go to the HSL website (http://hsl.creighton.edu), choose Resources, choose Pharmacy, and it is under Handbooks. When giving case presentations, you need to be able to answer questions about basic pharmacology and details of the medications you are discussing without having to look at your notes. This includes the mechanism of action, indications, contraindications, adverse effects, usual dosages and pharmacokinetic characteristics. Assignments Specific assignments for each rotation will be made by preceptors. Individual preceptors may require/recommend additional activities and assignments to enhance your educational experience at the site. The only assignments made by the Experiential Office are the Interventions for your required Community and Hospital Rotations. Please see the Intervention Documentation section for details. 9 G. Intervention Documentation Twenty interventions must be completed during the required community rotation and 20 interventions must be completed for the required hospital practice rotation. These interventions must be documented and logged into E*Value > PxDx > Add New. It may be easier to print a paper copy of the intervention form that is located on the experiential web site in order to document the information and then enter it into E-Value at a later time or date that is more convenient. The paper copy can be found at: http://spahp.creighton.edu/experiential > Advanced Experiences (APPE) > Word Documents > Intervention Documentation. All students must enter all interventions into E*Value. As each intervention is added into E*Value, your preceptor will receive an email with a link to confirm or reject the intervention. The preceptor may follow-up by accessing each link as they come or may choose to ignore the emails and go in and confirm them all at once at the end of the rotation. It is up to the preceptor about how they would like to address them. If the preceptor indicates that they do not have access to the internet or email in order to review the intervention, then have the preceptor review the paper copy of the intervention form and sign it. The student should then send the signed paper copy to the Experiential Office within one week of the end of the rotation. Due to HIPAA regulations, interventions must be sent via postal mail or delivered in person. They cannot be faxed. The student must also enter the interventions into E*Value under PxDx. This information is needed to verify the types of patients and interventions that students are exposed to on rotations, which is an Accreditation Requirement. The interventions are worth 20% of the student’s final grade for both the community and the hospital rotations. (You do not need to complete interventions for an elective community or elective hospital rotation.) Any student who does not turn in their interventions within 1 week of the last day of the rotation in which they were completed, will be given 0% for that portion of their final grade. The interventions should include clinical interventions (drug information, drug duplication, adverse effects, therapeutic consults) and may also include some administrative interventions (formulary issues, clarifications). Points will be deducted if all of the interventions are administrative and none are clinical in nature. If there is a lack of understandable detail for specific interventions, points will be deducted. If the interventions are not confirmed by your preceptor in PxDx (or signed by your preceptor if they do not have access to the internet), you will be given zero credit for all the interventions. H. Intern License If the student is scheduled to complete a rotation outside of Nebraska (including Iowa), he/she is responsible for obtaining an intern license for that state. The student will need to contact that particular state’s Board of Pharmacy to find out the appropriate procedures for obtaining an intern license for that state. You should do this at least 3 months in advance (if possible) of starting your rotation in that state. Contact information for each state board of pharmacy is located on the NABP web site http://www.nabp.net under Boards of Pharmacy and United States. The experiential web site also has a link to the NABP web site. Once the student has received his/her intern license, the student must upload a copy of the intern license into their MyFolio in E*Value before starting the rotation. After logging in to E*Value, click on My Portfolio > MyFolio > Intern License folder (below the Resume/CV folder); click on paper & pencil icon in far right column or paper icon in upper right corner of the grid; fill in requested information; click on pencil/paper icon to upload a copy of your intern license (can be a PDF or JPEG document); click on Save Grid Row. 10 I. Evaluation of Your Progress and Development You will be evaluated for each rotation using a standardized evaluation/grading form, which is based on our Educational Outcomes. This form can be found on the experiential website. Please note that the specific evaluation will be based on the type of rotation. For competencies that do not match the rotation, the preceptor should select “NA.” NA items will not be included in the final grade. Preceptors should explain the grading criteria at the beginning of the rotation, and should give you an evaluation of your performance at mid-point and at the end of the rotation. They should also give you verbal feedback throughout the rotation. If you don’t receive any information/feedback about how you are doing, please politely ask the preceptor how you are doing. In addition, you should also do a self-evaluation at mid-point and at the end of the rotation. Our goal is to stimulate student self-review, problem-recognition and solving, and independent learning, as opposed to preceptors just “teaching” and correcting the student. In other words, you are also responsible for your learning during rotations. J. Evaluation of Sites and Preceptors Evaluation of your preceptors and sites is a required component of all rotations. Please remember that the name you are given for a contact person may not be the person who spends time with you on the rotation and you should adjust your evaluation accordingly. Complete the evaluation on the person/s with whom you worked the greatest amount of time. Please be honest and constructive. Remember, do not answer “no” to items that do not relate to the objectives of the particular rotation you are evaluating. Enter your Site and Preceptor Evaluation. This is found in E*Value (http://www.E-Value.net). Click on Evaluations > To Be Completed. Scroll down to the rotation you want to evaluate and click on ‘edit evaluation’. You will also receive an automatic email in the last week of the rotation from E*Value with a link directly to the evaluation. If you have a rotation with the Health Sciences Library, you will be referred to https://evaluations.creighton.edu . You will sign on with your NetID and Blue Password, then complete your evaluations. Evaluations are due within one week following the end of the rotation. Faculty will not know any responses or read your comments until grades have been submitted for the given semester. As with didactic courses, evaluations for all rotations are mandatory. The Experiential Office will keep track of who does/does not submit an evaluation. Do not hold back your evaluation form because a preceptor has not given you a grade. If you do not submit an evaluation by the end of the semester, you will receive an Incomplete for that rotation until an evaluation is submitted. K. Grading Scale Grading criteria established by the instructor(s) of record should be shared with you within 48 hours of beginning of the rotation. Final grades will be given according to the following scale unless otherwise stated by the preceptor: 100-90 A < 90 and ≥ 85 B+ < 85 and ≥ 80 B < 80 and ≥ 75 C+ < 75 and ≥ 70 C < 70 F 11 L. Proof of Health Status & Immunity It is your responsibility to have a current negative TB skin test (or negative chest x-ray) record to show to any site administrator who might request it. (Each reading is good for one year only.) Many hospitals will require you to produce proof of your TB and Hepatitis B immunity on the first day at the site. Take pertinent records with you. If you need records from Student Health, only you can request them; our office cannot supply them. You can also print your immunization information from the Creighton NEST system. Students shall carry and be able to show proof of adequate personal medical and hospital insurance. M. Other Requirements Other institutions may require drug-testing, background checks or institution-specific training prior to students starting rotations. It is the student’s responsibility to schedule and fulfill any specific onboarding requirements with the site. The student will also be responsible for any cost associated with the requirements. When looking at your schedule, click on the site name. This will bring up information about the site. Scroll to the very bottom of the page to see “Site Requirements”. If there are additional requirements, go to http://spahp2.creighton.edu/experiential/requirementforms.aspx . All CHI-Alegent hospitals (i.e., Mercy, Bergan Mercy, Midlands and Immanuel) and Creighton University Medical Center require that students complete a drug test at least 2 weeks prior to the rotation start date. You will need to make an appointment at one of the locations listed on the experiential website (noted above). If you are taking more than one rotation at an CHI-Alegent or CUMC hospital, you will only need to complete a drug test for the first rotation. In addition, if you have a future CHI-Alegent rotation, please keep your Alegent ID badge. Kathy Stuhr in OEE is responsible for overseeing these requirements, so any questions or inquiries about requirements should be directed to her. Failure to complete onboarding requirements may result in the student being unable to complete a rotation at the site and is grounds for an unprofessionalism citation. N. Housing Arrangements The student is responsible for making his/her own housing arrangements for all out-of-town rotations. The Experiential Office recommends that you have back-up housing in case the original housing falls through. Lack of housing does not justify changing to another rotation site. See the “Housing Information” section of each site you are attending to determine if your site has housing and to view the site-specific requirements/instructions. Housing may be available in Omaha on campus for distance students completing rotations during the summer months, please see the Department of Residence Life website under summer housing for more information (https://www.creighton.edu/studentlife/departmentofresidencelife/summerhousing/). O. Disability Accommodations It is the responsibility of students with disability accommodations to proactively inform the Director/Assistant Director in the Office of Experiential Education at the earliest opportunity of any allowed accommodation not being provided by a site. P. E-Mail It is the student's responsibility to maintain his/her e-mail account with Creighton. Please be sure that your mailbox is cleaned out on a regular basis. It is also your responsibility that you check your Creighton e-mail frequently (at least once/week). The Experiential Office, as well as other administration and faculty, frequently send messages to the entire class through the list-serve and to individual students. 12 Q. Addresses Please update your address and evening phone number/cell number where you can be reached in E*Value prior to or within the first week of going out-of-town. It is very important that we have a way to reach you if we need to. You also need to inform the Office of Academic and Student Affairs of any address and phone changes throughout the experiential year. 13 EDUCATIONAL OUTCOMES (EOs) FOR PHARMACY GRADUATES School of Pharmacy and Health Professions Creighton University Medical Center Creighton University pharmacy graduates must possess knowledge, skills, attitudes, and values to provide patient-centered care. Graduates must be able to provide patient care and serve target populations in cooperation with patients, prescribers, other members of interprofessional health care teams, and the community based upon sound therapeutic principles, evidence-based data, and research skills. In this regard, graduates must demonstrate competence in the following areas: 1. Ignatian Values - Articulate the Ignatian Tradition and its application to the profession of pharmacy. 2. Professionalism, Citizenship, and Leadership - Contribute to the profession and society by demonstrating professionalism, citizenship, and leadership. 3. Critical Thinking – Apply critical thinking skills to support evidence-based pharmacy practice. 4. Communication - Communicate and collaborate effectively with patients, care givers, other health care professionals, and members of the community. 5. Patient Assessment - Obtain, interpret, and evaluate patient information to determine the presence of a disease, medical condition, or drug-related problem(s), assess the need for treatment and/or referral, and identify patient-specific factors that affect health, pharmacotherapy, and/or disease management. 6. Medication Therapy Management – 1) Manage the drug regimen by monitoring and assessing the patient and/or patient information, recommending drug changes that enhance patient outcomes, collaborating with other health care professionals, providing patient education and documenting patient information and intervention(s). 2) Develop and implement population-specific, evidence-based disease management programs and protocols. 7. Dispensing Medications -Dispense drug products consistent with patient needs and patient safety in harmony with the law. 8. Drug Information - Ascertain the request for information, retrieve, evaluate, and manage drug and medical information to provide and promote optimal health care. 9. Public Health - Collaborate with health professionals and community groups to promote wellness, prevent disease, and manage medical conditions and reduce health disparities through education, advocacy, and other activities at the population and individual patient levels. 10. Health Systems - Explain and apply the principles and resources associated with pharmacy management, drug distribution, third party payment systems, and participate in interdisciplinary healthcare administrative activities. 14