On Tuesday of this week, Elise and I spent the first half of our day following two clinical pharmacists on two different surgery wards. The ward I was on was primarily orthopedic patients. I actually evaluated a patient's medication list for several aspects: administration (patient had an NG tube so their medications had to be suitable for this delivery), renal dose adjustment (patient had poor renal function), and post-MI status (making sure the patient was on the proper medications for this) I also was able to do discharge counseling for a patient which was neat. There were not many new patients so the remainder of the time I spent talking with the pharmacist about various drug changes or orders that he was evaluating for their clinical accuracy.
That afternoon, Elise and I presented our patient cases to a few pharmacists, our preceptor, and pharmacy students. We both put together a powerpoint to show how we would typically present a patient in the states and work through an individual case. I presented on a patient with a suspected meningitis/encephalitis. Part of the presentation was also to highlight the differences in treatment approach between here and the states. One thing that I'm still getting used to is the unit differences for labs. My frame of reference is completely off because I no longer know what an appropriate lab value is with the different units.
Overall I think the presentations we both gave went really well and they enjoyed seeing our step by step process in handling patient cases.
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