Emergency Medicine

Emergency Medicine

St. Joseph’s is a private, non-profit, community hospital with over 500 adult beds connected to St. Joseph’s Children and St. Joseph’s Women’s Hospitals. St. Joseph's Hospital is known for its advanced medical technology and surgery and its Centers of Excellence include the Advanced Center for Atrial Fibrillation as well as the Cancer Institute, Stroke & Neuroscience Program and Heart Institute. The St. Joseph’s Hospital Emergency Center is the busiest Emergency Department in Tampa Bay providing care to more than 145,000 patients every year and is a Level II Trauma Center and Pediatric Trauma Referral Center.

Rotation Description

Emergency Medicine (EM) is a 2-4 week elective rotation designed to provide the resident with exposure to the care of patients in an emergency department. Currently, the pharmacist’s primary role is oversight of the medication reconciliation process; therefore the resident will assist the ED pharmacist and technicians in completing medication reconciliation on all patients admitted through the ED. When not engaging patients for the purpose of medication reconciliation, the resident will have the opportunity to participate with the multidisciplinary team in the initial resuscitation and stabilization of patients presenting with traumatic injuries, cardiac arrest, and respiratory arrest.  The resident will also assist in medication preparation during rapid sequence intubation (RSI), conscious sedation, and Alteplase for ischemic stroke, and well as any other emergent situations that may arise. In addition to work done in the ED, the resident will complete several topic discussions each week on common EM disease states and toxicological emergencies, present a journal club, and present weekly informal patient cases. The resident will be expected to work with other members of the ED health care team to improve the care provided to our adult and pediatric patients. Pharmacist hours are 10am to 6:30pm and the resident will be expected to be in the ED during pharmacist hours.

Rotation Activities

  • Medication reconciliation
  • Participation in code blue/trauma resuscitation
  • Lead general topic discussions
  • Lead toxicology topic discussions
  • Proactive medication order review
  • Admission order review and initiation of pharmacy-to-dose consults
  • Drug information responses for physicians and mid-level providers if needed
  • Weekly patient case presentations
  • One journal club presentation
  • Identification of 2 adverse drug events and reporting to FDA MedWatch

Rotation Requirements

  • Meet with the preceptor daily to discuss patient care issues, medication reconciliation workflow, topic discussions, and personal progress through rotation. 
  • Provide formal discussions to the preceptor on Emergency Medicine topics. The resident will be prepared to present the topic with current literature and application to our patient population
  • Advanced Cardiovascular Life Support (ACLS) certification, which is provided early in the residency.

Amanda Harmon, PharmD, BCPS
John Phillips, PharmD