Pediatric Emergency Medicine Rotation

Pediatric Emergency Medicine Rotation

Rotation Goal

The goal of this rotation is for the resident to gain exposure to and become proficient in the management of pediatric patients in the emergency department. The resident will be able to independently function as a member of the multidisciplinary emergency department team in the initial resuscitation and stabilization of pediatric patients.

Rotation Description

St Joseph’s Hospital is a private, non-profit community hospital with over 500 adult beds connected to St. Joseph’s Children’s Hospital with over 200 pediatric beds. 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, more than 40,000 of those are pediatric patients. The St. Joseph’s Emergency Department is a Level II Trauma Center and Pediatric Trauma Referral Center. The Steinbrenner Children’s Emergency Center contains 22 private rooms, 2 trauma suites and is staffed 24 hours a day.

The Pediatric Emergency Medicine elective is a 2-4 week rotation designed to provide the resident with exposure to the care of patients in an emergency department (ED). 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 any other emergent situations that may arise. The resident will also support the pharmacist in the review and verification of all medications ordered in the pediatric ED and will be expected to assess for appropriateness based on patient-specific characteristics, goals of care, and differential diagnosis. The resident will be expected to work with other members of the ED healthcare team to improve the care provided to our adult and pediatric patients. Pharmacist hours are 0700-2300 on weekdays and the resident will work with the preceptor to develop their schedule prior to rotation.

Rotation Activities

  • Participation in code blue/trauma resuscitation
  • Lead general topic discussions selected from the following options:
    • Arrhythmias (PALS algorithms)
    • Shock
    • Hemorrhage
    • Sickle cell crisis
    • Sepsis
    • Pneumonia
    • Head trauma
    • Seizures
    • Status epilepticus
    • Acute respiratory distress syndrome
    • Drowning/near drowning
    • Status asthmaticus
  • Lead toxicology topic discussions selected from the following options:
    • Acetaminophen
    • Cardiovascular agents
    • Snake bites
    • Household products
  • One journal club presentation
  • 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 informal patient case presentations
  • Medication reconciliation as needed

Rotation Requirements

  • Prior to beginning the Emergency medicine rotation, residents will need to have completed the departmental orientation training and be licensed to practice pharmacy
  • Meet with the preceptor daily to discuss patient care issues, medication reconciliation workflow, topic discussions and person 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. Topics will be selected by the resident in the first week of the rotation
  • Advanced Cardiovascular Life Support (ACLS) certification
  • Pediatric Advanced Life Support (PALS) certification

Amanda Harmon, PharmD, BCPS