Pediatric Pulmonology Elective Rotation

Pediatric Pulmonology Elective Rotation

Rotation Goal

The goal of this rotation is to further develop the resident’s knowledge of pediatric pulmonology including but not limited to an in depth understanding of the pediatric respiratory system anatomy and physiology and medication related pharmacokinetic and pharmacodynamics considerations specific to the pediatric respiratory system in order to provide optimal care to our pediatric pulmonology population.

Rotation Description

The Pediatric Pulmonology rotation will focus on pediatric patients admitted to our intensive care unit and pediatric patients admitted to the general pediatric ward diagnosed with a respiratory disease. 

The resident will begin the day by preparing for PICU multi-disciplinary rounds which begin at 9 am Monday through Friday. The resident is responsible for developing a monitoring plan for each patient that will be evaluated on rounds and will actively participate in patient care discussions.  After PICU multi-disciplinary rounds are complete the resident will review the general pediatric patients diagnosed with a respiratory disease in order to optimize medication management and follow up with the pulmonologist group regarding any recommendations related to medication modification, drug information questions, or general patient care.  As the rotation progresses, the resident will assume complete responsibility for ensuring optimal drug therapy outcomes in concert with PICU  and Pulmonology team goals for each patient.

Rotation Activities

  • Be professional and punctual at all times. Daily attendance of multidisciplinary rounds is mandatory and the preceptor must be notified in advance (preferably the day prior) of any anticipated absence.
  • Begin the day in the PICU at 7am and spend the morning efficiently collecting all necessary patient-related information from multiple resources for rounds in order to develop a patient therapeutic regimen and make appropriate recommendations to the team
  • Assess each patient on service for any possible drug interactions, medication events, or adverse reactions. This will be reported to the preceptor, medical team and documented in the clinical decision support software, TheraDoc© pharmacy monitoring system.
  • Provide concise, timely responses to all drug information inquiries from the preceptor, PICU team, patient or caregivers
  • Professionally and effectively communicate with interdisciplinary team members, patients, and caregivers in order to enhance pharmacy related outcomes
  • Respond and participate in all Pediatric CODE BLUE (B) emergencies in SJCH and SJH.
  • Become familiar with and ensure adherence to the policies and procedures regarding medication management, distribution, use, and monitoring at St. Joseph's Children's Hospital.

Rotation Requirements

  • Generally rotation hours are 7am to 4 pm. However, required hours may vary based on patient care and team needs.
  • Meet with the preceptor daily to discuss patient care issues, therapeutic goals, topic discussions, and personal progress through rotation
  • Provide four to five formal discussions to the preceptor specific to pulmonary disease states. The resident will be prepared to present the topic with current literature and application to our patient population. (see Topic Discussion requirements). The Resident may present this topic to the fellow resident(s) and pharmacy students.
  • Attend the Pediatric Medication Use Safety Team (Kids MUST) monthly meetings in the command center
  • Participate in monthly nursing meetings to provide current medication and/or Pharmacy Department information to the team which may include a brief (5 to10 minute) verbal presentation to the nurses. More frequent, small group discussions may be necessary in order to disseminate new information or procedures thoroughly to the teams.
  • Pediatric Advanced Life Support (PALS) certification, which is provided early in the residency
  • Document all patient care interventions and adverse drug interactions in TheraDoc® daily. A minimum of 10 interventions should be documented weekly.

Cathy Storms, Pharm.D., BCPS, BCPPS