Psychiatric Rotation

Psychiatric Rotation

Rotation Goal

The behavioral health learning experience is designed to allow the resident to gain expertise in providing pharmaceutical care to patients with behavioral health disorders. Disease states discussed include schizophrenia spectrum disorders, bipolar disorder, major depressive disorder, anxiety disorders, ADHD, substance use disorders, autism spectrum, dementia, and personality disorders. The resident is expected to understand the pharmacotherapy related to these as well as other disease states encountered in this setting.

Rotation Description

St. Joseph’s Behavioral Health Center (BHC) is a free-standing 60-bed state-of -the-art facility dedicated to the care of patients with behavioral health disorders. There is an acute adult unit, a progressive adult unit, and a pediatric unit, each with 20 beds. The BHC multidisciplinary teams are comprised of a psychiatrist, pharmacist, nurse, social worker, and discharge planner. Each day begins by preparing for treatment team meetings. The resident is responsible for daily patient review and monitoring. Specific areas of focus should include medication changes, medication compliance, PRN/ETO medications received, hours of sleep, lab values, and nursing narrative notes. The resident is also responsible for following up on clinical consults, completing order verification, and leading patient medication education groups. As the rotation progresses, the resident will assume a higher level of responsibility, based on their competency level and as deemed appropriate by the rotation preceptor. The afternoons will be spent following up on drug information questions, discussing assigned topics, and reviewing patient care problem lists with the preceptor.

Rotation Activities

  • Attend and participate in treatment team meetings. The schedule is as follows:
    • Acute adult unit: 8:30am, Family Therapy room  
    • Progressive adult unit: 9:15am, Family Therapy room 
    • Pediatric unit: 10:00am, Pediatric Intake room
  • Evaluate and monitor drug profiles for interactions, duplication of therapy, allergies, therapeutic indication, and appropriate dosing
  • Identify, interpret, and apply current medical literature and evidence-based practices to optimize the care of patients with behavioral health disorders
  • Monitor and make therapeutic recommendations for all pharmacokinetically monitored drugs
  • Evaluate patients for drug-induced movement disorders and make appropriate recommendations
  • Assist physicians and nurses with drug information questions using appropriate resources
  • Lead medication education groups on each of the inpatient units weekly
  • Document therapeutic interventions

Rotation Requirements

  • Required hours: 7am to 3:30pm. The times may vary based on patient care and team needs.
  • Formal topic discussions with preceptor. The resident will be prepared for the topic with current literature and application to our patient population.
  • Observe and lead medication education groups on each of the inpatient units
  • Maintain all therapeutic monitoring logs in the clinical decision support software, TheraDoc®, according to department policy
  • Document patient care interventions in TheraDoc®
  • Document adverse drug events and medication errors according to department policy
  • Develop a patient case presentation and complete other tasks as assigned by the rotation preceptor
  • Provide drug information in the form of in-services for the nursing staff on drug therapy, as needed or requested