Damn I'm tired. School fucks me up. The anxiety and stress of not having any days off for several months in a row has already wreaked havoc on my sleep. I had a huge bout of insomnia the other night and last night I slept for about 5.5 hours. I would love to get 7 hours in....but I don't know if that's going to happen.
Work was busy and annoying as usual. I'm glad that I didn't have to do TPN's. One of the other interns had to and she ended up staying an hour late because of the pharmacist she was working with. He's slow. I left an hour late when I worked with him last week.
I have to start thinking about my presentations for my 5 week rotation through NYU Tisch Hospital. One topic has to cover administrative aspects of pharmacy. The other presentation has to cover IV's. I have no idea what they expect us to discuss because I have no idea what it entails either. I suppose I could ask my friend who was there before me.
We are also supposed to detail one intervention a week minimum while we are there. This could involve inappropriate medication use, it could be therapeutic duplication, it could be a serious drug interaction, it could be a problem with the way the order is written. I got 2 interventions on Friday for the same person. I don't know if it'll count as 2 but we'll see.
The basic gist of the intervention was how the pain medication was being administered. One of the basic tenets of pain management is to have a regularly scheduled medication to manage the pain. However, at the end of each dosing interval, it is quite common to have breakthrough pain. This is typically offset by an as needed dosing of another painkiller. Basically one of the MD's had written 2 orders - a controlled release oxycontin for 3 times a day as needed and an immediate release oxycontin as needed. Controlled release oxycontin is dosed every 12 hours, not every 8 hours. There was also no indication of how many hours were to pass between each dose. The same went for the immediate release formulation. Essentially, when a doc gives pain medications like that, a patient's pain won't be managed as effectively and the risk of addiction is higher. Boring no? Actually, I like dealing with pain medication scheduling.
Work was busy and annoying as usual. I'm glad that I didn't have to do TPN's. One of the other interns had to and she ended up staying an hour late because of the pharmacist she was working with. He's slow. I left an hour late when I worked with him last week.
I have to start thinking about my presentations for my 5 week rotation through NYU Tisch Hospital. One topic has to cover administrative aspects of pharmacy. The other presentation has to cover IV's. I have no idea what they expect us to discuss because I have no idea what it entails either. I suppose I could ask my friend who was there before me.
We are also supposed to detail one intervention a week minimum while we are there. This could involve inappropriate medication use, it could be therapeutic duplication, it could be a serious drug interaction, it could be a problem with the way the order is written. I got 2 interventions on Friday for the same person. I don't know if it'll count as 2 but we'll see.
The basic gist of the intervention was how the pain medication was being administered. One of the basic tenets of pain management is to have a regularly scheduled medication to manage the pain. However, at the end of each dosing interval, it is quite common to have breakthrough pain. This is typically offset by an as needed dosing of another painkiller. Basically one of the MD's had written 2 orders - a controlled release oxycontin for 3 times a day as needed and an immediate release oxycontin as needed. Controlled release oxycontin is dosed every 12 hours, not every 8 hours. There was also no indication of how many hours were to pass between each dose. The same went for the immediate release formulation. Essentially, when a doc gives pain medications like that, a patient's pain won't be managed as effectively and the risk of addiction is higher. Boring no? Actually, I like dealing with pain medication scheduling.
VIEW 4 of 4 COMMENTS
sheena:
wow your ink is amazing..!
songhead:
I am a big fan of your artwork, it's simply stunning.