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8110 Gatehouse Road, Falls Church, VA 22042

PGY2 Residency: Medication-Use Safety and Policy

INOVA East Regional (Inova Alexandria and Mount Vernon Hospitals)

Institute for Safe Medication Practices (ISMP) Award

Inova's pharmacy medication team has been recognized for successful implementation of error-reduction strategies around insulin administration. The ISMP Cheers Awards honor work that is setting a standard of excellence in the prevention of medication errors and adverse drug events.

The pharmacy medication team collaborated with other disciplines to implement error-reduction strategies, including restricting regular insulin to the IV route, requiring regular insulin prescribing via order sets with dosing limits, linking orders for IV push regular insulin to ensure dispensing of an appropriate needleless luer lock insulin syringe, and including an image of the appropriate syringe to be used for administration in the medication administration record. Learn More

Inova is pleased to offer a new PGY2 residency program, Medication-Use Safety and Policy. This resident will be positioned at Inova's two eastern region hospitals, Inova Alexandria and Inova Mount Vernon Hospitals.

The PGY2 pharmacy residency program builds on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

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Competency Outcomes

  1. Assessing Safe and Effective medication – Use Systems and Policies
  2. Medication – Use Data collection and Analysis
  3. Designing Safe and Effective Medication – Use Systems/Policies
  4. Drug Shortages and Supply Interruptions
  5. Medication Use Technology
  6. Medication Use Research
  7. Leadership and Management
  8. Teaching, Education and Dissemination of Knowledge

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Program Description – PGY2 Medication-Use Safety and Policy Residency

The Departments of Pharmacy at Inova Alexandria Hospital (IAH) and Inova Mount Vernon Hospital (IMVH) employ approximately 76 FTEs including 34 pharmacists and 33 pharmacy technicians. Inpatient pharmacy services at IAH and IMVH are provided by decentralized clinical pharmacists in a unit-based practice model. Within this model, pharmacists are assigned to cover several patient care areas and are responsible for the pharmaceutical care of the patients on those units.

Unit-based pharmacists process orders for those patients admitted to the assigned patient care area. Unit-based staff on the patient care areas 8 hours per day, 5 days per week. Pharmacists screen medication orders for potential problems with dosing, drug allergies, drug interactions, and other drug-related problems and inform prescribers of potential problems and possible drug therapy modification. In addition to medication order processing, pharmacists are actively involved in providing drug information, performing pharmacokinetic evaluation and dosing for select medications, reviewing medications for renal dose adjustment, evaluating patients for potential intravenous to oral medication interchange and monitoring target medications.

Clinical responsibilities also include participation in hospital-wide initiatives such as anticoagulation monitoring and management, provision of patient counseling when needed, involvement in core measure monitoring and multi-disciplinary and antimicrobial stewardship rounding.

Centralized pharmacy services include unit-dose dispensing as well as IV preparation and distribution. The Department provides 24-hour drug distribution from central pharmacy areas and automated dispensing units (Omnicell) throughout the hospital. The department utilizes state-of-the-art technology and distributive functions are aided by use of pharmacy equipment including Omnicell MedCarousel and Medi-Dose unit-dosing technology. Pharmacists staffing in the centralized pharmacy are responsible for overall coordination of day-to-day pharmacy services. Duties include order-entry, responding to calls and answering drug information questions and requests from multiple areas of the hospital.

Medication reliability and safety are integral to the provision of optimal pharmaceutical care and the pharmacy continually reviews medication incident reports, adverse drug events and medication errors to identify potential areas for improvement of systems. Members of the pharmacy department are actively involved in multidisciplinary quality assurance committees.

The Department of Pharmacy works with the Pharmacy and Therapeutics (P&T) committee to review medications for formulary status, to perform and review medication use evaluations, to develop medication use policies and protocols, and to contribute to clinical resource management activities of the hospital. The P&T Committee provides an interdisciplinary forum that facilitates consistent communication between the members of the Department of Pharmacy and physicians, nurses, and other members of the multidisciplinary team.

In addition to the provision of inpatient and outpatient pharmaceutical services, the pharmacy also serves as an Introductory Pharmacy Practice Experience and Advanced Pharmacy Practice Experience sites for pharmacy students from both the Virginia Commonwealth University School of Pharmacy and the Dunn School of Pharmacy at Shenandoah University.