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Advocate Health Care

Pharmacy Practice Residency Program
at Advocate Lutheran General Hospital

General Information

Mission and Goals

LGH Pharmacy Overview

Residency Program Overview

Residency Preceptors

Current Residents

ASHP Residency Site

Application Process

Lutheran General Hospital GME

Other Advocate Residency Programs


Residency Preceptors

Administration
Steve Sundberg

Managers implement changes, incorporating new practices, policies, and procedures to improve services to our patients and meet regulatory requirements. Change is always occurring, which gives the resident ample opportunity to be involved in department projects. Medication safety, customer service, financial performance, effective drug utilization, and advancing pharmacists' role in providing excellent care are areas of focus. The director interacts with individuals within and outside of the department, including Advocate-wide meetings and initiatives.

Anticoagulation
Mary Pubentz

The Anticoagulation Center (ACC) is a pharmacist-run outpatient service established in 1992 to aid physicians in the management of patients on anticoagulation therapy. The ACC pharmacists currently assist in the management of over 1000 patients. Clinic activities include point-of-care patient testing, assessing patient status, patient education, and adjustment of medication regimens. The ACC is staffed by four full-time and two part-time pharmacists, and serves as a training site for both pharmacy residents and students. The ACC staff serve as a resource for patients, their families, and other health care providers.

Drug Information
Bonnie Bachenheimer

The Drug Information Center (DIC) provides thorough, accurate and timely drug information and analysis for health care professionals at Lutheran General Hospital. The majority of questions received are patient related, and may require extensive literature review. The DIC maintains current editions of essential pharmacy and therapeutics references and publications, and has access to state-of-the-art information systems including Micromedex, Ovid Medline, Reprotox, MD Consult, and the Internet. The hospital library provides additional resources. The Drug Information Clinical Pharmacist provides other clinical pharmacy services hospital wide, assists the Pharmacy and Therapeutics Committee with formulary analysis and quality assurance projects, serves as editor of department and systemwide publications, and provides formal and informal education to other health care professionals, residents and pharmacy students.

Hematology/Oncology
Jane Kosirog-Glowacki

The Hematology/Oncology Clinical Pharmacist provides comprehensive clinical services to the 31 bed adult hematology/oncology unit. This unit is attended by 14 physicians and includes a bone marrow and stem cell infusion unit for allogeneic and autologous patients. The clinical pharmacist rounds daily with physicians, monitors patient drug therapy, provides medication counseling, participates in pathway development, is a member of several committees involving oncology, in addition to serving as pharmacy liaison for the many phase I-IV cancer research protocols currently underway. The pharmacist also participates in the education and training of pharmacists, pharmacy students, attending and resident physicians, medical students, and nurses.

Infectious Diseases
Debby Bryniarski

The Infectious Disease (ID) Clinical Pharmacist ensures appropriate use of antimicrobials in the hospital, both globally and on a patient-specific basis. The ID Pharmacist works closely with Division of Infectious Diseases physicians to formulate guidelines/procedures to ensure appropriate use of antimicrobials throughout the hospital (e.g. empiric therapy guidelines, surgical prophylaxis guidelines, etc.). Other responsibilities include monitoring antimicrobial therapies of patients with positive blood cultures or multi-drug-resistant organisms, and monitoring use of specific antimicrobial therapies (broad-spectrum or high cost agents) for appropriateness. Additional activities include: education of healthcare professionals including pharmacy residents and students, attending and housestaff physicians, and nurses; member of several hospital and health-system-wide committees; involvement in Pharmacy and Therapeutics Committee regarding antibiotic formulary issues.

Investigational Drugs
Jackie Kessler

The Investigational Drug Clinical Pharmacist coordinates activities related to investigational drug services for all inpatients. Responsibilities include serving as a member of the Institutional Review Board to review research protocols prior to approval and oversee research activities involving human subjects within the institution. The Investigational Drug Pharmacist coordinates efforts to educate nursing and pharmacy staffs on research protocols. Additional activities include assisting with patient randomization, blinding studies, maintaining the investigational drug inventory and coordinating pharmacy procedures with investigators.

Medical/Surgical Intensive Care
Seth Brownlee

The Surgical/Medical Intensive Care Clinical Pharmacist is responsible for providing comprehensive clinical pharmacy services to the patients in the 14 bed SICU and the 10 bed MICU. The patient populations are very diverse, including patients from medical, trauma and surgery services. The pharmacist works closely with the critical care teams to initiate, monitor, evaluate, and individualize pharmacotherapeutic regimens for patients. There is special focus on pharmacokinetic dosing of medications, and monitoring and assessment of sedation, analgesia, and neuromuscular blockade. Other responsibilities include answering drug information requests, evaluating medication usage, participating in performance improvement initiatives, responding to Code Blue situations, and development of treatment pathways. Education of pharmacists, medical residents, pharmacy students and nurses is also a priority. The pharmacist serves on several hospital and SICU committees.

Cardiology
Kelly Johnson

The Cardiology Clinical Pharmacist is responsible for providing comprehensive clinical pharmacy services for the 10-bed Cardiac Intensive Care Unit (CICU). There, the pharmacist works with the medical team to initiate, monitor and evaluate drug therapy regimens. In addition to responsibilities in the CICU, the pharmacist acts as a liaison for patients on 2 step-down telemetry units and for the Cardiac Catheterization Lab. Other responsibilities include answering drug information requests, medication use evaluation, participating in performance improvement initiatives and committees, and responding to Code Blue events. The Cardiology Clinical Pharmacist also has a prominent role in educating pharmacy staff including residents and students, medical residents, and nurses.

Pediatrics
Patti Madden

Lutheran General Children's Hospital is a 100 bed specialty hospital within a hospital. It consists of a 43-bed level III NICU, a 9 bed PICU, general pediatric, and adolescent medicine units. The clinical pharmacists monitor patients in all areas with emphasis on the intensive care units. Active participation during patient rounds occurs in PICU. Serum drug level monitoring and parenteral nutrition monitoring are provided to all inpatients. Drug information and education are provided routinely to the medical, nursing, and pharmacy staffs. The pharmacist works closely with the pediatric staff to provide comprehensive care to the pediatric patients. The pharmacist serves on several pediatric committees, and precepts pharmacy residents and students.

Preceptor Staff

Patti Madden, Pharm.D. Patti Madden, Pharm.D.
University of Iowa College of Pharmacy
Phramacy Practice Residency, Jesse Brown VA Medical Center, Chicago IL



1.800.3.ADVOCATE / TDD 630.990.4700
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