Evening Critical Care and Emergency Department (CC/ED) Rotation APPE

The CC/ED rotation at Saint Luke's Hospital of Kansas City covers all the adult intensive care units (CICU, CVICU, MSTICU, NSICU) and the emergency department in the evening. Students will have the option between working five eight-hour days per week (4 p.m. – midnight) or four 10-hour days per week (2 p.m. – midnight).

Students are to contact their primary preceptor prior to starting the rotation to discuss which schedule they prefer and to find out what day/time to meet for the first day of rotation. There will be some flexibility in being able to work with student preferences for which days of the week students are scheduled—preceptors for this rotation site work seven days a week. A full schedule will be made when the student and primary preceptor meet at the beginning of the rotation.

This rotation will give the student the opportunity to participate and help care for critically ill patients with a wide range of critical illnesses and attend emergency situations. The student will work on developing the ability to effectively review patient medication profiles, identify potential issues, and make appropriate recommendations. Additionally, the student will be involved with responding to various bedside emergencies during rotation hours including codes, traumas, strokes, intubations, STEMIs, etc. The student will have the opportunity to work with a multidisciplinary team during emergency situations. Topic discussions, projects, and presentations will be required as directed by the preceptor.

Potential Topics/Activities

Core content, which will be covered via actual patient care experiences, discussions of reading materials, and/or case presentations, includes a review of the following:

  • Basic Life Support (BLS)/Advanced Cardiac Life Support (ACLS)/Pediatric Advanced Life Support (PALS)
  • RSI/post-intubation management
  • Targeted temperature management post cardiac arrest
  • Advanced Trauma Life Support (ATLS)
  • Obstetric emergencies
  • Anticoagulation reversal
  • Traumatic brain injury
  • Acute ischemic stroke
  • Status epilepticus
  • Subarachnoid hemorrhage and cerebral vasospasm
  • Mechanical circulatory/ventilation support
  • Cardiac Devices (pacemakers, ICD, VAD, IABP, etc.)
  • Sepsis and septic shock
  • Cardiogenic shock
  • Acute coronary syndromes
  • Diabetic ketoacidosis and non-ketotic hyperglycemia
  • Sedation, analgesia, delirium, and neuromuscular blocking agents for mechanically ventilated patients

Location

Preceptors

Courtney Chedester, PharmD, MBA, BCCCP
  • School of pharmacy: Southwestern Oklahoma State University
  • Residency training: PGY1—Banner University Medical Center South/The University of Arizona College of Pharmacy; PGY2 Critical Care—Banner University Medical Center Tucson
  • Specialty interests: Critical Care, Emergency Medicine
  • Professional involvement: Society of Critical Care Medicine (SCCM), American College of Clinical Pharmacy (ACCP), American Society of Health System Pharmacists (ASHP)
Adham Mohamed, PharmD, BCCCP
  • School of pharmacy: Purdue University College of Pharmacy
  • Residency training: PGY1—Pharmacy Residency, Saint Luke’s Hospital of Kansas City; PGY2 Critical Care Residency—Saint Luke’s Hospital of Kansas City
  • Specialty interests: Critical Care, Shock, Coagulopathy and Hemostasis, Acute Respiratory Stress Syndrome, Mechanical Circulatory Support, Medications in Renal Replacement and Study Design, Statistics
  • Professional involvement: Society of Critical Care Medicine (SCCM), Clinical Pharmacy and Pharmacology Section; American College of Clinical Pharmacy (ACCP), Critical Care PRN; Greater Kansas City Society of Health-System Pharmacists (GKCSHM)