Presentation Outline ICHP Annual Meeting September 13-15

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Addiction In Pharmacy Environmental influences on pharmacists that increase vulnerability to addiction • Job stress ‐‐ – 400 opportunities to make a mistake – longer hours ‐‐ less help • Life’s usual stressors – PProblems bl with ith parents t or children, hild financial problems • Culture of tolerance ‐‐ The tendency to self medicate + feelings of invincibility • Exposure / access to addicting drugs “depression4” nida image 56230(1) It’s a setup for addiction GENETIC PREDISPOSI TION JOB STRESS DRUG ACCESS LIFE STRESS SELF SELF‐ MEDICATIN G TENDENCIES 8/29/2012 4
So what makes addicted pharmacists different from other health professionals? • The highest risk work setting period. • More paranoia regarding the loss of their license. • Fear of losing their job. • Greater issues with shame. • Miscellaneous differences: – Pharmacists rarely use IV drugs – Pharmacists rarely use illegal drugs – Pharmacists rarely obtain drugs from anywhere but their work setting – Most common drug of choice is hydrocodone • Best difference = pharmacists have the best success rate What to look for in a colleague • Increased absences • Late to work • Long bathroom breaks • mysterious disappearances • Appears groggy in the morning • Generally seems “different” • Stays late for no apparent reason • Confused easily • Increased problems in the rest of his/her life • Appears more unkempt than previously • Looks /sounds mildly impaired for short periods • Appears distant / hard to reach emotionally • Comes to work on days off and “helps out” for a short period • Finally –just seems very different than the way you knew him/her Best choice for help Illinois Professionals Health Program 701 Lee Street Desplaines, Illinois 600<strong>15</strong> 847 795 2810 Helpline – 24 hours 800 2<strong>15</strong> 4357 8/29/2012 5
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ACTIVITY DESCRIPTION Target Audienc
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Current Challenges • Expansion of
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Examples of Medication Consideratio
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Etiology (Dana Point, 2008) 1’. P
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PAH Therapy Targets Schulze-Neick I
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Chronic Adjuvant Therapies in PAH D
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Cummulative suurvival Survival in I
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ACCF/AHA Consensus PAH Treatment Al
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Study Name Drug SUPER-1 Oral silden
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IV Epoprostenol in PAH Due to Scler
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70 60 50 40 30 20 10 Inhaled Ilopro
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Conclusions • PAH therapy improve
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ESC/ERS Guidelines Galie N, et al.
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FUTURE DIRECTIONS WHICH MAY IMPACT
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Rationale for “Front-Loaded” Ap
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Addressing gthe Challenges g in PAH
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Considerations • Central vs. peri
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Pulmonary Hypertension • Approxim
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Example Cassette Calculations • V
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Assessment Question 1 Which of the
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Illinois Council of Health‐System
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Patient Activity ‐ 1 Patients in
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Hospitalists National Trends • Ja
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Pharmacy Landscape • PGY‐2: So
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Primary Care Physicians by Field, F
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Health Systems Pharmacy and TATAI
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Readings The 21 Irrefutable Laws of
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What is a “Practice Model”? •
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Completing the Self Assessment •
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Residency trained (B23p) Illinois N
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Solving the PPMI Puzzle ‐ Here Ar
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Overview of Value Based Purchasing
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Implementation of Medication‐ rel
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Question #1 Within which programs a
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Solving the PPMI Puzzle‐ Here are
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Discharge Education/Med Rec • New
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Media‐Worthy Trials? Making Sense
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Prevention of Recurrent VTE • Unp
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VTE recurrence during study period
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Which patient might be a candidate
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Azithromycin and CV Death • Endpo
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Azithromycin and CV Death Azithromy
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Hormonal Contraception and VTE •
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• Age • Calendar year • Educa
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ARR=2.20, 2.28 for stroke, MI when
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Which of the following combinations
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3 Months of Treatment for Latent TB
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3 Months of Treatment for Latent TB
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T/F: Rifapentine in combination wit
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2. Which of the following statement
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Fitting the Counseling Piece into M
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Current Evidence: Implementing Bund
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Teach Back Process • Step 1 Expla
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Questions for Consideration and Dis
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Why do we care about ADE? • Adver
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True or False • Medication errors
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Check Point Which of the following
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Proactive Screening Process Patient
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MTI Pilot at NAH PharmD Students tr
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ASHP PPMI Case Study Adding Value:
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Interdisciplinary Teamwork: How Phy
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Highly Effective Healthcare • Wha
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Inter‐Professional Teams ‐ Chan
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Meeting the PPMI Goals for Technolo
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Drug‐Bug Mismatch Example Con’t
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Drug‐Bug Mismatch Build Rules •
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Patient Scanning Compliance Sample
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Global Immunizations 3 • Jan 2012
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Mobile Devices: Beyond Angry Birds
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Google Play • Google Play - Inter
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Other Useful Productivity Apps •
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Mobile Devices: Beyond Angry Birds
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Net Activations by Industry Source:
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News Readers/Aggregators Features S
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Contact Information • E‐mail: -
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Early‐Onset Sepsis • Sign and s
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• BR is on day 2 of cefotaxime wi
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Immunizations: The Superheroes to P
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Current ACIP Recommendations Influe
Page 163 and 164: Herpes Zoster Vaccine Recommendatio
Page 165 and 166: Assessment Questions 1. What are th
Page 167 and 168: HIV Linkage and Retention in Care T
Page 169 and 170: DHHS Guidelines, March 2012: When t
Page 171 and 172: Protease Inhibitors • Require “
Page 173 and 174: Mean Change (mg/ /dL) STARTMRK: Lip
Page 175 and 176: RAL Drug Interactions • Does not
Page 177 and 178: Instructions for Credit In order to
Page 179 and 180: Staging Stage Criteria (Durie‐Sal
Page 181 and 182: Salvage Therapy Partial List Regime
Page 183 and 184: Bortezomib-Thalidomide-Dexamethason
Page 185 and 186: Case 2 ST is a 76 y/o African Ameri
Page 187 and 188: Thalidomide and Lenalidomide • Ad
Page 189 and 190: Fixed Low-Dose Warfarin Study Thera
Page 191 and 192: New Drugs 2012 Anna Nowobilski‐Va
Page 193 and 194: Pulmonology » Cystic Fibrosis •
Page 195 and 196: Oncology » MTX Toxicity • MTX 1o
Page 197 and 198: NEW DRUGS AND BIOLOGICALS 2012 RESO
Page 199 and 200: Disease State Reviews for Pharmacy
Page 201 and 202: Chronic Obstructive Pulmonary Disea
Page 205 and 206: Green Zone • Patient is not havin
Page 209 and 210: • A hormone produced by the pancr
Page 211 and 212: Unraveling Unraveling The The Puzzl
Page 213: The Reward Center In time, serious
Page 217 and 218: How to find a treatment center Onli
Page 219 and 220: Internet Drug Abuse Study conducted
Page 221 and 222: NIAAA = best resource for alcohol d
Page 223 and 224: Impact of Postoperative Pain • Pi
Page 225 and 226: Safety Profile • Amar et al confi
Page 227 and 228: References 1. Rømsing J, Møiniche
Page 229 and 230: Society of Regional Anesthesia Meet
Page 231 and 232: A New Approach IV Acetaminophen •
Page 233 and 234: References • Schechter, Leslie N.
Page 235 and 236: Bupivacaine liposome injectable sus
Page 237 and 238: Error Potential • Inadvertent IV
Page 239 and 240: Decolonization Methods • Anti-sep
Page 241 and 242: Evidence: Inpatient ICU MRSA Coloni
Page 243 and 244: Residency Project Pearls Adherence
Page 245 and 246: 650 subjects id identified tifi d R
Page 247 and 248: Overtreatment versus Appropriate Tr
Page 249 and 250: Adherence to and Outcomes Associate
Page 251 and 252: Background • Lack of comprehensiv
Page 253 and 254: Results Results‐User User Audits
Page 255 and 256: Special thanks to: • Carol Heunis
Page 257 and 258: Antibiotic Prophylaxis American Hea
Page 259 and 260: Study Limitations • Dependent on
Page 261 and 262: Study Background • Observation of
Page 263 and 264: A patient has a CrCl of 25 mL/min.
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• Cysteine hydrochloride: antioxi
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Sample Preparation • Intravenous
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Questions? Residency Project Pearls
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The Interview: Your Preparation •
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PGY1 Residency Options Carol Heunis
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RESIDENCY PROGRAM BASICS • Progra
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CV: The key to a top curriculum vit
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Tips for a Top Notch CV • Focus o
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What is PhORCAS? • PhORCAS is the
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Piecing together the new CHEST guid
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Initiating therapy CHEST 2012 2.1.8
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What is “Consistently Stable?”
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Puzzle # 2A: patient has just compl
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What would you do for JJ? • A. Ho
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Considerations for SB • Bleeding
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Presentation Outline ICHP Annual Meeting September 13-15

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