For a real quick orientation, Wyandotte is a 379 bed hospital downriver from Detroit. It has one outpatient and one inpatient pharmacy, where the staff pharmacists help each other to pump out Rx orders from the floors and clinics, and to cover clinical duty. Clinical duty is where they attend each floor and act as the pharmacy resource for the nurses and physicians. The major job clinical duty brings is the responsibility of handling the floors anticoagulant therapy and antibiotic therapy. This involves monitoring the heparin, warfarin, vancomycin, amikacin and aminoglycoside treatments for those patients. And this is where I come in.
I started there last year as an intern but mainly focused on filling the role of a tech, and ensuring I know their role to the fullest. At our hospital and many others alike, the techs make the IV's, deliver the medications, and pretty much troubleshoot the day to day issues that hit the pharmacy. This summer, however, my intern position takes on even more responsibility while I do clinical duty. It wasn't until now that I really see how integral techs are to not only the operations of the pharmacy, but the sanity of the pharmacists.
My first day of clinical duty was actually quite interesting; key things including a car accident, a double lung transplant, lots of reading, and gorillacillin. I'll revisit my first day along with my first month next post but before I go; gorillacillin is a slang term used to describe the antibiotic that will take out a pathogen, and like a gorilla, will put a strong beatdown on any infection. Penicillin used to be one, so was chloramphenicol, these days carbapenems fit the bill.