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TEXAS CHILDREN'S PHARMACY DEPARTMENT
Ambulatory Care: Hematology / Oncology Clinic Rotation

   
 

 

Preceptor
Brooke Bernhardt, Pharm.D., BCOP

Rotation Site Description
The Hematology/Oncology clinic is a longitudinal experience that will take place in the Texas Children’s Cancer Center Clinic on the 14th floor of the Clinical Care Center. The resident will gain an understanding of the management of outpatient oncology patients by functioning as a member of the health care team, providing pharmaceutical care for patients seen in the clinic and for those anticipating admission to the hospital. A multidisciplinary approach is utilized in the care of these patients.

Rotation Responsibilities
Provide clinical pharmacy services to pediatric hematology/oncology patients, which includes:

  • Understanding the basic pathophysiology of hematologic/oncologic diseases and associated morbidities
  • Understanding the pharmacology of each medication prescribed/dispensed
  • Reviewing chemotherapy admission orders and ensuring appropriate dosing for each drug used based on height, weight, BSA, and renal and hepatic function
  • Counseling patients regarding prescription and non-prescription medication regimens as necessary/indicated by the provider
  • Counseling patients regarding drug/drug or food/drug interaction as necessary/indicated by the provider
  • Reporting of adverse drug events and medication incidents/errors
  • Interacting effectively with members of the multidisciplinary team
  • Providing medication-related in-services to the clinic nursing staff
Activities
Hematology/Oncology Clinic: Tuesdays, 1:00- 5:30 pm (or until clinic closes)

Required Meetings:
Meetings as scheduled with preceptor.

The resident will be expected to complete a small project and provide nursing and pharmacy in-services during the clinic period.

Excused absences are limited to clinic holidays, professional meetings, and pre-approved vacations. The resident will be evaluated quarterly.

Topics to be discussed
Pharmacotherapy of solid tumors

Pharmacotherapy of congenital bleeding disorders and other hematologic disorders

 
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