1. Audrey Kennedy R.Ph. 2016

2.  Massachusetts College of Pharmacy  Bachelor of Science in Pharmacy  Registered pharmacist 1998-present

3.  CVS  Intern while in school  1998-1999 staff pharmacist  1999-2000 pharmacy manager

4. December 2000 – present Operating Room Pharmacist

7. 1000 beds, 70 Operating Rooms, Outpatient clinics

8.  Inpatient Pharmacy  Central Pharmacy  Supplies medication to all areas of hospital  Sterile Products – IV room  Operating Room Pharmacy  Supplies medication, supports staff in operating room  Chemotherapy Pharmacy  Outpatient Pharmacy

11.  Service 70 operating rooms  Surgery services include:  General  Orthopedic  Neuro  Cardiac  Vascular  Gynecologic  Burn  Plastic / reconstructive  Pediatric  Transplant  Obstetric

13.  Narcotic distribution and monitoring  Drug distribution  Clinical information for health care team  Intravenous medication preparation  Presentations  Adverse Drug Reporting  Clinician training  Supervise Technicians

14.  Narcotics and sedatives (benzodiazepines, barbituates)  Practitioners sign out controlled substances  We verify that documentation is accurate  Compare administration against electronic medication record for accuracy  Keep inventory of controlled substances in accordance with federal and state law

15.  Neuromuscular Blocking Agents  Anti-Emetics  Cardiovascular Agents  Antibiotics  Local anesthetics  Hemostats  Cements and glues containing antibiotics

16. Omnicells Automated drug machines that securely store medications and keep electronic record of transactions. Each operating room is equipped with an Omnicell cart that securely contains medications and anesthesia supplies.

18.  Operating Room Pharmacists routinely provide the most up to date drug information in a very timely fashion to the doctors and nurses in the operating room.  Up to date references  Micromedex  Lexicomp  PubMed  Text books

19.  Can Clindamycin be used for irrigation in the abdomen? No  My patient has an allergy to Novacaine can I use Lidocaine? Yes  If topical thrombin has been mixed, how long can it sit before being discarded? 24 hours  My patient did not take his oral anti-seizure medication Keppra this morning. What is the equivalent IV dose? IV/PO same dose

21. Trained to prepare sterile products in accordance with hospital policy and procedure. Understands the rationale for use of particular preparations Ability to anticipate next days usage based on schedule Ability to check products according to our policy and procedure

23.  Tumescent solution  Renal artery perfusion  Antibiotic irrigation  Radial Artery solution  Kidney Transplant Solution  High Dose Methylprednisolone for spinal cord injury

24.  Anesthesia Resident Orientation  Operating Room Nursing Orientation  Nursing Continuing Education  Topical Hemostats in Surgery  Drugs Used in Interventional Radiology for Stroke Rescue

25.  We gather necessary information and report any unexpected reaction as a result of drug administration to the Federal Drug Administration through the MedWatch program.  An unexpected reaction can be classified as a reaction not explained by documented side effects of an agent.

26.  New OR Pharmacy employees  Anesthesiologists  Nurses  Support staff  We are called upon to educate various members of the OR team.  Orientation presentations  Omnicell demonstrations  Answering questions when asked at the pharmacy window This is what makes our job rewarding!

27. To cover a 6:30 am – 7:30 pm work day we typically have 4 pharmacists 6 technicians We simply could not achieve all our daily goals without the help of excellent technians!

29.  My goal as an Operating Room Pharmacist is to strive to provide the very best care for patients coming to be treated in the Operating room. I do this in a variety of ways such as answering questions, ensuring policy and procedure is followed, being approachable, asking questions and occasionally giving presentations. I enjoy being an integral part of the OR team. I can honestly say that I learn something new every day. I find my career to be enriching and rewarding.

31. Any Questions?