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Flexibility & Continuous Use of Peripheral Vision

Rxpert Solutions > Blogs > Flexibility & Continuous Use of Peripheral Vision

Involvement with the LA Surge Hospital has reminded me of how much of the pie the Pharmacy Department has their fingers in. Because the medication use process is so pervasive within a hospital, we must constantly scan for all the areas and needs that can fall short when it comes to hospital operations and medication management. A Pharmacy Director needs to be cognizant of all those things that aren’t technically our “responsibility” but will result in a halting of operations if it is not done well. We are not in charge of Central Supply, but it is certainly in our best interest to be sure they are processing orders for IV fluid, irrigation fluid, saline flushes, syringes, etc. Pharmacy is not in charge of stocking the nursing units with supplies, but you can bet operations will slow down if nurses don’t have their mini-bag plus up there! The pharmacy only owns two drawers of the crash cart contents, but we certainly have some ownership in confirming the other contents, placement on floors and security piece of it. Don’t forget the MH cart! Waste bins are essential although not ultimately managed by pharmacy, but we need to make sure they are in place and being managed. Then there are office supplies we take for granted. You know how a pharmacy can run through paper, and paper would just show up at all other hospitals I’ve worked at. Well, not at a newly, quickly opened hospital. Let’s not forget security issues. How is entry into the pharmacy granted and monitored? How are ADM privileges monitored? There are drug protocols that need to be developed and don’t forget in this day and age with shortages, who is going to grant permissions for pharmacists to make auto-substitutions? Staff training and workflow development on the fly is a whole different ball game from the systematic 4-6 week training we are used to. Although we always have double checks in place, do we allow staff we have no history with into the narcotic vault or do we restrict the activity to pharmacists?

Processes are evolving regularly and flexibility is key. I think I have redone the first month’s schedule about 6 times as we continue to add more staff to the lineup. My head is on a constant swivel and so grateful for others around me that point out things that I have missed so they can be addressed. We need to constantly look for the things that are not normally overseen by pharmacy but certainly impact pharmacy services as well as things we take for granted but actually require initial startup by someone! Flexibility and peripheral vision – the name of the game when opening a new hospital.

Intelligence is the handmaiden of flexibility and change–Vernor Vinge

Our References

Terri is absolutely phenomenal. She is an incredibly knowledgeable pharmacy resource. As the medication safety officer, the quality initiatives she implemented not only impacted the patients at our medical center but also reached into the community. Terri is a genuine professional who upholds accountability while creating community among her team members. She is a great listener to identify friction points and has actionable ideas to implement improvements.

Lab
T. Eagle. MBA, MLS(ASCP), CLS Lab Operations Manager

Terri is an expert at prospective risk identification -Failure, Mode and Effects Analysis (FMEA). Terri participated in CHPSO Patient Safety Safe Tables and was part of the Hospital Quality Institute’s Regional Quality and Patient Safety Leader Network.
She is an excellent public speaker and communicates well with public and professional audiences. I look forward to her continued work in medication safety.

Regional Quality Network at HQI
A. Munoz, FACHE, CPHQ, CPPS VP

Terri has done a tremendous job with the controlled substance diversion program. She has had such a positive impact and has really made the hospital a safer place.

Tri-City Medical Center
Nurse Manager

We would not be where we are with the improvements we have made with opioid prescribing if it were not for Terri driving the process.

Tri-City Emergency Medical Group
Chief Physician

In addition to understanding the ins and outs of the [controlled substance use] process completely, she is very proactive in coming to me with provider issues that she detects. She truly balances the administrative duties and the regulatory components demand with a keen sense of what my practitioners do and what their needs are on the ground. Terri is instrumental in working with my department, balancing patient care, cooperation, ability, and integrity to get the job done.

UCSD Medical Center
Chief Anesthesiologist

Terri is knowledgeable and effective in pharmacy leadership. She has the ability to be able to anticipate and prepare for the future. Her ability to utilize resources effectively in this changing environment is a strong asset. She can adapt, evolve, mentor and still never say “no” when asked to assist. She exhibits great abilities to be flexible and is a “self starter”. She has a pleasant yet effective demeanor that commands results.

Candace Fong, Pharm D
System Director of Pharmacy and Medication Safety Common Spirit Health

Terri has always impressed me as being very smart. resourceful, creative, and easy to work with. Terri’s commitment to medication safety permeated our organization, raising the awareness of this important issue throughout all levels of the institution. Terri has always been engaged, cooperative, and generous with her time.

Cary Mells, MD
Chairman of the Department of Emergency Medicine Tri-City Medical Center

Terri has done more for the Pharmacy in her few months as Interim Pharmacy Director than any other Director has done during my 12 years here.

Anita Kennedy, MBA
VP of Ancillary Services Methodist Hospital

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Address: 950 Boardwalk Suite 305, San Marcos, CA 92078

  • 760.705.4078
  • tvidals@rxpert.solutions