Pamela A. Foral, PharmD, BCPS
Pamela A. Foral, PharmD, BCPS

Pamela A. Foral, PharmD, BCPS

Associate Professor
School of Pharmacy and Health Professions

Academic Appointments

Department

  • Pharmacy Practice

Position

  • Associate Professor

Secondary Appointment

  • School of Medicine

Education

  • ASHP Accredited Pharmacy Practice Residency, University Medical Center, University of Arizona, 1993-1994
  • Doctor of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska, 1989-1993
  • Pre-Pharmacy, Nebraska Wesleyan University, Lincoln, Nebraska, 1987-1989

Certifications

Board Certified Pharmacotherapy Specialist, #298140: 1998 - Present Developing Medication Therapy Management Services Certification: Train the Trainer11/8/2013 Developing Medication Therapy Management Services Certification: 8/17/2013 Basic Life Support for Health Care Professionals, American Heart Association: 2012-present Certified in Collaborative IRB Training Initiative: 2001-present

Publications and Presentations

Articles

  • Davis EM, FORAL PA, Dull RB, Smith AN. Review of insulin therapy and pen use in hospitalized patients., Hospital Pharmacist, 48(5), 396-405, 2013
  • Foral, P., Dewan, N., Malesker, M. Insomnia: a therapeutic review for pharmacists, Consultant Pharmacist, 26, 332-341, 2011
  • Foral, P., Knezevich, J., Dewan, N., Malesker, M. Medication-induced sleep disturbances, Consultant Pharmacist, 26, 414-425, 2011
  • FORAL P, Knezevich J, Dewan N, Malesker M. Medication induced sleep disturbances., Consultant Pharmacist, 26(5), 414-425, 2011
  • FORAL P, Dewan N, Malesker M. Insomnia: A Therapeutic Review for Pharmacists., Consultant Pharmacist, 26(5), 332-341, 2011
  • Foral, Pamela A., Turner, Paul D., Monaghan, Michael S., Walters, Ryan W., Merkel, Jennifer J., Lipschultz, Jeremy H., Lenz, Thomas L. Faculty and Student Expectations and Perceptions of E-mail Communication in a Campus and Distance Doctor of Pharmacy Program, American Journal of Pharmaceutical Education, 74, 191-191, 2010
  • Davis, E.M., Sexson, E. L., Spangler, M. L., Foral, P. A., An Evaluation of Pre-filled Insulin Pens: a focus on the Next Generation FlexPen®., Medical Devices: Evidence and Research, 3, 41-50, 2010
  • Nystrom, K. K., Foral, P. A., Christensen, C. M., Destache, C. J., Davis, Estella M. Rotation Students' Perceptions of Clinical Workload Documentation Using a Personal Digital Assistant, Hospital Pharmacy, 44, 968, 2009
  • Davis, Estella M., Christensen, Carla M., Nystrom, Kelly K., Foral, Pamela A., Destache, Chris Patient satisfaction and costs associated with insulin administered by pen device or syringe during hospitalization, American Journal of Health-System Pharmacy, 65, 1347-1357, 2008
  • Malesker, M. A., Foral, P. A., McPhillips, A. C., Christensen, K. J., Chang, J. A., Hilleman, D. E. An efficiency evaluation of protocols for tight glycemic control in intensive care units, American Journal of Critical Care, 16, 589-598, 2007
  • Foral, P. A., Ineck, J. R., Nystrom, K. K. Oxycodone accumulation in a hemodialysis patient, Southern Medical Journal, 100, 212-214, 2007
  • Nystrom, K. K., Foral, P. A., Wilson, A. F., Christensen, C. M., Miller, C. K. Personal digital assistant (PDA) clinical intervention documentation system: Development, implementation, and comparison to a previous paper-based system, Hospital Pharmacy, 41, 143-150, 2006
  • Lenz, T. L., Foral, P. A., Malesker, M. A., Hunter, C. B., Hilleman, D. E. Impact of nesiritide on health care resource utilization and complications in patients with decompensated heart failure, Pharmacotherapy, 24, 1137-1146, 2004
  • Foral, P. A., Malesker, M. A., Huerta, G., Hilleman, D. E. Nebulized opioids use in COPD, Chest, 125, 691-694, 2004
  • Foral, P. A., Nystrom, K. K., Wilson, A. F., Christensen, C. M. Gastrointestinal-related adverse effects of COX-2 inhibitors, Drugs of Today, 39, 939-948, 2003
  • Foral, P. A., Hopkins, H., Holstein, S., Wright, C., Malesker, M. A., Heineman, S. M. Medications as a cause of sleep disturbances, Consultant Pharmacist, 17, 417-426, 2002
  • Foral, P. A., Wilson, A. F., Nystrom, K. K. Gastrointestinal bleeds associated with rofecoxib, Pharmacotherapy, 22, 384-386, 2002
  • Foral, P. A., Heineman, S. M. Vancomycin removal during a plasma exchange transfusion, Annals of Pharmacotherapy, 35, 1400-1402, 2001
  • Hilleman, D. E., Heineman, S. M., Foral, P. A. Pharmacoeconomic assessment of HMG-CoA reductase inhibitor therapy: An analysis based on the CURVES study, Pharmacotherapy, 20, 819-822, 2000

Publications

  • FORAL P, Anthone J, Horne J, Dobronski L, Syed J, Destache C, Vivekanandan R, Preheim L, Gorby G, Bittner M. Incorporating Interprofessional Practice Education and Motivational Interviewing Techniques in Antimicrobial Stewardship Programs at Two Academic Medical Centers. Open Forum Infect Dis, (Fall 2015) 2 (suppl 1), S166, 2015
  • FORAL P, Jamieson E, Bittner M, Gorby G, Horowitz E, Ali K, Neemann K, Vivekanandan R, Mindru C, Ali M, Hrdy M, Horne J, Dobronski L, Preheim L. Provider acceptance and impact of a consultative, non-coercive antimicrobial stewardship program at a Veterans Affairs medical center., Pharmacotherapy, 34, e194, 2014
  • Smith AN, FORAL PA, Knezevich JT, Monaghan MS. Development of criteria for clinical activities for pharmacy practice faculty at annual evaluations. Abstracts and Index of Authors. Pharmacotherapy 2013:33:e194., Pharmacotherapy, 33, 194, 2013
  • Cernik B, FORAL PA, Hrdy M, Destache C. Evaluating the appropriateness of an antimicrobial intravenous to oral conversion protocol compared to antimicrobial stewardship recommendations in a veterans affairs health care system. ASHP Midyear Clinical Meeting, International Pharmaceutical Abstracts, 46(DEC), 3-157, 2013

Editing and Reviews

  • FORAL PA. Review of Antibiotic Essentials 2015, 14th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com., 2015
  • FORAL PA. Review of Drug Interactions in Infectious Diseases, 3rd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed May 3, 2013)., 2013
  • FORAL PA. Antibiotic Essentials 2013, 12th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed November 26, 2013)., 2013
  • FORAL PA. Review of Antibiotics: Pocketcard Set 2013, 2nd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed September 6, 2013)., 2013
  • FORAL PA. Review of Antibiotics: Pocketcard Set 2012. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed July 27, 2012)., 2012
  • FORAL PA. Review of Antimicrobial Chemotherapy, 6th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed May 25, 2012)., 2012
  • FORAL PA Johns Hopkins ABX Guide 2012: Diagnosis and Treatment of Infectious Diseases, 3rd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed March 9, 2012)., 2012

Presentations

  • FORAL P, Anthone J, Horne J, Dobronski L, Syed J, Destache C, Vivekanandan R, Preheim L, Gorby G, Bittner M. Incorporating Interprofessional Practice Education and Motivational Interviewing Techniques in Antimicrobial Stewardship Programs at Two Academic Medical Centers. IDWeek 2015, San Diego, California, October 8, 2015. P 428, 2015
  • Dorbronski L, FORAL P, Hemrick K, Bittner M. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. Fellow Poster Presentation, Creighton University Medical Center, Omaha, Nebraska, May 15, 2015., 2015
  • Dorbronski L, FORAL P, Hemrick K, Bittner M. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. SHEA Spring 2015 Conference: Science Guiding Prevention, Orlando, Florida, May 14-16, 2015., 2015
  • INVITED Presentation: Dorbronski L, FORAL P. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. Medicine Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, March 2015; 1 hour., 2015
  • FORAL PA, Jamieson E, Bittner M, Gorby G, Horowitz E, Ali K, Neeman K, Vivekanandan R, Mindru C, Ali M, Hrdy M, Horne J, Dobronski L, Preheim L. Provider acceptance and impact of a consultative, non-coercive antimicrobial stewardship program at a Veterans Affairs medical center. 2014 Annual Meeting of the American College of Clinical Pharmacy, Austin, Texas, October 15, 2014., 2014
  • FORAL PA, Nissen S. Standardization of vancomycin calculations and optimizing patient care. 5th Annual NWI Clinical Pharmacy Retreat, Lincoln, Nebraska. April 27 and April 29, 2014. Pharmacist continuing education program; 1 hour presentations., 2014
  • Smith AN, FORAL PA, Knezevich JT, Monaghan MS. Development of criteria for clinical activities for pharmacy practice faculty at annual evaluations. 2013 Annual Meeting of the American College of Clinical Pharmacy, Albuquerque, NM, October 15, 2013., 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Surgery Residents Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, April 2013; 1 hour., 2013
  • FORAL PA. Probiotics for the prevention of Clostridium difficile-associated diarrhea; a systematic review and meta-analysis. Invited Journal Club Presentation. Omaha/Lincoln Infectious Diseases Pharmacy Journal Club. Omaha, NE, February 20, 2013; ½ hour., 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. OB/GYN Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, January 2013; 1 hour., 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Family Medicine Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, January 2013; 1 hour., 2013
  • Cernik B, FORAL P, Hrdy M, Preheim L, Bittner M, Gorby G, Destache C, Ali K, Neemann K. Evaluating the appropriateness of an antimicrobial intravenous to oral conversion protocol compared to antimicrobial stewardship recommendations in a veterans affairs health care system. 46th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 3, 2012. P 3-157, 2012
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Medical Residents Research Seminar. Creighton University Medical Center, Omaha, Nebraska, October 2012; 1 hour., 2012
  • INVITED Presentation: FORAL PA. Rabies: Post deployment; Risk, exposure and treatment. Omaha Medicine Staff, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, June 2012; 20 min., 2012
  • Davis EM, Stang J, FORAL PA, Baker TM, Destache D. Factors associated with early readmission of cardiothoracic surgical patients. 2012 ACCP Virtual Poster Symposium. May 23, 2012., 2012
  • INVITED Presentation: Preheim L, Destache C, Anthone J, FORAL P. Antimicrobial stewardship enhanced patient outcomes and decreased microbial resistance, Surgery Residents Grand Rounds, Creighton University Medical Center, Omaha, Nebraska, February 2012; 1 hour., 2012
  • INVITED Presentation: Preheim L, Destache C, Anthone J, FORAL P. Antimicrobial stewardship enhanced patient outcomes and decreased microbial resistance, Medical Residents Grand Rounds, Creighton University Medical Center, Omaha, Nebraska, November 2011; 1 hour., 2012
  • Anderson JM, FORAL PA, Nystrom KK, Davis EM, Schmidt DP. Piloting clinical pharmacy services in the emergency department of a community hospital. 45th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana, December 5, 2011., 2011
  • Pick AM, Elsasser GN, FORAL P. A faculty-initiated mentoring program for fourth year pharmacy students seeking postgraduate training. 112th American Association of Colleges of Pharmacy Annual Meeting and Seminars, San Antonio, Texas, July 11, 2011., 2011