A number of Creighton University Doctor of Pharmacy graduates have continued their education in Nebraska-based pharmacy residency programs. Learn more about their projects and what they are learning.
Kelly Baxter, PharmD’19, pharmacy resident – Veterans Affairs, Nebraska-Western Iowa Health Care System, Omaha.
Project: Implement abnormal involuntary movement scale (AIMS) assessments at baseline and every six months for veterans prescribed antipsychotics in accordance with the current Veterans Affairs (VA) policy. The purpose is to assess the implementation of AIMS assessments and adherence to current best practice guidance regarding tardive dyskinesia monitoring. Other components of project implementation include development and execution of a process for training team members to administer AIMS assessments and integration of the AIMS assessment clinical reminder tool in the Computer Patient Record System.
Favorite aspect: Baxter says she was fortunate to work at the Omaha VA as a student technician and is grateful to have the opportunity to continue to work with an amazing pharmacy team as a PGY1 Pharmacy Resident. So far, she has especially enjoyed developing her own practice style by learning from those around her.
Sarah Ermer, PharmD’19, pharmacy resident - CHI Health Creighton University Medical Center - Bergan Mercy.
Project: A retrospective analysis of the impact of enhanced recovery after surgery (ERAS) protocol on postoperative opioid consumption. ERAS protocols were implemented at this institution in 2018 and involve patient education, nutrition, and multimodal pain management to optimize patient outcomes. The objective of this study is to determine whether the implementation of ERAS protocols at this institution have had an impact on postoperative narcotic use, length of stay, 30-day readmission and mortality.
Favorite aspect: Ermer says she enjoys the people she works with every day, making her experience at CHI Health Creighton University Medical Center - Bergan Mercy wonderful. The supportive and challenging environment has helped her grow as a pharmacist and she says she could not ask for better preceptors and co-residents.
Xavier Hill, PharmD’19, pharmacy resident - CHI Health Creighton University Medical Center - Bergan Mercy.
Project: A retrospective evaluation of the addition of azithromycin for patients undergoing cesarean delivery. American College of Obstetricians and Gynecologists guidelines state that azithromycin in addition to standard prophylaxis may be considered for women undergoing a nonelective cesarean delivery. Currently 60-70% of all cesarean deliveries are nonelective and post-op infections occur in up to 12% of women undergoing nonelective cesarean delivery with standard preincision prophylaxis. The primary objective of this study is to determine if the addition of azithromycin to cefazolin decreases infections post-cesarean delivery compared to cefazolin alone.
Favorite aspect: Hill says his favorite aspect of residency is that there is always something new to learn. There are countless intelligent pharmacists and physicians to learn from, and “They are all very friendly and excellent teachers.”
Samantha Katzman, PharmD’19, pharmacy resident - CHI Health Creighton University Medical Center - Bergan Mercy.
Project: The prevention of post-operative atrial fibrillation (AF) is addressed in the 2011 Coronary Artery Bypass Graft (CABG) guidelines. The CABG guidelines recommend using beta-blockers as first line therapy, with amiodarone being a recommendation for patients at high risk of post-op AF. At the institution, prophylactic amiodarone is used for post-op AF prevention in all cardiac surgery patients. Katzman plans to conduct a retrospective chart review of all patients who received cardiac surgery and were on amiodarone for post-op AF prophylaxis. The purpose of this study is to determine if the dosing practice at the institution results in similar reduction rates of post-op AF consistent with current literature.
Favorite aspect: Katzman says her favorite aspect of this residency program so far is the continual challenge of always having new things to learn. She also enjoys being challenged with managing complicated patients in the Intensive Care Unit.
Braxton Wilcox, PharmD’19, pharmacy resident - CHI Health Creighton University Medical Center - Bergan Mercy.
Project: Retrospective chart review of patients who experienced a major bleeding event while on a direct oral anticoagulant (DOAC). There currently have been no studies to assess if the bleeding risk seen between warfarin, NSAIDs and SSRIs also occur with DOACs. The project is designed to obtain the characteristics of each major bleeding event and determine what percentage of these events included an SSRI.
Favorite aspect: Wilcox says his favorite aspect of the residency so far has been getting to know his fellow co-residents and the pharmacy staff. He has also enjoyed getting to expand his clinical knowledge by observing interdisciplinary teams and teaching students on rotation.
Taylor Wojcik, PharmD’19, pharmacy resident - CHI Health St. Elizabeth.
Project: Hyperglycemia is common among hospitalized patients and has been associated with increased morbidity, mortality and health care costs. Current guidelines recommend utilization of continuous insulin infusion for hyperglycemia management in critically ill patients. Utilization of an insulin infusion protocol is recommended to achieve glycemic control with a low rate of hypoglycemia. This quality improvement project was designed to evaluate glycemic control and utilization of an insulin infusion protocol for critically ill patients at a community hospital.
Favorite aspect: Wojcik says she is truly grateful for all of the incredible learning experiences provided through the residency program. “The pharmacy team at St. Elizabeth is extremely supportive, and great to work alongside and learn from.”
Mackenzie Schramm, PharmD’16, pharmacy resident - Children’s Hospital and Medical Center Health Care System, Omaha.
Project: Patients discharged from the hospital often are unsure of how to adjust their home medications. For this residency project, Schramm plans to develop and implement a pharmacist-led discharge medication reconciliation process, with the goal of reducing errors and confusion for patients and families leaving the hospital.
Favorite aspect: Schramm says she has enjoyed the strong culture of lifelong learning. The team of preceptors at Children’s are “brilliant and highly dedicated to providing great education, and they are always interested to learn from each other or from the students and residents.”
Caressa Trueman, PharmD’19, pharmacy resident - Creighton University School of Pharmacy and Health Professions - Campus Pharmacy.
Project: As a type 1 diabetic herself, diabetes education among health care professionals is very important to Trueman. In this study, she hopes to capture the existing knowledge deficits in diabetic patients who utilize Continuous Glucose Monitors. From this information, she will develop an educational program aimed at community pharmacists to fill both their knowledge gaps and the knowledge gaps of their patients. Her hope is to be able to disseminate this education program, which will likely be a video, to all community pharmacists.
Favorite aspect: Trueman says what she loves most about her residency experience thus far is learning from “such an amazing group of preceptors” and her co-resident. She says she has already improved her own knowledge and skills in these first few months, and she cannot wait to learn even more.