Cosign Assessment

Resident Being Evaluated: Christina Ford Pharm.D.

Summative Evaluation of Christina Ford for Infectious 1/31/2020 11:59:59
Evaluation Disease Due Date PM
Evaluator Angel N. Heyerly Pharm.D.
Lutheran Health Network (Pharmacy)
No photo on file...
Learning Experience: Infectious Disease

Page: 1

PGY1 Pharmacy (2014)

R1.1 - In collaboration with the health care team, provide safe and effective patient care to a diverse range of patients, including those with multiple co-
morbidities, high-risk medication regimens, and multiple medications following a consistent patient care process
ACHR : No

*R1.1.1 - Interact effectively with health care teams to manage patients’ medication therapy
ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina was effective member this month on interdisciplinary stewardship team. She served as advocate for the patients, performing antibiotic interventions
to optimize patient care. Her interactions with the team are cooperative, collaborative, and respectful. She assisted infection control with data collection and
ID prescribers with drug information questions as well.

*R1.1.2 - Interact effectively with patients, family members, and caregivers

ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
I was completely impressed by Christina's genuineness. She is always kind. Even in passing people in the hallway, she would offer greetings and show
kindness. Her perfectserve communication was also genuinely kind - I loved that she often referred to "team" in her text communications. Being with her is a
good reminder to take time to show compassion to all, even if you don't have direct contact with them.

*R1.1.3 - Collect information on which to base safe and effective medication therapy
ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina collects relevant data from the patient chart, including allergies/dosing/indication/cultures/labs, etc. She had organized process for data collection
which helped her present the patients to the stewardship team.

*R1.1.4 - Analyze and assess information on which to base safe and effective medication therapy
ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina worked daily to analyze patient information she had collected from medical records to adjust antibiotic therapy. She utilized resources like sentri-7 to
identify patients that had potential interventions and then she would evaluate those cases more closely to assess if interventions were needed.

2/4/2020 7:54:54 PM 1 ckmarsha@gmail.com

 *R1.1.5 - Design or redesign safe and effective patient-centered therapeutic regimens and monitoring plans (care plans)
ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
She optimized dosing - increasing levofloxacin to 750mg daily for gram negative coverage as an example. She optimized antibiotic choice. She provided
antibiotic de-escalation recommendations based on new culture data. She designed many vancomycin dosing regimens using brand new dosing software.

*R1.1.6 - Ensure implementation of therapeutic regimens and monitoring plans (care plans) by taking appropriate follow-up actions
ACHR : No

Needs Improvement (NI)

Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina would follow-thru with charting and antibiotic changes that would need performed after interacting with prescribers. She often helped close the loop
on antibiotic changes that she had initiated. In working on the vancomycin dosing pilot, she developed monitoring plans and ordered appropriate follow-up
levels on all the patients receiving vancomycin.

*R1.1.7 - Document direct patient care activities appropriately in the medical record or where appropriate
ACHR : No

Needs Improvement (NI)

Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina utilized her resources to construct very thorough chart notes. For example, she took initiative to figure out how to copy/paste pieces of the
Bayesian dosing charts into her chart notes to help support the dosing information she was providing. Christina documented notes to other pharmacy staff in
sentri-7 and powerchart - providing an appropriate level of detail to allow others to review cases more efficiently and follow what needed to be done.

*R1.1.8 - Demonstrate responsibility to patients

ACHR : No
Needs Improvement (NI)
Satisfactory Progress (SP)
Achieved (ACH)
Not Applicable (NA)
Comments:
Christina genuinely cares about patients. Her compassion shows in all of her interactions. In some cases, she initiated follow-up on her patients to make sure
they were responding to the recommended changes.

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Overall Comments
Overall Comments for this Evaluation
It was a pleasure to have Christina as part of the stewardship team this month. She is devoted to providing great patient care and her compassion for others is
incredible. She helped with a lot of projects this month. She developed staff education about red man's syndrome. She helped infection control with data
collection - results which have been presented at a couple of team meetings to reinforce the need for focus and education about charting and performing
universal decolonization. Christina answered several ID drug info questions this month. She worked well with the other two ID pharmacy students on rotation
with me - she led topic discussions with them and helped them process the interventions they found. Christina spent a lot of time this month focused on
vancomycin AUC/MIC dosing. We were able to finalize the protocol and present to P&T. Christina trialed the Bayesian dosing software we will likely be using for
two weeks and we were able to pilot AUC dosing on approximately 25 patients. That will be very valuable information as we move the process forward. Christina
also spent time this month on developing the education module for pharmacists about Bayesian AUC dosing. Most importantly, Christina effectively made daily
antibiotic interventions to optimize antibiotic treatment for our patients. She took charge of the process from start to finish. Having had this rotation in the past,
she jumped right in, even from day one. There was a good balance of working independently and asking for guidance on complicated cases. I didn't have any
concerns with allowing her to manage this service line.

Cosignature History
Cosign Date Name Status Comments

Ford, Christina Awaiting Cosignature

Cosign Close

2/4/2020 7:54:54 PM 2 ckmarsha@gmail.com