What is Ambulatory Pharmacy? A Day In The Life Of A Clinical Pharmacist

What is Ambulatory Pharmacy? Ambulatory care practice is when a pharmacist is working one-on-one with patients to manage their outpatient diseases. So their chronic diseases include diabetes, hypertension, it can include HIV asthma, COPD distal PD Mia that sort of thing, but it just means that patients can either come to us.

Where we can speak to them over the phone and managing their disease therapy, I became interested in ambulatory care Pharmacy after practicing for about 15 years.

What does ambulatory pharmacy mean?

Ambulatory pharmacy has to do with the health care services of ambulatory clients transitioning from the healthcare facility to home or another care center. The responsibility of an ambulatory pharmacist is to educate and assist patients in health promo and wellness.

The ambulatory care pharmacist communicates with patients in an outpatient center setting. The ambulatory pharmacist manages patients’ persistent conditions such as diabetes, high blood pressure, and high cholesterol.

Why Ambulatory Pharmacy?

I noticed that there was a gap in health care where ambulatory care pharmacies can take advantage of the situation and further aid. The patient. I was a fourth-year student, I did a rotation at we care, and through my experiences as a student, I got to do a lot of great activities and interaction with patients, and I kind of fell in love with the work that we do here.

It wasn’t something I was planning on, but just doing my work and doing the things that I was doing they approached me to see. If I was interested in applying for the residency, I did mainly focused on oncology, so it was a lot more personable on ambulatory care, a lot more face-to-face consultation.

The aspect that I got from Loma, Linda in preparing me for this work environment was the fact that they are very service-oriented in our curriculum.

The Kind of emphasized making sure that you know the patient is at the center of every decision that you make, and so we had outreach events that we did. I had multiple rotations, where I kind of got my feet wet in the ambulatory care setting, so that helped prepare me to come here. The future for ambulatory care pharmacy is barely emerging.

I believe in the next five to ten years it will become mandatory. If you look at some of the health plan goals now, it is Mandatory now for pharmacists to do these empty Em’s services for these members, and it’s only a matter of time where everybody needs to be on board

What an Ambulatory Pharmacist talked about Her Job?

I’ve always wanted to help people, and this is a good way to do it. Hi, I’m Kristin kobold, I’m a pharmacist with a community physician network, been with the network since 1990 to do a lot of Education with our patients and help them to feel more comfortable with the medications that they are taking.

My jobs are, multi-purpose and I just like working with the patients and helping to troubleshoot any problems that they may be Behaving and taking their medications. So we have a lot of different resources that we can look to help get a patient to the point where they can actually take their medications and do so without side effects or problems. Well, I’m at the broad ripple community Family Practice Center, which has three positions: three family practice: nurse practitioners.

I do like working with diabetes patients, they’re, probably some of my favorites, just because it’s Fun to troubleshoot with them to find out. You know Kevin’s diabetes can be kind of scary, so I do a lot of Education with patients specifically on their diet. We have quite a few people who are new to having diabetes new to COPD at Broad Ripple, family physicians.

We care about the patient and we find ways to help them, sometimes in ways that they may not have even imagined. Yes, so my husband and I have been married For 23 years as of last week and we have four children. We have kids from college to kindergarten and everywhere in between, I’ve played saxophone for many years through college.

At Butler University, I was in their marching band. On my day off I like to attend, marching band and drumline competitions for my children, we spend a lot of our summers traveling with drum corps.

What are some examples of ambulatory care services?

My name is Debbie down: I’m the manager of ambulatory care. I’ve been involved with this redevelopment project for seven years now and have gone through the various stages of the process to get to this final stage, where we’re getting ready to open the new facility.

What is ambulatory care? Well, that’s a word. That’s very elusive to a lot of people, it’s somewhat confusing to the Public. They hear the word ambulatory and they immediately think of ambulances, but ambit or E is a word that we’re using more and more these days to reflect the types of services that we provide.

If you went to the dictionary and look up the word ambulatory, it means to move or walk event. So, when you’re talking about mature care services, those are services that are being delivered in the daytime. The patient does not require admission to the hospital and most likely they are also scheduled.

Queen Elizabeth Hospital is a very large building. We’ve had ambulatory care services scattered throughout the building, and sometimes it’s been a very long walk for patients and their families. So having these services concentrated at the front of the hospital close to the law be close to the parking lot.

It is a huge bonus because many patients when they come in they have to access more than one service, so it makes it very easy for them to get to the next service without a lot of walking or getting lost patients and visitors alike, who are coming To the eMeter Care Center will come into the main entrance of the hospital for parking. The main parking lot will come in the main entrance to the hospital and because they’re scheduled they will stop in the admitting Department and be registered their word and receive down to the Service that they’re heading to our as soon as they come into the main door. At the hospital, the first death that they’re going to see is the information desk, and it is manned every day with volunteers who spend a lot of hours and dedication to the hospital to help provide direction, as well as any of the staff, will provide direction.

And with the various services, we have several volunteers, and are there also to provide your wayfinding needs to the Patient and their family may have.

read also: Is pharmacy school worth it

Is Ambulatory Care Pharmacy the Right Choice For You?

Talked about the ambulatory care pharmacist. Is Ambulatory Care Pharmacy the Right Choice For You?

This is a career path that is very appealing to a lot of pharmacists, for many reasons that I will be discussing in this video make sure to send me some suggestions on which pharmacy career path, I should do a video on next, so the first time I heard the term ambulatory care pharmacist, I was in my first year of pharmacy school now. The first thing that came into my mind was an ambulance.

I thought that the pharmacist will be dispensing medications from an ambulance. Now. I hope some of you guys can relate to this, so the term ambulatory care is referring to medical services performed on an outpatient basis without admission to a hospital.

So knowing this we can Define the term ambulatory care pharmacist, also known as the amca pharmacist. Now it involves being an integral part of an outpatient, multi-disciplinary health care team to improve quality and patient outcomes by focusing on medication management and, of course, medication, management. Something that pretty much all pharmacists um do right, but in this case, you’re Doing it on an outpatient basis and even though it’s outpatient, you still have that multi-disciplinary collaboration.

So most of the time you will see them working in medical clinics. So these can be stand-alone clinics or they could be clinics that are part of a hospital. They can also work in pharmaceutical companies where they usually work as a medical science liaisons.

Sometimes People just refer to it as MSL and the MSO serves as a resource within the medical community and they develop relationships with different physicians, who may be utilizing their medications now.

Pharmacists in these institutions usually have more clinical roles or provider-type roles compared to other institutions, so it’s safe to say that they paved the way for ambulatory care practice for pharmacists.

They can also work in universities as professors, and this is what I was referring to. So sometimes The ambulatory care setting or the clinic may be part of the hospital it may be inside the hospital, sometimes like on a different floor, so anticoagulation clinic, probably the most common clinic that you will see the am care pharmacist practicing in another one.

That’s common is the pulmonary clinic or the diabetes clinic now also included, like oncology Clinic or infectious disease clinic, it’s because of the skill set when it comes to managing patients in the ambulatory care, setting that it opens different doors of opportunities in terms of Anything that’s outpatient.

Even though they didn’t specialize in oncology, they can get positions in an oncology clinic managing patients, let’s say oral Chemotherapy regimens now in terms of the general rules, direct patient care services, one of the main things that the ambulatory care Pharmacist engages in patient counseling where they have time to sit face to face with the patient and educate them on the medication.

They’re able to also assess the tolerability of the medications by asking the patient Different questions, some may perform physical assessments so checking blood pressure. Listening to the patient, lung sounds demonstrate how to use a medical device. So let’s say if the MCAT pharmacist works in an asthma clinic, they may show the patient how to use the inhaler and also develop long-term relationships with the patient.

So these patients will be coming to the Clinic throughout the whole year, they’re going to have different appointments, so when they come in, they will see the pharmacist every time usually so this will help build that relationship with the patient. Next is medication therapy management. Of course, this is like the bread and butter for pretty much every pharmacist in the clinical setting so Medication reconciliation.

is pharmacy school hard

This is something that the amca pharmacist is well trained in. They also provide comprehensive medication review, so they review the patient’s medication list, but they also look for drug-drug interactions. They also assess to make sure that the dose is appropriate based on the patient’s response and also may check to see if the patient is on the Lowest dose to prevent certain side effects.

They assess medication, compliance, they formulate a treatment plan and they usually have to document this also into the patient’s profile. They will monitor the patient for response to the treatment right. So whenever the patient comes to see the pharmacist and remember these are appointments, they have appointments to see the Pharmacist for medication management, so the pharmacist can be able to assess the response to the treatment and also improve access to affordable medications.

Provider status rose. So this usually requires a cdtm agreement between the pharmacist and the provider so that will allow the pharmacist to possibly order and interpret certain labs Or the medications right. Certain medications have to be specified in the cdtm agreement.

Authorize refills on certain medications modify medication orders. It could be a change of dose frequency. Discontinuation of the medication, refer the patient to other providers as needed, and also provide certain immunizations now how to become an Amb care pharmacist.

How to be an ambulatory care pharmacist?

So of course you graduate from pharmacy school. You do a pgy1, you go on and you do a pgy2 in ambulatory care, and this is the preferred way now, but depending on your pgy1 residency and what kind of training that you got and if you’re able to sell yourself, you could still land a position As an ambulatory care pharmacist without a pgy2 Um, also, if you have several years practicing and let’s say clinics or in the outpatient setting, while you was knowing your residency or just as a pharmacist straight out of school, you can use that to help increase your chances Of landing a position as an ambulatory care pharmacist, so here are some credentials that can take your ambulatory care pharmacy road to the next level right, so You can get aboard, certification and ambulatory care. You can get certified to be a national asthma educator or a diabetes educator, so it’s dependent on what you want to do or focus on or what you were trained in back in your residency um.

You want to get like the certification, that’s specifically for that, and that can increase your chances Of you know land in a position also – and these are some other ones that you may see out there now in terms of salary, it’s really hard to get like a Specific salary for ambulatory care, pharmacists or a specific pharmacy career or specialty – I should say um, so it’s hard to get the accurate salary for, let’s say an oncology pharmacist or infectious disease pharmacist And especially ambulatory care where they could be indifferent clinics right. It could end up in an anticoagulation clinic they could end up in a pulmonary clinic and also depending on the institution or the state it may vary. So just take this with a grain of salt.

It may not apply to where you live right now, and the institution that you want to apply to now. An ambulatory care pharmacist career Is for you. If you like that patient interaction right, so you get to sit with the patient, really listen to the patient, really educate the patient.

Teach the patient, how to take their medications, assess their compliance, assess their side effects. If you enjoy doing that, then this is definitely for you in a non-rush environment, where you get to develop long-term relationships With the patient. Also, it’s for you, if you like that expanded role so like that provider, status, kind of role, so that depends on the institution and also if there’s a cdtm, that will allow you to do a little bit more than what pharmacists usually do like.

I said if you like, that long-term relationship with patients because they’re going to come to you several times in a year. So if you like, Having that strong relationship with your patients, then this is definitely for you if you love the outpatient setting. And lastly, if you enjoy working in a multi-disciplinary team, then this is also for you, usually, in the clinic, you’re gonna, have the physician there, the nurses, maybe social, work, so they’re right there in the clinic.

So, whenever you need to discuss anything with them, you can just walk right up to them and then have that conversation with them, and that would be the end of this article.

Find out more articles like this in blog.grosirjaslab.com

You May Also Like

About the Author: Rijani, S.Far, Apt.

Hello my name is Rijani, S.Far., Apt. I graduated from pharmacy school in 2009 at Sanata Dharma of Pharmacy and Ahmad Dahlan University. I am a big believer in that you get out of life what you put in. This is my way of giving back and helping future pharmacists as well as current ones.