2019 Southeastern Residency Conference has ended

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2019 Southeastern Residency Conference

9:00am EDT

Implementation of a partial fill standard operating procedure (SOP) within a Veterans Affairs (VA) outpatient pharmacy Parthenon 1Kelsie Welch Evaluation of a population-based management tool in identifying interactions between DOACs and NSAIDs in a health care system Olympia 1Liem Nguyen Evaluation of the factors that predict non-participation in a diabetes prevention program Olympia 2Kristine Boyle Impact of Clinical Pharmacy Services in the Emergency Department on Analgesia-First Sedation Protocol Utilization Athena DJohnathyn Britton Implementation of a fixed-dose strategy of 4-factor prothrombin complex concentrate for warfarin reversal Athena CWilliam Slaughter Standard vs High Dose Dexmedetomidine for Sedation Maintenance in the ICU Athena BSpencer Bolton Evaluation of supplementation, prescription, and questionnaire utilization following a diagnosis of Alzheimer_x0019_s disease Athena JAnna Lyall Expansion of a Risk Prediction Model for Healthcare Facility-Onset Clostridium difficile Infection Athena ICarrie Tilton Incidence of acute kidney injury associated with piperacillin/tazobactam extended-infusion compared to standard infusion Athena HEmily Bowers Safety of therapeutic unfractionated heparin and low molecular weight heparin in patients with liver cirrhosis Athena GKate Summers Early antibiotic de-escalation in febrile neutropenic patients Athena AMeredith Long Improving glycemic control in the patient undergoing orthotopic liver transplantation Parthenon 2Emma Chee-How

9:20am EDT

EVALUATION OF USP IMPLEMENTATION FOR HAZARDOUS DRUG SPILL MANAGEMENT AT A COMMUNITY HOSPITAL Parthenon 1Christine Ellis Assessment of the ability of a web-based application with gamification to identify opportunities for healthcare intervention Olympia 2Mary O'Barr Impact of Pharmacist Incorporation in a Transition of Care Team on 30-day Readmission Rates of High Risk Patients Olympia 1Amy Li Adult procedural sedation in the emergency department Athena CBethany Patel Assessment of electrolyte repletion in critically ill patients during a drug shortage Athena BLauren Freeman Evaluation of Dosing Strategies for Four-Factor Prothrombin Complex Concentrate Administration at Two Community Hospitals Athena DAndrea Tse PHARMACIST LED COST EFFECTIVENESS INTERVENTION ANALYSIS OF A LEVEL FUNDED HEALTHCARE PLAN IN T2DM Athena JJessica Phipps Analysis of Pneumonia Treatment in a Community Hospital Athena ISanjay KC Implementation of Enhanced Recovery after Surgery (ERAS) Protocol in Elective Total Joint Surgery Athena HAbimbola Agbaere Retrospective Review of Stress Ulcer Prophylaxis Utilization at a Community Teaching Hospital Athena GJuan Vargas Incidence of Immune-Mediated Adverse Reactions in Patients Treated with a Checkpoint Inhibitor Athena ASamantha Schutte Clinical Outcomes of Using mTOR Inhibitors with Reduced Dose of Calcineurin Inhibitors in Lung Transplant Recipients Parthenon 2Morgan Frawley

9:40am EDT

Impact of a community pharmacy-based CDTM program supported by a medication synchronization program Olympia 2Caitlin Prather Standardization of the immunization process and vaccine education for home based primary care at a VA Health Care System Olympia 1Meghan Mark A Review of Appropriate Dosing of Direct Oral Anticoagulants Athena DHeather Culler EFFICACY AND SAFETY OF A STANDARDIZED DIABETIC KETOACIDOSIS MANAGEMENT PROTOCOL IN AN ACADEMIC MEDICAL CENTER Athena BJessica Ringler Impact of Clinical Pharmacist Practitioners on Urine Culture Stewardship in the Emergency Department Athena CAudreanna Williams Implementation of a vaccine order set with evidence-based recommendations into a computerized electronic health record system Athena HJeremy Bennett Implementation of Penicillin Skin Testing in Group B Streptococcus-Positive Pregnant Women with Documented Penicillin Allergy Athena IBrooke Kopelakis Evaluation of a benzodiazepine-sparing alcohol withdrawal treatment protocol Athena GMegan Nesbitt Costs and Clinical Outcomes Associated with AYA 10403 Versus HyperCVAD in Adults with Acute Lymphoblastic Leukemia Athena APamiz Alibhai Medication Discrepancies at Hospital Discharge in Patients with Type 1 and Type 2 Diabetes on Insulin Parthenon 2Angela Knight

10:00am EDT

Impact of pharmacist intervention on reducing readmission rates and mortality in a community hospital heart failure clinic Olympia 1Stephanie Shuder Octreotide for Secondary Prevention of Left Ventricular Assist Device-Associated Gastrointestinal Bleeding Athena DJennifer Cook Evaluation of Weight-Based Enoxaparin Dosing and Monitoring for VTE Prophylaxis in Trauma Patients Athena BAshley Taylor Impact of Early, Appropriate Antibiotics in Septic Patients in the Emergency Department Athena CRegan Kitchens Impact of provider education on antibiotic prescribing rate for acute respiratory tract infections in a clinic setting Athena HJessica Some The Financial and Operational Benefits of a PGY-2 Infectious Diseases Residency Program Athena IPhilip Whitfield Prevalence of inpatient hypoglycemia and utilization of basal-bolus for improved glycemic control Athena GKarishma Patel Peripheral Neuropathy in Non-Hodgkin_x0019_s Lymphoma Patients Receiving Vincristine with and without Aprepitant, Fosaprepitant Athena AJessi Edwards Evaluation of Once-Daily vs. Twice-Daily Dosing of Caffeine for Apnea of Prematurity Athena JAubrey Rebentisch Using a Clinical Order Set to Mitigate Opioid Risk Olympia 2Jack Ledford The Impact of Mental Health Clinical Pharmacists in Benzodiazepine Prescribing Parthenon 1Merideth Syfrett Pharmacist-led interventions to reduce 30-day readmission rates in patients with COPD Parthenon 2Courtney Pearson

10:20am EDT

Impact of a Pharmacist-led COPD Clinic on Patient Outcomes in a Rural Healthcare Clinic Olympia 1Sarah Russell Evaluation of optimal international normalized ratio goals for continuous flow left ventricular assist device patients Athena DAlia Reid Evaluation of the appropriateness of parenteral nutrition use in critically-ill adult patients at a community hospital Athena CDwight Burnham Time to Blood Culture Positivity as a Predictor of Pathogen in Critically Ill Patients Athena BLindsey Sellers Pharmacy student comfort with counseling on drug-nutrient interactions, pre-and post interdisciplinary education Athena IDevin Drummond Safety and Appropriateness of Outpatient Fluoroquinolone use in the Elderly Athena APaige Wallace Effects of Academic Detailing and Institutional-Specific Treatment Guidelines on the Treatment of Urinary Tract Infections Athena HJohn Riles Incorporation and impact of a clinical pharmacist in a hospital-based neurology clinic treating multiple sclerosis patients Athena GAlexandria May Incidence of bronchopulmonary dysplasia in neonates receiving parenteral lipid emulsions - Intralipid or SMOFlipid Athena JZauri Bradley Immediate Release Opioid Prescribing Patterns: Effects of Limited Preset Quantities and PDMP Integration Olympia 2Lia Xiong Impact of Direct-to-Consumer Benzodiazepine and Sedative Hypnotic Patient Education at a VAHCS Parthenon 1Jessica Liszka The Preoperative Use of Intravenous Palonosetron to Prevent Postoperative Nausea and Vomiting Parthenon 2Rebecca Scott

11:00am EDT

Assessment of the Prevalence of Burnout in Pharmacy Technicians Parthenon 1Jordan DeAngelis Evaluation of a hypoglycemia safety initiative in a Veterans Affairs clinic using a population management tool Olympia 1Elisabeth Schulz Safety and efficacy of apixaban versus warfarin in veterans with end-stage renal disease on dialysis Olympia 2Odirichukwu Duru Evaluation of hypertonic saline in patients with acute liver failure Athena BPeter Moran EVALUATION OF ICU SEDATION PRACTICES BEFORE AND AFTER A MULTIDISCIPLINARY EDUCATIONAL INTERVENTION Athena CNesha Patel Evaluation of SSRIs and their Impact on the Incidence of Intracranial and Gastrointestinal Bleeding Athena DAshley Beckwith Impact of Education and Automatic Refills on Adherence in Patients with a Baseline Proportion of Days Covered of < 80% Athena JMelissa Tittinger Ceftriaxone versus Standard of Care for Definitive Treatment of Methicillin-Susceptible Staphylococcus aureus Infections Athena IJessica Snawerdt Impact of rapid discontinuation of empiric vancomycin in patients with HAP or HCAP and absence of respiratory tract cultures Athena HAlanna Rufe Magnesium repletion: impact of a national intravenous fluid shortage Athena GJared Cavanaugh RETROSPECTIVE ANALYSIS OF LOCAL ANTIEMETIC USE IN HIGHLY EMETOGENIC CHEMOTHERAPY VERSUS GUIDELINE RECOMMENDATIONS Athena AEric Schumann Assessment of Time to Therapeutic Tacrolimus Levels Following Renal Transplantation in a Non-Weight-Based Dosing Model Parthenon 2Joshua Banbury

11:20am EDT

Implementation of pharmacist-led direct oral anticoagulant candidate screening process within current anticoagulation clinic Parthenon 1Jessica Holleman EVALUATION OF THE IMPLEMENTATION OF THE GUIDELINES FOR PREVENTION OF GLUCOCORTICOID-INDUCED OSTEOPOROSIS Olympia 2Catrina Hill Impact of a Pharmacist- Led Intervention to Decrease Cardiovascular Risk in Patients with Diabetes in a Primary Care Setting Olympia 1Anna Bruckelmeyer Evaluation of the safety and efficacy of phenobarbital for the management of acute alcohol withdrawal in the ICU Athena CDeanna Malone Impact of emergency medicine pharmacists on door-to-needle time for intravenous alteplase in acute ischemic stroke patients Athena DCourtney Huffman Seizures in Non-Traumatic Subarachnoid Hemorrhage Patients Based on Presentation and Effect of Prophylactic Levetiracetam Athena BLindsey Little Evaluation of Staff Attitudes Following a Standardized Training Prior to Implementation of Medication Synchronization Athena JLaura Dollins Evaluation of a Multifaceted Pharmacist-Led Intervention on Reducing Unnecessary Treatment of Asymptomatic Bacteriuria Athena HHibah Missoum Risk factors associated with broad spectrum beta-lactam resistance in Gram negative bloodstream infections Athena ICaroline Sutton Quantifying change in serum magnesium concentration after repletion in hospitalized patients Athena GMelissa Sandler Retrospective review of chemotherapy induced peripheral neuropathy management Athena ALauren Avery A Classification of Clinical Questions from an Electronic Drug Information Database Parthenon 2Neil Patel

11:40am EDT

Impact of pharmacist involvement on telehealth Transitional Care Management (TCM) for high medication risk patients Olympia 1Jessica Cole U.S. Ambulatory Prescribing Patterns of Menopausal Hormonal Therapy Following the Women's Health Initiative (2006-2016) Olympia 2Abigail Case Efficacy and Safety of Direct Oral Anticoagulants Versus Warfarin for the Treatment of Left Ventricular Thrombus Athena BJustin Joy 4T and HEP scores for heparin-induced thrombocytopenia in patients with mechanical circulatory support devices Athena CArzo Hamidi Evaluation of phenylephrine as a second-line vasopressor in septic shock refractory to norepinephrine Athena DLisa Gibbs Implementation and Evaluation of Comprehensive Diabetes Education to Improve Initiation of Statin Therapy in Diabetes Patient Athena JAnnie Lee Evaluation of Antibiotic Prescribing Practices Associated with FilmArray Respiratory Panel Results at a VA Medical Center Athena INgoc-Tram Huynh Influence of piperacillin/tazobactam infusion strategies on the incidence of acute kidney injury Athena HRenesha Henderson Pharmacy Facilitated Education of Appropriate Procalcitonin Assays and Physician Response Athena GHaley Ethredge A PRE- AND POST-IMPLEMENTATION EVALUATION OF TRANSITIONING R-EPOCH TO THE OUTPATIENT SETTING Athena ATina Nguyen Evaluation of Using a Patient Specific Readmission Prediction Score to Target Transitions of Care Services Parthenon 1Benjamin Coles Weight-based dosing strategy to improve transition from IR to XR tacrolimus in kidney transplant recipients Parthenon 2Mackenzie Magid

12:00pm EDT

Impact of a Physician-Pharmacist co-visit model on access, revenue, and quality of care Olympia 1Tanya Devine Oral Thiazide Diuretic Comparison in Acute Decompensated Heart Failure Athena BJulia Pendexter Effectiveness of Atypical Antipsychotics as Sedative Adjuncts in Mechanically-Ventilated Adults Athena CKelsey Ohman Evaluation of prophylactic antibiotic therapy in civilian penetrating brain injury Athena DBrian Norman Impact of routine education and data feedback on the durability of antimicrobial stewardship for outpatient UTIs Athena HJason Funaro Analysis of the etiologies and medications in hospital-acquired acute kidney injury Athena GGeren Thomas Evaluation of Prophylactic Prescribing Adherence to NCCN Guidelines for High & Moderate Emetogenic Risk IV Chemotherapy Athena AChelsea Parry Comparison of Neonatal Outcomes from Utilizing SMOFlipid vs. INTRAlipid Athena JDalton Hudgins IMPLEMENTATION OF A POST-SURGICAL PAIN MANAGEMENT ORDER SET IN OPIOID NAÏVE PATIENTS Olympia 2Faith Brown Evaluation of antipsychotics use in the intensive care unit for delirium Athena IDieuhong Nguyen Categorizing causes of heart failure readmissions in a Veterans Affairs Medical Center Parthenon 1Karen Quach Cardioprotective effects of pre-operative cyclosporine in patients undergoing heart transplantation Parthenon 2Yoko Hirase

12:20pm EDT

Evaluation of a pharmacy-led overactive bladder management service in a women_x0019_s health center: a prospective pilot study Olympia 1Catherine Helms Genetic Testing for Familial Hypercholesterolemia in minority patients with an LDL-C >190 mg/dL Athena BAllison Hester Assessment of provider/nurse perceptions of naloxone prescribing and opioid misuse treatment from the emergency department Athena CMarcus Kaplan Evaluating the effects of corticosteroids in patients with non-septic shock following cardiothoracic surgery Athena DDaniel Anderson Impact of a Pharmacist-Driven Methicillin-resistant Staphylococcus aureus Surveillance Protocol on Vancomycin Exposure Athena HWilliam Evans Impact of a pharmacist-run neurology clinic in managing migraine headaches at a Veterans Affairs Medical Center Athena GEmily Hailstone Evaluating the tolerability of pembrolizumab in patients with an FDA-approved indication within the UNC REX Healthcare system Athena ARebecca Nickell TREATMENT OF NEONATAL HYPOGLYCEMIA WITH DEXTROSE GEL Athena JRachel Horne Facility based reduction strategy to limit opioid exposure Olympia 2Ryan Faulconer IMPLEMENTATION OF A PHARMACIST-LED MEDICATION-ASSISTED TREATMENT (MAT) CLINIC AT A VETERANS AFFAIRS MEDICAL CENTER Parthenon 1Jade Abudia

1:50pm EDT

Training and Schedule Restructuring of Clinical Pharmacy Specialist Clinics in a Veterans Affairs Health Care Center Athena GCarrie Sartin IMPACT OF TRANSITIONING FROM A TRADITIONAL ANTICOAGULANT CLINIC TO A CENTRALIZED ANTICOAGULANT CLINIC: A QUALITY IMPROVEMENT Athena BMorgan Tolley Initiation of a PCSK-9 Inhibitor For The Management of Complex Hyperlipidemia Through The Use of a Risk Assessment Tool Athena ANieka Jackson Fluid overload and de-resuscitation efforts in patients treated for sepsis and septic shock Athena IChristina Crawley Full Dose Versus Reduced Dose Alteplase for Cardiac Arrest Secondary to Pulmonary Embolism Athena HPerry Carrington Nephrotoxicity of Piperacillin-Tazobactam and Vancomycin in comparison to other empiric antimicrobial therapy in ICU Athena JMasaad Almutairi Evaluation of acute kidney injury using a vancomycin area under the curve guided protocol in a community hospital Olympia 2Michael Trey Dailey Evaluation of antibiotic prophylaxis for urological surgical procedures at a large academic medi Olympia 1Emily Drwiega Evaluation of Warfarin versus Direct Oral Anticoagulants in Patients with Inherited Thrombophilia Parthenon 1Megan Bereda Evaluation of bleeding incidence of DOACs versus enoxaparin in the treatment of VTE in cancer patients with thrombocytopenia Athena CJustin Wilson Designing Opioid Provider Scorecards Athena DJared Gabbert

2:10pm EDT

Cost evaluation comparing Remicade to biosimilar agent (Renflexis) for use in an outpatient infusion clinic Athena GLinh Tong Evaluation of a Pharmacist-Led Chronic Obstructive Pulmonary Disease (COPD) Clinic Athena BReid Allison Medication Adherence Barriers: An Opportunity to Improve Population Health Athena AIliana Morataya Identification of patients at risk for drug-induced acute kidney injury guided by a novel biomarker in the ICU Athena HAlexandria Hall PREVENTION OF DELIRIUM IN THE INTENSIVE CARE UNIT AT A COMMUNITY TEACHING HOSPITAL Athena JGina Mirza Retrospective Analysis of Pharmacologic Hyperkalemia Management Strategies at a Large Community Hospital Athena IRobert Crawley Evaluation of factors associated with inappropriate antibiotic selection in patients with sepsis in the emergency department Olympia 1Meshell Maxam Evaluation of Readmission Rates of Outpatient Parenteral Antimicrobial Therapy Olympia 2Colleen Lau A Retrospective Evaluation of SMOF Lipids on Liver Function for Home Parenteral Nutrition Patients Parthenon 1Adrian Lawrence Beta-Blocker Therapy for the Prevention of Doxorubicin-Induced Cardiotoxicity: A Retrospective Cohort Athena COlivia Witt Impact of ketamine on opioid usage after bariatric or colorectal surgery Athena DZachary Haffler

2:30pm EDT

An Interprofessional Approach to Achieving Opioid Guideline Recommendations at a Primary Care Clinic Athena AWade Tugman Evaluation of Diuretic Dose Modification at Discharge and 30-Day Readmission Rate in HFpEF Athena JMeredith Welty Evaluation of burn resuscitation practices at a large ABA-verified burn center Athena HTu-Trinh Tran Evaluation of vasopressor titration in coronary critical care units Athena IStephanie Proctor EVALUATION OF THE EFFECTIVENESS OF A VANCOMYCIN DOSING NOMOGRAM USING A SIMPLIFED 24 HOUR AREA UNDER THE CURVE EQUATION Olympia 1Bradley Bright Impact of Procalcitonin Levels on Antibiotic Days of Therapy in Medical-ICU Patients with Sepsis Olympia 2Kerry Ward Impact of pharmacist job aid on the incidence of hypoglycemia and hyperglycemia Parthenon 1Danielle Carroll MANAGEMENT OF ANTICOAGULATION IN HEMATOPOIETIC CELL TRANSPLANT PATIENTS WITH NEW OR RECENT VENOUS THROMBOEMBOLISM Athena CCatherine Gawronski Evaluation of initial antidepressant failure rates to establish opportunities for pharmacogenomic testing Athena GElyse Prather

2:50pm EDT

Impact of a pharmacist-led antiarrhythmic drug monitoring outpatient clinic within a Veterans Affairs Medical Center (VAMC) Athena AElizabeth Jacobs Evaluation of Fixed-dose Four-factor Prothrombin Complex Concentrate within a Community Health System Athena JEster Lee Evaluating a new tool to optimize the medication history process Athena IColleen Riley Treatment of Hyperkalemia in the Emergency Department Athena HJimmy Pruitt Impact of a Community Pharmacist_x0019_s Intervention on Converting Patients to 90-Day Prescriptions in a Value-Based Population Olympia 2Kirklin Bowles Assessing acute kidney injury in elderly patients based on vancomycin administration frequency Olympia 1Zachary DeGrave SAFETY AND EFFICACY OF APIXABAN IN PATIENTS WITH VENOUS THROMBOEMBOLISM AND END-STAGE RENAL DISEASE Parthenon 1Kimberly Knight Incidence of vancomycin nephrotoxicity: area under the curve dosing versus traditional dosing Athena GMacy Mullins Incidence of Post-Transplantation Diabetes Mellitus (PTDM) in Haploidentical Hematopoietic Cell Transplant Patients Athena CBrendan Mangan Implementation of a neonatal sepsis risk calculator to reduce the exposure to antibiotics in term neonates Athena BBianca Rivera-Ramirez Comparison of two antithymocyte globulin (rabbit) dosing regimens in kidney transplant recipients Athena DMaggie Klingensmith

3:10pm EDT

THE PATIENT ALIGNED CARE TEAM (PACT) MODEL: A COMPARATIVE ANALYSIS OF NATIONAL STANDARD PATIENT CENTERED MEASURES FOLLOWING R Athena AFrances Hoffman Efficacy and Safety of Tranexamic Acid versus Aminocaproic Acid in Cardiac Surgery Athena JHannah Lineberry Evaluation of 4-factor prothrombin complex concentrate administered at high infusion rates on patient safety, effectiveness a Athena HBrittny Medenwald Expansion of pharmacist-driven centralized antimicrobial culture follow up in a six hospital regional health system Athena IJimmy Godwin Pharmacists_x0019_ Contribution in a Value-Based Care Model at a Large Regional Health System Olympia 2Tiffany Sherod-Harris Clinical and Economic Outcomes of Inpatient Standard of Care versus Outpatient Oritavancin Therapy for Patients with ABSSSI Olympia 1Brandy Williams Effect of targeted prescriber education on comfort and knowledge in the treatment of attention deficit/hyperactivity disorder Athena BJordan Perrine Enhancing Clinical Pharmacy Specialist Involvement In Transitions of Care Focusing On Ambulatory Care Sensitive Conditions Athena CMorgan Fisher Incidence of rejection in heart transplant patients who received induction therapy versus those who did not Athena DMadison Como

3:50pm EDT

Evaluation of the cost differences between non-treatment and treatment of asymptomatic bacteriuria in a community hospital Athena GKelly Gandy DISCONTINUATION OF BUPRENORPHINE/NALOXONE POST A LONG-TERM MAINTENANCE PERIOD IN VETERANS WITH OPIOID USE DISORDER Athena BAnesa Hughes Improving Efficiency through Optimizing Workflow in a Pharmacist-Run Diabetes Clinic Athena ALeva Jaberizadeh AN EVALUATION OF INSULIN INFUSION MANAGEMENT IN DIABETIC KETOACIDOSIS Athena JNerea Irusta Effect of hyperglycemia resolution on intracranial hemorrhage risk in patients receiving alteplase for acute ischemic stroke Athena HKatherine Greenhill Effect of Using a Standardized Iron Regimen on Blood Transfusions in Critically-Ill, Trauma and Acute Care Surgical Patients Athena IMichelle Vu Evaluation of empiric IV vancomycin and risk factors for methicillin-resistant Staphylococcus aureus in a large community hos Olympia 1Courtney Bradley Linezolid for terminal therapy for Gram-positive bacteremia Olympia 2James Terenyi Evaluation of maintenance inhaler regimens impact on systemic corticosteroid exposure for the treatment of COPD exacerbations Parthenon 1Brittany Williams Retrospective review of daratumumab/bortezomib/dexamethasone (DVd) with weekly administration of bortezomib Athena CMarin Abousaud Evaluation of an Enhanced Recovery Pathway in Colorectal Surgery Athena DKelley Trent

4:10pm EDT

Assessing postgraduate year one pharmacy residency candidate areas for improvement relative to letters of recommendation Athena GKatherine Bradley Evaluation of Medication Therapy Management (MTM) Interventions by Clinical Pharmacists in the Ambulatory Care Setting Athena AAlyssa Utz Thiazide diuretic management post-bariatric surgery Athena BTaylor Vanderpool Evaluation of the Effectiveness of a Revised Critical Care Continuous Insulin Infusion Protocol Athena IHallie Dankewich Impact of Intravenous N-Acetylcysteine in Non-Acetaminophen Acute Liver Failure in the Intensive Care Unit Athena HSofiya Sovalska IMPLEMENTATION OF INTRAVENOUS PUSH ADMINISTRATION OF ANTIBIOTICS IN THE EMERGENCY DEPARTMENT Athena JAayush Patel Effect of a remote antimicrobial stewardship program on antimicrobial use in a regional hospital system Olympia 1Joshua Knight USE OF INVASIVE, QUANTITATIVE RESPIRATORY CULTURES TO GUIDE ANTIBIOTIC THERAPY FOR PNEUMONIA IN A TRAUMA POPULATION Olympia 2Lauren Allen Comparison of a pharmacist-driven vancomycin dosing nomogram to patient-specific pharmacokinetic calculations Parthenon 1Lauren Jacobs Impact of Pharmacist Intervention on Adherence to NCCN Guidelines for Empiric IV Vancomycin Duration in Febrile Neutropenia Athena CMarissa Larkin Impact of a Whole Health Approach Utilizing Shared Medical Appointments on Opioid Safety in a Veteran Population Athena DAmanda Holloway

4:30pm EDT

Implementing A Population Management Tool For Inflammatory Bowel Disease In A VA Medical Center Athena BCassandra Effken Efficacy and safety of non-vitamin K oral anticoagulants following cardiac valve replacement Athena HElizabeth Wood EVALUATION OF AN OPIOID-FREE ACUTE PAIN ORDER SET IN THE EMERGENCY DEPARTMENT Athena JShae Tirado Fentanyl-induced ventilator non-compliance in critically ill patients Athena IKatherine Gilbert Effects of a Pharmacist-led Initiative to Reduce Antipsychotic Use in Patients with Dementia Athena DMichelle Morales Drivers of empiric carbapenem use: How important is history of extended-spectrum beta-lactamase (ESBL) infection? Olympia 1Tyler Stone Impact of Procalcitonin Monitoring on Duration of Antimicrobial Therapy in ICU Patients with Pneumonia and Sepsis Olympia 2Richelle Chambliss Comparison of a fixed-dose 4 factor PCC dosing regimen to a weight based regimen for warfarin associated bleeding Parthenon 1Natcha Vicente-Lopez Impact of pharmacists_x0019_ driven pain treatment algorithm in management of cancer patients Athena CHannah Lifsey Effectiveness of Corticosteroids as Adjunct Treatment in Pediatric Cystic Fibrosis Pulmonary Exacerbations Athena ATaylor Bowick Delirium Screening and Management in Orthopedic Surgery Patients as Part of Enhanced Recovery After Surgery Implementation Athena GRachel Anderson

4:50pm EDT

Impact of Gout Management by Pharmacists in a VA Medical Center Athena BJulianne Isaac IMPACT OF P2Y12 INHIBITOR USE ON REHOSPITALIZATION OF PATIENTS WHO PRESENT WITH NSTEMI Athena HMatthew Hix EVALUATION OF SHORTAGE-DRIVEN INTERMITTENT VERSUS CONTINUOUS INFUSION OPIOID USAGE IN MEDICALLY CRITICALLY ILL PATIENTS Athena JEmily Johnston The safety and efficacy of fixed dose four-factor prothrombin complex concentrate (Kcentra) for warfarin reversal Athena IJonathan Worley Assessing the impact of compliance packaging on hemoglobin A1c in diabetic patients receiving oral antiglycemic medications. Olympia 2Kandon Render Effect of implementing a voluntary plan of care protocol in patients with substance use disorders and infective endocarditis Olympia 1Grace Cooksey Impact of Pharmacist Intervention on Vancomycin Discharge Dosing and Hospital Readmission Rates. Parthenon 1Marisa Pasquale Safety of Prescribing Anticoagulation in Patients with a Recent Intracranial Hemorrhage at a Comprehensive Stroke Center Athena DSarah Fisher Outcomes for Patients Receiving Ibrutinib With or Without Antifungal Therapy Athena CKori Daniels Evaluation of Clonidine to Prevent Withdrawal Symptoms in a Pediatric Intensive Care Unit Athena AJillian Mantione

5:10pm EDT

Evaluation of Antiplatelet and Anticoagulant Prescribing in an Ambulatory Care Clinic with a Correlation to Hospital Visits Athena BTakesa Toliver Impact of a pharmacist review service on heart failure patients with reduced ejection fraction between pharmacy residents and Athena HKishan Patel Alternative to Opioids for Treatment of Acute Headache and Migraine in the Emergency Department Athena JAlexandra Komisar Assessing outcomes of a newly initiated multidisciplinary culture-review process in the emergency department Athena IEmily Johnson CLINICAL IMPACT AND PATIENT PERCEPTION OF DIABETES SELF-MANAGEMENT EDUCATION BY COMMUNITY PHARMACISTS Olympia 2Tiffany Park Risk Factors for Antibiotic Resistance in Stenotrophomonas maltophilia Olympia 1Noah White Development of a computerized prescriber order entry (CPOE) chemotherapy order set in a community hospital Athena CTanner Shields Outcomes of letermovir prophylaxis in high risk, CMV seropositive hematopoietic stem cell transplantation (HSCT) recipients Athena AEva Karam

8:30am EDT

Impact of a population health pharmacist within a health system Olympia 1Kailene Perry The feasibility and acceptability of providing pharmacist-led tobacco cessation education to underserved patients Olympia 2Johanna Dresser IDENTIFYING CANDIDATES FOR ANGIOTENSIN II VASOPRESSOR THERAPY BY TRIAL AND REAL WORLD CRITERIA Athena CSpencer Livengood Impact of propofol on hemodynamic profile in adults undergoing targeted temperature management Athena AJennifer Kim PLATELET INHIBITION MEASUREMENT IN TRAUMATIC HEAD INJURY PATIENTS _x0013_ COMPARING CLINICAL OUTCOMES BASED ON P2Y12 MEASURES Athena BKaitlyn Haynes Evaluation of a Proton Pump Inhibitor Deprescribing Process in Community-dwelling Older Adults Athena JHien Nguyen Incidence of acute kidney injury during treatment with vancomycin given on frequencies of every 8 hours versus every 12 hours Athena GIrandokht Khaki Najafabadi Risk Factors for Septic Embolization in Infective Endocarditis Athena DRyan Marshall Rectal Indomethacin for the Prevention of Post-ERCP Pancreatitis in High-Risk Patients Parthenon 1Corey Guidry EVALUATION OF EMERGENCY DEPARTMENT AND HOSPITAL ADMISSIONS IN OUTPATIENT CHEMOTHERAPY PATIENTS FOR PREVENTABLE CONDITIONS Athena HNisha Patel Polyoma BK Viremia Incidence in Kidney Transplant Patients with Belatacept or Tacrolimus-based Immunosuppression Regimens Parthenon 2Geoffrey Zettel

8:50am EDT

Impact of Elective Choice on NAPLEX Performance by Pharmacy Graduates Olympia 2Devin Lavender Optimization of the warfarin management process in a rural primary care clinic Olympia 1Elizabeth Ramsaur COMPARISON OF SUSCEPTIBILITY RATES FOR SKIN AND SOFT-TISSUE INFECTIONS ON AN OUTPATIENT AND INPATIENT ANTIBIOGRAM Athena BSara Ludmer Impact of Chloride Containing Drug Diluents on AKI Incidence in a Surgical/Trauma Patient Population Athena CChristopher Demitraszek Impact of phenobarbital dosing patterns in the management of alcohol withdrawal syndrome on outcomes in critically ill adults Athena AMary Hannah Walters CLINICAL PERFORMANCE OF T2BACTERIA® PANEL ON WHOLE BLOOD FOR EARLY IDENTIFICATION OF BLOODSTREAM INFECTIONS Athena GT.J. Henderson Vancomycin in combination with beta-lactam versus vancomycin alone in methicillin resistant Staphylococcus aureus bacteremia Athena DJuanne Lim Impact of Pharmacist-led Inhaler Training for Nurses on an Acute Care Pulmonary Unit Parthenon 1Blake Johnson Efficacy and Safety of High Dose Cyclophosphamide and Etoposide Induction in Patients with Relapsed/Refractory Acute Leukemia Athena HAlana Ferrari Timing of Direct-Acting Antiviral Therapy for Hepatitis C Virus in Liver Transplant Recipients Parthenon 2Kimberly Goehring

9:10am EDT

A Proforma to Support Hiring a Team Member for Office-Based Opioid Treatment in Primary Care Olympia 1Mackenzie Farrar Pharmacy Resident Interventions and Contributions in a Student-Run Free Clinic Olympia 2Joshua Holmes Description of lab interference and outcomes for patients on factor Xa inhibitors transitioned to parenteral anticoagulation Athena CJustin Harrison Diltiazem Versus Metoprolol for Rate Control in Patients Presenting to the Emergency Department in Atrial Fibrillation Athena AJohn Tyrrell ENTERAL VERSUS INTRAVENOUS PHENOBARBITAL BOLUS DOSING FOR ALCOHOL WITHDRAWAL SYNDROME Athena BJennifer Misencik Impact of BioFire FilmArray Blood Culture Identification on the management of Staphylococcus aureus bacteremia Athena DKiet Nguyen Impact of FDA Drug Safety Alerts on Ambulatory Fluoroquinolone Prescription Rates in South Carolina Athena GJeannette Bouchard Describing current practices of pharmacist-driven dose adjustment of prophylactic enoxaparin in medically-ill, obese patients Parthenon 1Sara Catherine Pearson Incidence of invasive fungal infections in acute leukemia patients with micafungin or second-generation azole prophylaxis Athena HHeather Morris Pediatric intravenously administered medication concentration standardization and smart pump integration Athena IPaul Bauman Evaluation of a telephone intervention pilot program on antidepressant adherence Parthenon 2Audrey Kivlehan

9:30am EDT

Pharmacist-Prescribed Hormonal Contraception: Gauging Pharmacist Interest, Attitudes, and Knowledge in North Carolina Olympia 1Gwen Seamon Evaluation of a pharmacist-driven acute coronary syndrome heparin dosing protocol Athena CSuyasha Pradhan Comparing the Choice of Second Vasopressor in Septic Shock Refractory to Norepinephrine Athena BLogan McCall Comparison of the Safety and Efficacy of Heparinoids and Direct Oral Anticoagulants in the Setting of Critical Illness Athena AJohn Carr Evaluation of targeted pharmacist education on HIV medication adherence rates Olympia 2Whitney Testorf The Economic Impact of Early Discharge Using Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infecti Athena DAmanda Lowney Impact of a multi-factorial initiative to improve the ordering of thyroid laboratory tests Parthenon 1Alyssa Bradshaw Evaluation of the Treatment Choices, Efficacy and Tolerability of Treatment in Relapsed NSCLC post first line immunotherapy Athena HBreanna Taylor Implementation of NINJA program in hospitalized patients with Cystic Fibrosis Athena IElizabeth Newton Pharmacist improvement of opioid safety in patients at risk for opioid-induced respiratory depression Athena JClaudia Cooper Assessing Behavioral Health Patients_x0019_ Comprehension of Medication Knowledge Before and After Pharmacy Led-Education Sessions Parthenon 2Lorena Calderon Expansion of Transition of Care Services to Pre-Operative Areas in a Large Community Hospital Athena GRachel Howorth

9:50am EDT

Effect of high-stakes pre-graduation NAPLEX® practice exam on first-time NAPLEX® pass rates in graduating PharmD students Parthenon 1Melissa Johnson Sustaining Clinical Pharmacy Services Utilizing North Carolina Medicaid Billing Olympia 1Rebecca Austin High-dose methylprednisolone for prevention of postoperative atrial fibrillation in coronary artery bypass grafting Athena CBrandon Houseman Comparing Medication Histories Obtained by Pharmacy Technicians and Nursing Staff in the Emergency Department Athena AWesley Arrison Impact of a Pharmacist Managed Protocol on the Inappropriate Usage of Proton Pump Inhibitors in Critically Ill Patients Athena BEmily Longaker Impact of a pharmacy resident and pharmacy students on MTM completion rate and reimbursement in a long-term care pharmacy Olympia 2Rachel Cole CHARACTERIZATION OF VANCOMYCIN DOSING REQUIRED TO OBTAIN THERAPEUTIC TROUGH LEVEL IN OBESE PATIENTS Athena DFarley Poellnitz Inpatient Hypoglycemia Rate Reduction Utilizing Best Practice Alerts Athena GKaci Foster Dosing of vancomycin and aminoglycosides in pediatric patients on continuous renal replacement therapy Athena IMark Vestal Implementation of a Pharmacy-Driven Transitions-of-Care Post Discharge Pain Management Program Athena JMeghan Bresnan

10:30am EDT

Assessment of a health-system pharmacy technician medication history program Parthenon 2Danielle Baker A Survey of Residency Graduates to Determine Factors for Sustainability of Clinical Pharmacy Services in Primary Care Olympia 1Erika Hauenstein The Implementation of a Warfarin to Direct Oral Anticoagulant Algorithm in Poor Warfarin Responders Olympia 2Asajah Duncan Evaluating the dual impact of dose and time to administration of IV loop diuretics in acute heart failure patients Athena AKimberly Keller Early Post-Traumatic Seizure Prophylaxis Omission in a Low-Risk Geriatric Trauma Population Athena CConnor Deri Efficacy associated with the addition of sodium bicarbonate in the treatment of hyperkalemia in the emergency department Athena BShiyi Geng Development of a Screening Tool to Identify Target Patients for Home-Based Pharmacist Review Athena JAmy Stewart EFFECT OF PHARMACIST LED WEEKEND ANTIMICROBIAL STEWARDSHIP ON VANCOMYCIN UTILIZATION Athena DBria Benson Penicillin Allergy Assessment and Skin Testing (PAAST) in Outpatient Orthopedic Clinics Athena GBrittany Morrow Perioperative Management of Anticoagulant and Antiplatelet Therapy in both Planned and Urgent Orthopedic Surgeries Parthenon 1Gabriel Hinojosa Adherence patterns to oral anticancer medications u for patients filling at an internal versus external specialty pharmacy Athena HColleen McCabe Why do you do that thing you do? Describing the decision process of postoperative opioid and pain prescribing patterns in ort Athena ICameron Lanier

10:50am EDT

Utilization of Gap Analysis to Assess Controlled Substances Management at an Academic Medical Center Parthenon 2Bailey Eason A Multidisciplinary Diabetes Management Team for Hospital Employees: Clinical and Financial Outcomes Olympia 1Omaima Arab Impact of Shared Medical Appointments on Diabetes Care in a Rural Internal Medicine Clinic Olympia 2Catherine Travis Process implementation for the management of acute VTE in patients discharged from the emergency department. Athena BMaura Jones Retrospective Review of Treatment Practices for Chlamydia and Gonorrhoeae in a Community Hospital Emergency Department Athena ALeigha Davis Safety and Efficacy of Direct Oral Anticoagulants in Patients Discharged from the Emergency Department with Venous Thromboemb Athena CLindsey Safley Impact of nasal methicillin-resistant Staphylococcus aureus (MRSA) screening on the length of empiric vancomycin therapy for Athena GEmily Byers Predictors for Early Clinical Response in Patients with Enterococcal Bacteremia Athena DCaroline Powers Comparison of DOAC safety and efficacy in obese patients Parthenon 1Mary Pat Bulfin EVALUATION OF EFFICACY, SAFETY, AND COST RELATED TO USE OF RITUXIMAB IN PATIENTS WITH MULIPLE SCLEROSIS Athena JEllen Couchell Effects on Clinical Outcomes and Safety in Alternative Dosing Intervals of Denosumab in Solid Tumor Malignancies Athena HAseala Abousaud Implementation of the overdose education and naloxone distribution (OEND) for at risk patients of national priority providers Athena IAthena Vu

11:10am EDT

Evaluation of antimicrobial prescribing for uncomplicated urinary tract infections in an urgent care center Olympia 2Caroline Welch The Effect of an Antimicrobial Stewardship Program in the Outpatient Setting for Respiratory Infections Olympia 1Amber Keeton Identifying risk factors for ventilator associated pneumonia due to Pseudomonas aeruginosa in a trauma population Athena BAshley Condon The effect of fluids on mortality and morbidity in septic patients with congestive heart failure or chronic kidney disease Athena AJasleen Bolina Time to Analgesia and Sedation Post Rocuronium Administration in the Emergency Department Athena CRachel Boardman Incidence and Risk Factors for Multidrug-Resistant Stenotrophomonas maltophilia Athena GHannah Matson Introduction of a pharmacist-driven culture follow-up program in the emergency department Athena DStephanie Shealy Impact of a computerized clinical decision subphase on appropriateness of stress ulcer prophylaxis prescribing Parthenon 1Paige Eber Clinical Utility of Strict Laboratory Monitoring of CDK 4/6 Inhibitors in Metastatic Breast Cancer Patients Athena HUrvi Patel Impact of provider-specified order indication on appropriateness of direct oral anticoagulant dosing Athena JJennifer Rollins IMPLEMENTATION AND IMPACT OF A PHARMACIST-RUN GOUT CLINIC IN THE VETERAN POPULATION Athena IKera Sumner Evaluation of an Indigent Care Medication Provision Program on 30-day Readmission Rates in a Community Hospital Parthenon 2Emily Powell

11:30am EDT

Institution-specific UTI treatment guideline implementation and its effects on outpatient antibiotic prescribing patterns. Olympia 1Laura Straw Evaluation of Initial Weight-Based Capping of Continuous Infusion Unfractionated Heparin for the Treatment of Thromboembolism Athena AChristopher Gauger Cost Effectiveness of Argatroban versus Heparin Anticoagulation in Adult Extracorporeal Membrane Oxygenation (ECMO) Patients Athena CAngelina Cho Hydrocortisone and Fludrocortisone versus Hydrocortisone Alone in Critically Ill Medical Patients with Septic Shock Athena BMolly Hunt Rescheduling of gabapentin: effect on prescribing patterns Olympia 2Shivani Patel Evaluation of the Practical Use of Kinetic GFR for Vancomycin Dosing in Patients with Acutely Changing Renal Function Athena DKendal Miller Impact of FilmArray" Meningitis/Encephalitis Panel on time to optimal therapy for bacterial meningitis Athena GRebecca Moore Antibiotic Therapy in Acute Chronic Obstructive Pulmonary Disease Exacerbations in Patients with a Positive Respiratory Viral Parthenon 1Sara Valanejad Evaluation of a Pharmacist-Developed Hypersensitivity/Infusion Reaction Protocol for Chemotherapy/Biotherapy Athena HJulianna Cebollero Long-term safety and efficacy of bumetanide in very low birth weight infants Athena ICarson Tester

11:50am EDT

** Parthenon 1Amber Adams Impact of Pharmacist led Smoking Cessation through a Collaborative Practice Agreement and Behavioral Counseling Olympia 1Chelsea Keedy Effectiveness of oral metolazone vs. intravenous chlorothiazide in patients receiving IV loop diuretics Athena AKristopher Kindborg 23.4% sodium chloride versus mannitol for the reduction of intracranial pressure Athena BHayley Tatro Assessing Risk of Overdose or Serious Opioid-induced Respiratory Depression Amongst Patients Discharged from the ED Athena CMeagan Singletary Pharmacist Interventions in an Enhanced Vaccine Workflow Olympia 2Samantha Kerr Assessment of Empiric Antifungal Treatment in Febrile Neutropenia Athena DKatherine Uyesugi Evaluation of High Cost Medication Use in an Outpatient Chemotherapy Infusion Center at a Large Community Hospital Athena HChristopher Squires Evaluating the effects of aromatherapy on neonates with neonatal abstinence syndrome Athena IMatthew Brignola