Baldomero Sagrado

Department Head, Pharmacy

- Led the Pharmacy and Therapeutics Committee as co-chair, ensured seamless ship compliance with MCO/PP-24 CERTEX by revising the Code Blue Instructions, bolstering and enhancing medical readiness. Collaborated with Marshall Islands Hospital to enhance ASP practices; educated staff on 9 best practices, leading to a 30% increase in adherence to ASP guidelines, contributing to global ASP efforts.

- Expertly orchestrated the procurement of 9 vital line items of vaccines and medications worth $51k from Tripler Army Medical Center; diligently coordinated their delivery to increase the success of the PP24 mission. Oversaw the donation of 52 medications worth $11k to Solomon Islands Hospital, fostering goodwill in support of global humanitarian efforts.

- Pioneered the formulation and verification of infusion pump parameters for 65 essential intravenous medications; successfully mitigated prevalent medication administration risks, elevating patient safety standards onboard the T-AH 19 platform. Harmonized 173 intravenous injection meds with DHA guidelines, resulting in an impressive 100% accuracy rate, ensuring unparalleled healthcare delivery for all patients.

Division Officer, Inpatient Pharmacy San Diego, CA

- Hand-selected to serve on the planning committee in preparation for Pacific Partnership 2024. Dedicated to professional development, attended and graduated from Advanced Readiness Officer Course.

- Pharmacy and Therapeutics Coordinator, facilitated completion of the inpatient protocols, approval of ward stock and formulary drug requests, and updated several patient safety posters ensuring smooth and safe patient care for eight hospital satellite pharmacies and eight branch health Clinic pharmacies.

- In support of command efforts to increase hospital census to full capacity with pharmacist rounding in all the inpatient care areas, led pharmacy working group and developed a projected requirement of an additional four pharmacists and nine technicians.

- As Medical Training Team (MTT) lead, directed 77 staff in 9 successful base-wide drills and fully integrated joint operations with Installation Training Team (ITT). Model others choose to follow, with 50% enlisted manning he assumed rotation on the pharmacy technician watch schedule and maintained his own CDO rotation.

- Spearheaded training for 18 CNIC (Commander, Navy Installations Command) Fire & Emergency personnel on a vehicle KED (Kendrick extrication device) and ambulance gurney to enhance readiness for base-wide medical emergency response.

- Continues to be a pharmacy SME on the BUMED Family Planning Community Board by providing important pharmacy information in generation of an informational pamphlet to be used by recruiters nation-wide to instruct and advise all USN and USMC recruits.

- Leading the Shelf Life Extension Program and medication inventory for over 9,000 medication to ensure CBRN and anti-terrorism postures for 48 tenant/organizations and 14 FDNF (Forward Deployed Naval Forces) commands.

- Directed 120 staff as the MEDIG clinic champion, oversaw 31 programs to ensure compliance and best practices.

- Oversaw the entire pharmacy operations ranging from outpatient, inpatient, and clinical services encompassing 115 total pharmacy staff members.

- Conducted Joint Policy Instruction reviews and updates in order to stay in line and be compliant with current practices, Joint Commission standards, DoD standards, and Veterans Affairs (VA) standards.

- Preceptor for several Rosalind Franklin University pharmacy students and residents.

- Oversaw and led the development and implementation of the naloxone policy allowing pharmacists to prescribe naloxone nasal spray kits to high-risk patients.

- Led the initiative in developing the FHCC policy to allow FHCC VA policy officers to carry naloxone nasal spray.

- Led efforts to streamline a new pharmacy discharge plan for Inpatient Medicine, Surgery and Critical Care Wards; this ensured that medication reconciliation was completed in collaboration with providers and pharmacy staff upon patient discharge.

- Volunteered TAD support at a MHS Genesis EHR roll-out test site to minimize staff and patient care impact.

- Fiscally astute leader, led a pharmacy cost avoidance of $850K in pharmaceutical savings; this was the highest percentage of the savings goal in the entire VA mid-west region.

- As the newly appointment Command Medical Inspector General Coordinator, expeditiously led multiple managers in ensuring command preparedness of 69 programs in under three months resulting in an extremely successful FY19 inspection.

- As the All Hazards Emergency Cache Manger (AHEC), directed both VA and DoD emergency caches consisting of 82 item types, 458,946 line items consisting of drugs and supplies, ensuing command catastrophic readiness.

- Tiger Team lead for Pharmacy Flow in the Hospital Incident Command System which involved patient movement at the Main Pharmacy and the branch clinics.

- Led the management of key medications and placement of N95 masks into the Pyxis machines throughout the entire command. This helped to minimize the newly stood up respiratory clinics at the main hospital and 2 branch clinics in response to COVID -19.

- Tracked critical paralytic and sedative medication inventory in order to plan and prepare for anticipated COVID- 19 patient surge scenario.

- Worked with interdisciplinary health care team to provide medical care to a unique population of U.S. and coalition forces totaling 3,200 for Operation Resolute Support.

- Served as Deputy Director to the Directorate for Clinical Support Services, overseeing not only Pharmacy, but also Laboratory, Physical Therapy, and Radiology departments.

- Spearheaded the 2016 Influenza Vaccine Campaign which resulted in 100% medical readiness for all of southern Afghanistan.

- Key member of the BUMED Family Planning Working Group which led to optimal contraceptive formulary management for 39 military treatment facilities.

- Supervised 4 officers and 11 Navy Corpsman technicians.

- Responsible for 24 million dollars annual budget and 2.5 million dollars in equipment while leading 90 staff members.

- Co-chair of Pharmacy & Therapeutics Committee, Pharmacy Rep of Health Ethics Committee, Hazardous Drugs Officer, and Chief Graphics Editors of hospital newsletter called The Bridge.

- Member of the Integrated Medication Evaluation Subcommittee, working to standardize patient experience in Southern California by establishing a joint formulary for Naval Medical Center San Diego, Naval Hospital Camp Pendleton, and Naval Hospital 29 Palms.

- Provided 24-hour medical support to Members of the U.S. Congress & Supreme Court, dignitaries, security personnel, and staff for continuity of government.

- Critical lead in preparing pharmacy department and staff for the Command’s first Joint Commission survey.

- Lead pharmacist consultant during the implementation of the Affordable Care Act.

- Sole officer in charge of directing the distribution of all 7,000 doses of influenza vaccine on a, yearly basis worth

$56,000, throughout the U.S. Capitol AOR. This ensured all Member of Congress and their staff were administered the vaccine.

- ACLS a requirement due to multiple 911 calls for coverage for the U.S. Capitol area.

- Lead 11 civilian pharmacists, 2 military pharmacist, 18 enlisted technicians, and 43 civilian technicians in daily operations.

- Lead the success of the Mammography While You Wait Program, coordinating over 270 referrals to mammography by pharmacy technicians resulting in the early detection of breast cancer in multiple patients.

- E-Pharmacy Lead, worked with the web development team for continuous process improvements in delivering pharmacy services to staff members. Through this creation of E-Pharmacy, he led pharmacy services in providing NMCSD staff members the capability of processing their prescriptions directly from their own workspace.

- Trained up to be the C5 pharmacist. (Comprehensive Combat and Complex Casualty Care Pharmacist). Performed medication education for C5 patients and made recommendations to providers in AHLTA to optimize medication therapy and increase medication compliance.

- Lead the merging of Army and Navy pharmacies in the Kuwait AOR, optimizing the use of valuable resources, eliminating system redundancy, and providing pharmacist oversight to previously unstructured Army program.

Lead 5 pharmacy technicians and 2 TAD technicians

- Promoted the use of Tricare Mail Order Pharmacy (TMOP) to the providers resulting in doubling the usage of TMOP (originally 79 TMOP orders from the previous detachment to over 200 TMOP orders with current detachment) and a total cost saving of over $20,000 annually.

- Kept providers and support staff up to date with respect to the major pharmacy components of MOD10 to CENTCOM’s deployment policy, unavailability of drugs due to manufacturer back orders, CENTCOM aspirin policy, heat injuries and the medication that may lead to that, and proper primaquine chemoprophylaxis dosing.

- Led a staff of 3 active duty, 14 civilian pharmacists, and 12 civilian pharmacy technicians.

- Led the implantation of a Pyxis machine at a branch dental clinic resulting in increased availability of medications and ensuring Joint Commission compliance with controlled substances security and accountability.

- Trained 2 newly graduated active duty pharmacists in anticoagulation protocols further amplifying staff for the anti-coagulation clinic.

- Fleet liaison pharmacist. Provided over 1,000 medications for over 600 sailors for the USS Nimitz. Also supporting fleet readiness, he coordinated pharmaceutical readiness for more than 6,000 sailors comprising the USS Ronald Reagan and Carrier Strike Group 7 by ensuring all patients with chronic illnesses were deployed with adequate medication supplies. This also included providing over 1,000 medications that were prepared and dispensed for the USS Pinckney (DDG 91), USS Cleveland (LPD 7), USS Bonhomme Richard (LHD 6), and Maritime Expeditionary Security Squadron Five ensuring deployment readiness for over 500 sailors.

- Demonstrated great flexibility in managing severe technician staffing short falls during the branch clinic renovation project by modifying staffing and leave schedules to accommodate a 15-20% increase in patient load.

- Goal Champion for the National patient Safety Goal “look alike-sound alike drugs” resulting in 100% compliance during the 2007 Joint Commission and MED IG inspections.

- Independently reviewed over 800 drug interactions and warning on a weekly basis providing safe and effective pharmaceutical care.

- Proponent of pharmaceutical data integrity and maintained an error rate of less than 0.05% while processing over 60,000 prescriptions annually.

- As guest lecturer for the Guam Diabetes Association, he educated 40 patients on recent updates in medication treatment strategies. This resulted in projecting a positive image to the community of the Navy and its outstanding health care team.

- Spearheaded efforts to increase Command reporting of adverse drug reactions. This involved investigating medication reactions, analyzing trends, and providing data summary to the P&T Committee.