Ted D. Simper

• Primary clinical pharmacist for NICU, PICU, Pediatric Medical/Surgical, Adolescent Mental Health, and Maternity units.
• Monitor and verify appropriate medication regimens, interactions, and dosages to improve patient care.
• Prepare and recommend medications for all pediatric emergency codes in the hospital improving timing and correct doses of medications.
• Answer multiple questions from providers and nurses improving antibiotic stewardship, decreasing medication errors such as incompatible IV medications, and improving patients' pain control.
• Precept pharmacy residents and students to
• Clinical pharmacist for emergency department every fourth weekend for pediatric and adult patients.
• Prepare medications for pediatric and adult codes, strokes, and traumas, and sedations to improve timing anc correct dose of tenecteplase for strokes and epinephrine for codes.
• Perform medication reconciliation with patients and their families decreasing medication errors of incorrect medications and/or doses during admission.

Projects

• Create protocols, develop and edit order sets, and improve medication processes for pediatric patients
• Protocols: NAS, Vancomycin, Aminoglycosides, Heparin and Lovenox Dosing, Standard Doses, Weight adjusted medications for neonates, Safety of Medications in Breastfeeding
• Results: Less morphine given to neonates with NAS, improved gentamicin and vancomycin levels with less lab draws, monitoring pediatric patients with enoxaparin prophylaxis, decrease waste and incorrect prepared doses, improve timing of neonates receiving correct doses, and helped mothers provide breast milk to infants based on their current medications.
• Implement changes to improve medication safety in pediatric patients.
• Created and maintain the drug library for BBraun IV smart pumps to decrease incorrect medications and doses given to patients. Help with integration from Epic to BBraun IV smart pumps.
• Helped with the organization for pharmacists to enter/verify infusion orders for pediatric outpatient services in the hospital decreasing the cost of an outpatient clinic.
• Education for providers and nurses improving duration of dexamethasone levels during asthma exacerbations, decreasing cephalosporin use, and decreasing exposure to morphine in neonates with NAS.

Provide clinical pharmacist coverage for medical/surgical unit, PICU, NICU, and emergency department.

• Monitored and verified appropriate medication regimens, interactions, and dosages for inpatient and outpatient pharmacotherapy improving correct doses and helping antibiotic stewardship.
• Prepared and recommended medications with dosages for rapid sequence intubations, status epilepticus, and cardiac codes.
• Answered questions from providers and nurses regarding inpatient and outpatient medication therapy regimens.
• Educated medical residents and pharmacy students, and technicians improving current and future patient care.
• Performed medication reconciliation with parents and patients preventing medication errors such as determining a patient has HIV, that was not communicated to the providers.
• Educated families regarding epinephrine pen, rectal diazepam to decrease the risk of complications of anaphylaxis and seizures respectively at home.
• Improved medication delivery processes including medications for codes that decreased the time of administration to patients.
• Created an Emergency Department pharmacy student rotation and precept students to improve the knowledge of pediatric pharmacotherapy in future pharmacists.
• Member of the ED Collaborative Committee resulting in changes to medication order sets in Cerner EHS.
• Administered influenza vaccines to staff to protect patients
• Initiated monthly medication inservices for nurses called “Med Talks” to improve collaboration and prevent medication errors.
• Provided pharmacy services to Shriner’s Medical Center, bimonthly worked as the clinical pharmacist in the medical/surgery and pediatric intensive care units: attend medical rounds, write TPNs, monitor pharmacokinetics of antibiotics, and make medication recommendations to improve patient care.

• Monitored appropriate medication regimens, interactions, and dosages.
• Monitored pharmacokinetic profiles and created regimens for aminoglycosides and vancomycin.
• Verified physician orders in the Epic Computer System.
• Entered physician orders into the Horizon Meds Manager Pharmacy System.
• Worked in the NICU/Maternity Unit as the clinical pharmacist one week per month
• Precepted pharmacy residents and students
• Served on the Pediatric/PICU and NICU Quality and Safety Teams to improve medication safety.

Projects

• Implemented a Methadone Weaning Protocol for pediatric patients improving withdrawal symptoms.
• Implemented a protocol for once daily dosing of aminoglycosides in pediatric patients decreasing unnecessary multiple levels.
• Instigated a guideline for erythropoietin use for anemia of prematurity decreasing need of blood transfusions.
• Managed the online education for pediatric order processing for pharmacists decreasing medication errors.
• Member of the NICU and Maternity Providence Clinical Advancement Team: give advice in creating a Providence system-wide formulary and order sets for Epic
• Created medication monographs for the Pharmacy & Therapeutics committee approval to implement new therapies in pediatric patients.
• Implemented IV and oral unit dosing for pediatric and adult patients decreasing medication errors.
• Implemented and managed a new computer program, TPN2000-P, for physician computer order entry of TPNs ensuring patients received appropriate nutrition.
• Implemented a protocol for medication education for families and patients to improve medication compliance.
• Implemented inhaled epoprostenol for neonates with pulmonary hypertension secondary to Congenital Diaphragmatic Hernia to decrease risk of ECMO and death. Improved administration process decreasing medication error with high risk medication
• Assisted in the implementation of Epic Computer Provider Order Entry and Bed Side Barcoding hospital-wide.
• Streamlined pharmacy processes for improved efficiency by reviewing prescriptions and identifying potential drug interactions.

• Monitored appropriate medication regimens, interactions, and dosages.
• Developed regimens for aminoglycosides and vancomycin based on pharmacokinetic calculations.
• Counseled families on discharge medications for the infant to improve compliance.
• Entered written physician orders into the Horizon Meds Manager Pharmacy System, which was changed to Epic Computer Provider Order Entry.
• Precepted pharmacy residents and students.
• Worked in the PICU/Pediatric Unit one week per month.

Projects:

• Created the pharmacist led aminoglycoside/vancomycin pharmacokinetic monitoring protocol in the NICU for practitioners, nurses, and pharmacists.
• Implemented a methadone weaning protocol for Neonatal Abstinence Syndrome to decrease the length of opiate exposure and length of stay.
• Implemented the attendance of pharmacists at neonatal codes to improve medication delivery.
• Created a Neonatal Medication Code Book decreasing the time to prepare medications during emergencies and decreasing the risk of incorrect doses.
• Created and managed the PharmGuard Drug Library for Medfusion 3500 Syringe Pumps to improve safety of medication administration.
• Implemented standardized concentrations of pediatric IV medications decreasing risk of incorrect doses.
• Presented pharmacy posters at the annual NICU Skills Fair to educate nurses.
• Created an online pediatric/neonatal pharmacotherapy competency for pharmacy technicians to increase safety of medication dispensing.
• Educated new pharmacists on neonatal medication order processing to decrease risk of errors.
• Wrote pharmacy articles for the NICU Newsletter to educate nurses of clinical an operational changes regarding medications.
• Served on the NICU Quality and Safety Team: reviewed medication errors regularly to improve processes for prevention of medication errors.
• Served on the NICU Generations X Committee: improve efficiency of medication dispensing with construction of the new NICU.

• Reviewed and entered written medication orders from providers.
• Compounded oral suspensions and IV solutions including TPN.
• Counseled patients and their families regarding outpatient medications.
• Performed pharmacokinetic calculations for aminoglycosides and vancomycin ensuring patients received the correct doses.
• Monitored medication interactions and correct dosages.
• Float to the PICU, NICU, Med Surg, ICS, and Central pharmacy.

• Ensured the safety of all staff by regularly reviewing lab protocols and providing comprehensive training on safety procedures.
• Maintained documentation on tests performed in lab.
• Inspected laboratory equipment to maintain good working condition for optimal results.