The Deaconess Hospital post-graduate year one (PGY1) pharmacy residency program prepares its graduates for clinical patient care positions in a hospital or ambulatory care setting. Residents completing this program will have developed the necessary skills, including leadership, problem solving, and clinical judgment, to be competent clinical pharmacists. The residency program promotes the development of clinical, analytical, organizational, and leadership skills necessary to provide pharmaceutical care. The ASHP Residency Program Design and Conduct is used to aid in optimal resident learning. 

Acute Care learning takes place primarily at Deaconess Hospital in Spokane, Washington. Services provided include emergency medicine, critical care, cardiology, surgery, medical, oncology, obstetrics, and neonatal care. 

The Department of Pharmacy provides pharmaceutical care 24 hours a day, 365 days a year. This care includes all hospital patient care areas, including the emergency department. Patient-focused pharmaceutical care includes prescribing/ordering, preparing, dispensing, administration and monitoring the effects of medications on patients. 

Clinical services are supported by decentralized pharmacists assigned to major service areas including medical/surgical, critical care/PCU, cardiac, respiratory, NICU, and oncology, during day shift at Deaconess. Additionally, decentralized pharmacists staff the emergency department during the day and evening, 7 days a week. On evening and night shift, pharmacists are centralized to the main pharmacy except for the emergency department pharmacist. Clinical services include drug therapy management (including anticoagulation, vancomycin, aminoglycosides, TPN, renal adjustment, and IV to PO conversion), medication order verification of computerized physician order entry, drug information and clinical consults. In addition, medication histories are taken by trained medication reconciliation technicians and verified by pharmacists. 

Distributive services are centralized and include IV admixture service and unit dose system. Distributive services are supported using Pyxis automated dispensing cabinets that are deployed in the patient care areas. 

Ambulatory care learning may occur on the Deaconess campus or our associated Rockwood Clinics. Ambulatory services provided include adult ambulatory oncology clinics and infusion centers, family medicine, and cardiology clinic. In addition, MultiCare Health System has an extensive affiliated physician and medical clinic system that is serviced by pharmacy in the Spokane area.