Text Box: Cane Creek Pharmacy has expanded our nursing department. We employee four full time nurses. Lori McAdams, RN and Lisa Dee, RN both work in the pharmacy with day to day operations of the pharmacy. Lori is also a licensed North Carolina Adult Care Home Administrator and is very familiar with the rules and regulations of adult and family care homes . Lisa has experience with care plans and Medicare/Medicaid Billing. Our other two nurses are out in our facilities along with our pharmacists to provide our homes with a team approach when providing medication reviews and training. Deborah Barcia RN, BSN joined our Cane Creek Pharmacy team in July 2009. Deborah was formerly with the Geriatric and Adult Specialty Team. She brings many years of experience from a CNA, floor nurse, DON and MDS Coordinator. She graduated from Wagner College in New York and relocated with her husband Lou and son Louis to North Carolina 16 years ago. When she is not at work she enjoys gardening, crafts and theater. Karen Jewell RN, BSN graduated from the University of Alberta in Canada. Karen joined our Cane Creek Pharmacy team in May of 2009. She moved to North Carolina 14 years ago and met her husband in Fayetteville, NC . They have been in the Asheville area for the last 5 years. Karen has nursing experience in hospital med-surg and cardiac care, skilled nursing and home health. Karen has also been licensed as a Certified Nursing Assistant (CNA) Instructor. Our team of nurses brings over 50 years of nursing experience to Cane Creek Pharmacy. Our nurses are available to assist our facilities with medication reviews, LHPS reviews, medication skills-checklists, immunizations, medication pass observation, medication cart/room inspections, and state approved education in-services. Both Karen and Debra are CPR instructors through the American Red Cross. Our nursing education department is able to provide our facilities with IV therapy, Medication Administration, and Personal Care Aide training. Cane Creek Pharmacy is also approved to provide Medication Administration course for mental health facilities and the Medication Aide course for skilled nursing through the NC Board of Nursing. If you have a particular need, please contact one of our nurses. We will be happy to develop a training program suited for your facility. We are working on obtaining accreditation for a CNA course through the North Carolina Department of Health and Human Services. Along with our pharmacists, our nursing department can create customized health and wellness programs from monitoring of blood pressure, blood sugar, and cholesterol levels for your staff and residents. We can participate in health fairs, provide education to family members and independent residents. Our team will attend QA meetings, assist in developing policy and procedures, and interact with prescribing physicians. We can assist in state surveys and plans of corrections. Cane Creek Pharmacy has also partnered with many pharmaceutical companies that can provide education in-services to your facility. We also have a library of resources that can be loaned to our facilities to assist them in their training needs. We are committed to becoming a part of your health care team. Our educational in-services and medication reviews are offered to you at no charge. These services are not limited. Text Box: LTC patients are frequently prescribed antibiotics for respiratory tract infections, skin infections, and UTIs. Problems often arise when these patients are also taking the anticoagulant warfarin. Antibiotics such as metronidazole, macrolides, quinolones, sulfonamides and the antifungals such as fluconazole can INCREASE the anticoagulant effect of warfarin. Examples such as dicloxacillin, griseofulvin, nafcillin & rifampin can DECREASE warfarin’s effect and increasing clot risks. Fever and inflammation can affect the INR while the antibiotic itself may change Vitamin K production in the gut and alter warfarin’s effect. An INR should be checked within 3 days after starting any new antibiotic. INR should be monitored frequently during the course of therapy. Continue to monitor after stopping the antibiotic as the body returns to normal. Any of our pharmacists are available to answer your warfarin questions Derek Altizer, Pharm D Text Box: NURSING DEPARTMENT Text Box: ANTIBIOTICS AND COUMADIN (WARFARIN) Text Box: Page # Text Box: Volume 1, Issue 1

CONTACT INFORMATION

 

Karen Jewell RN, BSN

828-768-1732

kjewell@canecreekpharmacy.com

 

Debra Barcia RN, BSN

828-768-1752

dbarcia@canecreekpharmacy.com

 

Lori McAdams, RN

828-628-3675 Ext 105

lmcadams@canecreekpharmacy.com

 

Lisa Dee, RN

828-628-3675 Ext

lisadee@canecreeekpharmacy.com

Our pharmacist are      available to assist you with your medication questions.