The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.
Listeners of The Elective Rotation: A Critical Care Hospital Pharmacy Podcast that love the show mention: pharmacy podcast, critical care, short and concise, codes, icu, rotations, pharmacists, thanks joe, joe's, clinical, physicians, pearls, colleagues, succinct, patients, medicine, medical, students, practice, member.
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast is a high-quality podcast that provides valuable information and updates for those in the pharmacy profession. Pharmacy Joe, the host of the show, is a true leader in both pharmacy and podcasting. The content of the podcast is excellent and covers quick little pearls that are extremely useful in hospital settings. The episodes are evidence-based and provide clinically relevant information to keep listeners' pharmacy knowledge fresh. Overall, this podcast is a valuable resource for anyone in the pharmacy field.
One of the best aspects of this podcast is the succinct and clear presentation of information. Pharmacy Joe does an excellent job of presenting salient facts without unnecessary "bells and whistles." The information provided is easy to understand and sticks in the brain for recall when it counts. Additionally, Joe includes resources for further reading, allowing listeners to delve deeper into topics if desired. The guests on certain episodes also add value by sharing their expertise on specific subjects.
There aren't many negative aspects to this podcast, but one potential downside is that it focuses mainly on critical care hospital pharmacy. While this may be beneficial for those working in that setting, people outside of critical care may find some episodes less applicable to their practice. However, even those who are not directly involved in critical care can still benefit from listening to this podcast as it provides a wealth of clinical knowledge.
In conclusion, The Elective Rotation: A Critical Care Hospital Pharmacy Podcast is an excellent resource for pharmacists looking to stay informed and up-to-date on current topics in their field. Pharmacy Joe does a fantastic job of presenting information clearly and concisely, making it easy for listeners to apply insights to their daily practice. Overall, this podcast is highly recommended for anyone interested in expanding their clinical pharmacy knowledge.

Show notes at pharmacyjoe.com/episode1138 In this episode, I'll discuss an article on using MRSA nasal swab testing to optimize pneumonia treatment with empiric vancomycin.

Show notes at pharmacyjoe.com/episode1137 In this episode, I'll discuss using a heparin bolus in the prehospital setting for patients with STEMI.

Show notes at pharmacyjoe.com/episode1136 In this episode, I'll discuss why ketamine can sometimes cause post-induction hemodynamic instability when it is used for rapid sequence intubation.

Show notes at pharmacyjoe.com/episode1135 In this episode, I'll discuss an article about which vasopressor is best in early traumatic brain injury patients.

Show notes at pharmacyjoe.com/episode1134 In this episode, I'll discuss an article about the pharmacokinetic and pharmacodynamic properties of IV push cefepime in critically ill patients with sepsis.

Show notes at pharmacyjoe.com/episode1133 In this episode, I'll discuss an article about using fondaparinux in critically ill patients with severe renal dysfunction.

Show notes at pharmacyjoe.com/episode1132 In this episode, I’ll discuss a case report of the effects of ketamine on the clearance of tacrolimus and sirolimus.

Show notes at pharmacyjoe.com/episode1131 In this episode, I’ll discuss how obesity affects SC and IM medication administration.

Show notes at pharmacyjoe.com/episode1130 In this episode, I'll discuss the use of an initial 6 mg vs 12 mg dose of adenosine for supraventricular tachycardia.

Show notes at pharmacyjoe.com/episode1129 In this episode, I’ll discuss the incidence of torsades from low-dose ondansetron in perioperative patients.

Show notes at pharmacyjoe.com/episode1128 In this episode, I'll discuss what vasopressor to use in post-resuscitation shock.

Show notes at pharmacyjoe.com/episode1127 In this episode, I'll discuss an article about the incidence of acute kidney injury with the use of nafcillin versus oxacillin.

Show notes at pharmacyjoe.com/episode1126 In this episode, I’ll discuss an article about nebulized vs IV ketamine for analgesia in the ED.

Show notes at pharmacyjoe.com/episode1126 In this episode, I’ll discuss an article about nebulized vs IV ketamine for analgesia in the ED.

Show notes at pharmacyjoe.com/episode1125 In this episode, I’ll discuss an article about risk factors for serious and general opioid-related adverse drug events.

Show notes at pharmacyjoe.com/episode1124 In this episode, I'll discuss prehospital administration of epinephrine and norepinephrine infusions.

Show notes at pharmacyjoe.com/episode1123 In this episode, I’ll discuss what blood gas parameters can make you suspect methemoglobinemia.

Show notes at pharmacyjoe.com/episode1121 In this episode, I’ll discuss using sodium bicarbonate instead of hypertonic saline to treat severe hyponatremia.

Show notes at pharmacyjoe.com/episode1121 In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of sedation?

Show notes at pharmacyjoe.com/episode1120 In this episode, I'll discuss the importance of timely ordering and administration of antiparkinsonian medications for patients in the ED.

Show notes at pharmacyjoe.com/episode1119 In this episode, I'll discuss the problem with hypo-osmolar solutions in neurological patients.

Show notes at pharmacyjoe.com/episode1118 In this episode, I'll discuss the impact two new recommendations in the Surviving Sepsis guidelines on hospital pharmacy practice.

Show notes at pharmacyjoe.com/episode1117 In this episode, I'll discuss the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients.

Show notes at pharmacyjoe.com/episode1116 In this episode, I'll discuss suppressing unnecessary allergy alerts for beta-lactams with dissimilar side chains.

Show notes at pharmacyjoe.com/episode1115 In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated.

Show notes at pharmacyjoe.com/episode1114 In this episode, I'll discuss oral vs IV phosphate replacement for critically ill patients with mild to moderate hypophosphatemia.

Show notes at pharmacyjoe.com/episode1113 In this episode, I'll discuss the impact of ceftriaxone on the development of pneumonia and noninfectious outcomes after out-of-hospital cardiac arrest.

Show notes at pharmacyjoe.com/episode1112 In this episode, I’ll discuss endobronchial instillation of epinephrine, cold saline, and saline to prevent bleeding in patients undergoing endobronchial biopsy.

Show notes at pharmacyjoe.com/episode1111 In this episode, I'll discuss how to judge whether a journal is reputable.

Show notes at pharmacyjoe.com/episode1110 In this episode, I'll discuss oral beta-lactams for complicated UTIs.

Show notes at pharmacyjoe.com/episode1109 In this episode, I'll discuss a novel metric for antibiotic stewardship.

Show notes at pharmacyjoe.com/episode1108 In this episode, I’ll discuss the effects of therapeutic plasma exchange on enoxaparin half-life.

Show notes at pharmacyjoe.com/episode1107 In this episode, I'll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?

Show notes at pharmacyjoe.com/episode1106 In this episode, I'll discuss the 2026 AHA Stroke Guideline changes to how contraindications to thrombolytics are presented.

Show notes at pharmacyjoe.com/episode1105 In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam or the vancomycin?

Show notes at pharmacyjoe.com/episode1104 In this episode, I'll discuss whether patients taking beta-blockers require increased doses of epinephrine for anaphylaxis.

Show notes at pharmacyjoe.com/episode1103 In this episode, I'll discuss the use of subcutaneous antibiotics.

Show notes at pharmacyjoe.com/episode1102 In this episode, I’ll discuss linezolid-associated serotonin toxicity in patients receiving linezolid and concomitant serotonergic agents.

Show notes at pharmacyjoe.com/episode1101 In this episode, I’ll discuss the association between number of learners trained per year and rates of burnout among inpatient pharmacists.

Show notes at pharmacyjoe.com/episode1100 In this episode, I'll discuss the safety of tenecteplase in patients with stroke mimics.

Show notes at pharmacyjoe.com/episode1099 In this episode, I'll discuss why glucocorticoids have no role in reversing the acute symptoms of anaphylaxis.

Show notes at pharmacyjoe.com/episode1098 In this episode, I’ll discuss the impact of giving epinephrine before defibrillation to in-hospital cardiac arrest (IHCA) patients with shockable rhythms.

Show notes at pharmacyjoe.com/episode1097 In this episode, I'll discuss whether ICU patients benefit from daily QTc interval monitoring during antipsychotic use for delirium.

Show notes at pharmacyjoe.com/episode1096 In this episode, I'll discuss why glucagon is not given a strong recommendation in the AHA guidelines for cardiopulmonary resuscitation.

Show notes at pharmacyjoe.com/episode1095 In this episode, I’ll discuss whether routine magnesium supplementation of ICU patients reduces tachyarrhythmia incidence.

Show notes at pharmacyjoe.com/episode1094 In this episode, I'll discuss a case report on the management of intrathecal baclofen withdrawal.

Show notes at pharmacyjoe.com/episode1094 In this episode, I'll discuss a case report on the management of intrathecal baclofen withdrawal.

Show notes at pharmacyjoe.com/episode1093 In this episode, I’ll discuss an article comparing half-dose to full-dose alteplase for pulmonary embolism.

Show notes at pharmacyjoe.com/episode1092 In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation.

Show notes at pharmacyjoe.com/episode1091 In this episode, I'll discuss iatrogenic hyperchloremia.

Show notes at pharmacyjoe.com/episode1090 In this episode, I'll discuss potential reasons for an unexpected positive urine barbiturate screen.