The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

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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.

Pharmacy Joe


    • Jun 11, 2026 LATEST EPISODE
    • weekdays NEW EPISODES
    • 3m AVG DURATION
    • 1,141 EPISODES

    4.8 from 245 ratings 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.


    Ivy Insights

    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.



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    Latest episodes from The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

    1138: MRSA Nasal Swabs Work, But Only if You Use them…

    Play Episode Listen Later Jun 11, 2026 3:19


    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.

    1137: More critical medications are going to be pushed into the prehospital setting

    Play Episode Listen Later Jun 8, 2026 3:56


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

    1136: Why does ketamine occassionally cause post-induction hemodynamic collapse?

    Play Episode Listen Later Jun 4, 2026 3:27


    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.

    1135: Norepinephrine vs phenylephrine in traumatic brain injury – which is best?

    Play Episode Listen Later Jun 1, 2026 3:22


    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.

    1134: IVP Cefepime Pharmacokinetics in Critically Ill Patients With Sepsis Are Highly Variable

    Play Episode Listen Later May 28, 2026 3:57


    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.

    1133: Can fondaparinux be useful in critically ill patients with severe renal dysfunction?

    Play Episode Listen Later May 25, 2026 3:52


    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.

    1132: Beware ketamine infusions in your transplant patients

    Play Episode Listen Later May 21, 2026 3:12


    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.

    1131: Effects of obesity on SC and IM medication administration

    Play Episode Listen Later May 18, 2026 3:58


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

    1130: A study that proves what we've always felt about adenosine 6 vs 12mg for SVT

    Play Episode Listen Later May 14, 2026 3:58


    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.

    1129: Do we need to worry about torsades from low-dose ondansetron in peri-operative patients?

    Play Episode Listen Later May 11, 2026 3:11


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

    1128: What is the best vasopressor to use in post-resuscitation shock?

    Play Episode Listen Later May 7, 2026 3:04


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

    1127: Oxacillin seems safer than nafcillin (retrospective data)

    Play Episode Listen Later May 4, 2026 3:29


    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.

    1126: How well does nebulized ketamine work for pain compared with IV?

    Play Episode Listen Later Apr 30, 2026 3:36


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

    1126: Does nebulized ketamine work for pain as well as IV?

    Play Episode Listen Later Apr 30, 2026 3:36


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

    1125: What are the risk factors for serious and general opioid-related adverse drug events?

    Play Episode Listen Later Apr 27, 2026 3:03


    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.

    1124: Get ready for patients to come into the ED with vasopressors already infusing

    Play Episode Listen Later Apr 23, 2026 7:32


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

    1123: What blood gas parameters indicate possible methemoglobinemia?

    Play Episode Listen Later Apr 20, 2026 3:52


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

    blood parameters methemoglobinemia
    1122: Well isn’t that convenient? (Sodium bicarb for severe hyponatremia)

    Play Episode Listen Later Apr 16, 2026 4:10


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

    1121: What if it is just the depth of sedation, not the choice of sedative that causes delirium?

    Play Episode Listen Later Apr 13, 2026 4:32


    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?

    1120: Here is something to prioritize for ED patients with Parkinson's

    Play Episode Listen Later Apr 9, 2026 3:55


    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.

    1119: The problem with hypo-osmolar solutions in neurological patients

    Play Episode Listen Later Apr 6, 2026 3:24


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

    1118: These two sepsis guideline updates will need hospital pharmacists to help implement

    Play Episode Listen Later Apr 2, 2026 5:01


    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.

    1117: What is the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients?

    Play Episode Listen Later Mar 30, 2026 3:39


    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.

    1116: If the lab can keep secrets from others, maybe the pharmacy should too?

    Play Episode Listen Later Mar 26, 2026 4:36


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

    1115: The extremely rare case when a very hypotonic solution may be indicated

    Play Episode Listen Later Mar 23, 2026 4:32


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

    1114: Saving $$$ With Oral Phosphate Replacement Instead of IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia

    Play Episode Listen Later Mar 19, 2026 4:22


    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.

    1113: Ceftriaxone to Prevent Pneumonia After Out of Hospital Cardiac Arrest

    Play Episode Listen Later Mar 16, 2026 3:50


    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.

    1112: The Safety and Efficacy of Spraying Stuff Into the Lungs to Prevent Bleeding

    Play Episode Listen Later Mar 12, 2026 3:40


    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.

    1111: How to judge whether a journal is reputable?

    Play Episode Listen Later Mar 9, 2026 4:16


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

    1110: Is it time to rethink oral beta-lactams for some complicated UTI cases?

    Play Episode Listen Later Mar 5, 2026 3:55


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

    1109: Is Days of Antibiotic Spectrum Coverage a Better metric for Antibiotic Stewardship?

    Play Episode Listen Later Mar 2, 2026 4:13


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

    1108: If Your Hospital Does Therapeutic Plasma Exchange, Keep In Mind This Interaction With Enoxaparin

    Play Episode Listen Later Feb 26, 2026 3:21


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

    1107: What Makes a Critical Care Pharmacist Take Action – Patient Acuity or Medication Regimen Complexity?

    Play Episode Listen Later Feb 23, 2026 3:38


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

    1106: New AHA Stroke Guideline Contraindications to Thrombolytics

    Play Episode Listen Later Feb 19, 2026 4:35


    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.

    1105: Does it Matter if You Give Vancomycin Before the Beta-Lactam?

    Play Episode Listen Later Feb 16, 2026 4:11


    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?

    1104: Does Taking Beta-Blockers Mean Increased Doses of Epinephrine are Required for Anaphylaxis Treatment?

    Play Episode Listen Later Feb 12, 2026 3:56


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

    1103: These Antibiotics Are Really Getting Under My Skin! (Subcutaneous Antibiotics?!)

    Play Episode Listen Later Feb 9, 2026 4:04


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

    1102a: At this single center, linezolid plus serotonergic agents was judged to be likely safe

    Play Episode Listen Later Feb 5, 2026 3:40


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

    1101: Inpatient Pharmacist Burnout: How many learners is too many?

    Play Episode Listen Later Feb 2, 2026 4:15


    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.

    1100: Safety of Tenecteplase in Patients With Stroke Mimics

    Play Episode Listen Later Jan 29, 2026 3:13


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

    1099: Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis. Here's Why:

    Play Episode Listen Later Jan 26, 2026 3:23


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

    1098: Pharmacists Should Know When Electricity is Better Than Epinephrine

    Play Episode Listen Later Jan 22, 2026 3:56


    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.

    1097: Do All ICU Patients Receiving Antipsychotics for Delirium Need QTc Monitoring?

    Play Episode Listen Later Jan 19, 2026 8:58


    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.

    1096: Why is glucagon not given a strong recommendation to treat beta blocker or calcium channel blocker poisoning?

    Play Episode Listen Later Jan 15, 2026 2:56


    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.

    1095: Does Routine Magnesium Supplementation in ICU Patients Reduce Tachyarrhythmias?

    Play Episode Listen Later Jan 12, 2026 3:28


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

    1094: Keep This Trick Up Your Sleeve For Intrathecal Baclofen Withdrawal

    Play Episode Listen Later Jan 8, 2026 3:44


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

    e1094: Keep This Trick Up Your Sleeve For Intrathecal Baclofen Withdrawal

    Play Episode Listen Later Jan 8, 2026 3:44


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

    1093: If You Like Half-Dose Alteplase for PE, Here is the Study You’ve Always Wanted

    Play Episode Listen Later Jan 5, 2026 8:01


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

    1092: Should hot or cold compresses be used to treat extravasation?

    Play Episode Listen Later Jan 1, 2026 2:34


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

    cold treat extravasation
    1091: What is iatrogenic hyperchloremia and what is so bad about it?

    Play Episode Listen Later Dec 29, 2025 3:40


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

    1090: Potential reasons for an unexpected positive urine barbituate screen

    Play Episode Listen Later Dec 25, 2025 3:13


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

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