Fields of Interest: clinical pharmacy, research & development

CURRICULUM VITAE


RYON LEWIS ADAMS


JULY, 2000


I. ADDRESS:

EMPLOYMENT:
Veterans Administration Medical Center
Pharmacy Service (119)
600 South 70th Street
Lincoln, NE 68510-2451
402-486-7825, Office Ext. 6515
FTS 700-865-7825
FAX 402-486-7860
E-Mail: rladams@alltel.net
adams.ryon@omaha.va.gov
Ryon.Adams@med.va.gov

HOME:
5125 Linden Street
Lincoln, NE 68516-1285
402-489-4830

II. PERSONAL INFORMATION:

BORN: 14 December, 1948 (Seward, NE)
PHYSICAL: 6 ft., 220 lb., excellent health
CHILDREN: Matthew Ryon Adams, born 30 June, 1979
Mason William Adams, born 20 June, 1982

III. EDUCATION:

GRADUATE: Doctor of Pharmacy Degree (May, 1978)
Creighton University School of Pharmacy
UNDERGRAD: Bachelor of Science Degree (May, 1972)
University of Nebraska College of Pharmacy

IV. PROFESSIONAL LICENSURE:

NEBRASKA Board of Pharmacy (1972-present)
MISSOURI Board of Pharmacy (1973-present)
KANSAS Board of Pharmacy (1975-present)


V. CONTINUING EDUCATION:

-ACPE Approved CE is required for relicensure in all states registered (NE=30hrs/2yrs, KS=15hrs/yr, MO=10hrs/1yr). I have averaged 44.7 hours ACPE Approved CE per year over the past five years.
-ASHP ACCRUER Pharmacy Management Program.

VI. CAREER GOALS AND OBJECTIVES:

My life experiences, in the profession of pharmacy, have led me in a myriad of directions, encompassing all facets of the practice of my profession. Through my initial training in the fundamentals of pharmacy (chemistry, design, formulation, compounding, distribution, management, etc.), I learned the essentials of efficient and progressive pharmacy practice. With my advanced training in clinical pharmacy, my horizons have broadened to the therapeutics aspect, to personally assure that optimum therapy is achieved. Prevention of potential harm to the patient, from medicinals, through utilization review, patient education, staff education, and other endeavors, is of primary importance, and is achievable through the proper training and management of a given hospital pharmacy staff. No health professional can be satisfied if iatrogenic mishaps occur. It is the responsibility of all health care providers to assure the community of patients that these potential mishaps are kept to a minimum. My personal areas of interests lie in the conception, development, implementation, and management of innovative, progressive, and pan-professional programs, to provide unparalleled excellence in health care. In professional interest, I am well versed, and highly enjoy, working in the areas of continuous quality improvement, total quality management, outcomes management, quality assurance, drug usage evaluation/drug utilization review, drug information, pharmacokinetics, pharmacy computer applications, research activities, administration, educational endeavors, internal medicine, geriatrics, psychiatry, and generally, to advance the practice of pharmacy in a highly professional manner. Over the past five years, my full attention has been in the management and and performance of my Anticoagulation, Hypertension, Lipid Clinics, with a goal to move into Diabetes care, assuring all these patients achieve the best care possible to prevent long range problems from occurring.

VII. PROFESSIONAL ORGANIZATION MEMBERSHIP:

American Society of Health-Systems Pharmacists (1973 to present)
Primary Care Pharmacy Practice Specialty Practice Group member
Nebraska Society of Health-Systems Pharmacists (1976 to present)
American College of Clinical Pharmacists (1989 to present)
American Pharmaceutical Association (1989 to present)
Academy of Pharmacy Practice and Management (APPM) member
Nebraska Pharmacists Association (1985 to present)
Federal Pharmacist Association (1987 to present)
Society of Infectious Disease Pharmacists (SIDP),
Associate Member (1990 to present)
Affiliated, or Past, Member of:
American Association of Colleges of Pharmacy
American Society of Consultant Pharmacists
Missouri State and Hospital Pharmacy Associations
Kansas State and Hospital Pharmacy Associations

VIII. PROFESSIONAL ORGANIZATION INVOLVEMENT:

Current:
Nebraska Pharmacists Association – Unified
(formed after the successful merger of the former NPA and NSHP organizations)
-Charter Transitionary Board Member, 2000-present

Previous:
American Society of Health-Systems Pharmacists:
-Alternate member, State Chapter Grants Selection Panel, 1993-1994
-Member, State Chapter Grants Selection Panel, 1994-1995
American College of Clinical Pharmacists:
-Member, Clinical Practice Affairs Committee, 1990-1992
Nebraska Society of Health-Systems Pharmacists:
Elected Offices Held:
-President, 1985-1986 and 1992-1993
-President-Elect, 1984-1985 and 1991-1992
-Immediate Past President, 1986-1987 and 1993-1994
-Chairman, Board of Directors, 1985-1986 and 1992-1993
-Member, Board of Directors, 1983-1987 and 1991-1994
-NSHP Representative to Nebraska State Board of Examiners and Nebraska State Legislature "Task Force on Pharmacy Technicians", 1991-94 and 1998-99
Past Committee Involvement:
-Chair, Communications Committee/Newsletter Editor, (1984-1985, 1991-1992)
-Chairman, Legislative Affairs Committee, 1989-1990, 1998-2000
-Member, Legislative Affairs Committee, 1990-1994
-Chairman, Program Committee, 1982-1983
-Chairman-elect, Program Committee, 1981-1982
-Chairman, Ad Hoc Pharmacy Technician Committee, 1986-1987
-Chairman, Ad Hoc "Save the University of Nebraska Medical Center College of
Pharmacy" Committee, 1985
-Member, Program, Legislative, Communications, Membership, Award,
Interprofessional Relations (ad hoc), et al.
Nebraska Pharmacists Association:
-Board Member, 1998-2000
-Member, Legislative Affairs Committee, 1991-1992
Nebraska Board of Pharmacy:
-Member, Pharmacy Rules and Regulations Committee, 1993-1994
Nebraska Pharmacy Unification Committee: 1998-2000
Nebraska Pharmacy Technician Task Force, 1998-1999

IX. AWARDS:

-Rho Chi, National Pharmacy Honor Society (1978)
-Nebraska Society of Hospital Pharmacists "NEBRASKA HOSPITAL
PHARMACIST OF THE YEAR AWARD" (1983-1984)
-Nebraska Society of Health-Systems Pharmacists “NEBRASKA HEALTH-SYSTEMS
PHARMACIST OF THE YEAR AWARD” (2000-2001)

X. GRANTS:

1979 Adams RL & Wirshing,RD: Potential for Pediatric Poisonings by Herbal Preparations
(Teas, Inhalants, Illicit Use). $2,500 grant by the Association of Poison Control Centers.
1982 Adams RL: Possible Use of Portable Stereo Cassette Player for Discerning Ototoxicity
with Aminoglycoside Usage. $500 grant by Shering Corporation (through Creighton U.)

XI. VOLUNTEER PROFESSIONAL ACTIVITIES:

-Member, American Society of Health-Systems Pharmacists, reviewer for PharmPrep
(ASHP's Naplex review program for pharmacy boarding review), 1999-present
-Member, SIMKIN (professional software) Professional Advisory Board, 1989-present
-Member, Nebraska TRIPARTITE Committee (one of five Nebraska pharmacists who sit
on the Board to govern pharmacy and pharmacist licensure), 1987 to 1990
-Participant of the Lincoln Area Hospitals Joint Formulary Committee (comprises the four
major Lincoln Hospitals), 1988 to 1998
-Member, Drug Topics Council of Pharmacists, 1989 to present
-Participant, Institute of Safe Medication Practices, Inc. 1990 to present
-Participant, Drug Surveillance Network, Center for Pharmacoepidemiology Research,
1989 to present
-Participant, The Alliance for Medical Research, 1989 to present
-Participant, Board of Pharmaceutical Specialties (BPS) Pharmacotherapy Specialist
Survey Panel, 1990
-Consultant, and speaker, on pharmacology to the Becky Roe Chapter of the Systemic
Lupus Erythematosus Foundation of Lincoln, NE, 1981 to 1991
-Consultant, and speaker, on pharmacology to the Southeast Nebraska Chapter of the
National Kidney Foundation, 1982 to 1988
-Basic Life Support Provider, through the American Heart Association
-BLS Instructor, through the American Heart Association (currently inactive)
-Advanced Cardiac Life Support (ACLS) Provider, through the AHA (currently inactive)
-Occasional consultant to community health care planners (state health and welfare
departments, bureau of examining boards, nursing homes, etc.)

XII. PUBLICATIONS:

NATIONAL:
-Adams RL: The Dilemma of Antibiotic Resistance. National Association of Retail Druggists Journal, September 1986; pages 7-8.
-Adams RL: The Pandora's Box of Pharmacology: OTC Medications, Prescription Medications, and the Elderly. National Association of Retail Druggists Journal, March 1987; pages 33-38.
-Adams RL: The Overlooked Pharmacological Dilemma: Interactions of Vitamin, Dietary, Alcohol, Smoking (Tobacco) Consumption with Prescribed Medications. Pending Publication:
LOCAL:
-Microbiological Sensitivity Listing with Antibiotics of Choice with Antibiotic Cost Analysis (Patient Chart Insert), approved through Infection Control Committee, (numerous revisions since 1989)

-Intensive Care Medication Conversion and Weaning Guidelines, approved by Intensive Care Committee 1982, adopted into Intensive Care Manual 1985 (5th edition, 1993)
-Dosing Guidelines for Titratable IV Medications, approved through Intensive Care Committee 1984 (updated biannually)
-Medication Related Anomaly Reporting Program (Hospital wide medication error reporting, tracking and trending program), approved through Pharmacy and Therapeutics Committee, initial approval 1989
-Standardized Medication Times (Listing of medications with specific required administration times notated), approved by Pharmacy and Therapeutics Committee 1991

XIII. PROFESSIONAL EXPERIENCE:

-May, 1999 to present:
Clinical Pharmacist, VA Outpatient Clinic, Lincoln, NE.
Major responsibilities include: clinical and staff distribution functions. Note: Due to staffing shortages, my position as Coordinator of Clinical Pharmacy Services was downsized, resulting in my position primarily distribution and some clinical activities. Of note is that I have been allowed to serve as the Secretary for the VISN 14 Diabetes Disease Management Expert Panel. As the sole clinical pharmacy representative on this Panel, it has been a pleasure to work with dedicated multi-disciplinary professionals in the common goals of promoting disease management and its application to diabetes within our network. I also continue to serve as the Acting Chair and Coordinator/Facilitator of the Lincoln Division Research and Development Committee.

-May, 1980 to May, 1999:
Coordinator, Clinical Pharmacy Services, VAMC, Lincoln, NE.
Major responsibilities include: planning, developing, implementing and administration of professional practice programs, such as Clinical Pharmacokinetic Consultation program, Pharmacy-based Anticoagulation Clinic, Pharmacy-based Medication Refill Clinic, Pharmacy-based Hypertension Clinic, Drug Usage Evaluation/Drug Utilization Review Programs, Quality Assurance, Cost Containment, Therapeutic Drug Monitoring, Clinical Pharmacy Residency (currently inactive), centralized/decentralized unit dose, Drug Information Service, Patient Medication Education, Investigational Medication, Interprofessional Liaison, interprofessional continuing education program
representative, Creighton University and University of Nebraska Medical Center Affiliations Coordinator, DHCP liaison, ad hoc JCAHO Committee, etc.
Primary Work: Anticoagulation, Hypertension, and Lipid Ambulatory Care Clinics
Hospital Committee memberships and involvements included:
-Chairman & Coordinator/Facilitator, Research and Development Committee,
-Chairman, Subcommittee on Human Studies,
-Secretary, Pharmacy and Therapeutics Committee,
Secretary, Drug Usage/Drug Utilization Review Committee,
-Secretary, DUE/DUR Antibiotic Review Subcommittee,
-Member of Intensive Care, Subcommittee on Human Studies, Infection Control, Nutritional Support, Medical Education, Ambulatory Care and various other administrative and professional committees.
ALSO, from 1980 to 1994:
Clinical Assistant Professor of Pharmacy Practice, Creighton University School of Pharmacy and Allied Health Professions, Omaha, NE, and,
Assistant Clinical Professor of Pharmacy Practice, University of Nebraska College of Pharmacy, Omaha, NE

Responsibilities have included: -occasional B.S. and/or Pharm.D. level didactic educator in Psychiatry, Renal Disease, Infectious Disease, and microcomputer applications at Creighton. I served as the primary preceptor and on site coordinator for clinical studies for Creighton and UNMC pharmacy students. Additionally, I have served on a variety of committees with both University pharmacy programs designed to obtain community practitioner input into the desired direction of the University pharmacy educational programs.

-June, 1985 to May, 1988:
Owner and Manager, Smith Pharmacy (Professional Pharmacy Specialists), in Lincoln, NE. In this activity I was responsible for all aspects of community pharmacy practice and business activities.

-December, 1978 to May, 1980:
Assistant Professor of Clinical Pharmacy, Creighton University, Omaha,NE
Major responsibilities included: Coordination, supervision and administration of various College of Pharmacy programs and committees. Primarily responsible for the training of pharmacy and medical students in the specialized area of Psychiatry. During this period I also served as the Chairman of the Ad Hoc Ethics Committee, served as the school of pharmacy representative to the Creighton University Faculty Academic Council (1979 and 1980), ILAC representative, and the CU School of Pharmacy Student Recruitment Coordinator 1979 and 1980.
ALSO,
Consultant Clinical Pharmacist to Hastings (NE) Regional Center (Mental Health Facility)

-December, 1977 to December, 1978:
Assistant Professor of Clinical Pharmacy, Creighton University, Omaha,NE
Major responsibilities included: Coordination, supervision and administration of various College of Pharmacy programs and committees. Primarily responsible for the training of pharmacy and medical students in the specialized area of Internal Medicine.
ALSO,
Consultant Clinical Pharmacist to Hastings (NE) Regional Center (Mental Health Facility)

-October, 1976 to December, 1977:
Doctor of Pharmacy Candidate, Creighton University School of Pharmacy, Omaha, NE
ALSO,
Consultant Clinical Pharmacist to Hastings (NE) Regional Center (Mental Health Facility)

-December, 1974 to October, 1976:
Supervisor of Inpatient Pharmacy Services, Irwin Army Hospital, Fort Riley,Kansas
Major Responsibilities included: Coordination and supervision of all areas of inpatient services. (ie: Centralized Intravenous Admixture Program, Oncology Medicine Services, implementation and management of the Centralized Unit Dose program, member of the Code Blue (CPR) team, Inventory Control, and various administrative and service provision activities.

-November, 1972 to November, 1974:
Staff Hospital Pharmacist (Military Service), General Leonard Wood Army Hospital, Fort Leonard Wood, Missouri

-September, 1972 to November, 1972:
Community Pharmacist, Four Star Drug, Lincoln,NE

-June, 1972 to September, 1972:
Relief Pharmacist (averaging 70+ hours per week at seven community pharmacies concurrently) Lincoln, NE

-February, 1969 to June, 1972:
Registered Pharmacy Intern, Don-Mar Pharmacy, Lincoln, NE

XIV. PRESENTATIONS, LECTURES, SPEAKING ENGAGEMENTS:

Present Position (1980 to present):
-Professional Organization Presentations:
-"Anticoagulation Update", approved pharmacist/physician/nursing continuing
education program (July, 1990)
-"Microcomputer Applications in Pharmacy Practice" presented to the
Nebraska Association of Pharmacy Technicians
-closed circuit television conferences (live and videotaped) to the
Lincoln, Grand Island, Omaha VAMCs, Creighton University and University of
Nebraska Medical Center health care personnel and students on the
following topics:
-Psychogeriatric Pharmacotherapeutics
-The Elderly, Congestive Heart Failure, and Treatment (consisted of
two 1 hour presentations)
-Drug-Dietary Incompatibilities
-Psychopharmacology (antipsychotics, antidepressants, lithium, minor
tranquilizers, etc.) (consisted of four 1 hour presentations)
-Clinical Usage of Narcotic Analgesics
-Narcotic Analgesic Usage in Drug Dependent Patients
-Renal Disease Therapeutics
-In-House inservices videotaped for utilization by all nursing shifts, and
new nursing personnel, on the topics:
-Type I Antiarrhythmics (quinidine, procainamide, disopyramide,etc.)
-Type II Antiarrhythmics (lidocaine, phenytoin, etc.)
-Type III Antiarrhythmics (propranolol, etc.)
-Type IV Antiarrhythmics (bretylium)
-Type V Antiarrhythmics (verapamil, etc.)
-Therapeutic Drug Monitoring of Lidocaine and Aminophylline
-Inservices to specialty ward staff (ie: nursing personnel, psychologists,
social workers, etc.) on the topics:
-nitroglycerine products, use and complications
-bronchodilators
-IV administration set usage
-patient education procedures
-psychopharmacology, and many other topics.

Previous Positions (1977 to 1980):
-Creighton University Psychiatry Department Grand Rounds presentations on:
-Benzodiazepines
-Drug Induced SIADH and Nephrogenic Diabetes Insipidus

-As Consultant Clinical Pharmacist to Hastings Regional Center:
-Antipsychotic Medications, Antidepressants, Antimanic (Lithium),
Minor Tranquilizers, Drug Use and Abuse, Geriatric Considerations
(this consisted of a 12 hour course on specialized clinical
pharmacology for all staff and nursing students, on an every two
month period rotation).
-For the Creighton University Medical Resident's Teaching conferences at
the Saint Joseph Medical Center:
-Aminoglycoside Update
-Salicylates and Acetaminophen, use and toxicity
-Inservice education seminars at the Hastings Regional Center on:
-Anticonvulsant medications (for nursing staff, industrial and
occupational therapists)
-Drug Abuse (nursing staff and students)
-Drug-Dietary Interactions (open seminar)
-Review on tardive dyskinesia and extrapyramidal symptoms, and
complications secondary to antipsychotic usage (medical staff,
nursing staff, psychologists, and open session)
-Geriatric pharmacotherapy (open seminar)
-Antipsychotic medications, special topics (nursing students)
-Guest Lecture Presentation:
-Digitalis, Diuretics, and there use in CHF in the Aged (presented to
the Nebraska Nurses Association)

In the Military (1972 to 1976):
-I coordinated and performed many of the training programs for all aspects of elementary
pharmacology, pharmaceutics, pathophysiology, aseptic technique, etc. for all supportive and ancillary personnel.

XV. OUTSIDE INTERESTS:

Business Manager of Family farm/farming operation, microcomputer usage and applications, internet technology, home remodeling, wood-working, gardening, etc.

XVI. REFERENCES:

-Dr.Tim Judge, Primary Care Physician, Lincoln, NE VAMC
-Dr.Robert Smith, Dean, University of Tennessee School of Pharmacy
-Dr.Bruce Clayton, Director of Clinical Practice, Butler University
-Dr.Warren Narducci, Past Director of Clinical Practice, UNMC College of Pharmacy
-Kurt Clyne, MS, Director of Pharmacy Service, St.Elizabeth CHC, Lincoln
-Dr.William Tindall, former Executive Director, NARD, Washington,DC
-Col.Earl McKinstry, former Chief of Pharmacy, Fitzsimmons Army Hospital, CO, now educator