February 2016- Current State of Utah, Utah Health Emergency Response Team, Lead Pharmacist

• Respond to disaster areas at the will of the State of Utah to provide care to pediatric and adult patients during disasters or other times of need.

• Deployments

• Mobile Infusion Strike Team 2021

• Trained and worked with the Utah National Guard with the pharmacy side of the infusion of COVID monoclonal antibodies.

• Mountain America Expo Center Alternate Care Site, 2020

• Development and pre-implementation planning of pharmacy services at Mountain America Expo Center.  

• Salt Lake County Quarantine Center, 2020

• Support of quarantine center for homeless COVID patients

• St George Iron Man 5/2021

• Medical support for a planned mass casualty incident

April 2014-Current Primary Children’s Hospital-Intermountain Health, Salt Lake City, Utah. Primary Clinical Areas: Emergency Department, Operating Room

• Emergency Department Clinical Pharmacist (80%)

• Responsible for the assisting with dosing, drawing and anything else medication related Drug information, education of ED staff, order entry/review for traumas, codes and Med STATs

• Operating Room Pharmacist (20%)

• Preparing medications for operations from general surgery to open heart/organ transplant. Support of OR team with critical patients.

• Pediatric/Cardiac Intensive Care Unit (4/2014-1/2019)

• Project/Committee Involvement

• PCH Emergency Management Committee- 2020-Current

• Pharmacy liaison to disaster planning committee, 2018-current

• PCH liaison to IHC Pharmacy disaster committee, 2018-2021

• IHC pharmacy planning committee for 1000 bed alternate care site, 3/2020

November 2012-Current UT-1 Disaster Medical Assistance Team- Health and Human Services, Office of Emergency Preparedness, National Disaster Medical System, Salt Lake City, Utah, Staff Pharmacist

• Deploy to disaster and planned incidences through the Nation Disaster Medical System. Duties include traditional pharmacy services in a field hospital but vary based on incidence parameters. 

• DMAT Deployments

• Concert for Valor, Washington DC, November 2014, UT-1

• Contingency medical support

• Hurricane Harvey, Dallas Texas, August 2017, UT-1

• Areal Point of Embarkation at Bush International Airport- DMAT, Trauma Critical Care Team, Airforce, Air National Guard, and FEMA joint mission to process hospital patients during evacuation. Primary mission- repackage patients for loading on Department of Defense aircraft for evacuation.

• Downtown Shelter- Provide medical care to the shelter population 

• Hurricane Irma/Maria, San Juan Puerto Rico, November 2017, NY-6

• Field Clinic located at Pier 3 with USNS Comfort- provided triage and treatment of patients in coordination with USNS Comfort. Combined teams of Navy physicians, Navy corpsman, and DMAT teams saw 3000 patients in 9 days. All documentation for patients and labeling of medication was hand written.  

• Hurricane Florence, North Carolina, September 2018, CO-3

• Care center for evacuated long term care patients located in a church multipurpose room. Took over mission from Public Health Service and took care of patients until more permanent homes could be secured for the individual patients.

• COVID-19 Texas DMAT Operations, Lackland AFB, Fed 2020, FL-4

• First week- Lackland AFB Quarantine Center, 2nd cohort of travelers. Second week- Texas Center for Infectious Disease- COVID isolation center for symptomatic or positive test.

• Hurricane Laura- Sulphur, LA, September 2020, UT-1

• Emergency department decompression of the local hospital.

• Hurricane Sally- Jackson, MS September 2020, UT-1

• Staged in Jackson Mississippi and then sent home due to no medical requests.

• COVID-19 California Support Mission 2020-2021

• ED decompression mission at Antelope Valley Hospital and Monoclonal antibody infusion. Also supported the inpatient pharmacy with their duties from code response to restocking.

• Incident Management Team Deployments

• COVID-19 Texas IMT Pharmacist, Lackland AFB, March 2020, IMT-2

• Lead pharmacist for IMT-2. In charge of maintaining the pharmacy operations for 2 DMAT teams from personal management to medication ordering. Multiagency interactions to ensure the continuity of the pharmacy side of the operation.

• November 2014-2017 Mobile Acute Care Strike Team- Health and Human Services, Office of Emergency Preparedness, National Disaster Medical System-Deployable Resource to the United States Air Force

• Deploy to pre-disaster areas to facilitate the evacuation of hospitals. Duties of the team include the staging of ICU patients at an air head, repackaging of patients with air transport compatible equipment. Pharmacist duties include managing medication to ensure the Critical Care Air Transport teams have what is needed during transport in military aircraft.

• This team has now been combined with another team and is unfortunately no longer a part of the DMAT scope.

April 2010-June 2015 St Luke’s Hospital, Twin Falls, Idaho, PRN Staff Pharmacist

• Daily activities include order entry, order verification, nurse education, patient education, IV admixture, pharmacokinetic consults and verification of restocks of medications. Started as a PRN position and transitioned full time September 2011 then transitioning back to PRN April 2014.

• Committee/Project Involvement (Ended 4/2014)

• Pediatric Code Team Task Force

• Reviewing pediatric code response from the contents of the crash cart to policy and procedures related to the code. 

• Neonatal/Pediatric Work Group

• Reviewing and creating order sets in preparation of CPOE and for updated practice models in alignment with other facilities.

• Stroke Steering Committee

• Provides policy and procedure changes and approvals regarding stroke care from a management level. 

• Stoke Performance Improvement Committee

• Makes recommendations to Stroke Steering Committee for policy and procedures changes, based on metric data.

• Disaster Committee

• Review disaster related policy and procedure. Plan disaster related drills.

• Liaison Pharmacist

• NICU

• Pediatrics Department

• Emergency Department

• Meditech improvements through various committees

• Pharmacy Department Code Response Committee

September 2009-2014 St Luke’s Hospital, Jerome, Idaho, PRN Staff Pharmacist

• Formally St Benedicts Hospital prior to September 2011 

• Daily activities include order entry, nurse education, restocking Pixis machines, IV admixtures and patient education.

Nov 2011-Nov 2013 IVESCO, a Division of MWI (Formerly IVESCO until October 2013) Animal Pharmacy, Jerome, Idaho, Staff Pharmacist

• Daily activities include input of prescriptions from veterinarians and filling of orders from dairies and ranches.

April 2010-2012 R and R Pharmacy, Jerome, Idaho, PRN Staff Pharmacist

• Activities include patient counseling of prescriptions, input and filling of prescription, drug information and verification. Provided coverage as needed.

July 2009-September 2011 Walgreens Pharmacy, Twin Falls, Idaho, Staff Pharmacist

• Daily activities include patient counseling of prescriptions, input and filling of prescription, drug information and verification.

May 2008-July 2009 Safeway Pharmacy, Burns, Oregon, Pharmacy Manager

• Daily activities include patient counseling of prescriptions, input and filling of prescription, drug information, verification and management duties.

October 2007- May 2008 Safeway Pharmacy, Portland Division, Float Pharmacist

Daily activities include patient counseling of prescriptions, input and filling of prescription, drug information and verification.

July- October 2007 Safeway Pharmacy, Woodburn, Oregon, Graduate Intern

• Daily activities include patient counseling of prescriptions, input and filling of prescription, and drug information.

1990-2014 Jack Nelsen Farm and Dairy

• Responsible for oversight and veterinary healthcare for 500+ dairy cows, including diagnosis and treatment of conditions and preparation and administration of intravenous medications, vaccines, and antibiotics. Assisted local veterinarian in the application of various heath and pregnancy checks and the resulting treatments. Various tractor work, irrigation and other farm related duties.

Committee Leadership and Involvement

October 2021-Current Pharmacy Advisor, Regional Pediatric Pandemic Network (Grant) (PPN)

• This is a Health Resources and Services Administration (HRSA) funded effort to establish a national infrastructure, working through a network of hub institutions, that also combines existing EMSC EIIC and Assistant Secretary of Preparedness and Response (ASPR) efforts along with multiple professional societies. Ideally, this establishes a platform for unbiased national dialogue focused on the care of children in disasters, that bridges public and private entities, and that has an infrastructure that can reach every community and every child.  

• The Pediatric Pandemic Network launched with five children’s hospitals in 2021, and expanded to 10 in 2022. The network’s hospitals represent diverse regions across the U.S.:

• University Hospitals Rainbow Babies & Children’s Hospital (Cleveland, OH) – lead site

• Children’s National Hospital (Washington, DC) – lead site

• Ann & Robert H. Lurie Children’s Hospital (Chicago, IL)

• Children’s Mercy Hospital (Kansas City, MO)

• Saint Louis University – SSM Health Cardinal Glennon Children’s Hospital (St. Louis, MO)

• Seattle Children’s Hospital (Seattle, WA)

• University of Alabama at Birmingham – Children’s of Alabama (Birmingham, AL)

• University of California San Francisco – Benioff Children’s Hospitals (San Francisco/Oakland, CA)

• University of Louisville School of Medicine – Norton Children’s Hospital (Louisville, KY)

• University of Utah – Primary Children’s (Salt Lake City, UT)

• Current committee involvement:


• CBRN Domain Advisory Board

• Infectious Disease Domain Advisory Board

• Utah Hub- Regionalization and Equity Domain Advisory Board

December 2019-Current Pharmacy Advisor, Western Region Alliance for Pediatric Emergency Medicine (WRAP-EM) centered at UCSF-Benioff (Grant)

• U.S. Department of Health & Human Services (HHS) has awarded The Western Regional Alliance for Pediatric Emergency Management (WRAP-EM), led by a team at UCSF Benioff Children’s Hospitals, a $3 million grant to develop one of two Pediatric Disaster Care Centers of Excellence (COE) in the country. As part of the grant, WRAP-EM will develop a model for improving emergency pediatric disaster response capabilities throughout the region. Its goal is to examine pediatric disaster care needs, address weaknesses in emergency communication or access and uncover unknown challenges that could be detrimental in a crisis. States involved: California, Oregon, Washington, Nevada, Arizona and Utah

Focus group involvement- 

• Medical Countermeasures

• CBRN/Infectious Disease 

• Deployable Assets

• Supply Chain

• Health Disparities

• Evacuations

• Patient Movement/Tracking

October 2020- Current National Pediatric Disaster Coalition, Executive Committee Member

September 2019-Current Emergency Medical Services for Children Advisory- Utah Committee

October 2018- 2021 Western Pediatrics Preparedness Partnership

July 2018 - Current State of Utah EMS Protocol Committee

• Committee of EMS agencies and physicians that evaluate and edit the guideline protocols for EMS agencies for the State of Utah.

April 2017- Current Salt Lake, Summit, and Tooele Healthcare Coalition

• Pediatric pharmacy advisor for the healthcare coalition.

2005-2006 Kappa Psi, Delta Sigma Chapter, Secretary 

2004 Spring Semester University of Wyoming, Resident Hall Constitution Committee Advisor

2003-2004 Hill/Crane Resident Halls Senate President

2003 Fall Semester University of Wyoming, Resident Hall Constitution Committee Chairman

2002-2003 College of Southern Idaho Ski Club President

Education  

August 2004-June 2007 Doctor of Pharmacy   

• Midwestern University College of Pharmacy Glendale, Arizona

July-August 2004 Clemson University

• Clemson, South Carolina

June-July 2004 Idaho State University

• Pocatello, Idaho

August 2003-May 2004 University of Wyoming

• Laramie, Wyoming  

June 2003 Associate of Liberal Arts - College of Southern Idaho 

• Twin Falls, Idaho

Education Seminars

• October 2012- April 2013 Principles of Pediatric Clinical Pharmacology, Nation Institutes of Health-National Institute of Child Health and Human Development

Presentations

• Jan, 15, 2021 Monoclonal Pharmacy Training, Mobile Infusion Strike Team, Utah National Guard, West Valley City, Utah

• Dec 12, 2020 Pharmacy Support Models for Alternate Care Sites, Primary Children’s Hospital, Salt Lake City, Utah 

• Oct 23, 2020 Hidden Consequences: How the COVID Pandemic is Impacting Children Series, Assistance Secretary of Preparedness and Response (ASPR), Technical Resources, Assistance Center, and Information Exchange (TRACIE)- National Webinar.

• Dec 2019 American Academy of Pediatrics- Utah, Advocacy Workshop

• June 2019 Emergency Medical Services for Children- Utah

• January 2019 American Academy of Pediatrics- Utah, Disaster Pharmacy Presentation 

• October 2018 University of Utah School of Pharmacy

• June 2018 Emergency Medical Services for Children- Utah

• 2015- Current Primary Children’s Hospital yearly educational presentations to pharmacy staff

• April 2014 Disaster Preparedness and Emergency Response, Idaho Pharmacy Residency Forum

• June 2013 Disaster Preparedness and Emergency Response, Idaho Pharmacy Residency Forum

Publications

2024 Pending Publication Adult Medical Countermeasures: Antidotes and Cytokines for Radiologic and Nuclear Incidents and Terrorism, manuscript in process.

2024 Pending Publication Orthopedic Procedure Lab, manuscript in process.

2024 Pending Publication Pediatric Disaster Life Support Course, student manual and trainer manual, Pharmacy Module author, manuscript/course in process.

2024 Pending Publication Pediatric Surge Playbook for healthcare facilities and systems, manuscript in process.

2024 Pending Publication Pediatric Surge Playbook for healthcare coalitions, public health and interagency groups, manuscript in process.

2024 Pending Publication Just in Time Respiratory Algorithms and Guidance for Pediatrics, manuscript in process. 2022 Draft publication, 2023 WRAPEM published, 2024 revisions in progress

2024 Pending Publication Pediatric Considerations for Hospital Evacuations

April 2024 Pediatric Medical Countermeasures: Antidotes and Cytokines for Radiologic and Nuclear Incidents and Terrorism, Disaster Medicine and Public Health Preparedness, 2024;18:e76.

April 2023-Current Pediatric Emergency Care (PECC) Newsletter. Monthly Education Publication, contributing author. Peer reviewed monthly education newsletter to all designated PECCS, hospital trauma leaders and emergency department leaders in the State of Utah.

April 2023 Advancing Recognition of Resuscitation Location in Emergencies (ADRENALINE): A Quality Improvement Initiative in Nursing Education Using Deliberate Practice Simulation. Poster presentation at Pediatric Academic Societies; 2023

October 2021 Just in Time Handbook: A Quick Pediatric Reference Guide for Adult Healthcare Providers, WRAP-EM.org 

October 2020 Pediatric Emergency Room Pocket Drug Reference. Listed in Utah Pediatric Trauma Network additional resources. Listed in HHS ASPR TRACIE resource collection for Pediatrics. Continual updates to original publication.

October 2020 Considerations for development of pharmacy support models for COVID-19 alternate care sites, American Journal of Health System Pharmacy, pages 1592-1597

February 2020 Coronavirus, Potential Impact to the Healthcare Supply Chain- Peer reviewed publication- Arizona DOH, Utah DOH, WRAP-EM 

2018 Pediatric In-office Emergency Reference, Peer reviewed reference, Co-author

2018- Current Emergency Medical Services for Children-Connects Monthly Education Publication, contributing author. Peer reviewed monthly education newsletter to all prehospital providers in the State of Utah

2016- Current Pediatric Emergency Room Medication Pocket Reference, peer review reference given to all learners in the emergency room and all pediatric medical residents at Primary Children’s Hospital. Current Version 2.3 Published on Utah Pediatric Trauma Network website, ASPR TRACIE and in WRAP-EM publications.

Service Work

2022 Capital Church Disaster and People in Need Response Committee

2018-2023 Capital Church annual BBQ planning committee, Salt Lake City, Utah

January 2012-2016 Twin Falls County Search and Rescue, Twin Falls, Idaho

September 2008-July 2009 Harney County Search and Rescue- member, Burns Oregon

November 2008-July 2009 Harney County Search and Rescue Training Officer

• Trained 35 search and rescue members to meet state certifications and held a variety of team specific competency training. First time in 20 years that it had been held. 

Awards

• December 2022 COVID-19 Pandemic Civilian Service Metal, United States of America, Health and Human Services, National Disaster Medical System

• May 2024 Utah Poison Control 2023 Annual Report Featured Partner- Utah Poison Control Center

Licensure

• Pharmacist Utah

• Pharmacist Idaho

• Pharmacist Oregon

Certifications

• Basic Disaster Life Support

• Advanced Disaster Life Support

• Basic Life Support

• Pediatric Advanced Life Support

• Advanced Cardiac Life Support

• Advanced Burn Life Support

• APhA Immunization

Training Certifications

• Incident Response to Terrorist Bombings (IRTB) 2013

• New Mexico Tech and Department of Homeland Security-Train the Trainer format

• Medical Preparedness and Response to Bombing Incidents (4/2016)

• Texas Tech and Department of Homeland Security- Train the Trainer format