The Emergency Department rotation is a required, four week learning experience at Sisters Hospital. In this rotation, the resident will learn the skills necessary to become a competent clinical pharmacist that can work independently and provide direct patient care to patients in the emergency department (ED). The ED at Sisters Hospital is a 29-bed unit equipped with two code rooms and a 5-bed fast track. Clinical pharmacy services are provided in the ED, at minimum, from 1400-2200 Monday through Friday. Pharmacist responsibilities in the ED include responding to cardiac arrests and stroke emergencies, answering drug information questions from ED and Sister Hospital caregivers, patients, and families, antibiotic stewardship (including the daily outpatient microbiology report), collaborating with the centralized pharmacists to assure timely medication availability, and medication reconciliation. During this rotation, the pharmacy resident will work collaboratively with several disciplines including the ED physicians, ED mid-level providers, hospitalists, medical residents and ED nurses to optimize pharmaceutical care for the ED patients. The resident will be required use evidence-based medicine to provide pharmaceutical care to a range of ED patients, from the ambulatory to the critically ill. A typical day in the ED does not exist and the resident will be required to “work on the fly”.