Return to Current Pharmacy Preceptors

Pain Stewardship Coordinator

Focus Area

Pain Stewardship Scorecard, Quality Improvement, Surveillance, Pain Consult Service

Rotations Precepted

  • PGY1 Program (Acute Care, Ambulatory, Informatics, MUSP)
    • Pain Stewardship (elective) – satisfies longitudinal Medication-Use Evaluation and Writing Project Requirements
  • PGY2 Medication-Use Safety and Policy
    • Professional Writing (required)
    • Advanced Pain Stewardship (elective)

Pharmacy School/Graduation Year

  • St. Louis College of Pharmacy, Bachelor of Science in Pharmacy, 2002
  • St. Louis College of Pharmacy, Doctor of Pharmacy 2003

Residency Training Program Location/Year

Froedtert Hospital, Pharmacy Practice, 2004

Professional Interests

Pain and sedation, perioperative management, professional development of peers, project management, research and education

Organizational Involvement

  • Society of Critical Care Medicine (SCCM), CPP Section
  • ASHP House of Delegates, Wisconsin Delegate
  • Vizient, Pharmacy Research Committee
  • Pharmacy Society of Wisconsin (PSW), Board of Directors

Awards and Certifications

  • Excellence in Innovation, Pharmacy Society of Wisconsin, 2023
  • Operation Substance Use Disorder Research Award, “Evaluation of Buprenorphine for the Management of Opioid Use Disorder Treatment in Ambulatory Clinics”, APhA (Role: Senior Investigator; PI: Sarah Wigfield), 2023
  • Star Research Achievement Award (Quality and Safety), “Naloxone Co-prescribing for Emergency Medicine and Trauma Patients at High Risk for Opioid Overdose”, SCCM Annual Congress (Role: Principle Investigator), 2023
  • Gold Snapshot Award (Quality and Safety), “Evaluation of Discharge Opioid Prescribing in Mechanically Ventilated ICU Patients”, SCCM Annual Congress (Role: Senior Investigator; PI: Sarah Peppard), 2023
  • Preceptor of the Year, Froedtert & MCW Department of Pharmacy, 2022
  • Top Abstract, “Racial Equity in Opioid Prescribing: A Pharmacist-Led Multidisciplinary Health System Assessment”, MCW School of Pharmacy Research Forum (Role: Senior Investigator; PI: Holly Sheldon), 2022
  • Presidential Citation, Society of Critical Care Medicine, 2020
  • Star Research Achievement Award (Pharmacology), “Multicenter Retrospective Review of Ketamine Use in the Intensive Care Unit”, SCCM Annual Congress (Role: Co-investigator), 2020
  • Star Research Achievement Award (Pharmacology), “Effects of Ketamine on Pain, Sedation, and Delirium in the Intensive Care Unit”, SCCM Annual Congress (Role: Co-investigator), 2020
  • Silver Metal Research Award (Pharmacology), “Pharmacist Avoidance or Reductions in Medication Costs in Emergently Ill Patients: PHARM-EM Study”, SCCM Annual Congress (Role: Co-investigator), 2020
  • Star Research Achievement Award (Pharmacology), “Pharmacist Avoidance or Reductions in Medication Costs in Critically Ill Patients: PHARM-CRIT Study”, SCCM Annual Congress (Role: Co-investigator), 2020
  • Best of ASPEN Critical Care Research Award, “A Phase III Pilot Randomized Controlled Trial Comparing Early Trophic Enteral Nutrition to ‘No Enteral Nutrition’ in Mechanically Ventilated Patients with Septic Shock”, ASPEN, Nutrition Science & Practice Conference (Role: Co-investigator), 2019
  • Fellowship, American College of Critical Care Medicine, Society of Critical Care Medicine, 2017
  • Star Research Achievement Award, “Evaluation of sodium bicarbonate administration during in-hospital cardiac arrest”, SCCM Annual Congress (Role: Senior Investigator), 2017
  • Master Preceptor Award, American Association of Colleges of Pharmacy, 2016
  • Excellence in Organ & Tissue Donation Award, Blood Center of Wisconsin in partnership with the Wisconsin Donor Network, 2016
  • Member Spotlight, SCCM Clinical Pharmacy and Pharmacology Section Newsletter. 2016:16(3);5.
  • Larry Boh Clinical Instructor Excellence Award, University of Wisconsin School of Pharmacy, 2012 Board Certified Pharmacotherapy Specialist (BCPS), 2010

Publications

Book Chapter

  • Peppard WJ, Kim A. Prevention and treatment of venous thromboembolism in critically ill patients. In: Dobesh P, ed. Critical Care Self-Assessment Program, 2020 Book I. Cardiovascular Critical Care. Lenexa, KS. American College of Clinical Pharmacy, 2020:86-120.
  • Peppard WJ, Killian A, Biesboer A. Pharmacological considerations in acute and chronic liver disease. In: Nanchal RS, Subramanian RM, eds. Hepatic Critical Care. New York, NY. Springer, 2018: 311-332.

Peer Reviewed Papers

  • Nanchal R, Subramanian R, Alhazzani W, Dionne JC, Peppard WJ, Singbartl K, Truwit J, Al-Khafaji AH, Killian AJ, Alquraini M, Alshammari K, Alshamsi F, Belley-Cote E, Cartin-Ceba R, Hollenberg S, Galusca DM, Huang DT, Hyzy RC, Junek M, Kandiah P, Kumar G, Morgan RL, Morris PE, Olsen JC, Sieracki R, Steadman R, Taylor B, Karvellas CJ. Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Neurology, prei-transplant medicine, infectious disease, and gastroenterology considerations. Crit Care Med. 2023 May 1;51(5):657-676. doi: 10.1097/CCM.0000000000005824. Epub 2023 Apr 13. PMID: 37052436
  • Nanchal R, Subramanian R, Alhazzani W, Dionne JC, Peppard WJ, Singbartl K, Truwit J, Al-Khafaji AH, Killian AJ, Alquraini M, Alshammari K, Alshamsi F, Belley-Cote E, Cartin-Ceba R, Hollenberg S, Galusca DM, Huang DT, Hyzy RC, Junek M, Kandiah P, Kumar G, Morgan RL, Morris PE, Olsen JC, Sieracki R, Steadman R, Taylor B, Karvellas CJ. Executive summary: Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Neurology, prei-transplant medicine, infectious disease, and gastroenterology considerations: Executive summary. Crit Care Med. 2023 May 1;51(5):653-656. doi: 10.1097/CCM.0000000000005825. Epub 2023 Apr 13. PMID: 37052435
  • Smetana KS. PharmD, Flanner, AH, Gurnani PK, Peppard WJ, Van Berkel MA, Joyce C, Rech MA. PHarmacist Avoidance or Reductions in Medical costs in CRITically ill adults rounding with one SERVICE compared to two or more services: PHARM-CRIT-SERVICE. J Amer Coll Clin Pharm.
  • Carter C, Denny K, Carver TW, Jung B, Rein L, Peppard WJ. Evaluation of an Association between Enoxaparin Dose per Estimated Blood Volume and Clinically Relevant Bleeding in Low Body Mass Trauma Patients. Ann Pharmacother.
  • Langenstroer EA, Carver TW, Herrmann DJ, O’Keefe MM, Hubbard S, Holschbach L, Rein LE, Peppard WJ. Validation of a novel blood volume-based dosing protocol for venous thromboembolism prophylaxis in trauma patients. Amer J Health-syst Pharm. 2023
  • Chang C, Higgins RM, Rein L, Peppard WJ, Herrmann DJ, Kindel TL. Effectiveness of BMI-based prophylactic enoxaparin dosing in bariatric surgery patients. J Surg Res. 2023 Mar 16;287:168-175. doi: 10.1016/j.jss.2023.01.018. Online ahead of print. PMID: 36933548
  • Tchen S, Bhatt R, Peppard WJ, Szabo A, Dong H, Morris R, Trevino CM. Quantifying the impact of reduced opioid utilization in patients following emergency laparotomy. Surgery. 2023 Mar 20:S0039-6060(23)00084-3. doi: 10.1016/j.surg.2023.02.009. Online ahead of print. PMID: 36948914
  • Tyson K, Karam BS, Peppard WJ, Morris R, Murphy P, Elegbede A, Somberg L, Schroeder M, Trevino C. Optimizing Discharge Opioid Prescribing in Trauma Patients: A Quasi-Experimental Study. Surgery. 2023 Mar;173(3):794-798. doi: 10.1016/j.surg.2022.07.037. Epub 2022 Nov 10. PMID: 36371358
  • Zenga J, Akinson S, Yen T, Massey B, Stadler M, Bruening J, Peppard WJ, Reuben M, Hayward M, Mesich B, Buchan B, Ledeboer NA, Sanchez J, Fraser R, Lin C, Holtz M, Awan M, Wong S, Puram S, Salzman N. A Phase 1/2 trial of a topical antiseptic bundle in head and neck cancer surgery: effects on surgical site infection and the oral microbiome. EBioMedicine. 2022 Jun 4;81:104099. doi: 10.1016/j.ebiom.2022.104099. [Online ahead of print].
  • Peppard WJ, Sheldon H, Endrizzi S, Walker R, Kirchen G, Schrang A, Nagavally S, Egede L. Racial equity in opioid prescribing: a pharmacist-Led multidisciplinary health system assessment. J Am Coll Clin Pharm. 2021;Apr 16 [Online ahead of print].
  • Groth CM, Droege CA, Connor KA, Kaukeinen K, Acquisto NM, Chui J, Cucci MD, Dixit D, Flannery AH, Gustafson KA, Glass NE, Horng HS, Heavner MS, Kinney J, Kruer RM, Peppard WJ, Sarangarm P, Sikora-Newsome A, Viswesh V, Erstad BL. Multicenter Retrospective Review of Ketamine Use in the Intensive Care Unit (Ketamine-ICU Study). Crit Care Explor. 2022 Feb 10;4(2):e0633.
  • O’Keefe MM, Herrmann DJ, Carver TW, Prom A, Hubbard S, Peppard WJ. Evaluation of body mass index-based enoxaparin dosing protocol for venous thromboembolism prophylaxis at achieving target anti-factor Xa concentrations in trauma patients. Pharmacother 2022 Jan 31[Epub ahead of print].
  • Laehn S, LoGiudice J, Hettinger P, Rein L, Peppard WJ. Post-operative depth of sedation in free flap head and neck surgery. Head Neck 2022 Feb;44(2):391-8. [Epub 2021 Nov].
  • Rech MA, Smetana K, Gurnani P, van Berkel Patel M, Hammond DA, Peppard WJ, Flannery A. PHarmacist Avoidance or Reductions in Medical costs in CRITically ill patients: PHARM-CRIT study. Crit Care Explor 2021 Dec 10;3(12):e0594.
  • Peppard WJ, Peppard SR, Feih JT, Kim AK, Obenberger SJ, Mulvey AF, Teng BQ, Brazauskas R, Pape KO, Gibson GA, PharmD, Dzierba AL, Dobesh PP. Observational evaluation of predatory journals in critical care pharmacy practice: Defining characteristics associated with receiving unsolicited invitations to publish. J Pharm Pract 2021; Oct 13 [Epub ahead of print].
  • O’Brien KM, Badowski ME, Bartoo AS, Peppard WJ, Sharpe AR, Austin Szwak J. Determining support for and barriers to pharmacist-driven research: results of a national survey. J Am Coll Clin Pharm 2021;Sep 21 [Epub ahead of print].
  • Rech MA, Smetana K, Gurnani P, van Berkel Patel M, Hammond D, Peppard WJ, Flannery A. PHarmacist Avoidance or Reductions in Medical costs in patients presenting the EMergency department: PHARM-EM study. Crit Care Explor 2021 Apr 26;3(4):e0406.
  • Wallskog K, Lauderdale S, Peppard WJ, Kirkwood C, Taylor S, Johnston S. Inpatient perioperative utilization of intravenous acetaminophen at Vizient partner hospitals: A national survey of pharmacists. Hosp Pharm 2020 Dec;56(6):50-9. [Epub 2020 Aug 1].
  • Bou Zein Eddine S, Cooper Johnson K, Ericksen F, Brookes CC, Peppard WJ, Revolinski SL, Carver TW. Antibiotic duration and surgical site infection prevention in traumatic mandible fracture. J Surg Res. 2020 Mar;247:524-529.
  • Nanchal R, Alhazzani W, Karvellas C, Hollenberg S, Peppard WJ, Singbartl K, Truwit J, Al-Khafaji AH, Alquraini M, Alshamsi F, Belley-Cote E, Cartin-Ceba R, Dionne JC, Galusca DM, Huang DT, Hyzy RC, Junek M, Kandiah P, Killian AJ, Kumar G, Morgan R, Morris PE, Olsen J, Sieracki R, Steadman R, Taylor B, Subramanian R. Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Cardiovascular, endocrine, hematologic, pulmonary and renal consideration. Crit Care Med 2020;48:e173-e191.
  • Nanchal R, Alhazzani W, Karvellas C, Hollenberg S, Peppard WJ, Singbartl K, Truwit J, Al-Khafaji AH, Alquraini M, Alshamsi F, Belley-Cote E, Cartin-Ceba R, Dionne JC, Galusca DM, Huang DT, Hyzy RC, Junek M, Kandiah P, Killian AJ, Kumar G, Morgan R, Morris PE, Olsen J, Sieracki R, Steadman R, Taylor B, Subramanian R. Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU: Cardiovascular, endocrine, hematologic, pulmonary and renal consideration: Executive summary. Crit Care Med 2020;48:415-419.
  • Carter C, Betthauser K, Peppard WJ. Exploration of an association between UFH dosing based on estimated blood volume and venous thromboembolism and bleeding in the underweight and critically ill. Ann Pharmacother 2020;Feb 28 [Epub ahead of print].
  • Kugler NW, Juul J, Peppard WJ, Carver TW. Reply to letter: Ketamine infusion for pain control in adult patients with multiple rib fractures. J Trauma Acute Care Surg. 2019 Oct;87(4):1001-1003.
  • Patel JJ, Kozeniecki M, Peppard WJ, Peppard SR, Zellner-Jones S, Graf J, Szabo A, Heyland D. A phase III pilot randomized controlled trial comparing early trophic enteral nutrition to ‘no enteral nutrition’ in mechanically ventilated patients with septic shock. J Parenter Enteral Nutr. 2019 Sep 19. [Epub ahead of print].
  • Kugler NW, Carver TW, Juul J, Peppard WJ, Boyle K, Madsen Drescher K, Somberg L, Szabo A, Rein L, Somberg LB, Paul Js. Ketamine infusion for pain control in elderly patients with multiple rib fractures: Results of a randomized controlled trial. J Trauma Acute Care Surg. 2019 Aug 14.[Epub ahead of print]
  • Carver TW, Kugler NW, Juul J, Peppard WJ, Madsen Drescher K, Somberg L, Szabo A, Yin Z, Paul J. Ketamine infusion for pain control in adult patients with multiple rib fractures: Results of a randomized controlled trial. J Trauma Acute Care Surg 2019 Feb;86(2):181-188.
  • Mullins CF, Kugler N, Luc M, Peppard WJ, Paul LS. Adjunct ketamine infusions provide improved acute traumatic and post-surgical pain management. J Pharmacol Med Chem. 2018;2(3):36-8.
  • Lewin JJ 3rd, Cook A, Golzales C, Merola D, Neyens R, Peppard WJ, Brophy G, Kurczewski L, Giarratano M, Makii J, Rowe S, Tesoro EP, Castle A, Clark S, Ziai WC. Current practices of intraventricular antibiotic therapy in the treatment of meningitis and ventriculitis: Results from a multicenter retrospective cohort study. J Neurocrit Care. 2018 Nov 16 [Epub ahead of print].
  • Carroll T, Peppard WJ, Herrmann D, Javorsky BR, Wang TS, Patel H, Zarnecki K, Findling JW. Continuous etomidate infusion for the management of severe hypercortisolism ACTH-dependent cushing’s syndrome: validation of a standard protocol. J Endocr Soc. 2018 Oct 26;3(1):1-12.
  • Peppard WJ, Eberle D, Kugler N, Mabrey DM, Weigelt JA. Association between pre-operative cefazolin dose and surgical site infection in obese patients. Surg Infect. 2017;18(4):485-490. [Epub 2016 Dec 1].
  • Feih JT, Peppard WJ, Katz MB. Establishing pharmacist involvement on a rapid response team: A post-interventional study at an academic medical center. AJHP. 2017;74(5 S1):S10-S16.
  • Patel J, Kozeniecki M, Biesboer A, Peppard WJ, Ray AS, Thomas SJ, Jacobs ER, Nanchal R, Kumar G. Early trophic enteral nutrition is associated with improved outcomes in patients with septic shock: a retrospective review. J Intens Care Med. 2016;31(7):471-7.
  • Juul JJ, Mullins CF, Peppard WJ, Huang AM. New developments in the treatment of acute bacterial skin and skin structure infections- effective use of dalbavancin. Therapeutics and Clinical Risk Management. 2016;12:225-232.
  • Peppard WJ, Ledeboer NA. Implementation of polymerase chain reaction to rule out Clostridium difficile infection is associated with reduced empiric antibiotic duration of therapy. Hospital Pharmacy. 2014;49(7):639-643.
  • Peppard WJ, Peppard SR, Somberg L. Optimizing drug therapy in the surgical intensive care unit. Surg Clin N Amer. 2012;92(6):1573–1620.
  • Scudday T, Brasel K, Webb T, Codner P, Somberg L, Weigelt J, Herrmann D, Peppard WJ. Safety and efficacy of prophylactic anticoagulation in patients with traumatic brain injury. J Amer Coll Surg. 2011;213(1):148-153.
  • Busse KH, Oltrogge KM, Oxencis CJ, Peppard WJ. Dalbavancin: a review of its use in the treatment of gram-positive infections. Clinical Medicine Insights: Therapeutics. 2010;2:7-13.
  • Bonkowski J, Daniels AR, Peppard WJ. Role of telavancin in treatment of skin and skin structure infections. Clinical, Cosmetic Investigational Dermatology. 2010;3:127-33.
  • Peppard WJ, Daniels A, Fehrenbacher L, Winner J. Evidence based approach to the treatment of community-associated methicillin-resistant Staphylococcus aureus. Infection and Drug Resistance. 2009;2:27-40.
  • Peppard WJ, Johnston CJ, Urmanski AM. Pharmacologic options for central nervous system infections caused by resistant Gram-positive organisms. Expert Review of Anti-Infective Therapy. 2008;6(1):83-99.
  • Peppard WJ, Schuenke CD. Iclaprim, a diaminopyrimidine dihydrofolate reductase inhibitor for the potential treatment of antibiotic-resistant staphylococcal infections. Current Opinion in Investigational Drugs. 2008;9(2):210-225.
  • Herrmann DJ, Peppard WJ, Ledeboer NA, Theesfeld ML, Weigelt JA, Buechel BJ. Linezolid for the treatment of drug-resistant infections. Expert Review of Anti-Infective Therapy. 2008;6(6):825-848.
  • Lundeen SJ, Otterson MF, Binion DG, Carman ET, Peppard WJ. Clostridium difficile enteritis: An early post-operative complication in irritable bowel disease patients following colectomy. Journal of Gastrointestinal Surgery. 2007;11(2):138-142.
  • Peppard WJ, Weigelt JA. Role of linezolid for the treatment of complicated skin and soft tissue infections. Expert Review of Anti-Infective Therapy. 2006;4(3):357-366.

Invited Papers

  • Peppard WJ, Suss T. An Academic-Industry Partnership to Support Population Health Quality Improvement: A Process Map for Utilizing Scientific Partner Analytics Support. Pfizer Medical Affairs. 2022.
  • Hart M, Peppard WJ. Research Pearl: Asking Better Research Questions. SCCM CPP Newsletter 2022;22(4):16-17.
  • Peppard WJ, Kirchen G, Singh A. Statement on cannabis and chronic pain. Wisconsin Society of Anesthesiologists 2022.
  • Vizient Expert Advisory Team. Improve safety with lessons learned from opioid-related events requiring naloxone. Vizient patient safety organization safety alert. Vizient 2019. Available at:
  • Peppard WJ, Carver T, DeCleene JD. Ketamine for the management of acute pain and agitation in the ICU: Future, fiction, or just another drug-induced hallucination? Annals of Pharmacology and Pharmaceutics. 2017; 2(11):1059-60.
  • Zepke, Peppard WJ, Revolinski S. Vaccination Practices in Patients Undergoing Splenectomy Secondary to Traumatic Injury. Journal of the Pharmacy Society of Wisconsin. 2016;20(5):50-53.
  • Schlitt B, Peppard WJ. Preceptor Series: Avoiding “pimping” makes you a better preceptor. Journal of the Pharmacy Society of Wisconsin. 2016;19(4):27-29.
  • Peppard WJ. Is our antibiotic pipeline drying up? Journal of the Pharmacy Society of Wisconsin. 2011;14(1):64.
  • Peppard WJ. Dalbavancin in complicated skin and skin structure infections. Drugs. 2008;68(5):649-651.
  • Peppard WJ. Use of linezolid for treatment of complex skin infections. Hospital Pharmacy Europe. 2007;35:19-23.

Case Reports

  • Oltrogge K, Peppard WJ, Saleh M et al. Phenytoin removal by continuous venovenous hemofiltration. Ann Pharmacother. 2013;47(9):1218-1222.
  • Feih JT, Ledeboer NA, Peppard WJ. A 5 year old male with multiple pustules covering the entire scalp. J Clin Microbiol. 2014;52(4):1027,1312.
  • Feih JT, Herrmann DJ, Peppard WJ et al. Clinically significant removal of levetiracetam in a patient on continuous venovenous hemofiltration. J Case Reports in Medical Science. 2016;1(1):25-30.

Hobbies

Biking, golf, hiking, water sports, grilling/smoking, craft beer tasting and genealogy

Favorite Things to Do in Milwaukee

Attend festivals, enjoy nature and the lakefront with the family