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Rachel F. Schult, Pharm.D.

Rachel F. Schult, Pharm.D.

she/her/hers

Contact

Call Center (585) 276-3000

About Me

Professional Background

Dr. Schult received her Doctor of Pharmacy degree from the University of Rhode Island and completed a Clinical Toxicology Fellowship at the Florida/USVI Poison Information Center – Jacksonville. She practices at the University of Rochester Medical Center in Rochester, NY as a Clinical Pharmacy Speci...
Dr. Schult received her Doctor of Pharmacy degree from the University of Rhode Island and completed a Clinical Toxicology Fellowship at the Florida/USVI Poison Information Center – Jacksonville. She practices at the University of Rochester Medical Center in Rochester, NY as a Clinical Pharmacy Specialist in Toxicology and is an Assistant Professor in the Department of Emergency Medicine at URMC. Additionally, she serves as a Consultant Toxicologist for the Upstate New York Poison Center in Syracuse, NY. Her clinical practice includes working alongside the bedside toxicology consult service and as a clinical pharmacist in the emergency department where she provides toxicology and pharmacotherapy education to a variety of clinicians and trainees. Dr. Schult also serves as faculty for the medical and clinical toxicology fellowship programs at the Upstate New York Poison Center and coordinates the toxicology learning experience for the medical and pharmacy trainees at URMC. Recently she was co-Chairman of the ED Opioid Task Force and had an active role on the enterprise-wide Opioid Task Force. In 2017 she was honored with the New York State Chapter of the American College of Clinical Pharmacy Clinical Practitioner of the Year Award and in 2018 with an American Society of Health-System Pharmacists Best Practices Award in Health-System Pharmacy. She is active in the American Academy of Clinical Toxicology (AACT) and is credentialed and board certified by the American Board of Applied Toxicology (ABAT).

Faculty Appointments

Adjunct Assistant Professor - Department of Emergency Medicine (SMD)

Credentials

Post-doctoral Training & Residency

Clinical Toxicology Fellowship | Florida/USVI Poison Information Center - Jacksonville 2011 - 2013

Education

Pharm.D. | University of Rhode Island. Pharmacy. 2011

Awards

Health Care Achievement Awards - Health Care Staff. 2019

Lean Excellence Awards – Most Valuable Practitioner (ED opioid reduction). 2018

Best Practices Award in Health-System Pharmacy (ED opioid reduction). 2018

Clinical Practitioner of the Year. 2017

Publications

Journal Articles

Profound Hyperthermia Associated With Fentanyl and Cocaine Use With Suspected Synephrine Adulteration.

Choe AJ, Ellison R, Ramaswamy SR, Schult RF, Gerona R, Nacca N

The Journal of emergency medicine.. 2023 February 11 Epub 02/11/2023.

Evaluation of high-dose insulin/euglycemia therapy for suspected ?-blocker or calcium channel blocker overdose following guideline implementation.

Schult RF, Nacca N, Grannell TL, Jorgensen RM, Acquisto NM

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.. 2021 November 19 Epub 11/19/2021.

Experience with lower dose flumazenil at an academic medical center.

Schult RF, Omar D, Wiegand TJ, Gordetsky RM, Acquisto NM

The American journal of emergency medicine.. 2021 February 5 Epub 02/05/2021.

Emergency Medicine Intern Education for Best Practices in Opioid Prescribing.

Lowy R, Bodkin RP, Schult R, McCann M, Jones CMC, Acquisto NM

The western journal of emergency medicine.. 2020 December 1622 (2):297-300. Epub 12/16/2020.

Emergency department analgesia in patients with traumatic injuries on outpatient buprenorphine.

Chee-How EL, Acquisto NM, Iuppa Melaragno J, Kokanovich K, Foster J, Schult RF

The American journal of emergency medicine.. 2020 May 22 Epub 05/22/2020.

Kratom Adulterated with Phenylethylamine and Associated Intracerebral Hemorrhage: Linking Toxicologists and Public Health Officials to Identify Dangerous Adulterants.

Nacca N, Schult RF, Li L, Spink DC, Ginsberg G, Navarette K, Marraffa J

Journal of medical toxicology : official journal of the American College of Medical Toxicology.. 2020 January 16 (1):71-74. Epub 11/11/2019.

Citalopram overdose and severe serotonin syndrome in an intermediate metabolizing patient.

Schult RF, Morris AJ, Picard L, Wiegand TJ

The American journal of emergency medicine.. 2019 October 37 (10):1993.e5-1993.e6. Epub 06/21/2019.

Effect of pharmacist-led task force to reduce opioid prescribing in the emergency department.

Acquisto NM, Schult RF, Sarnoski-Roberts S, Wilmarth J, Jones CM, McCann M, Dolce R, Stott R, Noble M, Davis C, Springer H, Kamali MF, Miglani A

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.. 2019 September 16 Epub 09/16/2019.

Nacca et al. In Reply to McCann et al.

Nacca N, Schult R

The Journal of emergency medicine.. 2019 September 57 (3):397-398. Epub 1900 01 01.

Prostaglandin E1 overdose in a term neonate with congenital heart disease.

Gorodetsky RM, Toole BM, Schult RF, Wiegand TJ

Clinical toxicology : the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists.. 2019 June 57 (6):420-421. Epub 11/17/2018.

Amphetamine and Clonidine Toxicity Resulting in Posterior Reversible Encephalopathy Syndrome.

Minhaj FS, Schult RF, Dvorak P, Nacca N

Pediatric emergency care.. 2019 April 9 Epub 04/09/2019.

Validation of the Poisoning Severity Score (PSS) in suicidal behavior by self-poisoning.

Conner KR, Wiegand TJ, Gorodetsky R, Schult R, Pizzarello E, Kaukeinen K

Behavioral sciences & the law.. 2019 February 7 Epub 02/07/2019.

Coma, Seizures, Atrioventricular Block, and Hypoglycemia in an ADB-FUBINACA Body-Packer.

Nacca N, Schult R, Loflin R, Weltler A, Gorodetsky R, Kacinko S, Moran J, Krotulski A, Wiegand T

The Journal of emergency medicine.. 2018 December 55 (6):788-791. Epub 10/05/2018.

Prescription-, Illicit-, and Self-Harm Opioid Overdose Cases Treated in Hospital.

Conner KR, Wiegand TJ, Kaukeinen K, Gorodetsky R, Schult R, Heavey SC

Journal of studies on alcohol and drugs.. 2018 November 79 (6):893-898. Epub 1900 01 01.

Intravenous lidocaine for renal colic in the emergency department (ED).

Makhoul T, Kelly G, Schult RF, Acquisto NM

The American journal of emergency medicine.. 2018 August 23 Epub 08/23/2018.

A Case of Nebulized Naloxone Use With Confirmatory Serum Naloxone Concentrations.

Minhaj FS, Schult RF, Fields A, Wiegand TJ

The Annals of pharmacotherapy.. 2018 May 52 (5):495-496. Epub 01/10/2018.

Poisoning Severity Associated with a Range of Medications in Suicide Attempts by Ingestion.

Conner KR, Wiegand TJ, Gorodetsky R, Schult RF, Kaukeinen K

Suicide & life-threatening behavior.. 2018 April 25 Epub 04/25/2018.

Physostigmine use in Clozapine Intoxication from Adulterated Heroin: An atypical toxidrome with an effective antidote.

Grenga P; Schult RF; Wiegand TJ.

Toxicology Communications. 2018; 2(1): 53-55.

Pregabalin and paradoxical reaction of seizures in a large overdose.

Slocum GW; Schult RF; Gorodetsky RM; Wiegand TJ; Kamali M; Acquisto NM.

Toxicology Communications. 2018; 2(1): 19-20.

Acute Intoxication following Dimethyltryptamine Ingestion.

Bilhimer MH, Schult RF, Higgs KV, Wiegand TJ, Gorodetsky RM, Acquisto NM

Case reports in emergency medicine.. 2018 2018 :3452691. Epub 02/27/2018.

Chronic diphenhydramine abuse and withdrawal: A diagnostic challenge.

Saran JS, Barbano RL, Schult R, Wiegand TJ, Selioutski O

Neurology. Clinical practice.. 2017 October 7 (5):439-441. Epub 1900 01 01.

Phentolamine for treatment of lisdexamfetamine toxicity with delayed stimulant effects.

Schult RF; Ciriello DN; Schranz EK; Malnoske M; Wiegand TJ.

Asia Pacific Journal of Medical Toxicology. 2017; 6(4): 129-131.

A Case of Lionfish Envenomation Presenting to an Inland Emergency Department.

Schult RF, Acquisto NM, Stair CK, Wiegand TJ

Case reports in emergency medicine.. 2017 2017 :5893563. Epub 08/13/2017.

Extracorporeal Membrane Oxygenation (ECMO) for Severe Toxicological Exposures: Review of the Toxicology Investigators Consortium (ToxIC).

Wang GS, Levitan R, Wiegand TJ, Lowry J, Schult RF, Yin S,

Journal of medical toxicology : official journal of the American College of Medical Toxicology.. 2016 March 12 (1):95-9. Epub 1900 01 01.

Books

Cardiology Self-Assessment Program (CardSAP) (2020)

Chapter: Toxicology of Cardiovascular Drugs.

Authors: Schult RF, Acquisto NM

Publisher: American College of Clinical Pharmacy 2020

Critical Care Self-Assessment Program (CCSAP) (2018)

Chapter: Acetaminophen and Aspirin

Authors: Schult RF, Acquisto NM

Publisher: American College of Clinical Pharmacy 2018