Pharmacist

Responsible for the daily provision of pharmaceutical services to the patients of HonorHealth.

Assures the appropriate selection, dosing, administration, and dispensing of medication orders.

Provides support for clinical programs and practices within the hospital as well as medication order review with accuracy; check technician-prepared products before release; maintain security of pharmacy and controlled substances; aid in the training of new staff; participate in continuous quality improvement activities, such as drug-level monitoring, adverse event monitoring and medication error reporting.

Serves in a professional capacity on unit-based decentralized teams.

Provides drug information and participate in the education of patients, staff and physician on drug therapy.

Essential functions

Serves in a professional capacity on unit-based decentralized teams when applicable. Monitors patients to assure optimal therapeutic outcomes. Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, adverse drug reactions, and appropriateness of drug and dose. Identifies and intervenes when problems involving drug therapy arise (i.e. allergies, drug interactions, therapeutic duplication, and adverse drug reactions).

Functions as a therapeutic consultant and works collaboratively with providers to provide guidance on appropriate use of medications, clinical pharmacology, pharmacokinetics, disease state management, and nutrition. Recommends evidence-based medication therapy regimens and monitoring plans. Suggests appropriate, cost-effective therapeutic alternatives to medical staff as needed.

Reads, extracts, and interprets information in patient charts accurately

Documents clinical activity/interventions as performed.

Provides pharmacokinetic consultation services as directed per protocol.

Follows and adjust medications based on patient specific factors (renal function, weight, etc.) as directed per hospital protocol.

Reviews/interpret culture and susceptibility data for antibiotic appropriateness and recommend changes as needed.

Reviews medication orders for appropriate IV to PO interchanges as directed per hospital protocol.

Evaluates need for all non-formulary medication requests and initiates approved therapeutic medications substitutions. Sustains formulary by minimizing non-formulary procurements, utilizing therapeutic ¬substitution protocols, and promoting rational drug therapy selection

Assesses total parenteral nutrition (TPN) monitoring and documentation per pharmacy guidelines and communicates therapeutic recommendations.

Acts as a consultant to healthcare professionals and patients regarding utilization of pharmaceutical therapies.

Promptly respond to inquiries with evidence-based and cost-effective therapy recommendations.

Provides direct patient interaction via bedside encounters, medication reconciliation, discharge counseling or as otherwise directed.

Promptly performs patient assessments and participate in the multidisciplinary clinical rounds on the patient care unit as directed.

Assures the quality of products dispensed meets established departmental and regulatory guidelines and that the patient receives the ordered medication as to dose, route, salt, regimen, and generic substitution.

Ensures appropriateness of all medication doses in reference to patient’s diagnosis, weight/body surface area, age, allergies, and drug interactions. Recommends initiation of drug therapy when necessary. Clarifies incomplete and unclear orders.