Pharmacist II - Sharp Memorial Hospital - Variable Shift - Full Time

­At sites where pharmacists or technicians are involved in medication reconciliation, participates in admission and discharge reconciliation, including documentation of activities as needed. Medication Therapy Monitoring

• ­Ensures that drug regimen is consistent with all Sharp medication use guidelines and policies (or other evidence-based guidelines in the absence of Sharp-specific guidelines) which includes but is not limited to antimicrobial use guidelines, intravenous to oral, renal dosing, and serum drug concentration protocols. ­Adjusts regimens based on approved protocols and consultation with the interdisciplinary team. ­Completion of a daily profile review for each patient consisting of the following elements:
• Age, sex, height, weight, and renal/hepatic function
• Pregnancy and lactation status
• Appropriateness of the dose, route, rate, timing and frequency of administration, indication, and therapeutic duplication of all medications
• Available laboratory values and microbiology results

• Appropriateness of antimicrobial therapy regimens which may include anticipated/planned stopped dates. ­Potential drug-drug, disease-drug, food-drug interactions, or contraindications. ­Adherence with Sharp Pharmacy and Therapeutics Committee approved medication use guidelines/protocols. ­Targeted or therapeutic drug monitoring and pharmacokinetics, and adjustment of drug regimens if necessary. ­Review documented adverse drug reactions/allergies and report new occurrences. ­Review for disease progression and resolution of symptoms (e.g., pain). ­Communication of necessary information to pertinent health care providers, patients, caregivers, and encourage health promotion and prevention. ­Assesses the patient’s progression to achieving desired medication treatment goals. ­At applicable entities, demonstrates knowledge and competency of chemotherapy dosing, monitoring, and established guidelines.
• Clinical Intervention Program ­ Qualitative participation in clinical intervention program through consistent issue identification, provision of reliable best practice/literature-based recommendations, follow-through with prescribers and other clinicians. ­Quantitative work, measured by the completion and documentation of interventions consistent with the average established for each pharmacy department/shift. ­Communicates with nurses and physicians in a timely manner about therapeutic issues or problems.
• Follows up on formulary compliance issues and/or communicates issues to management. ­Documents interventions, patient contact, and multidisciplinary communication consistent with Sharp policies and procedures. ­When applicable, participates in scheduled rounds in their care area. ­Oversees Pharmacy Resident and/or PharmD student participation on rounds. ­Works collaboratively with the interdisciplinary team to maximize individual patient outcomes. ­Addresses patient specific drug information questions and documents requests promptly and professionally.
• Pharmacy Operations ­ Medications are prepared and dispensed accurately and in a timely manner in accordance with recognized standards of practice, legal and regulatory requirements, and hospital pharmacy policies and procedures. ­Assures controlled substances are dispensed with accuracy.
• Maintains integrity of all record keeping and assists with narcotic inventories as required per policy and procedures. ­Demonstrates proficiency with and utilization of automation and advances in technology (EMR System, Automated Dispensing Cabinet system (Pyxis), IV Workflow Management system (DoseEdge), physician order entry, etc.) ­Demonstrates knowledge of age specific medication delivery systems (e.g.
• NICU admixtures, NICU and pediatric oral syringes, adult TPN / TNA solutions, final admixture concentration etc.) ­Demonstrates knowledge and competency of IV Admixture / Aseptic Technique including the standards of USP 797, 800 and 795. ­As applicable, demonstrates knowledge and competency of chemotherapy preparation. ­Within entities that provide medical emergency response, participates in Code-Blue emergencies as required, mixes and labels medications as needed, and provides information. ­As applicable, understands investigational drug protocols and procedures for investigational drug research studies, implementation, administration, and record keeping. ­Participates in cost management initiatives including: managing appropriate Inventory levels to decrease staleness & wastage and keep Inventories low; reduce waste attempts to reduce expired meds and use short dated items before they expire, etc.
• Borrow loan paperwork complete. ­Oversees pharmacy operations and provides direction to Pharmacist Residents, Pharmacist Interns, Pharmacy Technicians, and other non-licensed personnel.
• Safe Medication Practice, Regulatory, and Quality Improvement ­Knowledge of and active participation in concurrent medication safety event (MSE) monitoring programs, as demonstrated by interventions and RL submissions. ­Qualitative work demonstrates thoughtful and thorough identification, evaluation and analysis of medication safety events.
• Performs initial analysis of MSE's and assists in the research and identification causative factors of events.
• Performs non-voluntary monitoring (i.e. trigger reports, harm monitors, alerting orders). ­Participates in ongoing data collection for medication use evaluations (MUE) as assigned. ­Completes monthly assigned nursing unit / drug storage area inspections on time.
• Completes paperwork including inspection log, documents discrepancies, and makes recommendations for improvement.
• Brings critical issues to the attention of management. ­Ensures security of medication storage and compliance with Medication Management (MM) standards (i.e. all meds are labeled, patient own meds are checked, bedside medications have associated physician orders, no expired meds, and the physical security of medications is maintained). ­Assure compliance with hospital, integrated health system and department policies and procedures. ­Monitor compliance with state and federal laws and regulations related to the practice of pharmacy as well as standards and regulations for other regulatory agencies. ­Participate in assigned department, hospital, and health-system committees or projects.
• Communication and teamwork

• ­Customer Service/Interdepartmental Relations (with external customers outside of the pharmacy department):
• Answers phone in timely, friendly manner, stating department, name, and title
• Fosters positive relationships through consistent, respectful, professional interactions with customers
• Responds to requests in timely, caring manner that is consistent with Sharp behavior standards, (i.e. attitude)

­Operational Services (dealing with internal customers with pharmacy department)

• Clearly communicates goals and instructions to other staff members
• Provides relevant handoffs between shifts (written/oral)

­Effectively intercepts and troubleshoots problems, as demonstrated by effective problem solving, prioritization of issues with respect to level of significance and impact to patient care, safety, workflow, and communication. ­When faced with complex situations, has knowledge of and applies the appropriate policies and procedures including but not limited to Chain of Command escalation. ­Effectively evaluates ongoing workflow issues and directs daily workload to achieve efficiency and maximize resource utilization as business needs require. ­Attends and participates in staff meetings or reviews staff meeting communications. ­Reads work related email at a minimum on assigned workdays, responding in a professional and reasonable timeframe. Training and mentoring ­ Active in personal continuing education and professional development. ­Orients and trains new pharmacy staff as assigned. ­Provides direction and precepts pharmacist residents and interns as assigned.