Clinical Staff Pharmacist - Graduate resource

Requisition #: req7929

Shift: Varies

FTE status: 0

On-call: No

Weekends: Yes

General Summary:

The clinical staff pharmacist – graduate (RPh-G) is a pharmacist who has completed the academic requirements for licensure but has not yet passed the NABPLEX licensing exam and therefore have not been issued a State of Michigan pharmacist or controlled substance license. As such a graduate clinical staff pharmacist cannot be fully and legally responsible for pharmacy operations. RPH-G can assist with the day-to-day operations of the Pharmacy, under the direction of the Clinical Pharmacists. RPH-Gs can provide consultation to physicians, nursing staff, and patients regarding the safe, and effective use of medications in all patient populations to promote positive outcomes. RPH-Gs can provide medication education, and participate in pharmacy clinical services. RPH-Gs participate in quality initiatives involving optimal medication delivery and use.

Requirements:

• Graduate of an ACPE-accredited School of Pharmacy
• BS Pharmacy (minimum)
• Pharmacist License – Limited Educational
• Doctor of Pharmacy (PharmD) (preferred)

Essential Functions and Responsibilities:

1. Ensures safe, appropriate, cost-effective medication therapies for patients according to established policies, procedures, protocols, directives, or pharmacy operation standards.
   1. Participates in development, implementation, and maintenance of clinical pharmacy services.
   2. Participates in the development and implementation of treatment guidelines, protocols, formulary changes, policy and procedures, and critical pathways as approved by appropriate committees.
   3. Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies, and appropriateness of drug and dose
   4. Participates in pharmacokinetic (TDM- Therapeutic Dose Monitoring service) consults, renal drug intervention screening, IV to oral conversions, patient care rounds, and other patient-specific consults or interventions as assigned.
   5. Sustains the formulary by minimizing non-formulary procurements, utilizing therapeutic substitution protocols, and promoting rational drug therapy selection.
   6. Participates in the pharmacy's pharmacoeconomic efforts. Reviews the use of targeted medications for compliance with current pharmacoeconomic programs.
   7. Provides clinical consultation and clarification to practitioners. Suggests appropriate, cost-effective therapeutic alternatives to medical staff as needed.
   8. The following are daily distributive clinical pharmacist graduate functions.
      • Completes a profile review focusing on duplication, in-complete orders, interactions, interferences, or incompatibilities.
      • Prepares chemotherapy.
      • Prepares other compounded or extemporaneous medications.
      • Fills automated drug dispensing machines.
      • Fills unit dose carts.
      • Checks all pre-packaging and set-ups done by supportive personnel.
      • Fills controlled substance requests for nursing stations.
      • Restocks drug boxes for area ambulances.
      • Keeps records of controlled substances, reports discrepancies to Director of Pharmacy Services.
      • Assists in completion of annual inventory.

1. Provides education and information on pharmaceutical care and drug therapy.
   1. Provides accurate, adequate, and timely drug information to the professional staff.
   2. Provides drug information to patients and caregivers.
   3. Contributes to pharmacy newsletter(s) or other publications for physicians and other health care professionals.
   4. Supervises and instructs pharmacy students on clinical rotations.
   5. Under supervision / approval of Director or Clinical Coordinator, participates in clinical data collection, and preparation and/or presentation of drug reviews, medication use evaluations, antibiograms, adverse drug reaction reports, medication event reports, and pharmacy clinical workload reports.

1. Contributes to the quality and effective operation of the department.
   1. Works independently with minimal supervision. Organizes and prioritizes work assignments. Ensures pharmacy services or assigned work tasks are completed in a timely manner.
   2. Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy technicians. Participates in the performance appraisal of pharmacy support personnel.
   3. Participates in the monthly floor stock inspections program by completing inspection of floorstock areas as assigned in a timely manner.
   4. Keeps pharmacy areas and equipment clean, neat, safe, and well organized.
   5. Establishes productive, collaborative relationships with staff members.
   6. Assists other department personnel in completion of their duties.
   7. Answers the telephone and directs calls as necessary.
   8. Other duties as necessary.

1. Communication skills
   1. Demonstrates effective oral and written communication skills in order to provide clear, unbiased information in a positive customer service fashion by referencing, when necessary, primary literature sources, reference texts, databases, online resources, or evidence based (consensus) medicine.

1. Meetings
   1. Attends and participates Pharmacy staff meetings.
   2. Attends assigned intradepartmental structure meetings and completes assignments pursuant to those committee activities.
   3. Attends and participates in other programs, committees, meetings, and functions required by the health system or Pharmacy.

1. Safety and Quality Improvement
2. Participates in the quality improvement and medication use review activities of the Department and the Hospital to prevent adverse drug events and to promote the effective use of medications. Collects data; conducts quality monitors and inspections and maintains logs, records and other documentation as assigned. (Examples - external: LeapFrog, BCBS, ISMP, medication event reporting). These activities will be monitored via annual performance reviews.
3. Documents all clinical activities and interventions accurately and completely as assigned.
4. Detects and reports actual and potential adverse drug reactions and medication events in a timely manner, consistent with hospital medication safety policies.
5. Follows appropriate incident reporting polices as related to employees, visitors, and patients.
6. Utilizes personal protective equipment and safety precautions at all times when handling hazardous or potential infectious materials.
7. Follows policies and procedures with respect to fire and disaster drills.
8. Provides a safe environment for patients, visitors, and staff.
9. Cooperates and participates in departmental and health system quality initiatives.
10. Contributes to the improvement of services through the sharing of ideas / knowledge with supervisors and co-workers.
11. Promotes and champions the evaluation of new technologies, information, clinical services, or other mechanisms that enhance or improve the ability of the Department and Hospital as a whole to provide safe and effective pharmaceutical care.

1. Additional skills
2. Knowledgeable of software applications related to the job including:
   • Word, Excel, PowerPoint, Hospital clinical application(s), Internet browser, Information network or infrastructure security, and Governmental reporting systems (MAPS, MedWatch, VaccineWatch)
3. Knowledgeable of equipment related to the job including:
   • Copier, Fax, Telephone, Computer, Scanner, Palm or PDAs, Barcode enabled devices, Automated dispensing equipment, and Robotics