General Summary

Under limited supervision, provides a high level of direct patient care pharmacy services for an assigned, specialized pediatric intensive care patient population to assure adequate patient care according to professional standards and practices. Lead pharmacy specialist for the pediatric infectious diseases Stewardship team, advising and reviewing appropriate therapy in pediatric patients. Advises/consults with patients and their families and the medical and nursing staff. Participates in research and drug use and outcome management programs within specialty area; responsible for publishing data or giving presentations at local, regional or national meetings; instructs and trains pharmacy residents and students; Acts as a mentor to clinical pharmacists.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Clinical Pharmacy Services

• Participates in direct patient care with the pediatric infectious disease and pediatric intensive care team.
• Develops pediatric stewardship guidelines with the pediatric infectious disease team, aligning with the adult stewardship guidelines for appropriate pharmacotherapy regimens.
• Assists with therapeutic decisions such as drug product selection, drug dosing and therapeutic drug monitoring.
• Develops patient care plans in concert with the medical team.
• Recommends therapy or alternative approaches based on interpretation of relevant medical literature and clinical experience.
• Makes verbal or written recommendations in a clear, succinct and appropriate manner.
• Considers age, weight and organ function (e.g. renal, hepatic) when evaluating patients and patient’s therapies when making recommendations.
• Interviews patients and conducts physical assessments to determine medical history, previous medication condition and response to therapy.
• Interprets laboratory and other patient-specific data to develop treatment plans and to monitor response to therapy.
• Applies pharmacokinetic principles in order to achieve efficacious, safe and economical pharmacotherapeutic regimens.
• Responds to therapeutic queries posed by physicians and other healthcare providers.
• Identifies and corrects drug-related problems such as complications resulting from drug therapy (ineffective therapy, allergic reactions and adverse drug reactions).
• Establishes procedures for detecting significant drug-drug, drug-laboratory and drug-food interactions. Makes recommendations to avoid such interactions.
• Performs basic cardiac life support and participates in drug therapy management during medical emergencies.
• Ensures a continuum of care by cooperating with other health professionals and outside health organizations.
• Counsels patients and/or caregiver as to the proper administration, potential adverse reactions, storage of medications, etc.

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• A Bachelor of Pharmacy from a college or university accredited by the American Association of Colleges of Pharmacy is required. Master of Science, PhD or Doctor of Pharmacy from a college or university accredited by the American Association of Colleges of Pharmacy is preferred. A minimum of 5 years of clinical pharmacy experience required with Bachelor’s degree.
• Licensure by the Maryland State Board of Pharmacy is required.
• Completion of a Pharmacy Practice Residency or a minimum of three (3) years of clinical pharmacy experience is required. Completion of a Specialty Residency in pediatrics is required. The five (5) years of substituted clinical pharmacy experience noted in #1 would be in addition to the three (3) years experience noted here.
• Certification from the Board of Pharmaceutical Specialties is preferred. If specific practice involves the Anticoagulation Clinic, certification as a Anticoagulation Provider is preferred.
• Knowledge of personal computer operation and applications, such as spreadsheet database manager and word processing.
• Demonstrated ability to affect pharmaceutical care outcomes.
• Demonstrated ability to plan, organize, complete and evaluate assignments and projects of their own and others where delegation is required.
• Ability to stand for extended periods of time while performing pharmacy service duties. Occasional lifting of supplies and equipment may be required.
• Highly effective written and verbal communication skills are necessary to work with clinical, upper management, administrative and other personnel from multiple Medical Center Departments.

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