Clinical Pharmacy Specialist - Pulmonary Clinic Pharmacist

Overview

This ambulatory pharmacist position works primarily in the Pulmonary clinic to provide pharmaceutical care services to patients with cystic fibrosis, bronchiectasis, pulmonary fibrosis, and other pulmonary conditions. Sample medications this pharmacist could work with include elexacaftor/tezacaftor/ivacaftor and nintedanib. The specialist works collaboratively with the multidisciplinary healthcare team to provide care for patients in the Pulmonary clinic and provide clinical management for medications filled at the UI Health Care Specialty Pharmacy.

Clinical management of these medications includes answering provider questions about medications, providing education on new therapies and medication devices, assisting with medication access, and answering patient questions. This pharmacist may also help in other clinics as necessary to ensure team success. The specialist also serves as a role-model/practitioner-educator for Doctor of Pharmacy students and pharmacy residents and carries out clinical practice responsibilities for the Department of Pharmaceutical Care.

• Patient Care - Participate in the provision of pharmaceutical care in select clinics
• Be present in clinics when patients are scheduled to see the clinical pharmacist and when clinical pharmacy services are required
• Complete a comprehensive patient assessment including medication history, pertinent physical assessment, and assessment of relevant laboratory values, patient interview, and an evaluation of past medical history for appropriate patients
• Work with physicians, nurses, pharmacists, and other health care providers as a member of the multi-disciplinary team
• Provide disease state management and medication therapy management services through the use of collaborative practice agreements and protocols
• Provide in-depth patient medication assessment and education
• Provide follow-up of therapeutic recommendations through telephone calls and return clinic appointments as appropriate
• Identify, evaluate, and prevent adverse drug events through appropriate interventions
• Communicate therapeutic recommendations to the health care provider
• Document relevant clinical information in electronic medical record
• Coordinate medication-planning activities including facilitation of prescription writing, patient education, coordination with family members or home health care providers, etc.
• Collaboratively address financial issues to ensure receipt of needed medications
• Provide drug information and education to health care professionals
• Serve as liaison for ambulatory pharmacy staff regarding patient medication therapy
• Evaluate patient-specific medication regimens to ensure the appropriateness of the following: indication, correct dose, route of administration, drug interactions, efficacy, adherence, dose adjustments for organ dysfunction, adverse drug reactions, potential drug misuse or abuse, use of the most cost-effective therapy, and availability of medications on the UI Health Care Formulary (if applicable)
• Provide staffing support in Specialty Pharmacy Services when needed
• Complete patient follow-up calls to address side-effects/adherence

• Develop goals and objectives for pharmacy residency programs and Doctor of Pharmacy advanced pharmacy practice and introductory pharmacy practice experiences
• Prepare and administer pharmacy student and/or resident rotation evaluations
• Participate in the formal experiential training and didactic teaching required to conduct the pharmacy residency programs and Doctor of Pharmacy advanced pharmacy practice and introductory pharmacy practice experiences
• Participate in recruiting activities for pharmacy residency programs

• Provide daily communication and follow-up to other clinical pharmacists, pharmacy areas, and other health care professionals as needed
• Provide in-service education to pharmacists as needed
• Provide in-service education to members of the health care team as needed
• Assist physicians, nurses, health care team members, and patients with medication questions, medication access and continuity of care issues

• Documentation of patient care activities in accreditation compliant manners: clinical services and patient care activities in the electronic medical record; patient assessment and therapeutic plan recommendations; medication errors and adverse drug reactions reporting; patient allergies and height/weight information as needed; medication counseling provided to patients; interventions with prescribers and other health care providers; clinic and follow-up telephone encounters; others as required

• Develop and provide new department clinical service initiatives, which may require: rotation with other specialists to support 24/7 on-call coverage (approximately 1-2 weeks per year; historically low usage); development of protocols related to prescribing, dispensing and monitoring of specialty medications;…