Clinical Pharmacist LGH

Clinical Pharmacist (Full Time, Days, LGH)

The Clinical Pharmacist Specialist is responsible and accountable for the provision of safe, effective, and prompt medication therapy and for delivering optimal medication therapy to patients with a broad range of disease states. The Clinical Pharmacist Specialist proficiently provides direct patient-centered care in a decentralized practice setting with physicians, nurses, and other members of the healthcare team while being aligned with target interdisciplinary programs.

The care includes but is not limited to assessing patient needs, considering age and disease-specific characteristics into drug therapy and adjusting care according to patient response. They provide clinical interventions to detect, mitigate, and prevent medication adverse events. The Clinical Pharmacist Specialist serves as a departmental resource and liaison to other departments, hospital personnel, or outside groups.

• Consults with medical staff to design custom drug regimens based on specific patient parameters including weight, fluid status, renal function, liver function, and disease state that minimize drug toxicity and optimize outcomes. Recommends and monitors therapy.
• Completes critical patient monitoring and reviews patient profile to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, sub-therapeutic dosage, over dosage, adverse drug reactions, drug interactions, untreated indications, medication use without an indication, and treatment failures.
• Evaluates medication orders for appropriate indication, dose, route, strength, dosage form, and frequency of administration in relation to the medication history and current medication orders utilizing advanced clinical pharmacy knowledge.
• Formulates total parenteral nutrition based on specific patient parameters including calorie consumption, fluid status, electrolyte balance, acid-base status, organ function, and disease state; monitors daily for adjustments.
• Performs pain assessments and designs pain management care plans. Makes recommendations and monitors therapy.
• Participates in antibiotic stewardship program and other restricted medication programs.
• Communicates effectively and appropriately with caregivers and assures continuity between transitions of care.
• Delivers direct patient care and clinical practice, by working as an active member of a multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas to provide patient-centered care programs.
• Makes appropriate evidence-based, patient-centered medication recommendations.
• Responds to medical emergencies (code blue) and assists as needed.
• Facilitates pharmacy care services and medication utilization systems in assigned practice area to assure drug utilization activities are aligned with patient care needs, evidence-based best practices, and regulatory standards.
• Actively identifies practice-related issues which require evaluation and facilitates clinical research projects, quality improvement initiatives, or healthcare provider education as needed to advance practice.
• Provides instruction on pharmacotherapy to nurses, pharmacists, physicians, and other learners by speaking publicly using evidence-based literature.
• Evaluates medical literature. Performs medication use evaluations. Manages investigational drug studies.
• Facilitates experiential education and practice advancement by maintaining proficiency in preceptor roles and emulating education and mentorship skills; precepts pharmacy residents in practice area, as well as supporting longitudinal rotations and attending resident presentations.
• Develops IPPE and APPE student, resident, and staff training experiences/competencies and creates new relationships for teaching and training opportunities.
• Identifies, designs, and implements improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs.
• Provides timely and accurate drug information to prescribers and nursing personnel.
• Recognizes medication errors, adverse drug events files complete reports, analyzes causes, evaluates alternative…