Clinical Pharmacist - Remote Services

SUMMARY

Reports to the Pharmacist-in-Charge. Under general supervision of a Pharmacy Supervisor is responsible for remote services which includes the interpretation, evaluation, preparation and dispensing of medications pursuant to a legitimate order in keeping with established policies, procedures, and standards of practice and scope of pharmacy services of all Brown University Health (Brown Health) affiliates. Collaborates with multidisciplinary care providers to monitor, assess, and intervene as needed to ensure safe, appropriate, and cost-effective medication use.

Oversees and reviews the work of pharmacy technicians and ancillary support personnel as applicable. Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.

The core Success Factors include:
Instill Trust and Value Differences;
Patient and Community Focus and Collaborate.

• Establishes and maintains compliance with Brown University Health’s Flexible Work Arrangements Guidelines and Forms.
• Receives patient medication orders remotely when entered into the electronic health record (EHR) by a provider. Reviews and interprets each order to determine completeness, therapeutic appropriateness as it relates to the patient’s clinical status, concomitant drug therapy and diet, and with consideration of the aging processes and developmental stages (neonate, child, adolescent, adult, geriatric). Contacts the provider, or covering provider, as necessary to initiate appropriate interventions to ensure therapeutic efficacy, minimize potential risks of drug therapy, and optimize cost effectiveness.
• Applies pharmacotherapeutic and pharmacokinetic principles to ensure safe and effective use of medications for the patient populations served.
• Provides drug information and consultation to prescribers, nurses, and other health care professionals regarding appropriate drug therapy, including drug interactions, side effects, incompatibilities, allergies, medication order discrepancies, drug stability problems, and drug administration.
• Proactively reviews and approves medication orders in the EHR including drug, dose, dose form, frequency, and duration of therapy.
• Ensures relevant patient‑specific parameters are present in the EHR and considers (i.e., diagnosis, known allergies, weight, age, etc.).
• Identifies, documents, resolves, monitors, and prevents drug therapy–related problems, including contraindications, duplications of therapy, and drug interactions.
• Engages with other clinical pharmacists or clinical pharmacist specialists for complex clinical situations.
• Integrates patient‑focused medication therapy management and pharmaceutical care in accordance with established clinical pathways or guidelines.
• Participates in prospective and retrospective pharmacokinetic dosing and monitoring of selected medications and recommends dose adjustments and laboratory monitoring as required.
• Ensures compliance with target drug programs, formulary management initiatives, medication management initiatives, and adverse drug event monitoring programs.
• Documents and reports all clinical interventions, medication errors, near misses, and adverse drug events in accordance with established protocols.
• Remotely reviews and approves formulations for sterile products requiring compounding or manipulation prior to dispensing. In accordance with established procedures, completes in‑process and final checks for medications prepared by pharmacy technicians. Ensures accuracy, sterility, and stability of compounded products.
• Participates in continuous quality improvement activities and total quality management initiatives, including, but not limited to, adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs.
• Maintains professional competence through participation in pharmacy staff development and…