Clinical Pharmacist Ambulatory

SUMMARY

Reports to Director Brown University Health Pharmacy, Director Specialty Pharmacy, or Ambulatory Manager as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical Pharmacist Specialist, or Clinical Coordinator is responsible for the interpretation, evaluation, preparation, and dispensing of medications pursuant to a legitimate order or prescription in keeping with established policies, procedures, standards of practice, and scope of pharmacy ambulatory services.

Collaborates with multidisciplinary care providers to monitor, assess, and intervene as needed to ensure safe, appropriate, and cost-effective medication use. Oversees and closely reviews the work of pharmacy technicians, pharmacy interns, and ancillary support personnel. 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.

Applies pharmacotherapeutic and pharmacokinetic principles to ensure safe and effective use of medications for the patient populations served. Ensures pharmacy services in area of practice are provided in accordance with established policies and procedures and federal and state rules and regulations. Receives patient medication orders or prescriptions from practitioners in the outpatient setting. Reviews each order or prescription to determine therapeutic appropriateness of the patient's drug regimen as it relates to the patient's clinical status, concomitant drug therapy, and diet with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).

Contacts the prescriber, or covering practitioner, as necessary to initiate appropriate interventions to maximize therapeutic efficacy, minimize potential drug therapy risks, and optimize cost effectiveness. Provides optimal patient care by removing barriers to medication access. Fosters the growth of Brown University Health Pharmacy through patient recruitment. Provides education and instruction on use of medications to patients and their families, as required.

Provides accurate and comprehensive information about drugs including drug interactions, potential side effects or adverse reactions, incompatibilities, and instructions for administration, to physicians, nurses, and other healthcare practitioners. Participates in education and training of healthcare practitioners, physicians, nurses, pharmacy interns, pharmacy technicians, pharmacy students, and other care providers on matters relevant to medication use. May serve as a preceptor to pharmacy residents and interns.

Participates in continuous quality assessment and improvement activities and total quality management initiatives, including, but not limited to the adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs. Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, ongoing independent study, education-related professional activities, and affiliations. Performs immunizations or medication administrations in accordance with Rhode Island Board of Pharmacy Rules and Regulations, dependent on specific position and responsibilities.

Performs other duties as assigned. i Specific Retail and Specialty Pharmacy Responsibilities:
Reviews, approves, and enters medication orders in the computerized pharmacy information system including appropriate product formulation, dosage, frequency, and duration of therapy. Ensures relevant patient specific parameters are included on the patient's medication profile (i.e., diagnosis, known allergies, weight, age, etc.). Reviews and approves all medication orders and patient specific parameter computer entries if delegated to technician staff. Dispenses ordered medications in the appropriate quantity to ensure patient receives the correct medication, in the right dosage and dose form, at the proper time.

Reviews and approves formulations for medications requiring compounding or manipulation prior to dispensing. Checks the final product prior to dispensing medication, if preparation is delegated to technician staff, in accordance with established procedures. Maintains appropriate documentation and retains records regarding drug purchasing, storage, preparation, and distribution in accordance with established policies and procedures and existing federal and state rules and regulations.

i Additional Specific Specialty Pharmacy Responsibilities:
Adheres to the policies and procedures of the Specialty Drug Patient Management…