Clinical Pharmacist

The Clinical Pharmacist is responsible for providing optimal pharmaceutical care on a daily basis. Develops, implements, and maintains systems that promote desirable patient outcomes through the use of safe and cost effective drug therapies.

• Monitors drug therapies, drug-herb interactions, regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and doses. Interprets medications orders (verbal and written) and transcribes to computerized patient medication profiles. Maintains and reconciles accurate, complete patient medication profiles. Sustains the formulary by minimizing non-formulary procurements, utilizing therapeutic substitution protocols, and promoting rational drug therapy selection.
• Reviews/interprets lab data related to therapeutic drug monitoring. Detects and reports and documents suspected adverse drug reactions. Reviews medications which are renally-excreted and determine whether drug dosages are appropriate based on patients’ renal function. Documents all clinical activities and interventions accurately and completely.
• Provides accurate, adequate and timely drug information to the professional staff. Provides clinical consultation and clarification to practitioners. Suggests appropriate, cost effective therapeutic alternatives to medical staff.
• Coordinates and supervises the direct support personnel.
• Performs all other related duties as assigned.

• Provides optimal medication therapy for the prevention and treatment of disease by applying evidence-based therapeutic guidelines. Thoroughly reviews and assesses patients’ medication regimen in order to identify, resolve, and prevent medication-related problems and assist patients in getting the best outcomes from medications. Review includes, but is not limited to, dosing, age‑specific considerations, pharmacokinetics, antibiotic management, therapeutic drug monitoring, and core‑measure compliance.
  
  Makes appropriate recommendations to providers. Documents all clinical activities and interventions accurately and completely. Attends Clinical Rounds when applicable.
• Serves as a primary source of scientifically‑valid drug information and advice regarding the safe, appropriate and cost‑effective use of medications. Researches and reviews medical literature. Supports graduate medical education by attending cases/didactic activities with the residency staff as assigned. Maintains current knowledge of new developments in drug therapy.
• Interprets and maintains medication orders and transcribes to patient medication profiles.
• Interacts with patients, family, and other healthcare providers as appropriate to assure continuity of services and to achieve desired patient outcomes through safe, timely, cost-effective medication therapy.
• Performs all other related duties as assigned.
• Oversees the preparation and storage of sterile preparations for inpatients and outpatients in the Outpatient Infusion Unit. Ensures compounded sterile preparations are prepared accurately and safely in accordance with USP 797 requirements, professional standards of practice, and laws, rules and regulations. Manages the preparation, storage and handling of hazardous materials, including spills.
• Provides optimization of parenteral nutrition in conjunction with nutrition services by daily review of parenteral nutrition orders for appropriateness and safety by monitoring pertinent lab values, osmolarity, and other pertinent parameters. Makes recommendations to prescibers in order to optimize therapy.
• Optimizes chemotherapy regimens by reviewing the regimen for indication, dose, route, preparation, and adjuvant medications including hydration. Monitors concomitant medications for drug interactions with the chemotherapy regimen. Monitors laboratory values as needed to evaluation for toxicity. Oversees accurate and safe preparation of chemotherapy.
• Oversees the dispensing of sterile products from IV services, and directly supervise support staff. Works with the Inventory Manager to ensure proper…