Clinical Pharmacist Inpatient - 7 on 7 off Overnights

Summary

Reports to the Pharmacy Manager, Director, or designee. This position is an overnight inpatient operations role serving as the clinical and operational pharmacy resource during overnight hours.

Responsible for 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 the respective affiliate.

Collaborates with multidisciplinary care providers to monitor, assess, recommend changes to, and optimize medication use across all inpatient care areas, including critical care and emergency response, with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).

Serves as a subject matter expert and real-time go-to resource and as the primary clinical escalation point for complex clinical situations arising overnight. Oversees and closely reviews the work of pharmacy technicians during the overnight operational period. Provides input for the development and implementation of policies and procedures for Pharmacy Services and the overnight clinical practice setting.

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

Principal Duties and Responsibilities

• Is responsible for knowing and acting in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct.
• Serves as the clinical pharmacy resource during the overnight operational period, providing real-time clinical coverage and specialist-level expertise

Reviews and interprets each order to determine completeness and therapeutic appropriateness as it relates to the patient's clinical status, concomitant drug therapy, and diet, and with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).

• Contacts the prescriber, or covering prescriber, 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 electronic health record including drug, dose, dose form, frequency, and duration of therapy. Ensures relevant patient-specific parameters are present and considered (i.e., diagnosis, known allergies, weight, age, etc.).

• Supervises work performed by pharmacy interns and technicians during the overnight shift to ensure performance standards are maintained and work is in accordance with federal, state, and organizational rules and regulations.
• Identifies, documents, resolves, monitors, and prevents drug therapy related problems, including contraindications, duplications of therapy, and drug interactions.
• 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.
• Monitors drugs and/or therapeutic classes targeted for review and implements corrective strategies to optimize drug use in compliance with clinical usage guidelines.
• Ensures compliance with target drug programs, formulary management initiatives, medication management initiatives, and adverse drug event monitoring programs.
• Participates in emergency code blue response and responds bedside to medical emergencies during overnight hours.

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 and ensures accuracy, sterility, and stability of compounded products.

• Performs sterile compounding of hazardous and non-hazardous medications and maintains required competency in accordance with established procedures.
• Performs non-sterile compounding and unit dose repacking of hazardous and non-hazardous medications and maintains required competency in accordance with established procedures.
• Effectively communicates with staff and management to facilitate the timely flow of drug information, including a structured handoff of clinical issues at the transition between overnight and day-shift teams.
• Serves as the clinical on-call during their scheduled shifts
• Performs other duties as assigned.

Minimum Qualifications

Basic Knowledge

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.

• Prior to start date, possesses current unrestricted licensure as a licensed pharmacist or as a licensed 90-day temporary pharmacist in the State of Rhode Island; obtains full licensure prior to expiration of the 90-day temporary pharmacist license, then possesses and maintains current unrestricted licensure as a licensed pharmacist in the State of Rhode Island.
• Must possess and maintain current American Heart Association Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) Certifications within 120 days of hire to fulfill emergency code blue response responsibilities as assigned.
• Advanced certification in pediatrics (either BCPPS or ASHP Pediatric Certificate) must be obtained within the 1st year of hire and maintained thereafter.

Additional information

Demonstrates knowledge and skills necessary to provide care to neonate, child, adolescent, adult, and geriatric patients with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.

Experience

Successful completion of a Post Graduate Year 1 (PGY-1) Residency from an accredited program preferred.

• National Board Certification preferred
• Clinical experience, knowledge, and development may be considered in lieu of formal training.
• Demonstrated ability to function autonomously with minimal on-site supervision during overnight and off-shift hours strongly preferred.
• Effective interpersonal and communication skills, both written and verbal, to interact appropriately with patients, families, colleagues, and others.

Knowledge of area/specialty specific technology, including, but not limited to, pharmacy information systems, automated dispensing technology, software, equipment, and automation. Experience with MS Word, Excel, Outlook, and web browsers.

Work Environment and Physical Requirements

• Extended periods of time spent standing and walking.Requires the visual and manual dexterity to operate a computer.
• Occasional travel between facilities or sites is required.

Independent Action

• Functions independently within a broad scope of departmental policies and practices.
• Refers specific complex problems to Senior Clinical Pharmacist when clarification of departmental policies and procedures may be required.
• SUPERVISORY RESPONSIBILITY: None.

Pay Range

$110,302.40-$182,000.00