Clinical Pharmacy Specialist - Pharmacy IP - Tuba City Regional Health Care Corporation

Navajo Preference Employment Act :In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.Overview:

POSITION SUMMARY

The Clinical Pharmacy Specialists are responsible and accountable for the provision of safe, effective, and prompt medication therapy. Through various assignments within the department, they provide support of centralized and decentralized medication-use systems as well as deliver optimal medication therapy to patients with a broad range of disease states. Clinical Pharmacy Specialists proficiently provide direct patient-centered care and integrated pharmacy operational services in a decentralized practice setting with physicians, nurses, and other hospital personnel. These clinicians are aligned with target interdisciplinary programs and specialty services to deliver medication therapy management within specialty patient care services and to ensure pharmaceutical care programs are appropriately integrated throughout the institution. In these clinical roles, Clinical Pharmacy Specialists participate in all necessary aspects of the medication-use system while providing comprehensive and individualized pharmaceutical care to the patients in their assigned areas. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events. Clinical Pharmacy Specialists serve as departmental resources and liaisons to other departments, hospital personnel, or external groups. They also conduct clinical research and practice advancement projects as well as patient care quality and regulatory compliance initiatives designed to improve medication-use processes or pharmacy practice. Clinical Pharmacy Specialists provide medication and practice-related education/training and actively serve as preceptors for Doctor of Pharmacy Students and pharmacy residents. If applicable, participation in the quality management program is expected with the goal of improving services by monitoring processes, analyzing data, implementing interventions to improve and evaluating the effectiveness of those interventions.  Responsibilities may include working to establish and maintain long- and short-term goals for the Quality Management Program; monitoring and documenting Quality Improvement Projects for progress in meeting QI goals; and providing guidance and education to staff on Quality Management priorities and projects.

Qualifications:

NECESSARY QUALIFICATIONS

Education:

Doctor of Pharmacy; Graduate of an ACPE accredited College of Pharmacy AND Completion of ASHP accredited PGY-1 Pharmacy Residency OR three years’ experience as an inpatient clinical pharmacist (with at least one year in a critical care setting (ICU,CCU, or emergency room).

Licensure:

Must have a current valid and unrestricted license to practice as a pharmacist in a State or Territory of the United States, or the District of Columbia.

       Certification:

• Must have and maintain a current valid Basic Life Support (BLS) from the American Heart Association
• Must have and maintain a current valid ACLS certification from the American Heart Association, if none, obtain within one (1) month of employment hire date.

       Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.  All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others
• Possession of high ethical standards and no history of complaints and no prior records of substance abuse
• Reliable and dependable; reports to work as scheduled without excessive absences
• Knowledge of legal dispensing practices, federal pharmacy regulations and therapeutic incompatibilities.
• Knowledge of sterile compounding (and USP 797 regulations) and non-sterile compounding procedures.
• Knowledge of drug-drug, drug-disease state, and drug-allergy incompatibilities.
• Knowledge of pharmacology, therapeutics of common disease states and treatment modalities, pathophysiology, and pharmacokinetics.
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job 
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

 

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an   employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical: Prolonged standing; walking; sitting; talking or hearing; use hands to finger, handle, or feel; reaching with hands and arms. Intermittent bending; stooping; kneeling; crouching; or crawling; and pushing or pulling. Must be able to lift up and carry up to 25 pounds. Must have close, distant, and peripheral vision. Must have depth perception and can adjust visual focus as needed. Must be able to hear alarms, client calls, overhead calls, and instruction from physician/department staff. Must be able to repetitively use both hands. Must be able to grasp simple/light often; firm/heavy occasionally; and, use fine dexterity often.   

Mental: Must carry out daily duties and project assignments in an independent manner utilizing knowledge and experience of the section time limits, procedures, and objectives to establish individual work priorities; and the ability to communicate information and ideas in speaking/writing, so others understand.

Responsibilities:

ESSENTIAL FUNCTIONS:

1. Leads assigned patient service lines, clinical areas, and therapeutic programs.
2. Facilitates pharmaceutical care services, direct patient care programs, medication utilization systems within assigned services and care areas to assure drug utilization activities are aligned with patient care needs, evidence-based best practices, and regulatory standards.
3. Designs and implements stewardship activities and restriction/surveillance programs.
4. Tracks and evaluates assigned pharmacy programs for operational, quality, and financial efficiency and routinely benchmarks against local and national best practices.
5. Actively identifies practice related issues which require evaluation and facilitate clinical research projects, quality improvement initiatives, or healthcare provider education as needed to advance practice.
6. Develops and oversees policies and procedures for drug purchasing, drug usage, drug distribution, and drug control.
7. Assures pharmacy is an integral part of the health-care delivery system and facilitates enhancement and expansion of pharmacy services/programs.
8. Delivers direct patient care and clinical practice, including decentralized and service-based programs.
9. Maintains proficiency in decentralized pharmacy services and clinical pharmacy programs.
10. Works as an active member of multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas to provide patient-centered care.
11. Identifies high-risk patients and implements interventions to improve quality and safety.
12. Makes appropriate evidence-based, patient-centered medication recommendations.
13. Participates in the management of medical emergencies.
14. Provides discharge medication review, reconciliation, and counseling as appropriate.
15. Provides pharmaceutical services throughout medical center.
16. Maintains proficiency in hospital computer systems and medication ordering systems.
17. Provides accurate, safe, timely, and appropriate medication therapy based on patient age and needs.
18. Completes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, sub therapeutic dosage, over dosage, adverse drug reactions, drug interactions, failure to receive drugs, untreated indications, medication use without an indication, and treatment failures.
19. Communicates effectively and appropriately with healthcare providers and caregivers (physicians, nurses, etc.) and assures continuity of pharmaceutical care between shifts and among staff.
20. Actively participates in stewardship activities and restricted medication programs.
21. Provides educational in-services to staff for new medications and pharmacy services.
22. Participates in pharmacy operations and medication dispensing.
23. Maintains proficiency in and actively engages in operational programs, central dispensing pharmacies, satellite dispensing pharmacies, and specialty pharmacy areas as appropriate for job assignment.
24. Facilitates specialty medication procurement, ordering, and dispensing procedures including but not limited to chemotherapy, parenteral nutrition, controlled substances, etc. as appropriate for assignment.
25. Oversees pharmacy operations and technician practice/activities.
26. Rounds on clinical areas in the hospital and attends multi-disciplinary rounds to provide pharmacy-related input for patients’ therapeutic plans. Follow up on recommendations made and adjusts as necessary.
27. Responds to Code Blues and Level 1 traumas, provides support for dose calculation, rates of infusion, routes of administration, and mixing of emergent IV/IM/IO preparations. Plans, reviews and maintains emergency drugs for emergency situations.
28. Document all clinical activities, update problem lists, and update medication allergy information in the medical records.
29. Facilitates experiential education and practice advancement.
30. Maintains proficiency in preceptor roles and actively emulates education/mentorship skills.
31. Develops student, resident, and staff training experiences/competencies and creates new relationships for teaching and training opportunities.
32. Identifies, designs, and implements improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs.
33. Participates in pandemic and/or disaster drills that TCRHCC has elected to take part in and including responding to actual disaster events. Maintains and/or obtains any training, certification, or CE required for participation in specialized pharmacy-based clinics.
34. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. 
35. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
36. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction
37. Completes all electronic health record entries accurately and timely pertinent to patient care role.
38. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives.
39. Other duties as assigned.