Pharmacy Resident Pgy1

Provide Pharmaceutical Care for patients while becoming familiar with pharmacy operations, distribution, clinical expectations and management of an institutional pharmacy.

Masters the distribution aspect of institutional practice / Medication Order Verification: Reviews /interprets medication orders from licensed prescribers or their agents, insuring that they meet the requirements of a complete medication order.

Insures that the medication and the ordered dose are appropriate for the patients condition. Assesses drug interactions, allergy alerts, duplication of therapy and potential therapeutic interactions. Obtains clarification from the prescriber for any medication order that is incomplete or that has the potential to result in a suboptimal therapeutic outcome.

Provide the prescriber with appropriate therapeutic alternatives. Performs a second verification of medication orders for pediatric patients and of chemotherapy orders.

Compounds and Dispenses Pharmaceuticals: Insures timely dispensing of appropriate quantities of the correct medication.

Supervises compounding according to USP standards, verification of ingredient compatibility, verification of content, and verification of appropriate labeling including expiration dating. Checks all medication prior to final dispensing for direct patient administration, for distribution via automated dispensing cabinets and for floorstock dispensing. Uses barcode technology when possible to insure accurate dispensing.

Supervises the repackaging of medication including verification and documentation of lot numbers, expiration dates, and the names of individuals involved in the process. Required double checks completed when appropriate to insure patients receive the correct medication in the correct dose.

Controlled Substance Accountability: Participates in and supervises the receipt, dispensing and distribution of controlled substances through the use of C-II Safe, automated dispensing system, CDARs, internal perpetual inventories, Anesthesia Stations, Anesthesia Boxes and anesthesia waste logs.

Insures inventories are accurate, reconciles anesthesia waste and participates in the resolution of controlled substance inventory discrepancies including provision of automated dispensing system activity reports to nursing. Reconciles the automated dispensing system vs. CII Safe report to insure the appropriate disposition of controlled substances to automated dispensing systems. Insures compliance with state and federal controlled substance regulations.

Therapeutic Clinical Monitoring: Using the principles of Pharmaceutical Care Actively participates in the ongoing monitoring of medication therapy in compliance with approved Collaborative Care Agreements and medication management protocols.

Directs medication therapy within the bounds defined by Collaborative Care agreements and protocols. Contacts prescribers as needed with therapeutic alternatives to optimize the patients care and yield safe, cost-effective us of medication. Documents medication therapy assessments and recommendations in the patients chart using iVents and progress notes, keeping the interdisciplinary team apprised of pharmacy related assessments and interventions. Documents clinical pharmacy activity on department specific monitoring forms to facilitate intradepartmental communication and optimize clinical activities among the pharmacy staff.

Drug Information / Staff Development: Provides accurate, adequate and timely drug information to the medical staff, nursing staff, and patients.

Serves as a mentor for Pharmacy Interns. Develops and provides education to hospital staff and patients to have a positive impact on the patient outcomes. Provides in-service education for the pharmacy staff to maintain and develop their skills and knowledge regarding pharmaceutical care.

Medication Use Safety Initiatives: Detects and reports in a timely manner variances in dispensing on internal variance report forms or in MIDAS, as appropriate.

Identifies opportunities and participates in departmental efforts to increase the safe use of medications (e.g. clear labeling, new SALA medications and Epic improvements / corrections). Identifies and reports suspected adverse drug reactions in MIDAS. Provides information that can be used to assess safe use of medication. Detects and reports medication errors in a complete, accurate and timely manner with a goal of reducing the incidence of medication errors.

Supervises and Directs Interns and Technicians: Provides active direct supervision and mentoring of Interns and Technicians as guided by ICARE values.

This includes monitoring timely completion of tasks, redirection of staff to meet patient needs and encouraging use of the AIDET model in interaction with staff, patients and visitors. Reports behavior not responsive to direct intervention to the leadership team. Participates in performance appraisals of those supervised.

Maintains Professional Competency: Maintains licensure.

Completes all departmental competency/skills assessment requirements. Maintains current knowledge of pharmacy practice to ensure accurate, up-to-date drug therapy for the patient.

Quality Improvement and Cost Management Project: Completion of a Quality Improvement project and a Cost Management Project are required components of the residency program. The purpose of these projects is to introduce the resident to formal approaches of analyzing, evaluating and improving medication-use processes, pharmacy department policy or procedure, and clinical practice.

Performs other duties as assigned.

Education, Credentials, Licenses:

• A graduate or candidate for graduation of an ACPE accredited degree program (or one in process of pursuing accreditation) or have a Foreign Pharmacy Graduate Equivalency Committee (FPGEC) certificate from the NABP
• Eligible for Pharmacist licensure in the state where work is being performed.

Specialized Knowledge:

• Problem solving and critical thinking skills

• Excellent communication skills

• Familiar with Current Best Practice Standards (ASHP)

Kind and Length of Experience:

FLSA Status:

Exempt

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