Clinical Pharmacist- Specialty Pharmacy and Ambulatory Care

Position Duties

• Provides Therapeutic Drug Monitoring (TDM) on clinic-administered medications and take-home prescription orders.
• Completes a comprehensive patient assessment which includes evaluation of the patient’s medications, and an evaluation of the patient’s medical history.
• Evaluates all prescription orders to ensure the appropriateness of the following:
• Indication for use
• Dose
• Route of administration
• Drug interactions
• Dose adjustments for organ dysfunction
• Physical and therapeutic incompatibilities
• Drug-induced side effects and adverse reactions
• Potential drug misuse or abuse
• Use of the most cost-effective therapy
• Duplicate therapy
• Ensures pharmacokinetic assessment of drug dosing on targeted patients through:
• Clinical assessment of patients and desired therapeutic endpoints
• Preparation of formal dosing recommendations
• Communicates with prescribers about patient medication needs.
• Conducts review of patient profiles and updates as needed based upon findings at time of patient visit.
• Provides appropriate drug information to other healthcare professionals.
• Confirms/clarifies (assesses) all patient drug allergies noted in the medical record.
• Participates in collecting and documenting medication histories on patients.
• Evaluates patient compliance with prescribed medication therapy and identifies problems that may lead to partial or noncompliance.
• Utilizes appropriate resources and coordinates the resolution of financial concerns/burdens with department financial counselors.
• Documents All Patient Care Activities Performed
• Patient drug allergies and patient-specific height and weight information.
• MEDICATIONS HISTORY
• MEDICATION COUNSELING TO PATIENTS.
• INTERVENTIONS WITH PRESCRIBERS AND OTHER HEALTHCARE PROVIDERS.
• PATIENT INTERACTIONS – THOSE THAT OCCUR IN THE CLINIC AND WHEN THE PATIENT IS LOCATED ELSEWHERE (E.G., AT HOME, AS AN INPATIENT, IN THE AMBULATORY CARE PHARMACY).
• DOSE RECOMMENDATIONS MADE TO PRESCRIBERS.
• DRUG USE EVALUATION PROGRAM ACTIVITIES.
• STEPS TAKEN TO IDENTIFY, EVALUATE, OR AVOID ADVERSE DRUG REACTIONS.
• Covers Operational Initiatives Which Lead to Enhanced Patient Care Services
• Follows-up on any medication system problems, such as:
• Unclear or inappropriate prescription orders
• Cost effective drug therapy
• Prescription for non-formulary products
• Carries out, as appropriate, Medication Use Evaluation Program initiatives through active prescriber intervention and education.
• Serves on intra- and interdepartmental committees, task forces, and teams as required.
• Facilitates completion of monthly clinic audits as assigned by the supervisor.
• Follows-up on any medication system problems, such as:
• Unclear or inappropriate prescription orders
• Cost effective drug therapy
• Prescription for non-formulary products
• Facilitates Educational Services
• Serving as preceptor for pharmacy students and pharmacy residents.
• Presenting inservice educational programs to staff nurses, physicians, and other colleagues on the healthcare team.
• Presenting at and/or participating in other educational programs sponsored by the Department of Pharmaceutical Care, the College of Pharmacy, other UI Health Care or UI departments, and state and national organizations.
• Conducting educational classes for pharmacy students and pharmacy residents.
• Conducting patient education classes about the proper use of medications.
• Serving as mentor and role model for other pharmacist practitioners within the department, particularly those who provide ambulatory care services.
• Facilitates Transitions of Care
• The ambulatory care clinical pharmacist participates in the facilitation of patient transfer from the inpatient to the outpatient setting. Part of the responsibility involves the bedside delivery of discharge medications directly to the patient to provide appropriate medication education at the point of care to expedite the discharge process.
• Participates in Research
• The ambulatory care clinical pharmacist may participate in research activities, including providing support for Investigational Drug Service prescriptions and orders. This research may take many forms, including developmental, evaluative, and/or clinical research. It may be intradepartmental or interdisciplinary in format. The presentation and/or publication of research findings are encouraged.

Education Requirements

• PharmD (Doctor of Pharmacy) degree or Bachelor of Science in Pharmacy

Experience Requirements

• One (1) year of applicable pharmacy experience is required. Prior work or student rotational experience may be considered as relevant
• Immunization certification
• Current licensure by the Iowa Board of Pharmacy Examiners is required. Includes those eligible for obtaining this licensure.
• Excellent written and verbal communication skills
• Professional experience working effectively with individuals from a variety of backgrounds and perspectives.

Desired Qualifications

• Adequate training to Specialty Pharmacy and Ambulatory Care Pharmacy areas will be provided
• Completion of an ASHP accredited PGY1 Residency
• Health system pharmacy experience
• Specialty Pharmacy experience
• Clinic order experience
• Non-sterile compounding experience
• Board certification in Ambulatory Care, Pharmacotherapy, Oncology, Certification in Specialty Pharmacy or other pertinent area.