About The Position

The Advanced Clinical Staff Pharmacist provides inpatient pharmacy and clinical services under the general direction of the Systems Director Pharmacy. The role is responsible for medication order entry and verification, dispensing, compounding, labeling, storage, patient and staff education, and safe medication use. The pharmacist monitors drug therapy, documents clinical interventions, contributes to patient care plans, coordinates transitions of care, responds to clinical codes and emergencies, and supervises, trains, and evaluates pharmacy technicians, students, and residents. The advanced pharmacist demonstrates advanced clinical skills through formal education and Board of Pharmacy Specialties certification or other advanced practice credentials. They are proficient across clinical assignments and routinely care for complex patients or work in specialty areas such as the ED, ICU, CSC, ASP, Ambulatory Care, or heart failure clinics. The role maintains ACLS and PALS credentials and contributes to pharmacy knowledge and practice through research, education, quality improvement, committee work, and professional service. The pharmacist leads or participates in medication-use evaluations, clinical and operational projects, performance improvement, and multidisciplinary initiatives. They educate and precept residents or APPE students, orient and train pharmacists and residents, assess competency, provide feedback, and support compliance with medication management standards and organizational policies. They also contribute to medication safety, evidence-based practice, order sets, protocols, and departmental operational effectiveness. The position involves limited office and storage space, a small work area, deadline and regulatory pressures, occasional prolonged stationary work and movement around the unit, and some movement or positioning of supplies and equipment. The pharmacist may prepare and deliver chemotherapy agents, must be able to move or position 25 pounds independently, may encounter blood or body fluids during code responses, and handles, prepares, and disposes of hazardous medications that may pose reproductive risks. Regular contacts include pharmacy colleagues, nurses, physicians, and other hospital associates.

Requirements

  • Advanced clinical competencies, certifications, or credentials sufficient for proficiency in inpatient assignments such as ED, ICU, and CSC, or specialty areas requiring training such as ASP or Ambulatory Care.
  • Board of Pharmacy Specialties (BPS) certification or advanced practice credentials demonstrating advanced clinical skills or knowledge.
  • PGY1 residency training or three years of experience as a clinical pharmacist in an acute-care hospital setting.
  • Community-based faculty appointment with a College of Pharmacy for precepting pharmacy students, or EMRMC Residency preceptor status.
  • Maintain ACLS and PALS advanced training credentials.
  • Meet applicable ASHP PGY1 residency preceptor requirements or university and EMH APPE preceptor requirements, and submit an annual preceptor development plan.
  • Ability to move or position 25 pounds independently.
  • Knowledge of medication management, medication safety, applicable regulations, and organizational policies and procedures.

Nice To Haves

  • Hospital pharmacy experience with IV admixture, code response, kinetic dosing, automated dispensing cabinets, and computer applications is highly recommended.
  • Theradoc experience is advantageous.
  • Informatics or clinical decision support application experience is advantageous.
  • Specialty certifications or peer-based organizational service and recognition for expanded scope of practice are required for some advanced clinical services.

Responsibilities

  • Enter or verify medication orders in the electronic medical record and clarify unclear, ambiguous, illegible, or inappropriate orders.
  • Compound, label, dispense, store, and manage medications, including non-sterile, sterile, parenteral, hazardous, and admixture products; handle hazardous waste appropriately.
  • Monitor medication therapy for interactions, suboptimal treatment, dosage needs, contraindications, and safety; document interventions and communicate recommendations to providers.
  • Provide clinical pharmacy consultations for dosing, monitoring, and drug selection, and adjust medication regimens within approved protocols and scope of practice.
  • Respond to clinical codes, alerts, and emergencies.
  • Maintain ACLS and PALS advanced training credentials.
  • Conduct medication reconciliation at admission, transfer, and discharge, and coordinate safe transitions of care.
  • Complete at least one medication-use evaluation annually and precept residents or APPE students in the evaluation and reporting process.
  • Participate in pharmacy clinical or operational roundtables, lead at least one project annually, and collaborate on at least two additional projects annually.
  • Participate in performance-improvement data collection, analysis, reporting, and initiatives that affect outcomes and quality.
  • Represent pharmacy on at least one multidisciplinary or medical staff committee and facilitate evidence-based practice initiatives, order sets, quality metrics, and best-practice policies.
  • Provide annual educational events such as staff in-services, skills fairs, or continuing-education programs.
  • Precept EMRMC PGY1 residents for at least six weeks per year or serve as a voluntary college of pharmacy APPE preceptor for at least three blocks per year; submit the required annual preceptor development plan.
  • Orient and train new pharmacists or residents, assess competency, provide constructive feedback, and perform performance evaluations.
  • Support Joint Commission survey readiness and compliance with medication-management standards, laws, regulations, policies, and procedures.
  • Conduct or contribute to drug-safety assessments, including diversion investigations, sentinel-event gap analyses, mock surveys, prospective FMEA, and retrospective root-cause analyses.
  • Contribute to research and the profession through activities such as research leadership, manuscripts, research council participation, peer review, mentorship, conference presentations, and professional organization service.
  • Evaluate and report adverse events, medication occurrences, patient or associate safety concerns, and drug diversion; provide appropriate peer feedback and timely escalation.
  • Supervise pharmacy technicians, interns, students, and residents; direct resources efficiently and support safe pharmacy operations.
  • Manage formulary processes and therapeutic substitutions as allowed by protocol; follow inventory, ordering, billing, staffing, and 340B program procedures.
  • Participate in organizational and departmental quality initiatives, performance-improvement projects, and patient safety teams.
  • Apply patient- and family-centered care principles and age-specific knowledge across the lifespan when planning and implementing care.
  • Demonstrate professional accountability, dependability, effective communication, collaboration, and commitment to organizational initiatives and shared governance.
  • Perform other related duties as assigned.
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