Clinical Pharmacist - Home Infusion

Brown Medicine•Providence, RI

122d

About The Position

Reports to the Director, Home Infusion Pharmacy. 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 for Brown University Health Home Infusion Services. Collaborates with and serves as a resource for members of the multidisciplinary team to monitor, assess, and intervene as needed to ensure safe, appropriate, and cost-effective medication use. Reviews, monitors, and verifies orders for oral and parenteral therapies, including chemotherapy, for appropriateness of drug, dosage, route of administration, completeness, potential incompatibilities and drug interactions. Identifies and clarifies with the prescriber required changes to medication orders, documents same. Responsible to perform detailed in-process medication checks for appropriate drug, diluent, drug volume, base solution, base solution volume, beyond use date, and labeling. Performs sterile compounding and maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals [i.e., Rhode Island Department of Health (RI DoH), Rhode Island (RI) Board of Pharmacy Rules and Regulations, United States Pharmacopoeia (USP) Chapter <797> Pharmaceutical Compounding – Sterile Preparations (USP <797>), and USP <800> Hazardous Drugs (USP <800>). Brown University Health employees are expected to embrace and successfully role model the organizations values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers, and one another. 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

Requirements

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 90-day temporary pharmacist license, then possesses and maintains current unrestricted licensure as licensed pharmacist in the State of Rhode Island.
Effective interpersonal and communication skills, both written and verbal, to interact appropriately with patients, families, colleagues, and others.
Effective organizational and presentation skills.
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.
Must have the ability to multi-task and reprioritize as needed while maintaining accuracy and service standards.
Must obtain, within 2 months of start date, and maintain no less than semi-annually thereafter, internal home infusion services credentialing as demonstrated by successful completion of current competency assessments.
Extended periods of time spent standing and walking.
Requires the visual and manual dexterity to operate a computer.
Functions independently within broad scope of departmental policies and practices.
Refers specific complex problems to supervisor when clarification of departmental policies and procedures may be required.

Nice To Haves

Successful completion of Post Graduate Year 1 (PGY-1) Residency from an accredited program and/or national Board Certification in Pharmacotherapy or Compounded Sterile Preparations Pharmacy preferred.
Clinical experience, knowledge, and development may be considered in lieu of formal training.

Responsibilities

Collaborates with and serves as a liaison and resource for members of the interdisciplinary team who manage care for Brown University Health Home Infusion patients.
Adheres to the policies and procedures of the Home Infusion Patient Management Program (HIPMP) and encourages patient participation in the Program.
Participates in the development and execution of patient Plans of Care and the evaluation of patient progress towards goals.
Provides written education materials and verbal consultation, as needed, to patients and/or caregivers relative to prescribed home infusion Medication.
Ensures relevant patient specific parameters are included on the patient’s medication profile (e.g., diagnosis, known allergies, weight, age, etc.).
Maintains working knowledge of current compounding and sterile preparation principles, stability, and compatibility (i.e., USP <797> and USP <800>).
Maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals [i.e., RI DoH, RI Board of Pharmacy Rules and Regulations, USP <797>, and USP <800>].
Maintains knowledge of current requisites for safe handling, administration, and disposal of hazardous drugs.
Provides detailed information and guidance to assist with effective treatment of extravasations.
Accesses safety data sheets (SDS) and reacts appropriately to hazardous medication exposures or spills.
Reviews each order or prescription to determine therapeutic appropriateness of the patient’s drug regimen as it relates to the patient’s clinical status, concomitant drug therapy, and diet.
Reviews, enters, and verifies orders for medications, including chemotherapy, for appropriateness of drug, dosage, formulation, route of administration, duration of therapy, and potential incompatibilities.
Reviews, enters, and verifies orders for medication-related supplies for appropriateness and completeness.
Identifies, recommends, communicates, and clarifies with prescriber appropriate changes in therapy and/or clarification of unclear orders.
Performs computer activities necessary for compounding.
Understands and appropriately follows requirements for product documentation and check processes.
Completes accurate documentation of finished compounded medications per policy.
Performs detailed in-process medication checks for appropriate drug, diluent, diluent volume, drug volume, base solution, base solution volume, beyond use date, storage requirements, and labeling.
Sets up, calibrates, and operates ancillary compounding equipment (e.g., compounding pumps) appropriately.
Provides input on safety events related to home infusion services to minimize risk of reoccurrence.
Uses appropriate health literacy skills to provide effective patient counseling on treatment regimens including precautions to follow and potential adverse reactions.
Provides oversight to daily operations and processes relating to home infusion pharmacy services including maintaining the aseptic processing environment, garbing, aseptic work practices, and cleaning/disinfection procedures.
Provides oversight to and mentors technicians, residents, and students.
Shares expertise by participating in the orientation and training of pharmacists, residents, technicians, and students.
Maintains appropriate documentation and retains records regarding drug purchasing, storage, preparation, and distribution in accordance with established policies and procedures and existing federal and state rules and regulations.
Utilizes reporting and inventory management systems effectively in applicable pharmacy systems.
Collaborates with pharmacy purchasing teams to procure medications and related supplies in a timely manner.
Participates in continuous quality improvement initiatives related to home infusion services.
Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, including but not limited to ongoing independent study, 60835904and membership and participation in professional organizations.
Performs other duties as assigned.