Pharmacist-Infectious Disease - Sharp Grossmont Hospital - Day Shift - Full Time

Sharp HealthCare • La Mesa, CA

13d • Onsite

About The Position

To provide the professional, clinical and technical knowledge, and skills and expertise required for the provision of comprehensive pharmaceutical care that supports the mission, values and philosophy of Pharmacy Services and Sharp HealthCare. This position also works collaboratively with pharmacy and other departments in providing collaborative evidence based best practice pharmaceutical care to patients with infectious diseases and to minimize the emergence of antimicrobial resistance, to optimize antibiotic utilization, and maximize patient safety.

Requirements

• Doctor of Pharmacy (PharmD) or equivalent education and experience.
• Previous pharmacy experience in an acute care setting with Infectious Disease rotation and/or experience.
• At least one of the following is required: PGY1 and/or PGY2 Infectious Diseases Pharmacy Residency, or equivalent education and experience in acute care pharmacy practice, or 1 year experience working under the supervision of an Infectious Disease Physician.
• California Pharmacist License - CA State Board of Pharmacy -REQUIRED
• ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED
• ACLS is required within 90 days of hire.

Nice To Haves

• Antibiotic Stewardship Certification - Various-Employee provides certificate -PREFERRED

Responsibilities

• Advisory service activities and outcomes
• Qualitative participation in clinical intervention program through consistent issue identification, provision of reliable best practice/literature based recommendations, follow-through with prescribers and other clinicians.
• Quantitative work, measured by the completion and submission of electronic forms consistent with the average established for each pharmacy department/shift.
• Consistently responds to and documents drug information requests promptly and professionally.
• Participates in ongoing data collection for MUE.
• Demonstrates knowledge and competency of chemotherapy dosing, monitoring, and established guidelines.
• Reviews patient medication profiles for appropriateness of drug therapy, therapeutic duplications, allergies, weight, height, minimum and maximum dosing guidelines, age specific requirements, renal and hepatic function, drug interactions and other pertinent factors to individualize patients' medication dosing requirements within boundaries approved by P&T / T&S committees.
• Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, clinical status, drug knowledge, and professional judgment.
• Communicates with nurses and physicians in a timely manner about therapeutic issues or problems.
• Follows up on formulary compliance issues and/or communicates issues to management.
• Participates in Code-Blue emergencies as required, mixes and labels medications as needed, and provides information; assures that pharmacy code-blue billing is completed where appropriate and restocks medications.
• Consistently participate in financial pillar/cost savings measures (e.g. IV to PO conversions, formulary adherence, etc.).
• Serves as a Pharmacy liaison with other departments, disciplines, and physicians involved in antimicrobial stewardship.
• Conducts and coordinates appropriate retrospective and prospective audits that support optimal antimicrobial use.
• Performs and coordinates surveillance activities to identify areas for improvement in antimicrobial stewardship and patient outcomes.
• Assists in developing, revising, and implementing guidelines relating to antimicrobial pharmacotherapy (e.g. protocols, institutional guidelines, treatment pathways).
• Supports Infectious Disease and other physicians regarding appropriate anti-infective utilization and institutional policies and procedures.
• Participates in the management of antimicrobial formulary.
• Serves as the resource and provides expert advice on antimicrobial therapy and current evidence based treatment practices.
• Participates in developing, implementing, and monitoring clinical pharmacy services relating to antimicrobial pharmacotherapy.
• Develops and maintains collaborative relationships with internal and external stakeholders.
• Participates in collaborative outcomes research in the area of infectious diseases.
• Participates in the preparation for regulatory agency site inspections and surveys.
• Demonstrates competency in performing formal clinical consults, and patient monitoring practices as approved by the P&T (T&S) Committee(s).
• Has met minimum certification/recertification requirements as outlined in the Pharmacy Certification Process For Formal Pharmacotherapy Consult and Advisory Services policy and procedure for consult services offered at entity.
• Participates in Clinical Consult Services, for example: Pharmacokinetics, Nutrition Support, Ortho Coumadin, Pain Management, and other services specific to the entity.
• Demonstrates knowledge of consult services as evidenced by attainment of consult service goals and proper documentation of actions, recommendations, and patient outcomes on the pharmacy monitoring forms.
• Performs by leaving concise, objective, legible, and professional notes in the patient's clinical chart.
• Consistently demonstrates ability to complete formal clinical workload assigned during shift as evidenced by completing all consults and advisory services in a timely manner.
• Clearly communicates goals and instructions to other staff members, including handoffs between shifts (written/oral).
• Participates in staff orientation and resident/student training programs.
• Effectively intercepts and troubleshoots problems, as demonstrated by effective problem solving, prioritization of issues with respect to level of significance and impact to patient care, safety, workflow, and communication.
• When faced with complex situations, has knowledge of and applies the appropriate policies and procedures.
• Effectively evaluates ongoing workflow issues as and directs daily workload to achieve efficiency and maximize resource utilization as business needs require.
• Attends and participates in staff meetings or reviews staff meeting communications.
• Reads work related email at a minimum on assigned workdays.
• Answers phone in timely, friendly manner; stating department, name, and title.
• Fosters positive relationships through consistent, respectful, professional interactions with customers.
• Responds to requests in a timely, caring manner that is consistent with Sharp behavior standards (i.e. attitude).
• Medications are prepared and dispensed accurately and in a timely manner in accordance with recognized standards of practice, legal and regulatory requirements, and hospital pharmacy policies and procedures.
• Counsels patients on medication use consistent with professional standards and OBRA-90 regulations when applicable.
• Assures controlled substances are dispensed with accuracy.
• Maintains integrity of all record keeping.
• Assists with narcotic inventories as required.
• Dispenses investigational medication according to policies and procedures.
• Enters data correctly into computerized patient medication profile and verifies that all technician orders are correctly entered into computer.
• Demonstrates proficiency with and utilization of automation and advances in technology (Carecast, Clinicomp, Pyxis Profile, RxCheck, Automix, repackaging robotics, physician order entry, etc.)
• Demonstrates knowledge of age specific medication delivery systems (e.g. NICU admixtures, NICU and pediatric oral syringes, adult TPN / TNA solutions, final admixture concentration etc.)
• Demonstrates knowledge and competency of IV Admixture / Aseptic Technique including the standards of USP <797>.
• Demonstrates knowledge and competency of chemotherapy preparation.
• Participates in cost management initiatives including: managing appropriate inventory levels to decrease staleness, waste and keep inventories low; reduce waste attempts to reduce expired meds and use short dated items before they expire, etc.
• Ensure borrow loan paperwork is complete.
• Knowledge of and active participation in concurrent medication safety event (MSE) monitoring programs, as demonstrated by interventions and eQVR submissions.
• Qualitative work demonstrates thoughtful and thorough identification, evaluation and analysis of medication safety events.
• Performs initial analysis of MSE's and assists in the research and identification causative factors of events.
• Performs non-voluntary monitoring (i.e. trigger reports, harm monitors, alerting orders).
• Completes monthly assigned nursing unit / drug storage area inspections on time.
• Completes paperwork including inspection log, documents discrepancies, and makes recommendations for improvement.
• Brings critical issues to the attention of management.
• Participates in attaining compliance with the National Patient Safety Goals as demonstrated by saving and forwarding orders/examples to management or designee (i.e. of no VO/TO completed, no prohibited abbreviations, use of "resume all meds", etc.).
• Participates and assists in the collection of med tracer audits or collection of individual elements from the tracer tool.
• Ensures security of medication storage and compliance with Medication Management (MM) standards (i.e. all meds are labeled, patient own meds are checked, bedside medications have associated physician orders, no expired meds, and the physical security of medications is maintained).
• Supports staff pharmacist involvement in optimizing antimicrobial use.
• Assesses the competency of pharmacists related to antimicrobial therapy and develops appropriate performance improvement programs.
• Provides appropriate interdisciplinary educational programs relating to best practice antimicrobial therapy.
• Presents at and participates in staff meetings.
• Assists department in keeping up to date on changes, challenges, and opportunities in healthcare and pharmacy practice.
• Represents Sharp Health System and the department of pharmacy at local, state and national meetings.
• Reviews and evaluates key primary literature as appropriate.
• Keeps current with treatment practice consensus.
• Serves as preceptor for pharmacy experiential clerkship students/residents.

Benefits

• The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree