Pharmacy Resident, PGY2 Ambulatory Care

Brown Medicine•Cranston, RI

1d•$53,061 - $87,547•Onsite

About The Position

SUMMARY: Reports to Residency Program Director, Pharmacy Services. Under general supervision of the Pharmacist-in-charge or a Pharmacy Supervisor, is responsible for the interpretation, evaluation, preparation, and dispensing of medications pursuant to a legitimate order or prescription in keeping with established policies, procedures, standards of practice, and scope of pharmacy services. Collaborates with multidisciplinary care providers to monitor, assess, and intervene as needed to ensure safe, appropriate, and cost-effective medication use. Oversees and closely reviews the work of pharmacy technicians and interns as applicable. 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 RESPONSIBILITIES: PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication, and multiple medication regimens. Receives patient medication orders or prescriptions as written or ordered by a physician or other provider. Reviews and interprets each order to determine completeness, therapeutic appropriateness of the patient’s drug regimen as it relates to the patient’s clinical status, concomitant drug therapy and diet, and with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric). Contacts the prescriber or covering physician, as necessary to initiate appropriate interventions to ensure therapeutic efficacy, minimize potential risks of drug therapy and optimize cost effectiveness. Applies pharmacotherapeutic and pharmacokinetic principles to ensure safe and effective use of medications for the patient populations served. Provides drug information and consultation to prescribers, nurses, and other health care professionals regarding appropriate drug therapy, including drug interactions, potential side effects, incompatibilities, allergies, medication order discrepancies, drug stability problems, and drug administration. Proactively reviews and approves medication orders in the electronic medical record (EMR) including drug, dose, dose form, frequency, and duration of therapy. Ensures relevant patient specific parameters are present in the EMR and considered (i.e., diagnosis, known allergies, weight, age, etc.). Supervises work performed by pharmacy interns and technicians to ensure performance standards are maintained and work is in accordance with federal, state, and organizational rules and regulations. Identifies, documents, resolves, monitors, and prevents drug therapy related problems, including contraindications, duplications of therapy, and drug interactions. Engages with other clinical pharmacists or clinical pharmacist specialists for complex clinical situations. Demonstrates personal, interpersonal, and teamwork skills during the provision of care. Integrates patient-focused medication therapy management and pharmaceutical care in accordance with established clinical pathways or guidelines. Participates in prospective and retrospective pharmacokinetic dosing and monitoring of selected medications and recommends dose adjustments and laboratory monitoring as required. Manages formulary and medication-use processes effectively. Ensures compliance with target drug programs, formulary management initiatives, medication management initiatives, and adverse drug event monitoring programs. Documents and reports all clinical interventions, medication errors, near misses, and adverse drug events in accordance with established protocols. Participates in emergency code blue response as applicable. Attends and participates in daily medical, multi-disciplinary, and specialty rounds as time allows. Attends and participates in daily medical, multi-disciplinary, and specialty rounds as time allows. Reviews and approves formulations for sterile and non-sterile medications requiring compounding or manipulation prior to dispensing. In accordance with established procedures, completes in-process and final product checks, prior to dispensing medications prepared by pharmacy technicians. Participates in continuous quality improvement activities and total quality management initiatives, including, but not limited to adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs. Provides effective medication and practice related education to health care professionals, students, patients, and/or caregivers. Demonstrates sensitivity to the perspective of the patient, caregiver, or healthcare colleague in all communications. Participates in the training of healthcare professionals, including student interns and technicians, physicians, practitioners, nurses, and other care professionals on matters relevant to medication use. Participates in coordination of transitions of care, as appropriate.Removes barriers to medication access. Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, including but not limited to ongoing independent study,and membership and participation in professional organizations. Demonstrates effective personal, interpersonal, and teamwork skills. Performs other duties as assigned.

Requirements

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy required.
Successful completion of ASHP accredited PGY1 residency program.
Prior to start date, possesses current unrestricted licensure as a licensed pharmacist or as a 90-day temporary pharmacy license, in the State of Rhode Island.
Prior to October 1st (or November 1st if the resident is granted a 30-day extension by the Resident Advisory Committee) of the residency year obtains unrestricted licensure as a licensed pharmacist in the State of Rhode Island, then possesses and maintains current unrestricted licensure as a licensed pharmacist in the State of Rhode Island.
By November 1st of the residency year, must possess and maintain current American Heart Association (AHA) Basic Life Support (BLS) Certification. Additionally, if applicable and assigned, must possess and maintain current AHA Advanced Cardiac Life Support (ACLS) Certification by November 1st of the residency year.
Clinical experience, knowledge, and development commensurate with a Bachelor of Science in Pharmacy or Doctor of Pharmacy degree.
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.
Effective communication skills, both written and verbal.

Responsibilities

Provides safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication, and multiple medication regimens.
Receives patient medication orders or prescriptions as written or ordered by a physician or other provider.
Reviews and interprets each order to determine completeness, therapeutic appropriateness of the patient’s drug regimen as it relates to the patient’s clinical status, concomitant drug therapy and diet, and with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).
Contacts the prescriber or covering physician, as necessary to initiate appropriate interventions to ensure therapeutic efficacy, minimize potential risks of drug therapy and optimize cost effectiveness.
Applies pharmacotherapeutic and pharmacokinetic principles to ensure safe and effective use of medications for the patient populations served.
Provides drug information and consultation to prescribers, nurses, and other health care professionals regarding appropriate drug therapy, including drug interactions, potential side effects, incompatibilities, allergies, medication order discrepancies, drug stability problems, and drug administration.
Proactively reviews and approves medication orders in the electronic medical record (EMR) including drug, dose, dose form, frequency, and duration of therapy. Ensures relevant patient specific parameters are present in the EMR and considered (i.e., diagnosis, known allergies, weight, age, etc.).
Supervises work performed by pharmacy interns and technicians to ensure performance standards are maintained and work is in accordance with federal, state, and organizational rules and regulations.
Identifies, documents, resolves, monitors, and prevents drug therapy related problems, including contraindications, duplications of therapy, and drug interactions. Engages with other clinical pharmacists or clinical pharmacist specialists for complex clinical situations.
Demonstrates personal, interpersonal, and teamwork skills during the provision of care.
Integrates patient-focused medication therapy management and pharmaceutical care in accordance with established clinical pathways or guidelines.
Participates in prospective and retrospective pharmacokinetic dosing and monitoring of selected medications and recommends dose adjustments and laboratory monitoring as required.
Manages formulary and medication-use processes effectively. Ensures compliance with target drug programs, formulary management initiatives, medication management initiatives, and adverse drug event monitoring programs.
Documents and reports all clinical interventions, medication errors, near misses, and adverse drug events in accordance with established protocols.
Participates in emergency code blue response as applicable.
Attends and participates in daily medical, multi-disciplinary, and specialty rounds as time allows.
Reviews and approves formulations for sterile and non-sterile medications requiring compounding or manipulation prior to dispensing. In accordance with established procedures, completes in-process and final product checks, prior to dispensing medications prepared by pharmacy technicians.
Participates in continuous quality improvement activities and total quality management initiatives, including, but not limited to adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs.
Provides effective medication and practice related education to health care professionals, students, patients, and/or caregivers. Demonstrates sensitivity to the perspective of the patient, caregiver, or healthcare colleague in all communications.
Participates in the training of healthcare professionals, including student interns and technicians, physicians, practitioners, nurses, and other care professionals on matters relevant to medication use.
Participates in coordination of transitions of care, as appropriate.Removes barriers to medication access.
Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, including but not limited to ongoing independent study,and membership and participation in professional organizations. Demonstrates effective personal, interpersonal, and teamwork skills.
Performs other duties as assigned.