Clinical Pharmacist PRN at AdventHealth

Date Posted: 11/16/2021

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Job Snapshot

  • Job Schedule
    Per Diem
  • Location:
    Mansfield, TX
  • Date Posted:
    11/16/2021
  • Job ID:
    21035660
  • Job Family
    Pharmacy
  • Shift
    1 - Day

Job Description


Description

Clinical Pharmacist - Texas Health Mansfield- operated as joint venture between Texas Health Resources and AdventHealth

Location: 2300 Lone Star Road; Mansfield, TX

Top Reasons to Work at Texas Health Mansfield; Mansfield, TX 

  • Join a family of caregivers focused on whole-person health and committed to making communities healthier.
  • Provide wholistic care for patients that extends to the spiritual level by praying with patients and families.  Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support.
  • Help develop a brand new $150 million community hospital and medical office building that will provide services such as Emergency Services, Medical/Surgical, ICU, Women’s Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology.
  • Grow in your career with AdventHealth, named in 2018 by Becker’s Hospital Review as one of the “150 Top Places to Work in Healthcare”.  AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortune’s 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth. 
  • Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for “Best Places to Live”.  Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023.  Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%.  Mansfield has top-rated schools, over 1000 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community.

Work Hours/Shift:

PRN

What You Will Need:

  • Bachelor of Pharmacy, Doctor of Pharmacy, or other advanced pharmacy degree
  • PGY1 Pharmacy Residency or three years of clinical pharmacy experience
  • Texas State Pharmacy License         

Job Summary:

The Clinical Pharmacist shall support the mission of the hospital and pharmacy department by preventing, identifying and resolving drug related problems to assure patient safety, improve patient satisfaction and minimize costs.

Qualifications

You Will Be Responsible For:

PRINCIPLE DUTIES AND JOB RESPONSIBILITIES:

Pharmacy Operations

Actively performs all pharmacy functions and maintains active proficiency in:

  • Standard work parameters
  • Operational programs
  • Dispensing and compounding systems
  • Hospital computer systems
  • Medication ordering systems

Maintains operational proficiency to provide coverage of (at least two areas):

  • Central Pharmacy
  • IV Room
  • Oncology Pharmacy Satellite
  • Operating Room Satellite
  • CVICU Pharmacy Satellite

Oversees appropriate utilization of medication automation, technology, and computer systems

  • Accurately interprets electronic records
  • Maintains expertise in Cerner processes
  • Manages proper and complete patient profile record

Accurately oversees the management of medication inventories and the preparation and dispensing of patient‐specific medication doses

  • Manages medication dispensing activities
  • Ensures accuracy of all medication products prepared for dispensing
  • Oversees oral and injectable product compounding
  • Prevents improper drug, dose, dosage form selection, expiration dating, and barcode scanning issues when checking products

Pharmacy Practice

 

Completes critical medication order scrutiny, drug profile review, and patient monitoring to identify, prevent, or mitigate medication-related problems

    • Improper drug, dose, or dosage form selection
    • Dose frequency or timing
    • Subtherapeutic dosage
    • Over dosage
    • Adverse drug reactions or drug allergy
    • Drug interactions
    • Therapeutic duplication
    • Failure to receive drugs
    • Untreated indications
    • Medication use without an indication
    • Treatment failures

Proficiently verifies/enters medication orders and proactively communicates with medical staff to resolve problem medication orders

  • Incorrect medication orders
  • Ambiguous medication orders
  • Non-formulary medication orders
  • Home medication use requests
  • Inappropriate therapy

Provides patient‐centered care services

  • Provides accurate, safe and timely medication therapy
  • Initiates and facilitates appropriate therapy based on age, disease, and drug considerations
  • Promotes cost-effective drug therapy and actively participates in stewardship activities and restricted medication/surveillance programs

Initiates and facilitates appropriate drug dosing and manages medication-related pharmacist consults (as appropriate for assignments):

  • Pharmacokinetic monitoring
  • Renal dosing
  • Nutritional support & TPN management
  • Anticoagulation therapy
  • Antimicrobial therapy
  • Blood product therapy
  • Hematopoietic growth factor therapy
  • Glycemic management
  • Pain management
  • Patient education and counseling
  • Medication histories
  • Sedation/delirium management

Facilitates medication safety practices

  • Identifies, mitigates, and reports potential and actual adverse drug events, adverse drug reactions, and medication errors
  • Documents pharmacist interventions and appropriately documents in the patient medical record

Maintains continuous learning and pharmacy practice development

  • Maintains personal continuing education plan including documentation of an annual self-evaluation and plan for self-development
  • Completes rigorous CE modules as part of state pharmacist licensure renewal (e.g. PSAP)

Clinical Pharmacy Services

 

Provides primary coverage of direct patient care programs and multidisciplinary services

  • Provides accurate, safe, timely, and appropriate medication therapy based on patient needs
  • Places practice priority on the delivery of patient-centered care
  • Identifies high-risk patients and implements interventions to improve quality and safety
  • Makes appropriate evidence-based, patient-centered medication recommendations
  • Provides effective medication education and counseling to patients and caregivers
  • Proficiently maintains patient information and efficiently evaluates patients’ health care needs
  • Establishes collaborative pharmacist -patient relationships
  • Formulates patient problem lists and accurate medication histories
  • Monitors and tracks patients’ changing health care needs and implements, evaluates, and redesigns pharmaceutical care plans based on patient progress and evolving goals

Works as an active member of pharmacy clinical programs

    • Collaborates with other pharmacy staff
    • Collaborates with care providers and Pharmacists to optimize care and improve services

Provides general coverage of decentralized pharmacy practice areas

  • Provides medication order verification in decentralized areas as assigned and supports other areas as needed
  • Actively participates in clinical pharmacy programs and pharmacist consult programs (as defined in Pharmacy Practice Expectations)

Maintains proficiency to practice in decentralized areas of (at least one division):

  • Cardiology Pharmacy Division
  • Critical Care Pharmacy Division
  • Internal Medicine Pharmacy Division
  • Neuroscience Pharmacy Division
  • Oncology Pharmacy Division
  • Surgery Pharmacy Division

Maintains proficiency to practice in (at least two areas, different than Division above):

  • Cardiology decentralized units
  • Critical Care decentralized units
  • Internal Medicine decentralized units
  • Neuroscience decentralized units
  • Oncology decentralized units
  • Surgery decentralized units

Facilitates assigned patient service lines and therapeutic areas and assumes responsibility for the outcomes of the pharmacy care programs in assigned practice areas

  • Oversees and facilitates the pharmaceutical care programs and activities within assigned services
  • Assures pharmacy care programs are meeting the needs of patients
  • Assures pharmacy is an integral part of the health-care delivery system
  • Enhances pharmacy services
  • Identifies opportunities to improve the medication use system and benchmarks service lines against best practice
  • Designs and implements new stewardship activities and restriction/surveillance programs
  • Implements new pharmacy programs to promote optimal med usage and outcomes
  • Tracks and benchmarks assigned pharmacy programs for operational, quality, and financial efficiency

Teamwork and Inter-Professional Collaboration

 

Presents to assigned areas on time, ready to work and does not exhibit unscheduled absenteeism

    • Adheres to lunch and break schedule

Assures continuity of care between shifts, among pharmacy staff assignments, and across pharmacy practice areas

    • Assures appropriate handoff between shifts and participates in Energizers/Meetings
    • Accepts any necessary work from preceding and does not leave excessive work for following shift
    • Reviews and catches up the rejected order queue as well as medication-related products to be checked (patient-specific doses, Pyxis fills, med batches, trays, etc.) prior to departing from shift

Supports other pharmacy operations and areas outside of current assignment

    • Collaborates regarding medication order verification and medication availability
    • Communicates with appropriate pharmacist regarding problem orders or patient care requests
    • Provides coverage of medication order verification when areas are uncovered, or team needs support

Works effectively with all members of the healthcare team to ensure the best outcome for the patient

    • Demonstrates sensitivity to the perspective of the patient, caregiver, or health care colleague in all communications
    • Actively supports teammates (pharmacists, technicians, managers)
    • Uses effective negotiation skills to resolve conflicts

Teaching, Training, Precepting, and Mentorship

 

Mentors new-staff and assists with training

Develops and maintains quality training opportunities and relationships for teaching and precepting

  • Supports pharmacy technician student learning experiences
  • Leads current and establishes new pharmacy student (IPPE and APPE), resident, and staff training experiences and competencies
  • Leads current and establishes new pharmacy student PGY1 Pharmacy resident training experiences and competencies
  • Maintains portfolio documentation of teaching activities and accomplishments as required below

Precepts and mentors (numbers defined annually):

  • Pharmacy Student Rotations
  • PGY1 Resident Rotations

Demonstrates desire and aptitude for teaching and competency of

  • The preceptor roles: Instructing, Modeling, and Coaching
  • Teaching clinical problem solving
  • Evaluating experiential performance
  • Providing criteria-based feedback
  • Teaching independent evidence-based practice
  •  Differentiating between student and resident roles and learning experiences

Completes preceptor skills assessment and development programs

  • Participates in the Hospital preceptor development programs (75% as scheduled)
  • Completes ASHP Preceptor Self-Assessment (annually)
  • Completes self-directed activities for development in identified areas of weakness (at least two different annually)

Demonstrates teaching and precepting skills credentials (at least one different every three years):

  • Completion of ASHP residency development workshop
  • Completion of ASHP residency learning system (RLS) workshop
  • Completion of ASHP residency program director (RPD) workshop (required for new RPDs)
  • Completion of formal Teaching Certificate Program
  • Service as an ASHP Residency Accreditation Surveyor
  • Service on ASHP Commission on Credentialing

Delivers effective evidence-based education to healthcare professionals (at least four different annually)

  • Nursing Unit In-services
  • Pharmacy Department In-services
  • Evidence-based pharmacy newsletter
  • Technician CE Programs
  • Pharmacist CE Programs
  • Pharmacy Grand Rounds
  • Pharmacy M&M Presentations

Quality Improvement, Regulatory Compliance, and Accreditation

 

Provides quality improvement initiatives (at least two different annually):

  • Process-map or flowchart creation or review of a medication-related process, pharmacy system, or patient care program
  • Formulary class review and presentation
  • Root Cause Analysis facilitation and documentation of an approved event
  • Failure Modes and Effects Analysis facilitation and documentation of an existing or new process
  • Medication-use protocol development based on evidence-based comparative review
  • Treatment guideline/protocol development based on evidence-based comparative review
  • TJC NPSG review, gap assessment, and improvement implementation
  • ISMP practice standards review, gap assessment, and improvement implementation
  • Evidence-based pharmacy newsletter

Provides regulatory compliance initiatives and supports institutional accreditation processes (at least one different annually):

  • Existing policy, SOP, or standard work guidance document review, revision, and/or update
  • New policy, SOP, or standard work guidance document development and implementation
  • DNV Medication Management standards review, gap assessment, and improvement implementation
  • CMS Medication Management standards review, gap assessment, and improvement implementation
  • State Board of Pharmacy standards review, gap assessment, and improvement implementation

Actively participates in procedures to maintain full ASHP Accreditation of all pharmacy residency programs

Identifies practice-related issues which require evaluation

  • Identifies, resolves, and reports short and long-term obstacles to patient care and medication safety, regulatory compliance, or stewardship of resources
  • Identifies the need for clinical research projects, quality improvement initiatives, or healthcare provider education as needed to advance practice

 Designs, facilitates, and coordinates or mentors a trainee to conduct a medication use evaluation (at least one annually)

  • Presents at the appropriate institutional or system committee

Designs, facilitates, and coordinates or mentors a pharmacy resident to conduct an evidence-based practice-related or quality improvement initiative (at least one annually)

  • Presents at the appropriate institutional or system committee


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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