Ministry Health Care Clinical Pharmacist- Casual/As Needed in Woodruff, Wisconsin

Title: Clinical Pharmacist- Casual/As Needed Location: WI-Woodruff-Howard Young - 240 Maple Street Job Number: R-1408878

Clinical Pharmacist Casual/As Needed Howard Young Medical Center and Northern Region Hospitals MInistry Health Care has an opportunity for a Casual Clinical Pharmacist. The role will be based at Howard Young Medical Center but will support all the Northern Region Hospitals including St Mary's and Eagle River Memorial. Purpose: Under the general supervision of the Director or Manager of Pharmacy Services, the Clinical Staff Pharmacist performs a variety of professional pharmacist, clinical, administrative, and distributive duties in support of hospital inpatient’s and outpatient’s. Duties may be performed in either a central, decentral or outpatient pharmacy practice model. Clinical Staff Pharmacist duties include review of physician orders and drug regimens, order processing with electronic and manual clinical checks, consultation on drug therapy and interventions, and monitoring of duties performed by technical staff. Depending on hospital practice area, other clinical duties may include patient rounds with physician staff, kinetics dosing, metabolic support services, prescription and patient counseling, and pharmaceutical care recommendations. The Clinical Staff Pharmacist is expected to incorporate an in-depth working knowledge of federal and state laws, Joint Commission standards, and professional practice standards as promulgated by the American Society of Health System Pharmacists (ASHP) to guide or direct daily duties in the handling and use of drugs in hospitals. 1. Medication dispensing and distributive functions include: a. Medication checking: verification of medications prepared for delivery by technician staff. All products released for use on the nursing units or to outpatients are verified to be correctly labeled, packaged and filled. b. Sterile and Non-sterile Packaging: Compounding and/or verification of medication preparation by technician staff, including IV preparations, compounded products, “batch” products and oral syringes. c. Ensuring that “STAT” medications are delivered to the nursing unit in a timely fashion. d. Oversight of pharmacy support staff in their facilitation of dispensing and distributive functions. e. Any duty needed to enhance delivery of the medication to the appropriate nursing unit / nurse / patient. 2. Investigational Drug duties: Prepares for distribution, or verifies technician staff preparation, of investigational drugs per protocol. Completes required documentation/inventory. 3. Dispensing Cabinets and Floor stock: Maintains and verifies product intended for distribution to automated dispensing machines (i.e. Pyxis). 4. Maintains working knowledge of pertinent state and federal laws. 5. Computerized Medication Order Entry/ Computerized Physician Medication Order Entry/ Computerized Technician Order Entry: Interprets and reviews medication orders for accuracy and completeness. 6. Clinical review of patient medication profiles: Review of the patient medication profiles will occur during review of new orders, new prescriptions, prescription refills and as other opportunities arise. Clarifies orders with the physician as needed and documents any interventions on inappropriate orders. Clinical review includes: a. Allergies: Verifying allergies before medications are entered onto the profile b. Drug Interactions: Determining if significant drug-drug or drug-food interactions are detected c. Disease state: Determining if there are contraindications for prescribed medications due to patients’ diagnoses d. Duplicate therapy: Determining if the patient’s medication profile contains therapeutic duplication. e. Drug Dosing: Determining if dosage adjustments are warranted based on the patient’s age, renal and liver function, or other pertinent clinical factors f. Review of laboratory and/or microbiology (organism and sensitivity data) to ensure appropriate therapeutic management for the patient g. Perform those functions that adhere to, and support, the clinical initiatives of the hospital/pharmacy to include, but are not limited to: therapeutic formulary interchange, formulary-driven cost containment initiatives, formulary management. 7. Drug information. Assists in answering difficult and complex drug information and therapy questions for other healthcare providers or patients. 8. Provides patient/family counseling on medications/medication use as appropriate or required by law. 9. Formal teaching. Prepares and presents information on drug therapy and clinical pharmacy programs to pharmacy staff, nursing staff, house staff, medical staff, hospital committees, and others as requested. 10. Collaborates with physicians, nursing staff and other health-care providers as necessary to complete pharmaceutical care functions (may include attending patient care rounds where applicable). 11. Pharmacokinetic Monitoring: Monitors laboratory information and recommends appropriate dosage adjustments to physicians, especially for medications with narrow therapeutic windows. 12. Metabolic Support: Performs monitoring of patient’s condition, laboratory values and other pertinent clinical parameters, processes metabolic support orders and makes recommendations to physician/metabolic support team. 13. In conjunction with a Clinical Lead Pharmacist, Pharmacy Manager/Director or at the direction of P&T Committee, participates on aspects of formal Medication Use Evaluation (MUE) for collection of data. 14. Provides professional pharmaceutical knowledge to assist with the management of adverse drug reactions and medication errors, which may include documentation and recommendation for treatment or resolution. 15. Participates in mentoring pharmacy students, interns and residents. 16. Responsible for completing all formal clinical competencies as assigned. 17. As assigned, participates on various hospital committees, teams, and in projects to operate or improve the medication use system (i.e. P&T, Lean-Six Sigma) 18. Code Response: As determined by individual hospital site, responds to trauma and Dr. Blue code situations to prepare medications for administration, make dosage calculations and recommendations, and function as a necessary team member in an emergency response situation. 19. Develops and maintains skills to function in various departmental roles. Through self-initiative and support from the department, will acquire and maintain the skills and knowledge necessary for the various departmental roles. Stays abreast of new drug therapies, new indications, and other important aspects of commonly prescribed medications. 20. Able to properly prioritize workload. Processes work in an orderly and timely fashion. Responds to telephone requests and pager messages to provide service as required. 21. Coordinates activities of technician staff based on the operational needs of the department. 22. Age-specific Competence: The clinical pharmacist is familiar with the necessary dosing requirements for neonatal, pediatric, adult, geriatric and other special patient types. They are also familiar with specific drug information references that would aid in determining optimal therapy for these patients. They also consider patient age and development when preparing medications and dosages for dispensing. 23. Performs all other duties as required for patient care or for the daily operational needs of the department. 24. Assists with the orientation and training for newly hired personnel, students and observers. Qualifications: Doctor of Pharmacy (Pharm. D.) degree, or a Bachelor of Science (B.S.) degree in Pharmacy from an accredited college or university of the United States is required. Depending on the specific focus of the clinical pharmacist, a completion of a residency training program or other advanced educational credentials are also preferred. Internship or licensed pharmacist experience sufficient to qualify for registration in the State of Wisconsin. Experience in a hospital inpatient care setting is preferred. The clinical pharmacist must be licensed to practice as a registered pharmacist or eligible for licensure in the State of Wisconsin. MON Job: Pharmacist