The Ambulatory Care Clinical Pharmacist provides comprehensive pharmaceutical care services to patients receiving services from UIHC Specialty Pharmacy Services. The Ambulatory Care Clinical Pharmacist position description is intended to serve as a guide for the Clinical Pharmacist in the ambulatory care practice environment as he/she carries out the Departmentâ€™s and UIHCâ€™s tripartite missions of patient care, teaching, and research, both in the Ambulatory Care Pharmacy and in those ambulatory clinics where pharmaceutical care is directly provided. This position reminds staff of the competencies that must be attained (and maintained) to successfully meet professional obligations; provides services that positively influence patient outcomes; satisfies the educational needs of patients, students, and staff; meets Department and UIHC strategic goals; and expands the personal horizons and professional abilities of the Clinical Pharmacist. Based upon the tenets of this document, the Ambulatory Care Clinical Pharmacist will serve as a role model for other Department of Pharmaceutical Care staff, residents, and students who look to improve their own professional capabilities and level of services, particularly in the provision and expansion of ambulatory pharmacy services.
Provides Therapeutic Drug Monitoring (TDM) on clinic-administered medications and take-home prescription orders.
Completes a comprehensive patient assessment which may include a physical assessment, evaluation of the patientâ€™s medications, and an evaluation of the patientâ€™s medical history.
Evaluates all prescription orders to ensure the appropriateness of the following:
Indication for use
Route of administration
Dose adjustments for organ dysfunction
Physical and therapeutic incompatibilities
Drug-induced side effects and adverse reactions
Potential drug misuse or abuse
Use of the most cost-effective therapy
Ensures pharmacokinetic assessment of drug dosing on targeted patients through:
Clinical assessment of patients and desired therapeutic endpoints
Preparation of formal dosing recommendations
Communicates with prescribers about patient medication needs.
Conducts review of patient profiles and updates as needed based upon findings at time of patient visit.
Provides appropriate drug information to other healthcare professionals.
Confirms/clarifies (assesses) all patient drug allergies noted in the medical record.
Participates in collecting and documenting medication histories on patients.
Evaluates patient compliance with prescribed medication therapy and identifies problems that may lead to partial or noncompliance.
Utilizes appropriate resources and coordinates the resolution of financial concerns/burdens with department financial counselors.
Documents All Patient Care Activities Performed
The active participation of the clinical pharmacist as a member of the healthcare team requires efficient communication of activities to all those who participate in the care of patients. Provision of pharmacy-related services requires the sharing of information with other members of the team through documentation within the patient medical record and other on-line reporting systems as well as through intradepartmental channels which provide adequate documentation of such services to departmental and hospital administrative personnel.
Documents all patient drug allergies and patient-specific height and weight information.
Documents medication histories.
Documents the provision of medication counseling to patients.
Documents interventions with prescribers and other healthcare providers.
Documents patient interactions â€" those that occur in the clinic and when the patient is located elsewhere (e.g., at home, as an inpatient, in the Ambulatory Care Pharmacy).
Documents applicable drug dosing recommendations made to prescribers.
Documents applicable Drug Use Evaluation Program activities.
Documents steps taken to identify, evaluate, or avoid adverse drug reactions.
Coordinates Patient Communications and Interactions
The clinical pharmacist explains to patients with targeted needs the pharmaceutical care services they receive and the value of these services in ensuring appropriate continuity of care and proper medication utilization.
Takes medication history.
Discusses and confirms patientâ€™s drug allergy history.
Anticipates patient needs and answers patient questions as required.
Communicates patient information to local healthcare providers involved with the patientâ€™s care to ensure appropriate continuity of care.
Facilitates Operational Initiatives Which Lead to Enhanced Patient Care Services
The clinical pharmacist must assume the role of patient advocate for all issues associated with drug therapy. The clinical pharmacist must position him/herself so to positively influence therapeutic decisions which will affect patients and their care. Participation in hospital-wide programs intended to improve care (e.g., the Drug Use Evaluation Program and Adverse Drug Reaction Reporting Program) serves as a valuable quality-of-service surveillance tool and promotes healthcare provider education.
Follows-up on any medication system problems, such as:
Unclear or inappropriate prescription orders
Drug therapy which is not most cost effective
Prescription order for non-formulary products
Missing or untimely medication doses
Carries out, as appropriate, Medication Use Evaluation Program initiatives through active prescriber intervention and education.
Serves on intra and interdepartmental committees, task forces, and teams as required.
Facilitates completion of monthly clinic audits as assigned by the supervisor.
Provides Educational Services
An important responsibility of the clinical pharmacist is the education of students, fellow staff, other healthcare providers, and patients about drugs and their appropriate use. New and future pharmacy practitioners are continually exposed to the day-to-day activities of the practicing clinical pharmacist; thus, the clinical pharmacist must serve as a role model for these staff and students. The educational process must also transcend professional boundaries, as the clinical pharmacist interacts with and serves as an information resource for other members of the health care team. Lastly, the clinical pharmacist takes great care to instruct all patients about the need for and appropriate use of prescribed medications.
Serves as preceptor for pharmacy students and pharmacy residents on clinical rotations sponsored by the UIHC Department of Pharmaceutical Care.
Presents inservice educational programs to staff nurses, physicians, and other colleagues on the healthcare team.
Presents at and/or participates in other educational programs sponsored by the Department of Pharmaceutical Care, the College of Pharmacy, other UIHC or UI departments, and state and national organizations.
Conducts educational classes for pharmacy students and pharmacy residents as appropriate.
Conducts patient education classes about the proper use of medications as appropriate.
Serves as mentor and role model for other pharmacist practitioners within the department, particularly those who provide ambulatory care services.
Facilitates Transitions of Care
The ambulatory care clinical pharmacist participates in the facilitation of patient transfer from the inpatient to the outpatient setting. Part of the responsibility involves the bedside delivery of discharge medications directly to the patient. Pharmacists also provide appropriate medication education at the point of care to expedite the discharge process.
Participates in Research
The ambulatory care clinical pharmacist participates in research activities as appropriate, including providing support for Investigational Drug Service prescriptions and orders. This research may take many forms, including developmental, evaluative, and/or clinical research. It may be intradepartmental or interdisciplinary in format. The presentation and/or publication of research findings are encouraged.
Please attach a cover letter and resume as part of the application process. Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact Jenna Lueth at firstname.lastname@example.org.
Successful candidates will be subject to a criminal background check.
Pharm. D. (Doctor of Pharmacy) degree or Bachelor of Science in Pharmacy.
One (1) year of applicable pharmacy experience is required.
Current licensure by the Iowa Board of Pharmacy Examiners is required. Includes those eligible for obtaining this licensure.
Excellent written and verbal communication skills.
Job related experience with and/or commitment to service excellence.
Job related experience with and/or commitment to diversity in the work environment.
Completion of an ASHP accredited PGY1 Residency is desirable.
Specialty Pharmacy experience is desirable.
Health system pharmacy experience is desirable.
Completion of an ASHP accredited PGY2 Ambulatory Care Residency is highly desirable.
Board certification in Ambulatory Care or Pharmacotherapy is highly desirable.