Pharmacist / SHARP / Grossmont / Emergency Department / Full Time / Night Shift
Company: Sharp Healthcare
Location: La Mesa
Posted on: May 7, 2022
Job Description:
[ACLS Certification (Advanced Cardiac Life Support) - American
Heart Association; AHA Basic Life Support for Healthcare
Professional (AHA BLS Healthcare) - American Heart Association;
California Pharmacist License - CA State Board of Pharmacy;
Pediatric Advanced Life Support (PALS) - American Heart
Association; Doctor of Pharmacy (PharmD)
What You Will Do
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.
Required Qualifications
- Doctor of Pharmacy (PharmD)
- ACLS Certification (Advanced Cardiac Life Support)
-REQUIRED
- AHA Basic Life Support for Healthcare Professional (AHA BLS
Healthcare) -REQUIRED
- California Pharmacist License -REQUIRED
Preferred Qualifications
- Advanced training: completed a Pharmacy Practice Residency with
experience in Emergency Department practice or a specialized
clinical residency in critical care/emergency care
- Pediatric Advanced Life Support (PALS) -PREFERRED
Other Qualification Requirements
- DEA licensure where required (SHC pain consultation protocol).
Prefer Board Certification in Pharmacotherapy (BCPS) and maintain
competency.
Essential Functions
- Clinical advisory services
Demonstrates pro-active involvement with advisory service
activities and displays follow-through and contribution to advisory
service outcomes as evidenced by (including but not limited to):
(e.g. Renal Target Monitoring, Antibiotic Surveillance Team,
Medication Usage Evaluations and other programs or initiatives
specific to the entity).
- Qualitative participation in clinical intervention program
through consistent issue identification, provision of reliable best
practice/literature based recommendations, follow-through with
prescribing 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 participating in financial pillar/cost savings
measures (e.g. IV to PO conversions, formulary adherence,
etc).Characteristics for GREAT performance - meets standards within
this section plus some or all of the following:
- Certification in an area of specialty recognized by in the
industry/ASHP (e.g.. ACLS, PALS, BCPS, Nutrition).
- Develops/Co-develops best practice and literature based
recommendations; shares and presents information to
colleagues.
- Develops concept, criteria, measurement process for a PI
project (i.e. MUE, DMAIC process, FMEA, lean six sigma, etc).-
Performs MUE monitoring, analysis of findings; preparation of final
- report; shares findings and presents to supervisory
committee(s).
- Identifies, Develops/Co-develops process improvement (PI)
opportunities and is an integral participant in the implementation
of a PI process or initiative.
- Clinical consult services
Certification/Recertification, Participation, Knowledge:
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.Characteristics
for GREAT performance - meets standards within this section plus
some or all of the following (including but not limited to):
- Actively participates in the training/mentoring of others to
perform all aspects of a given Pharmacy consult service.
- Actively participates in the presenting of students and in the
training and restoring of residents.
- Involved and assists with measuring Quality Assurance
indicators for a clinical consult service.
- Assists in the certification/recertification of staff.
- Identifies, Develops/Co-develops process improvement (PI)
opportunities, and/or new protocols, and is an integral participant
in the implementation of a PI process or initiative (this may be as
simple as developing a cheat sheet, or coming up with an
improvement to the monitoring form).
- Emergency department pharmaceutical care
Provide comprehensive pharmaceutical care to Emergency
Department:
- Participate in daily patient care activities such as reviewing
medication orders for accuracy and appropriateness.
- Discuss medication order clarifications with the ER or
admitting prescriber and inform others of medication order
changes.
- Monitor critical care drug therapy to evaluate appropriateness
of use, dose, dosage form, regimen, route, therapeutic duplication,
and drug interactions (vasopressors, antihypertensive drips,
sedation drips).
- Provide pharmacokinetic consultations and other dosing as
required.
- Participate in the drug therapy management of medical
emergencies (code, minor trauma, stroke, snake bite).
- Work corroboratively with other clinicians and health-care
providers to implement and maintain innovative disease management
programs and clinical pharmacy services.
- Participate in the development of medication use management
programs within Sharp Healthcare including clinical guidelines,
critical pathways, disease management, and drug use
programs.Provide operational support in the Emergency Department
and Central Pharmacy j as determined by departmental need:
- Resolves drug distribution related issues.
- Resolves Pyxis related issues.
- Expedite antibiotic administration by all appropriate
mechanisms.
- Facilitate proper information transfer with regard to
medication use for patients converted to Inpatient registry from
ED.
- Promote the use of the formulary by converting non-formulary
orders to formulary when possible, but coordinates procurement of
non-formulary drugs when necessary.Promote and demonstrate
rational, cost-effective drug therapy:
- Focus on cost avoidance and cost savings due to medication use
in the Emergency Department.
- Monitor the use of expensive medications to assure there is use
consistent with approved criteria (e.g., alteplase, snake
antivenin, eptifibatide, etc.).
- Anticipate changes in drug therapy and report the potential
impact it will represent to the overall hospital and drug
budget.
- Medication reconciliation and patient education
- Reconcile patient home medications, pharmacy and nursing
medication records as necessary.
- Facilitate discharge/admission/transfer for Emergency
Department patients.
- Provide patient specific medication use teaching for discharge
medications when appropriate.
- Multidisciplinary communication
Operational Services (dealing with internal customers):
- 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.Customer Service Interdepartmental Relations (Dealing with
external Customers):
- 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 timely, caring manner that is
consistent with Sharp behavior standards, (i.e.
attitude).Characteristics for GREAT performance - meets all
standards within this section plus some or all of the
following:
- Assists with the design/development of student/resident/staff
teaching programs.
- Actively mentors and engages less experienced staff and shares
professional experiences and knowledge.
- Communicates, interacts, liaisons with, and develops positive
relationships with other departments as evidenced by participating
in advisory groups, multidisciplinary collaborative teams, focus
groups, task forces or other designated activities as approved by
management that will further the practice of pharmacy. Ultimate
objective is to cross pollinate ideas and information across
disciplines.
- Pharmacy operations and distribution
Assures smooth operation of the pharmacy on a daily basis by
providing daily work direction and supervision of technical and
ancillary staff; oversight over personnel. 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, Rx
Check, 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.
- Demonstrates knowledge and competency of chemotherapy
preparation.
- Participates in cost management initiatives including: i.)
Managing appropriate Inventory levels to decrease staleness &
wastage and keep Inventories low; reduce waste; ii.) attempts to
reduce expired muds and use short dated items before they expire,
etc.; and iii) Borrow loan paperwork complete.Characteristics for
GREAT performance - meets all standards within this section plus
some or all of the following:
- Accepts responsibility and accountability for all aspects of
optimal workflow (i.e. ensures a smooth and efficient workflow,
rapid follow through on missing or stat medications).
- Is a "go-to'' person for issues, questions, troubleshooting and
problem solving (i.e. sick-calls resolution, complaints, service
recovery).
- Identifies, Develops/Co-develops distributive process
improvement (PI) opportunities and is an integral participant in
the implementation of a PI process or initiative.
- Quality improvement initiatives
Quality Improvement Initiatives:
- Guiding the development of evidence-based treatment protocols,
algorithms, and/or clinical pathways that are congruent with
nationally accepted practice guidelines and quality indicators
(Core measures).
- Assisting in the development, implementation, and assessment of
various technologies used throughout the ED medication-use process
(Cerner).
- Maintaining compliance with standards of national accrediting
bodies such as the Joint Commission and CDPH.
- Assisting in surveillance and reporting of adverse drug
reactions.Participate on hospital committees:
- Participate actively in emergency medicine team meetings and
conferences.
- Participating in ED-based and hospital-wide committees (e.g.,
P&T, infection control, disaster) that impact medication use in
the ED.
- Regulatory
Compliance to relevant regulatory agency requirements (i.e. state
board of pharmacy, CMS, JCAHO, DHS, FDA, DEA) as demonstrated
by:
- 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 & assists in the collection of mad 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 mods, and the physical security of
medications is maintained).Characteristics for GREAT performance -
meets all standards within this section plus some or all of the
following:
- Brings critical issues to the attention of management and
offers suggestions for improvement. Works closely with nursing
and/or appropriate staff to implement the needed corrections.
Provides continuous monitoring of interventions to hold the
gain.Actively participates in attaining compliance with the
National Patient Safety Goals as demonstrated by resolving or
improving non-compliant issues in assigned area(s). Is involved in
education and takes steps necessary to help reduce the occurrence
in the future. Assists and contributes in the measurements of
success.
- Takes ownership and provides oversight of above regulatory
issue(s) and (i.e. tracer element data collection, summary report
of tracer findings, nurse unit inspections, and measurements of
success).
- Research and teaching responsibilities
Take a leadership role in clinical research and the teaching
programs of the Department of Pharmacy Services as they are related
to emergency medicine:
- Participates in providing didactic and experiential training in
Clinical Pharmacy for clinical pharmacy residents.
- Assist in the development, implementation, and evaluation of
residency programs in the areas of Pharmaceutical Care and Clinical
Pharmacology.
- Actively participates in clinical research projects resulting
in presentations and/or publications.
- Provide staff development support to nurses, and
physicians.
- Provide presentations, publications, and other informative
activities on emergency medicine and other drug-related topics to
the health care community and general public.
- Maintains awareness of contemporary trends in the profession
through the professional literature and regular attendance at
professional organization meetings, institutes and seminars.
- Safe medication practice
Demonstrates probative participation in medication safety
initiatives as demonstrated by:
- 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).Characteristics for GREAT performance -
meets standards within this section plus some or all of the
following:
- Performs in-services, presentations, communicates at staff
meetings issues related to medication safety. (i.e. pharmacists,
nurses, medical staff committees, etc.).
- Performs in depth review and research of MSE. Identifies root
cause, performance improvement (PI) opportunities, and is an active
participant in the resolution process. Provides continuous
monitoring of interventions to hold the gain.
- Assists and collaborates with the SMP pharmacist or designee
with the identification and implementation of PI
opportunities.
- Involvement with the performance improvement process (i.e. ADE
task force, sentinel event committee, FMEA, RCA, etc).Sharp
HealthCare is an equal opportunity/affirmative action employer. All
qualified applicants will receive consideration for employment
without regard to race, religion, color, national origin, gender,
gender identity, sexual orientation, age, status as a protected
veteran, among other things, or status as a qualified individual
with disability or any other protected class
Keywords: Sharp Healthcare, La Mesa , Pharmacist / SHARP / Grossmont / Emergency Department / Full Time / Night Shift, Healthcare , La Mesa, California
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