PGY1: Acts as a pharmacist in training. Develops advanced practice skills by providing comprehensive pharmaceutical care through integrated drug distribution, clinical services, and teaching.
KEY RESPONSIBILITIES
- Provides pharmaceutical care by assisting physicians in various tasks, including, but not limited to, reviewing patient medication history, educating patients on drug therapy, documenting medication-related issues in patient chart, etc.
- Makes patient care rounds.
- Monitors drug therapy to evaluate appropriateness of use, dose, dosage form, regimen, route, therapeutic duplication, and drug interactions.
- Provides pharmacokinetics consultations.
- Concurrently monitors use of biotechnology drugs for compliance with prescribing criteria.
- Precepts Pharm.D. clerkship students consistent with the resident’s clinical experience.
- Participates in the quality improvement activities of the Department by conducting medication usage evaluations. Reports results to the Pharmacy and Therapeutics Committee.
- Detects, monitors, documents, and reports adverse drug reactions and medication errors.
- Promotes the use of the formulary by converting non-formulary orders to formulary. Coordinates procurement of non-formulary drugs when necessary.
- Counsels patients on discharge medications.
- Facilitates discharge planning and smooth transition to alternate site of care or the outpatient pharmacy. Maintains and updates a patient profile with demographics, diagnosis, allergies, and current medications.
- Discusses medication order clarifications with the prescriber. Documents any changes in patient and pharmacy records, and informs others of medication order changes.
- Reviews medication orders for appropriateness and checks doses of IV admixtures and unit dose medications prepared by technicians.
- Provides presentations, publications, and other informative activities on drug-related topics to the health care community and general public.
- Identifies and acts upon cost avoidance in drug therapy. Promotes more cost-effective regimens, drugs. Documents clinical interventions and cost avoidance as part of the departmental documentation program.
- Prepares pharmaceutical products, including oral, IV admixtures, chemotherapeutic, and investigational agents.
- Provides drug information to health care professionals and to patients.
- Reviews physician orders for possible therapeutic problems, contraindications, interactions, allergies, and formulary status of the drug.
- Provides computer order entry for medication orders.
- Ensures compliance with controlled substance distribution and control system.
- Performs other duties as required or assigned.
MINIMUM QUALIFICATIONS
- Previous health system experience preferred.
- Must be able to work independently with minimal direct supervision, to set priorities, make critical decisions, respond quickly to emergency requests, handle frequent interruptions, and adapt to changes in workload.
- Good written and verbal communication skills are essential.
REQUIRED LICENSE/CERTIFICATIONS/REGISTRATIONS SKILLS (Tracked at the department level)
- Graduate of an ACPE-accredited School Pharmacy with a Bachelor’s of Science in Pharmacy or Pharm.D degree.
- Must be licensed or eligible for licensure as a pharmacist in the state of NH.
PGY2: Acts as a pharmacist in training in a specialty area of pharmacy practice. Develops advanced practice skills by providing comprehensive pharmaceutical care through integrated drug distribution, clinical services, and teaching.
KEY RESPONSIBILITIES
- Provides pharmaceutical care by assisting physicians, medical residents, and mid-level practitioners in various tasks, including, but not limited to, prospective and retrospective medication review, medication reconciliation, patient counseling, documentation of activities in the medical record, etc.
- Actively participates in multidisciplinary patient care rounds.
- Evaluates the appropriateness of indication, dose, dosage form, route of administration, allergy considerations, formulary status, medication interactions, therapeutic duplications, etc.
- Provides medication recommendations to the team to optimize patients’ medication therapies.
- Provides pharmacy-managed consult services for vancomycin, aminoglycosides, and warfarin.
- Provides additional pharmacist-driven services including therapeutic interchange, IV to PO conversion, renal dosing adjustment, etc.
- Detects, monitors, documents, and reports adverse drug reactions and medication errors.
- Identifies and promotes cost containment strategies throughout the institution.
- Ensures compliance with controlled substance distribution.
- Serves as a medication information resource to health care professionals and patients.
- Precepts Doctor of Pharmacy Advanced Pharmacy Practice students, as well as Post-Graduate Year 1 pharmacy residents in conjunction with the resident’s clinical rotation duties.
- Participates in the quality improvement activities of the department by conducting a medication usage evaluation and a clinical research project. Results are reported to the Pharmacy and Therapeutics Committee, as well as at local and national conferences as appropriate.
- Provides continuing education sessions on medication-related topics to the medical and pharmacy staff at Dartmouth-Hitchcock.
- Participates in clinical rotations aligned with various sub-specialties in the area of focus of the PGY2 residency program.
- Performs other duties as required or assigned.
MINIMUM QUALIFICATIONS
- Previous health system experience required.
- Must be able to work independently with minimal direct supervision, to set priorities, make critical decisions, respond quickly to emergency requests, handle frequent interruptions, and adapt to changes in workload.
- Good written and verbal communication skills are essential.
REQUIRED LICENSE/CERTIFICATIONS/REGISTRATIONS SKILLS (Tracked at the department level)
- Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited degree program (or one in process of pursuing accreditation) or have a Foreign Pharmacy Graduate Equivalency Committee (FPGEC) certificate from the National Association of Boards of Pharmacy (NABP).
- Must be licensed or eligible for licensure as a pharmacist in the state of NH.
- The applicant must be participating in, or have completed, an ASHP-accredited PGY1 pharmacy residency program or one in the ASHP accreditation process.
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