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Job Description

Job Title: Clinical Pharmacy Specialist - Drug Information

This position is located in Lancaster, PA.

Schedule is semi-flexible, part time hours. Some Tuesdays and Thursdays each month will be required. Details to be discussed further during on-site interview.

The Drug Information Clinical Pharmacy Specialist is part-time position (0.5 FTE) responsible for supporting the Pharmacy and Therapeutics Committee structure by preparing materials (monographs, annual reviews, medication use evaluations, agenda/minute prep, etc) necessary for P&T considerations. This role collaborates internally and externally to provide their evidence-based medicine expertise. This role would have routine interactions with pharmacy residents.

POSITION SUMMARY: Provide direct patient care activities by designing, recommending, monitoring and evaluating patient specific pharmacotherapy. Serves as the clinical pharmacy expert for a particular service line and is responsible for the training and education of pharmacists/technicians as it relates to clinical activities, competency assessment, development and implementation of clinical programs, P&T activities, formulary management, etc.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Participates in rounds with assigned medical, surgical or critical care team. Provide verbal and written consultations concerning drug therapy evaluations as requested. Active participation in Care Management Teams.

• Document drug use patterns, detect and evaluate adverse drug effects, evaluate drug efficacy, therapeutic goals and indications, review for contraindications/precautions, the patient’s current status of health, and review drug profiles and patient’s medical record for drug-drug, drug-food, drug-laboratory and drug-disease state(s) potentials.

• Provide individualized patient education/evaluation regarding drug therapy as requested or identified need.

• Evaluate appropriate laboratory tests necessary to monitor and support the patient’s drug therapy program.

• Document assessment, observations, impressions, recommendations, plan, significant findings, interventions and services rendered as appropriate.

• Coordinate activities as required with the pharmacy staff to affect a smooth exchange of activities and ideas regarding new and ongoing programs.

• Provide accurate, unbiased, timely and cost-effective drug information to medical, pharmacy, nursing and other allied health professionals.

• Serve as a resource and mentor for the Pharmacists and Clinical Pharmacists.

In addition to the above primary functions, all Clinical Pharmacy Specialists must be competent in performing the following primary functions of a Clinical Pharmacist and Pharmacist:

CLINICAL PHARMACIST:

• Identifies drug therapy strategies that improve patient outcomes and reduce costs.

• Utilizes assessment skills in the management of medically complex elderly to monitor responses to drug therapy.

• Provides information to patients, either directly as a consultation or in preparation of patient teaching aides or computer-generated warning or supplemental information.

• Conducts drug utilization reviews to assure the quality of drug use. Determines if criteria for drug use is met in patient cases being reviewed.

• Educates health care professionals and patients in the safe and effective use of medication. This education may be informal (e.g. patient care rounds), as a staff development education program, or as part of the hospital’s interdisciplinary education program.

• Support and assist interdepartmental projects as requested (e.g. MUE, P&T monographs, newsletter articles, performance improvement activities, etc.).

• Provides drug information to prescribers and other health care professionals. Contributes articles to the hospital and/or pharmacy newsletters. Assures that pertinent drug information is maintained in the pharmacy.

• Develops criteria and makes recommendations to the Pharmacy and Therapeutics Committee on the appropriate use of medications and/or inclusion in the hospital formulary.

PHARMACIST:

• Interprets and evaluates all medication orders and assures for safe and effective medication, dose route and scheduled administration with clarification as deemed necessary.

• Reviews physician orders and suggests alternate therapies as appropriate. Demonstrates this activity by preparing clinical intervention documentation.

• Prepares and dispenses medications in accordance with professional practice guidelines, state pharmacy laws, and regulatory standards in addition to departmental policies and procedures.

• Advises the physician, nurse and patient regarding the contents, therapeutic action, utilization and possible adverse reactions or interactions of medication.

• Responds to drug information and poison information requests as required.

• Performs computer order entry functions and rotates to all work areas as assigned.

• Actively participates in medication safety programs. Active participation is defined as identifying opportunities to improve safety (reporting errors and adverse drug events), and implementing system-based changes as a result of those opportunities.

• Monitors prescriptions to prevent adverse reactions, allergies and/or drug interactions. Counsels physicians, patients and nurses accordingly. Participates in drug interaction notification.

• Serves as a role model of customer service by responding constructively to the needs of hospital staff. Responding constructively is defined as using a respectful communication style that is consistent with professional collaboration.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Other duties as assigned.

• Provide educational pharmacy sessions (i.e., in-services, clinical pearls) or materials for patient groups and health care professionals.

• Evaluate and participate in Lancaster General drug research and other clinical trials, including designing and implementing primary research projects.

• Collaborate with other pharmacy service line leaders to address issues that cross service lines, such as surgical issues and/or pain management issues to ensure continuity of care across the hospital.

In addition to the above secondary functions all Clinical Pharmacy Specialists must be competent in performing the following secondary functions of a Clinical Pharmacist and Pharmacist:

CLINICAL PHARMACIST:

• Develops practice standards and procedures for education, staff development and policy manuals.

• Assists pharmacy education and training; prepares pharmacists for clinical activities. Precept students, as assigned.

• Provides drug information education to staff physicians informally and formally and through drug literature searches.

PHARMACIST:

• Controls the disposition of narcotics, other controlled substances, and dangerous drugs as required by state and federal regulations.

• Serves as a training resource for new employees and assists in evaluating their progress; may assist in preparing work schedules, setting work priorities and making work assignments as directed. Mentors pharmacy students in applicable educational experiential training programs.

• Inspect and verify all non-formulary drugs that a patient brings to the institution intended for use by physician order.

• Performs monthly nursing unit inspections, maintains workload records and collects quality assurance data.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• Pharm.D. and ASHP-accredited Pharmacy Practice Residency required (or equivalent experience).

• Current licensure (or eligible to reciprocate) in state of Pennsylvania required.

• Equivalent of three (3) years experience as a hospital pharmacist.

• Equivalent of one (1) year experience as a clinical pharmacist.

• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

PREFERRED QUALIFICATIONS:

• ASHP-accredited Specialty Residency or equivalent experience preferred.

• Board Certification may be preferred (dependent upon specialty).

• Previous experience as a clinical specialist and/or clinical coordinator.

COGNITIVE REQUIREMENTS

Attention/Concentration:

• The position requires strong concentration skills. The individual must have the ability to voluntarily sustain concentration to a task over an extended period of time as a result of an effortful and usually deliberate heightened and focused state of attention.

New Learning and Memory:

• A large portion of this position required reliance on verbal memory and new learning. Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job. The individual must be able to attend to and process multiple bits of information simultaneously. The individual must be able to organize and categorize this information effectively so that later recall is feasible.

Problem Solving, Reasoning and Creative Thinking:

• The position required much autonomy of thought and problem solving. The individual must be able to apply principles of logical or scientific thinking to define problems. The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem. The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis. The individual must be able to collect data, establish facts, and draw valid conclusions. The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition. They must be able to deal with a variety of concrete and abstract variables.

APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:

Leadership, control and planning: Ability to accept responsibility for leadership, direction, control, planning, negotiating, organizing, directing, supervising, formulating practices, or making final decisions.

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies, , automated decentralized cabinets (PYXIS), carousels, compounding systems, barcode scanner, robotic packager, pneumatic tube, laminar flow hood, biological safety cabinet

Software: Microsoft Office Products, Pharmacy clinical info system, Micromedex, Lexi-Comp, Abacus compounding software, PYXIS Connect, Quantifi.

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement :

• Sit: frequently

• Stand: continuously

• Walk: continuously

• Bend: occasionally

• Push: frequently

• Pull: frequently

• Kneel/Squat:

• Reach: frequently

• Twist: occasionally

• Balance: seldom

• Climb: seldom

Lifting: Degree of physical exertion is : Moderate , exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Sensory Abilities specifically required:

• Vision

• Hearing

• Touch/Feeling

PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Position involves exposure to the following harmful elements:

• Bio hazardous Waste

• Blood borne Pathogens

• Chemicals

• Extreme Noise Levels

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

• 100% Tuition Assistance at The Pennsylvania College of Health Sciences

• Paid Time Off and Paid Holidays

• Shift, Weekend and On-Call Differentials

• Health, Dental and Vision Coverage

• Short-Term and Long-Term Disability

• Retirement Savings Account with Company Matching

• Child Care Subsidies

• Onsite Gym and Fitness Classes

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.