Description
Clinical Pharmacy Specialist - Inpatient Pharmacy
Rush University Medical Center is one of the country's leading medical centers pushing the boundaries of healthcare services with innovative, compassionate, and accountable team members. Are you ready to challenge and grow your skills, contribute to providing top quality patient care, and enhance your career? Rush is a diverse and inclusive culture, and offers a competitive salary, and a valuable compensation package including health, dental and vision benefits, retirement, health savings accounts, and tuition assistance to invest in your future.
The Clinical Specialist, Hematology/Oncology is the dedicated pharmacist to support the hematology, medical oncology, gynecologic oncology and stem cell therapy programs. The pharmacist attends and participates in inpatient rounding with a multidisciplinary team, attends and participates in interdisciplinary weekly service meetings, participates in SCT clinic. In addition, the Clinical Specialist, Hematology/Oncology will exemplify the Rush, mission, vision, and values and act in accordance with Rush policies and procedures.
Position Responsibilities:
Clinical pharmacy services will be provided to the malignant hematology, medical oncology, gynecologic oncology and stem cell therapy (SCT) recipients and/or the family/caregivers of SCT recipients during inpatient hospitalization for cancer, chemotherapy and its complications and all phases of SCT. Clinical pharmacy services will be provided in collaboration with pediatric pharmacists for pediatric oncology. The hematology/oncology/SCT pharmacy service will include identifying, solving and preventing medication related problems in the hematology/oncology/SCT population. The SCT pharmacist will provide education regarding the safe and effective use of medications in the post allogeneic SCT population to the healthcare team, patients and families and will facilitate the processing of chemotherapy for patients admitted to the hospital.
Outpatient care:
* The hematology/oncology/SCT pharmacist will:
* Be available as needed during the evaluation phase if any multidisciplinary team member feels a consult is needed by the hematology/oncology pharmacist.
* Participate in development of patient education materials with multidisciplinary team members in preparing patients for SCT.
* Be available on a consultative basis to the outpatient SCT clinic on patients with immunosuppression problems identified by any multidisciplinary transplant team member.
Inpatient Acute Care:
* The hematology, oncology, gyne/onc and SCT pharmacists:
* Attends interdisciplinary rounds for malignant hematology, medical oncology, gynecologic oncology and SCT daily to assist the respective team with the design, implementation and monitoring of medication regimens.
* Reviews drug therapy to ensure appropriate use, dose, dosage form, regimen, route, therapeutic duplication, drug allergies, drug interactions and cost-effective therapy.
* Reconciles home medications for admitted patients.
* Discusses medication order clarifications with the prescriber/healthcare team and document any changes in patient and pharmacy records to inform others of medication order changes.
* Provides individual patient/family counseling on medication regimens, adherence to medication regimens and adverse effects of medication regimens to patients/caregivers prior to discharge of allogeneic SCT patients and other patients deemed appropriate and document in the electronic medical record.
* Provides pharmacokinetic consultations as required. Kinetic notes are written for every new start of vancomycin or an aminoglycoside and for dose modifications.
* Prevents, detects monitors, documents and reports adverse drug reactions and medication errors.
* Reviews chemotherapy orders for hematology, oncology, gyne/onc and SCT patients receiving chemotherapy inpatient.
* Available to nursing staff for questions on medication orders.
* Order verification/in-basket messages for 14E and 14W patients.
* Assist with ACPM with lunchtime order verification/in-basket messages on designated week (A7N, A7S, A9N, A9S, T14E, T14W).
* Assist with facilitating chemotherapy desensitization's in the MICU.
Discharge Planning (Inpatient Acute Care):
* The hematology/oncology/SCT pharmacist will:
* Participate in discharge planning and discuss relevant changes to the home medication list prior to discharge with the team and/or the patient as required.
* Help facilitate discharge planning for smooth transition to outpatient pharmacies or alternate site of care.
* Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge.
Other responsibilities (Hematology/Oncology/SCT):
* The hematology/oncology/SCT pharmacist will:
* Act as the pharmacy liaison to the Cancer Center.
* Coordinate pharmacy participation in hematology/oncology, SCT and gynecology/oncology-related committees.
* Heme/Onc Quality Committee
* Gyne/Onc Quality Committee
* SCT QI Steering Committee and QI meeting
* Actively participate in multidisciplinary hematology service meetings
* Inpatient hematology meeting (every Monday)
* Leukemia Comprehensive Clinic meeting (every Monday)
* Actively participate in multidisciplinary SCT service meetings
* Inpatient SCT meeting (every Tuesday)
* SCT Patient Triage meeting (every Wednesday)
* SCT staff meetings (monthly to bi-monthly)
* Provide updates in therapeutics to the hematology, oncology programs as needed via memos, presentations and one on one communications.
* Provide education to the interdisciplinary round team members on relevant medication topics as needed (e.g. neutropenic fever).
* Participate in quality improvement initiatives for the hematology, medical oncology, gynecologic oncology and SCT programs
* Actively participate in outcomes-based research for the hematology, medical oncology, gynecologic oncology and SCT programs
* Participate in coverage of Heme/Onc Clinical Pharmacist On-call pager
Other responsibilities (Department of Pharmacy):
* The hematology/oncology pharmacist will:
* Provide updates in transplant therapeutics to the Department of Pharmacy as needed via memos, presentations and one on one communications.
* Assist with chemotherapy monographs, Epic builds, guidelines for use for newly approved chemotherapy agents
* Precept Introductory to Pharmacy Practice (IPPE) students, Advanced Pharmacy Practice Experience (APPE) students, Pharmacy Practice (PGY1) Residents and Specialty (PGY2) Residents on rotation in the hematology/oncology/SCT specialty area.
* Be available for drug distribution and order verification support as needed.
* Work with the pharmacy operations manager regarding chemotherapy workflow issues.
* Work with pharmacy informatics to improve chemotherapy workflow and safety.
* Assist in the review of pharmacy policies impacting chemotherapy processes.
* Participate in multidisciplinary Clinical Resource Management meetings for areas of specialty
Promote and demonstrate rational, cost-effective drug therapy:
* The hematology/oncology/SCT pharmacist will:
* Develop, implement and monitor hematology/oncology/SCT-related clinical protocols and guidelines.
* Identify and implement drug therapy where positive pharmacoeconomic impact could be achieved. The goal is to develop and assure cost-effective clinical pathways.
* Present relevant drug therapies at the hospital Pharmacy and Therapeutics Committee and will serve on the Chemotherapy Pharmacy and Therapeutics Subcommittee.
* Document clinical interventions and cost-avoidance as part of the pharmacy departmental documentation (I-Vent) program.
* Monitor the use of expensive medications (e.g. Thymoglobulin, Immune globulin, erythropoietin, growth colony stimulating agents, rasburicase) to assure there is use consistent with approved criteria.
* Anticipate changes in drug therapy and report the potential impact it will represent to the overall hospital and drug budget.
Universal Pharmacist Responsibilities:
* Order Approval
* Aseptic technique
* Document I-vents
* Clean room procedures
* Distribution systems (Pyxis, carousels, etc.)
* Anticoagulation dosing/monitoring
* Antibiotic dosing
* Pharmacokinetics
* Narcotics
* Code blue pager coverage
* Crash cart checking
Position Qualifications Include:
* Registered pharmacist in Illinois (or eligibility to be licensed in Illinois)
* PharmD degree preferred
* BLS/ACLS certification only if administering vaccinations or opioid antagonists.
* Minimum Criteria
* Completed a Pharmacy Practice (PGY1) Residency plus have 2 years of hematology/oncology/stem cell transplant experience as a clinical pharmacist.
OR
* 3-5 years of hematology/oncology/stem cell transplant experience as a clinical pharmacist.
* Completed a Specialty (PGY2) Residency in Hematology/Oncology.
* Board certification (BCOP) required within two years of employee start date.
Company Highlights:
* Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career. Everything we do centers on one goal: improving patient care.
* Rush offers a competitive salary, and valuable healthy living benefits including: health..... click apply for full job details
