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Job Details

Pharmacist I/II

Location:
Type: Tribal
Salary Range: $0 to $0 / Per Year
Open Period: 11/9/2018 to 1/11/2019
Summary: Tuba City Regional Health Care Corporation, a Joint Commission accredited health center, provides services to a 6,000 square mile area and serves as a referral center for the western part of the Navajo and Hopi Reservations.

This position provides services at the TCRHCC main campus. Pharmacist is responsible for providing a comprehensive pharmacy and medication management service to patients and ensures a consistent level of service in accordance to TCRHCC policies. Direct patient care and services are provided to neo-natal, pediatric, adolescent, adult, geriatric, oncology, and obstetric patients. This position requires working rotational shifts: day, evening, nights, weekends, and Holidays. The position provides the opportunity for career advancement through tier levels of Pharmacist to Advanced Practice Pharmacist as determined by pharmacy experience. Advanced Practice Pharmacist serves as a clinical pharmacist for direct clinical pharmacy services for inpatient and outpatient departments. In addition to the responsibilities of Advanced Practice Pharmacist I, Advanced Practice Pharmacist II is responsible for all specialized pharmacy–based clinics and providing an ongoing analysis of clinical services to develop programs that commensurate with the highest quality of care. Responsibilities also include the administration of policies and procedures and directing programs and activities in accordance to TCRHCC's mission, vision, and values. Incumbent serves as the Clinic Manager of Operations at the designated clinic(s) and provides technical and administrative supervision to professional and non-professional employees; i.e. Advanced Practice I, Staff Pharmacists, Pharmacy Technicians, Pharmacy Assistants and Pharmacy Billers.
Duties: APPLIES TO PHARMACIST I/II – ADVANCED PRACTICE PHARMACIST I/II Clinical: 1. Conducts authorized outpatient pharmacy clinics for examination, diagnosis and treatment of specialized clinic patients. Obtains relevant health history, follows and adjusts the developed treatment plan, and monitors the patient's outcome to the prescribed treatment plan. 2. Reviews inpatient and outpatient medical records for safety, appropriateness and effectiveness of drug therapy with regard patient-specific factors (i.e. age, organ function, disease state). Consults with Medical Staff when concerns arise and collaborates with nursing staff to evaluate medication use. 3. Reviews, assesses and inputs chemotherapy treatment plans for oncology patients, verifies medication orders to ensure accuracy of dosage, treatment schedule, route of administration and safe administration based on laboratory information and evidence based practices. 4. Counsels patients, their representatives, and/or patient family members on safe and effective use of, including compliance with, prescribed medications. 5. Participates in pandemic and/or disaster drills that TCRHCC has elected to take part in and including responding to actual disaster events. 6. Develops hospital staff's pharmacological knowledge by participating in clinical programs, training pharmacy staff, students, interns, externs, residents, and health care professionals. 7. Maintains pharmacological knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies for continuing education (C.E.) required for specialized pharmacy-based clinics. 8. Provides pharmacological information by answering questions and requests of health care professionals; consults with providers on the significance of properties of drugs regarding absorption, metabolism and excretion in all age groups. 9. Inpatient Pharmacy Setting: a) Attends multi-disciplinary rounds to provide pharmacy-related input for patients' therapeutic plans. Follows up on recommendations made and adjusts as necessary. b) Responds to Code Blue and Level 1 traumas, provides support for dose calculation, rates of infusion, routes of administration, and mixing of emergent IV/IM/IO preparations. c) Plans, reviews and maintains emergency drugs for emergency situations. d) Documents all clinical activities, update problem lists, and update medication allergy information in the medical records. e) Provide pharmaceutical services to focus on therapeutic drug monitoring. f) Analyze medication regimens to ensure the most effective, least toxic, and most economical treatment plan to enforce and enhance the role of Pharmacy as an active member of the health care team based on current clinical knowledge. 10. Responsible for electronic health records data entry pertinent to patient service role prior to duties as assigned or where it is appropriate to place. 11. All other duties as assigned by the Director of Pharmacy Services. Performance Improvement: 1. Identifies and reports any medication errors or adverse drug reactions as per the Medication Error and Adverse Drug Reaction reporting policies. Identifies areas in TCRHCC pharmacy or hospital practice that could be improved so as to minimize patient safety risks and provide more efficient operations. 2. Selects, procures, prepares and dispenses only those medications that conform to standards of quality for potency, purity, and effectiveness at the time they are administered or dispensed to patients. Evaluates all prescriptions for appropriateness to the age, weight and gender of patient. 3. Demonstrates knowledge of and competency in hazardous medication management. 4. Safely handles and prepares compounds such as chemotherapeutic agents, biologicals or other medications; packages, manufactures, and compounds products, including unit doses and intravenous additives (including chemotherapy), that are not commercially available as a premix. 5. Maintains necessary legal records on controlled substance drugs and other prescription products. 6. Serves on various hospital-wide committees as a representative of the Pharmacy department. Implements the drug Utilization Review Reports and presents the review to the quality assurance committee through the Pharmacy and Therapeutic Committee as needed. APPLIES TO ADVANCED PRACTICE PHARMACIST I/II 1. Performs, as required or as scheduling permits, all Clinical and Performance Improvement duties listed above. 2. Utilizes the relative health history and performs limited physical assessment related to the specialized pharmacy-managed clinics; distinguishes between normal and abnormal findings to recognize early stages of serious physical, emotional and mental problems. 3. Medications may be monitored, titrated and/or altered per specialized pharmacy clinic guidelines; therefore, prescriptions may be initiated, canceled, renewed and/or written to adjust doses. May order and interpret laboratory tests as appropriate for specialized pharmacy clinics and monitoring inpatient pharmacotherapy. 4. Participates, assesses, plans and implements interventions in pharmacy-managed clinics, in accordance with departmental and facility-wide policies and with the standards of professional pharmacy practice. APPLIES TO ADVANCED PRACTICE PHARMACIST II Managerial/Supervisory: 1. Implements, coordinates and supervises all clinical service related activities within the designated Pharmacy Services area. Fosters the interest of the staff in clinical service activities and monitors the established specialized pharmacy-based clinics. 2. Formulates clinical service policies and procedures, interpreting pharmacy administrative policies, directives and procedures to employees, patients and pharmacy administration. 3. Develop, implement and establish new specialized pharmacy-based clinics as needed to provide clinical services for the service population. 4. Develops and implements clinical services quality assurance activities using predetermined established The Joint Commission (TJC), and Centers for Medicare and Medicaid Services (CMS) standards. Works with established performance improvement (PI) committee groups to coordinate PI initiatives including resolution of identified problem areas. 5. In conjunction with the Director of Pharmacy Services, assists in managing costs affecting the specialized pharmacy-managed clinics.
Qualifications: Education (Pharmacist I/II & Advanced Practice I/II): Doctor of Pharmacy or a Bachelor of Pharmacy degree from a school recognized by the American Council of Pharmaceutical Education Certification (Pharmacist I/II & Advanced Practice I/II): Must have a current valid and unrestricted license to practice pharmacy in a State or Territory of the United States, or the District of Columbia and have a current valid Basic Life Support (BLS) Certification Experience: • Pharmacist I: Not required for entry level incumbents • Pharmacist II: A minimum of one (1) year experience as a Registered Pharmacist • Advanced Practice Pharmacist I: 1) A minimum of two (2) years' experience as a Registered Pharmacist; and 2) A minimum of one (1) year experience as a Clinical Pharmacist • Advanced Practice Pharmacist II: 1) A minimum of five (5) years' experience as a Registered Pharmacist and 2) a minimum of two (2) years' experience as a Clinical Pharmacist • Oncology Specialty (Advanced Practice Pharmacist I/II): A minimum of one (1) year experience in an oncology practice setting, a cancer center, or completion of a structured oncology traineeship or completion of a post-graduate residency focused on expanding knowledge of cancer treatments and management of associated adverse effects Credentialing (Advanced Practice I/II): Must become a credentialed member of the TCRHCC Pharmacy Staff Other Skills and Abilities (Pharmacist I/II & Advanced Practice I/II): A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in the following areas: • Possession of high ethical standards and no history of complaints and no prior records of substance abuse • Reliable and dependable; reports to work as scheduled without excessive absences • Maintains a positive professional attitude and demonstrates good interpersonal communication skills • Knowledge of legal dispensing practices, federal pharmacy regulations and therapeutic incompatibilities • Knowledge of sterile compounding (and USP 800 regulations) and non-sterile compounding procedures • Knowledge of drug-drug, drug-disease state, and drug-allergy incompatibilities • Knowledge of pharmacology, therapeutics of common disease states and treatment modalities, pathophysiology, and pharmacokinetics
Work Type: Permanent, Full
Announcement #: TC-2018-0273 (DH8011)
Who May Apply? All Groups of Qualified Individuals
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Name: Bitsui, Alex