Patient Care Pharmacist CasualPRN Rotating

Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Womens Hospital
Address: 707 N. 190th Plaza - Elkhorn NE

Work Schedule: Required to work (1) shift per month. This is a casual/PRN position. Casual/PRN employees work on an as needed basis to meet the needs of the business. Work days/hours will often vary from week to week.

The role is to oversee and ensure the appropriate and safe utilization of medications for patients within the facility. The pharmacist must maintain competency in unique aspects of drug therapy for the patients for whom they provide care including factors related to patients of all age groups including neonates pediatrics adults and geriatrics.

Monitors drug therapy to evaluate appropriateness of use drug dosage form regimen route therapeutic duplication and drug interactions.

Pharmaceutical care provided by assessing patient demographics; reviewing patient medication histories; reviewing patient medication profiles; establishing desired outcomes; developing therapeutic care plans; determining alternatives for achieving outcomes; educating patients and or family on drug therapy; monitoring patient outcomes; and monitoring potential adverse drug-drug and drug-food interactions.

Mastery of the use of Cerner pharmacy and hospital information system application is required. As well as proficiency with all technology associated with the medication management process to include but not limited to Automated Dispensing Cabinets Automated TPN compounder and Automated dispensing equipment such as packaging machines/carousels.

Understanding and compliance with intravenous compounding policies and procedures is required. Responsible for adhering to policies procedures staffing safety metrics and financial metrics. Education to healthcare professionals and patients is a requirement.

Must maintain compliance with all state and federal regulations regarding medications.

The role is to oversee and ensure the appropriate and safe utilization of drugs of hospitalized or emergency department patients for the day/evening and weekend shifts.

Responsibilities:

Essential Job Functions

1. Patient Care Services

• Review medication orders for appropriate dose duration frequency dosage form indication allergy interactions and contraindications.
• Ensure that medication regimen is consistent with all organizational medication use guidelines and policies or other evidence-based guidelines in the absence of organizational guidelines which includes (but is not limited to): antimicrobial use intravenous to oral transition renal dosing anticoagulation and pharmacokinetics/serum drug concentration protocols.
• Adjusts medication regimen based on approved protocols and/or consultation with interdisciplinary medication therapy for potential or actual drug interactions (e.g. drug-drug drug-disease drug-allergy food-drug or contraindications) and outcomes.
• Works as an active member of multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas to provide patient-centered care
• Participates in interdisciplinary patient care roundsand oversees pharmacy resident and student participation in patient care rounds when applicable.
• Performs and/or reviews medication histories comparing prescribers orders to the patients active medication list(s) and works with prescribers to make changes as necessary
• Document activities related to medication reconciliation in medical record across patients transition of care (including but not limited to: admission transfer and discharge)
• Complete discharge medication review facilitate the discharge process including discharge prescriptions and/or provide discharge education per department procedures or upon request by patient or health care provider.
• Ensure compliance with health system inpatient drug formulary
• Completes medication profile review when staffing clinical area reviewing the following factors as appropriate:
  • Age sex health weight renal & hepatic function or other physiological parameters
  • Pregnancy and lactation status
  • Appropriateness of the dose route rate timing & frequency of administration and indication
  • Review for therapeutic duplication
  • Available laboratory values and microbiology results
  • Appropriateness of antimicrobial therapy (including anticipated/planned stop dates)
  • Potential drug interactions and contraindications

2. Coordination of Distribution Systems

• Coordinate and participate in the preparation and distribution of medications including communication of pending issues/transactions with team members and other health care professionals
• Coordinate drug delivery and documentation as appropriate.
• Complete and pass competencies associated with sterile non-sterile and hazardous drug compounding management as assigned based on area of work
• Understand safety precautions including hazardous materials handling and proper precautions against blood borne pathogens as it relates to area of practice
• Monitor that the medication use system is providing the right patient the right drug the right dose the right route and the right time with the right outcomes.
• Serve as a liaison for inpatient patient information for outlying patient needs (retail pharmacies home health physician clinics etc.)

3. Quality Improvement

• Identify and report adverse drug events (adverse drug reactions and medication errors) in the organizational reporting system
• Assure compliance with health system hospital and departmental policies and procedures
• Monitor compliance with state and federal laws and regulations related to the practice of pharmacy as well as standards and regulations for other regulatory agencies
• Participate in departmental and hospital committees as assigned

4. Training Education and Community Service

• Provide direct supervision of certified pharmacy technicians pharmacist interns and pharmacy students and assist with their education training and development
• Provide drug information/education to health care providers and patients upon request and as per department procedures
• Provide in-services and lectures to health care team members as assigned
• Precept and evaluate pharmacy residents and PharmD students on residency/clerkship rotations
• Provide drug information and disease prevention programs to consumer and patient groups as needed
• Follows and understands the mission vision core values and Employee Standards of Behavior
• Complete required departmental education/competency modules (Age Friendly etc.).

5. Other duties as assigned

Schedule:

Required to work (1) shift per month. This is a casual/PRN position. Casual/PRN employees work on an as needed basis to meet the needs of the business. Work days/hours will often vary from week to week.

Job Description:

Job Requirements

Education

• Bachelors degree in Pharmacy or doctor of pharmacy (PharmD) degree required.

Experience

• Must be at least 18 years of age with no current drug or alcohol addition/convictions of any drug related misdemeanor or felony
• Two years of health care pharmacy experience preferred.

License/Certifications

• Current active Pharmacy Licensure (PH) for work state required.
• American Heart Association Basic life support (BLS) certification preferred.
• American Heart Association Advanced cardiovascular life support (ACLS) certification preferred.
• Completion of an ASHP accredited residency training program and/or certification through a certifying program (Board of Pharmacy Specialties etc.) preferred.

Skills/Knowledge/Abilities

• Maintain competency in pharmaceutical knowledge and skills
• Effective verbal and written communication skills
• Ability to prioritize time and tasks according to patient needs and departmental duties
• Ability to supervise certified pharmacy technicians and pharmacist interns in departmental tasks and duties
• Ability to practice pharmacy with integrity towards coworkers and patients
• Ability accept and respond constructively to feedback and criticism
• Ability to learn computer and application skills as applicable to role
• Ability to make judgements in demanding situations
• Ability to manage multiple concurrent activities including reacting to frequent changes in duties and volume of work

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

• 50 pounds of force for one person or up to 100 pounds of force with assistance from a second person with the ability to meet Medium Work Weight Demands. A cabinet with a height of greater than 60 requires two individuals to move.

Physical Activity

• Not necessary for the position (0%):
  • Climbing
  • Crawling
  • Kneeling

• Occasionally Performed (1%-33%):
  • Balancing
  • Crouching
  • Lifting
  • Pulling/Pushing
  • Sitting
  • Stooping/bending
  • Twisting

• Frequently Performed (34%-66%):
  • Carrying
  • Distinguish colors
  • Grasping
  • Keyboarding/typing
  • Reaching
  • Repetitive Motions
  • Speaking/talking
  • Standing
  • Walking

• Constantly Performed (67%-100%):
  • Hearing
  • Seeing/Visual

Job Hazards

• Not Related:
  • Chemical agents (Toxic Corrosive Flammable Latex)
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha Beta and Gamma (particles such as X-ray Cat Scan Gamma Knife etc)
  • Radiation Non-Ionizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

• Rare (1-33%):
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF)
  • Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.