Ambulatory Clinical Pharmacist

The purpose of this position is to provide the services of a licensed pharmacist which includes the

responsibility for the safe and proper distribution and use of medications in inpatients and outpatients who range in age from neonates infants less than one year of age children and adolescents ages 10-18 adults ages 19-65 and the elderly over age 65.

This position is to function at higher decision making and accountability levels regarding medication therapy proactively affecting medication use by making recommendations at the time prescribing decisions are being made or in some cases making independent decisions about medication therapy in cooperation with other healthcare team members. Additional services provided include facilitatation of medication reconciliation discharge counseling and medication delivery through coordination of care from admission to discharge. The pharmacist must possess strong communication skills for patient education and work collaboratively with inpatient and outpatient interdisciplinary teams including but not limited to providers nurses case workers pharmacists and technicians as well as the teaching and precepting component of students interns and/or residents.

This is a flexible model where the coordination during transitions of care and medication use system for

patients are integrated with traditionally centralized functions such as order entry/verifications and will

continue to evolve as part of integrated decentralized patient care practice.

• Identifies resolves and documents complex therapeutic problems demonstrating advanced knowledge and application of this knowledge to a specific patient population.
• Interprets and evaluates prescribers orders and for accuracy completeness andappropriateness. Documents activities of clinical decision or medicationdistribution issues that are not in line with the standard of practice requirefollow-up or continued monitoring/evaluation. Verify the accuracy andappropriateness of medications prepared and dispensed from the pharmacy
• Assists in the reconciliation of medications education of patients regardingtheir home medication regimens and coordination of the discharge medicationplan with the interdisciplinary team. Documents activities in the patientmedical record.
• Monitors therapeutic response and adverse effects of medications to guidedrug therapy. Consults with provider when questions or problems areidentified and documents activities in the patient medical record. Appropriatelyreports all adverse drug reactions drug defects and medication errors.
• Responds accurately to requests for drug information from prescribers nursespatients and patients families; independently reviews and interprets theliterature and applies this information to specific patient care situations.
• Assists in the development of treatment guidelines to be used in patients withspecific diagnosis. Documents activities in the patient medical recordpharmacy monitoring profile drug use evaluation data collection or adversedrug reaction reporting program.
• Influences standards of therapy by forming peer level relationships withprescribers and is recognized as the authority on mediations in their practicearea by prescribers nurses and pharmacists. DM1Participates in both intra and interdepartmental education programs;participates in the development of peers.
• Supervise the activities and assume responsibility for all duties beingperformed by technicians students interns and residents and monitors andevaluates their performance.

• A current Pharmacists license issued by the Oregon State Board of Pharmacy.

• OHSU may require training or experience in a specialized area at time of recruitment.

Job Related Knowledge Skills and Abilities (Competencies):

• Enforce pharmaceutical care principles safely and accurately
• Make age-related modification of drug therapy
• Make disease-related modification of drug therapy
• Evaluate medical literature Work independently without minimal direct supervision
• Handle multiple tasks and frequent interruptions
• Communicate effectively both formally and informally including presentations
• Project manages
• Work with a team professionally and collaboratively
• Set priorities to respond quickly to emergent situations/requests
• Work cooperatively with health-system and pharmacy staff
• Communicate effectively and professionally (orally and in writing)
• Perform work accurately with attention to detail
• Exercise sound professional judgement
• Perform systematic problem solving
• Enforce practice guidelines standards and medication related policies
• Make critical decisions
• Perform key computer related skills including use of the EMR common word processing spreadsheet medical literature and medication databases

• BS in Pharmacy or Pharm.D. PLUS Practice Residency/Equivalent Experience or Specialist Certification (BCPS BCOPS etc)
• PGY-2 Specialty Residency BLS/ACLS certification Vaccination certification Teaching Certificate
• Experience in Oncology pharmacy practice either inpatient or outpatient
• Inpatient hospital pharmacy practice: Ability to meet the pharmaceutical care needs of the following patient care types: Acute care psychiatric rehabilitation skilled nursing long-term care obstetric oncology chemically dependent HIV home care hospice.
• Oncology related drug therapy in patients described in Position Purpose. (Dosage indications side effects etc. of chemotherapy and related adjunctive medications)

The pharmacist will experience competing demands from nurses physicians pharmacy staff and other healthcare professionals as they attempt to influence clinical decision-making clinical policies and practices and work flow. The pharmacist must deal with intense situations on a daily addition within the healthcare setting there can be significant lack of control over the work pace with frequent interruptions (work is often dictated by external factors) that may lead to mental fatigue or stress.