Clinical Pharmacist - Ambulatory, Inpatient Surgery Oncology

This position provides services of a licensed pharmacist who is responsible for supporting safe medication

practices for patients seen in Ambulatory CHH1 and 2, Outpatient Care Unit, and inpatient surgical oncology

patients; both staffing sites will include daytime and swing shift hours. The pharmacist is responsible 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 1-18, 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 facilitation 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 coordination of care for the patient as he/she transitions from one aspect of the

medication use system to another is integrated with traditionally centralized functions, such as order

entry/verification. This coordinated care model will continue to evolve as part of an integrated decentralized

patient care practice.

• Assists with the reconciliation of home medications upon admission/discharge, educates patients regarding their home medication regimens both pre- and post-surgery, and coordinates a discharge medication plan with the interdisciplinary team. Documents activities in the patient medical record. 
• Interprets and evaluates prescriber's orders and for accuracy, completeness and appropriateness. Documents clinical decisions and/or medication distribution issues that are not in line with the standard of practice, require follow-up, or continued monitoring/evaluation. 
• Monitors therapeutic response and adverse effects of medications to guide drug therapy. Consults with provider when questions or problems are identified and documents activities in the patient medical record. Appropriately reports all adverse drug reactions, drug defects, and medication errors. 
• Responds accurately to requests for drug information from prescribers, nurses, patients and patient's families; independently reviews and interprets the literature and applies this information to specific patient care situations. 
• Identifies, resolves and documents complex therapeutic problems, demonstrating advanced knowledge and application of this knowledge to a specific patient population. 
• Assists in the development of treatment guidelines to be used in patients with specific diagnosis. Documents activities in the patient medical record, pharmacy monitoring profile, drug use evaluation data collection or adverse drug reaction reporting program. 
• Influences standards of therapy by forming peer level relationships with prescribers and is recognized as the authority on mediations in their practice area by prescribers, nurses and pharmacists. 
• Participates in both intra and interdepartmental education programs; participates in the development of peers.
• Supervise the activities and assume responsibility for all duties being performed by technicians, students, interns, and residents and monitors and evaluates their performance.
• Verify the accuracy and appropriateness of medications prepared and dispensed from the pharmacy.

• A current Pharmacist’s 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):

• 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. 
• Demonstrates the ability to: 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 manage 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 
• Specialist Certifications (BCPS, BCOPS, etc)
• State of Oregon Pharmacy Preceptor licensure 
• Experience in Med/Surg pharmacy practice, either inpatient or outpatient 
• Outpatient treatment and infusion plans - oncology and non-oncology 

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 workflow. The pharmacist must deal with intense situations on a daily basis. In 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.