Pharmacist- Internal Medicine

Provides comprehensive pharmaceutical care services for hospitalized patients, including medication order review, preparation, dispensing oversight, therapeutic monitoring, and accurate documentation of medication therapy. Serves as a medication expert by providing drug information, patient education, and oversight of medication-use and dispensing systems while ensuring compliance with all applicable federal, state, and local regulations. This role is primarily focused on decentralized patient care and collaborates closely with the interdisciplinary healthcare team through participation in rounds, clinical consultations, evidence-based medication recommendations, and medication therapy management to optimize patient outcomes and promote safe, effective care.

• Review, verify, and monitor medication orders to ensure safe, appropriate, and effective therapy based on patient-specific factors, including diagnosis, laboratory values, renal/hepatic function, allergies, contraindications, and drug interactions.
• Perform comprehensive medication profile reviews, including assessment of therapeutic appropriateness, dosing, frequency, duplicate therapies, drug-drug and drug-food interactions, and adverse drug event prevention.
• Participate in interdisciplinary patient care rounds and collaborate with physicians, nurses, and other healthcare professionals to provide evidence-based medication recommendations and optimize patient outcomes.
• Document clinical interventions, therapeutic recommendations, and patient care activities in accordance with departmental and regulatory requirements.
• Verify medication preparation and dispensing activities, including high-risk medications, compounded sterile products, and other therapies requiring pharmacist oversight.
• Manage and optimize medication therapy through activities such as renal dose adjustments, IV-to-PO conversions, therapeutic substitutions, black box warning interventions, and initiation, modification, or discontinuation of therapy under approved protocols.
• Provide pharmacokinetic and collaborative practice management services, including anticoagulation, vancomycin, aminoglycoside, parenteral nutrition, and other pharmacist-managed therapies as authorized by facility protocols.
• Assist with medication reconciliation and clarification of incomplete, unclear, or potentially unsafe medication orders during transitions of care.
• Ensure medications are appropriately procured, prepared, stored, and available to meet patient care needs.
• Supervise and support pharmacy technicians and other pharmacy personnel involved in medication preparation, distribution, and inventory management.
• Serve as a drug information resource for healthcare providers and patients, providing medication counseling and education as needed.
• Participate in the education and training of pharmacists, pharmacy technicians, students, nurses, physicians, and other healthcare professionals regarding medication use and patient safety.
• Maintain compliance with all applicable federal, state, local, accreditation, and organizational requirements, including completion of regulatory inspections and quality assurance activities.
• Support medication-use evaluations, quality improvement initiatives, and patient safety programs to enhance clinical and operational outcomes.
• Maintain professional competency through continuing education, staff development, and ongoing participation in professional activities and departmental initiatives.

• Education:
• Required: Pharm.D. or BS in Pharmacy
• Experience:
• Preferred: Hospital experience and/or PGY1 Pharmacy Practice Residency
• Certifications:
• Required: Pharmacy license. AHA BLS, ACLS, PALS required if direct patient care responsibilities.
  Preferred: Board Certification in Pharmacotherapy (BCPS), BCGP, etc.
• Physical Demands:
• Lift/position up to 50 lbs. Push/pull up to 50 lbs. of force. Frequent standing and walking. Frequent reaching, stooping, and bending. Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.

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