Job Classification: Pharmacist 3

Code class: 6029

Working Title: Clinical Pharmacist, Ambulatory Pharmacy Clinical Services

Responsible to: Assistant Director, Ambulatory Pharmacy Services

Summary: Provide pharmaceutical care to clinic patients based on departmental and clinic-based standards of practice; coordinate student/resident clinical activities; participate in Staff Development program including Journal Club and student presentations; participate in Ambulatory Pharmacy QI, DUE and Outcomes programs; participate in development and implementation of clinic-specific patient care programs; and perform and supervise distributive functions in the clinic-based or outpatient pharmacy.

Responsibilities:

A. Optimize pharmacotherapy

1. Collaborate with providers to individualize drug therapies promoting safe, effective and economical patient care.
2. Assume responsibility for monitoring and modifying the drug regimen when referred.
3. Offer review of clinic prescribing patterns to design targeted education to promote consistency with UWP guidelines (or other nationally recognized guidelines when needed)
4. Provide refill authorization in conjunction with assessment of adherence, drug interactions, efficacy, and safety.
5. Act as a drug information resource to providers, nursing staff and patients.
6. Identify patients with indications for drug therapy who are under-treated

Asthma/COPD
Congestive Heart Failure
Depression
Coronary artery disease
Diabetes Mellitus
Dyslipidemia
Eczema
Emergency contraception
HIV/AIDS
Hypertension
Osteoporosis/HRT
OTC Triage
Pain management
H. pylori
Rheumatologic disorders
Seizure disorders
Sexually transmitted disease
Smoking Cessation
Thromboembolic disorders
Urinary tract infections
Other disease states

B. Pharmacotherapy Education

1. Patient

1. Identify barriers to adherence to medication regimen, incorporating patient characteristics i.e. language, culture/religious practices, physical, cognitive, emotional, pain/discomfort, socioeconomic status.
2. Participate in existing or develop interdisciplinary group education classes that offer support and/or provide an efficient method of information exchange.

2. Clinic Staff

1. Provide regularly scheduled pharmacotherapy presentations and in-services
2. Provide drug information supported by evidence-based practice

3. Pharmacy Department

1. Participate/present at regularly scheduled pharmacy clinical conferences, journal clubs, and clinic-based conferences.
2. Collaborate with Pharmacy Residents on Pharmacy and Therapeutics

4. Pharmacy Students and Residents

1. Provide instruction for Pharm.D. students, residents, and staff pharmacists regarding pharmaceutical care, distribution and drug information.
2. Develop and maintain objectives, monitor progress, and assist with projects of pharmacy students and residents. Attend "Pharmacy Rounds" with preceptors and students/residents.
3. Obtain clinical faculty appointment and maintain connection with School of Pharmacy for didactic and experiential training opportunities.

C. Facilitate Observance of HEDIS guidelines

1. Pharmacist will focus on pharmacotherapy as one aspect of achieving focused outcomes for various disease states. This includes both consulting with the provider and individual patient visits with the pharmacist to promote the safe and appropriate use of medications.
2. Utilize evidence based clinical guidelines with UWP guidelines.
3. Participate in clinic TQM (CQI) teams, development of clinic-specific DUE, and -institutional QI activities.

D. Distribution activities

1. Prepare and dispense medications in clinic-based or outpatient pharmacy
2. Conduct a thorough patient profile review to assess the appropriateness of the prescribed pharmaceutical including monitoring individual patient profiles for drug duplications, interactions, allergies, appropriate dose, strength, and route of administration at the time each order is received. Document relevant information in the patient medical record.
3. Evaluate all prescribers’ orders and verify correctness of entries in computerized patient profiles
4. Interview patients and provide education regarding their medications
5. Comply with all pharmacy laws and regulations
6. Provide continuity for daily operations and patient interactions
7. Direct the work of technicians, interns, pharmacy students, and residents
8. Maintain accurate records of controlled substances dispensed.

E. Research

1. Participate in collaborative research with the Schools of Pharmacy, Medicine, Nursing, and Public Health
2. Participate in collaborative research with members of your clinical team.

F. Other

1. Maintain a strong clinical foundation based on primary literature and critical assessment of evidence based practice issues.
2. Publish articles in professional journals and make presentations at the local, state, and national level that will be useful to other practitioners.
3. Maintain effective communications with the other clinicians and administrative staff of the Department of Pharmacy and other departments in the Hospital.
4. Promote the image of service and good will to patients, public, and medical center staff.
5. Participate in professional pharmacy organizations.

Minimum Qualifications: State of Washington Pharmacist license and 12 months of experience in pharmacy practice. Months spent in the completion of a residency training program may substitute for the required experience.

Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as license/certification/registration.