Oncology Pharmacy Practice Resident PGY-2, Full-Time, SCCC

Specialty Oncology Pharmacy Residency

The UMHC Department of Pharmacy Specialty Oncology Pharmacy Residency is a 12-month program developed to meet or exceed all practice standards established by the American Society of Health-Systems Pharmacists (ASHP). This specialized, ASHP-accredited residency is designed to further develop the resident's clinical oncology skills. Specifically, the resident will be actively involved in managing the therapeutic decisions and clinical outcomes of cancer patients in a multi-disciplinary environment.

The resident actively participates in achieving the educational goals and objectives for each training experience. Participates in the design and completion of a residency project. Interprets and processes physicians' drug orders and provides information to medical, nursing and other healthcare personnel concerning the optimal, safe use of medication therapy. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Participates in training and educational activities of the residency program to produce the following outcomes:

• Acquire the knowledge necessary for high-level problem solving
• Refine problem solving strategies
• Strengthen professional and leadership values and activities
• Advance growth in clinical judgment

Displays initiative in providing optimal patient medication therapy outcomes through clinical pharmacy services, education, special projects, innovative services, and other appropriate activities.

Interprets and processes physician orders, monitors drug interactions, allergies and drug incompatibilities, and dispenses and performs the final check of all medications provided for patient use.

Reviews physician's original orders for accuracy and appropriateness of therapy in terms of dose, route, directions for use and possible therapeutic incompatibilities (i.e., allergy, duplication of therapy, drug interactions, dosing adjustments based on creatinine clearance, age/weight and I.V. to PO when appropriate) to ensure safe and appropriate drug therapy.

Maintain active involvement in local, state, and/or national pharmacy professional organizations.

Formulates a system for staying current with pertinent pharmacy, medical, and scientific literature.

Maintains knowledge and understanding of Pharmacy and Medical Center information systems.

Delivers effective education and training using appropriate techniques.

Presents pharmacy concerns, solutions, and interests in a balanced and effective manner.

Effectively uses time-management skills to fulfill practice and training responsibilities.

Participates in the organization's formulary process.

Communicates with physicians to clarify any discrepancies and prevent misadventures, promotes rational drug therapy by recommending formulary therapeutic alternatives when a non-formulary drug is requested and records intervention in appropriate manner and includes physician's name. Seeks reasons why medical necessity for non-Formulary medications and documents such reasons.

Provides pharmacokinetic support on indicated medications.

Reports to department head before, during and after the disaster situation as instructed by such for updates and/or changes in work schedules as may be determined necessary.

Technical Duties:

Ability to grasp technical information and attention to details.

Ability to comprehend and obtain information from a computer system.

Ability to do mathematical calculations required for preparation of medications, based on the age legend provided, for patient administration.

Ability to identify medications by both their generic and proprietary names.

Ability to use the telephone system to make, receive, and transfer calls.

Ability to use mechanical equipment within the department to prepare medication doses.

Ability to prepare and compound pharmaceutical preparations and intravenous fluids.

Knowledge of State and Federal laws pertaining to the practice of pharmacy.

Motor Skills:

Manual dexterity required 100% of the shift worked. Precise hand-eye coordination and manual dexterity to fill medication vials, bottles, and jars.

Precise hand-eye coordination to operate and adjust computer systems and cash register.

Interpersonal Skills:

Ability to interact with others in a professional, courteous, tactful manner; ability to act as a consultant to management.

Ability to communicate effectively (verbal and written).

Ability to relate cooperatively and constructively with patients, co-workers, and physicians.

Ability to handle interruptions and adapt to changes in workload and work schedule.

Fosters a team environment by providing orientation and training to new team members.

The ability to maintain patient confidentiality of information is essential.

Mental Abilities: Organize and prioritize:

Analyze situations and develop alternatives

Analyze data and develop valid conclusions

Develop clear, concise policies, procedures and correspondence

Provide clear direction to others

Manage duties in an environment of changing priorities and frequent deadlines

Abilities to read, write, comprehend, and analyze information. Ability to manage time constructively and productively. Ability to coordinate the sequence of operations of a process. Ability to exercise independent judgment. Ability to perform work accurately with attention to detail within specified times. Ability to set priorities and solve problems. Ability to maintain confidentiality of patient and business information. Ability to assume responsibility for work assignments and begin new activities without direct supervision. Ability to review inventory and order merchandise so that inventory stock levels are maintained.

Sensory Requirements:

Ability to communicate with others via telephone;

Ability to read written documents.

Good visual acuity needed to read written, typed and online charts, treatment plans, and policy and procedure manuals.

Hearing and speech skills essential.

Ability to retrieve and express auditory, visual, and verbal information.

Ability to visually distinguish objects and differentiate by shapes and color.

Visual acuity to operate equipment.

Physical Demands:

• Primarily sitting but may be standing in nature.
• Bending, stooping, or kneeling to retrieve or place objects on the floor or lower shelves.
• May require lifting and carrying loads weighing up to 25 pounds.
• Ability to climb and descent stairs and use elevators.
• Visual strain secondary to prolonged use of computer equipment may occur.
• Repetitive use of hands and fingers to prepare, fill, and dispense medications and operate a computer keyboard.
• Must be able to physically operate the equipment used within the department.
• Transporting and delivering pharmaceutical agents within the facility.
• Reaching for and placement of supplies and equipment on shelves and counter tops is required.

Working Conditions:

• The employee spends over 95% of their time inside an air-conditioned, well ventilated, controlled environment with a temperate range of 72 to 80 degrees Fahrenheit.
• The employee will work in an environment that is well lit with fluorescent lighting.
• Occupant is subject to the ringing of telephone bells and the intermittent moderate noise generated by a computer printer. Noise levels range from low to high.

Occupational Safety and/or Health Risks:

• Potential exposure to blood-borne pathogens and other potentially infectious agents is minor when performing routine technical responsibilities.
• Potential for sticks or cuts by needles and other sharp items.
• Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.
• Potential to handle and manipulate cytotoxic and biohazardous medications and substances on an intermittent basis.
• Potential to experience allergic reactions, severe burns or irritations if drugs and/or chemicals are improperly handled.
• Potential to receive an electrical shock when operating electrical equipment.
• Potential for visual and musculoskeletal strain from computer order entry.
• Potential for hearing loss secondary to the ringing of telephone bells, computer printers, and laminar airflow cabinets.

Personal Protective Equipment (PPE) / Standard Precautions:

Whenever hazardous chemical or biohazardous medications are being handled/prepared the employee is required to wear personal protective equipment (gloves, gowns, masks, goggles, foot coverings) appropriate to the task being performed. Personal Protective Equipment (PPE) is supplied from the "Main Pharmacy" and must be worn.

Dress Code:

Must wear clothing in accordance with University of Miami Hospital and Clinics expectations. Protective gloves, mask and gown must be worn when compounding chemotherapy or other hazardous medications. Employee badge/name tag must be prominently displayed at all times.

Age Population Served:

The Pharmacy service population varies from birth to the geriatric patient. Included in this job description are additional standards that will specify responsibilities for the age population served. Employee's competence