Clinical Pharmacist Relief - Emergency at Oregon Health & Science Portland, Oregon

Clinical Pharmacist Relief - Emergency Department

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.

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.

The pharmacist functions at a high level of clinical decision-making, proactively influencing drug therapy by making recommendations at the point of prescribing or, in some cases, making independent therapy decisions in collaboration 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 contributing to the teaching and precepting of students, interns, and/or residents.

This position will report to Inpatient Central Operations leadership and is designed to support both centralized operational functions and decentralized clinical services, with opportunities to cross-train and provide coverage across other inpatient service lines based on operational needs.

This is a flexible model where coordination during transitions of care and medication use for patients is integrated with traditionally centralized functions, such as order entry/verifications, while also supporting decentralized clinical service needs. This model will continue to evolve as part of an integrated decentralized patient care practice.

Function/Duties of Position

• Identifies, resolves and documents complex therapeutic problems, demonstrating advanced knowledge and application of this knowledge to a specific patient population.
• Interprets and evaluates physician's orders and prescriptions for accuracy, completeness and appropriateness. Documents activities of clinical decision or medication distribution issues that are not in line with the standard of practice, require follow-up, or continued monitoring/evaluation. Verify the accuracy and appropriateness of medications prepared and dispensed from the central pharmacy.
• Assists in the reconciliation of medications, education of patients regarding their home medication regimens, and coordination of the discharge medication plan with the interdisciplinary team. Documents activities in the patient medical record.
• 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 physicians, nurses, patients and patient's families; independently reviews and interprets the literature and applies this information to specific patient care situations.
• Other Duties as Assigned

Required Qualifications

• 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

Preferred Qualifications

• PGY-2 Specialty Residency BLS/ACLS certification Vaccination certification Teaching Certificate
• Outpatient pharmacy clerical rotation, Transitions of Care, Discharge Medication Education, Surgical or Internal Medicine Services, Pain Management, and Medication Reconciliation
• Specialist Certifications (BCPS, BCOPS, etc)

This position requires flexibility to support both centralized operations and decentralized clinical services, including Monday-Sunday (0630-1500, 1430-2300) and overnight coverage (2100-0730). Staffing assignments may vary between central and decentral areas based on operational needs.

Equal employment opportunity, including veterans and individuals with disabilities.