University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®
The clinical pharmacist is responsible for all aspects of pharmaceutical care for adult inpatients and will have rotating shifts including weekdays, weekends, and evenings. The pharmacist's primary practice area will be internal medicine with the expectation to cross-train in hematology and oncology areas including bone marrow transplant. The clinical pharmacist may also have responsibilities in the adult dispensing satellite involving order verification and oversight of medication preparation and dispensing to acute care areas.
Clinical pharmacists at UIHC are involved in all aspects of patient care including, but not limited to: therapeutic drug monitoring, admission and discharge medication reconciliation, medication education, and precepting pharmacy learners. Clinical pharmacists are expected to serve as collaborative members of the medical team and interact with key members of the team including, but not limited to: licensed independent practitioners, medical students and residents, nurses, social workers, and care coordinators.
Provides Therapeutic Drug Monitoring (TDM)
- Evaluate medication orders to ensure accuracy and appropriateness
- Ensure pharmacokinetic assessment of drug dosing on appropriate patients
- Communicate with prescribers on patient medication needs
- Identify and evaluate adverse drug reactions on patients
- Provide drug information to other healthcare professionals
- Confirm/clarify patient drug allergies noted in medical record when needed.
- Complete medication histories on all patients and reconcile home medications against the admission medications
- Review and reconcile all medications upon patient transfer between clinical services
- Review daily therapeutic monitoring information for all patients served by the patient care unit (and other patient care units covered by the pharmacist's health care team)
- Identify high-risk medication therapy by defined admission criteria and review as appropriate
- Complete required competency exams as required by department
Documents Patient Care Activities Performed
- Medication error information into standard reporting system
- Identify, evaluate, and take steps to avoid adverse drug reactions on all patients
- Update patient allergies and patient-specific height and weight information when needed
- Review and ensure correct medication histories are entered into the medical record
- Provide and document medication counseling to patients for targeted populations
- Document therapeutic drug monitoring assessments and recommendations
Coordinates Patient Communications/Interactions
- Perform medication history and reconcile home medications with inpatient orders
- Discuss drug allergy history
- Conduct patient teaching classes (where appropriate)
- For targeted high-risk populations, provide medication counseling at discharge
Spearheads Patient Care Initiatives
- Coordinate medication orders written during assigned hours of duty
- Follow-up on medication system problems
- Monitor and respond to Drug Therapy situations.
- Carry out, through interventions and education, Protocol antibiotic and DUE initiatives.
- Participate in multi-disciplinary initiatives
- Serve on intra- and interdepartmental committees as required
- Coordinate discharge planning activities
Provides Educational Services
- Serve as preceptor for pharmacy students on clinical rotations sponsored by the UIHC Department of Pharmaceutical Care
- Present inservice educational programs to staff nurses, physicians, and other members of the health care team
- Present at and participate in other educational programs sponsored by the Department of Pharmaceutical Care, the College of Pharmacy, other UIHC departments, and state and national organizations
- Coordinate/conduct patient medication education classes (where appropriate)
Provides Oncology-Specific Clinical Pharmacy Services
- Collaborate with hematologists and oncologists to determine chemotherapy regimen selection and dosing adjustments when warranted
- Perform and document initial clinical review of chemotherapy plans analyzing for appropriate use and safety
- Review and manage chemotherapy plans within electronic health record (Epic®/Beacon®) to facilitate safe prescribing of chemotherapy
- Provide and document chemotherapy double check after initial clinical review
- Provide daily clinical monitoring for chemotherapy patients and ensure appropriate supportive care is provided, including but not limited to: methotrexate therapeutic drug monitoring, leucovorin and mesna checks and infectious disease prophylaxis
- Counsel all inpatients on newly initiated chemotherapy regimens with provided UIHC chemotherapy handouts
Successful candidates will be subject to a criminal background check.
- Pharm. D. (Doctor of Pharmacy) degree or Bachelor of Science in Pharmacy
- One (1) year of applicable pharmacy experience is required. Years of applicable experience include the time spent completing an ASHP-accredited pharmacy residency.
- Current licensure by the Iowa Board of Pharmacy Examiners is required. Includes those eligible for obtaining this licensure.
- Excellent written and verbal communication skills.
- Job related experience with and/or commitment to service excellence.
- Job related experience with and/or commitment to diversity in the work environment.
- Experience in hospital pharmacy setting is highly desired.
- Basic Life Support (BLS) certification or eligibility for completing BLS certification.
- Satisfactory completion of an ASHP-accredited PGY1 residency in pharmacy.
- Satisfactory completion of an ASHP-accredited PGY2 residency in oncology or another specific field.
- Clinical experience in providing pharmaceutical care to patients in hematology, oncology, and internal medicine areas.
- Board certification in Pharmacotherapy, Oncology, or another specialized field.