The Clinical Pharmacy Specialist - Emergency Department is responsible for the provision of comprehensive clinical pharmacy services in the ED at Nicklaus Children's Hospital. This role will primarily be focused and based in the Emergency Department and will also have other responsibilities depending on departmental need. Clinical responsibilities for this role include but are not limited; to participation in critical and acute resuscitations, traumas, and codes, support in the selection, procurement, preparation, monitoring and administration of medications, prospective medication order review, medication reconciliation, discharge patient consultation, drug information and education, precepting and training of pharmacy staff, residents, and students, and policy and pathway development, implementation and review including pharmacokinetic and therapeutic consultation, clinical effectiveness program (CEP) involvement, quality improvement and medication safety
Job Specific Duties
Performs and documents drug therapy monitoring and interventions on medication dosing, administration, drug interactions, monitoring and adverse reactions.
Actively participates in clinical pharmacy program and services, ands act as a consultant in areas of expertise.
Responds to pediatric and adult codes/traumas in ED and throughout organization as assigned.
Assists with admission reconciliation, discharge counseling, order processingand delivery to area of service.
Attends and actively contributes to daily patient care activities, clinical services meetings, hospital committees, task forces and projects, including protocol/pathway development, order set development and optimization, and cost-savings and quality initiatives as assigned.
Executes established policies, procedures and protocols to ensure safe, appropriate, cost-effective medication therapies for patients and recommends therapeutic alternatives to medical staff as needed.
Documents quality activities to achieve established metrics to meet standards of DNV-GL accreditation, institutional, state and federal requirements on interventions, adverse reactions, medication errors, contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.
Demonstrates and maintains competency with safe use of pharmacy and hospital clinical information systems (Cerner, PyxisES, C2Safe, Baxa TPN Dose Edge, Vigilanz, MILT4, Lexicomp, and PC desktop systems).
Provides drug information through in-service education and daily support for pharmacy department staff, hospital clinical staff, medical residents and medical staff and consultation with patients and families.
Functions as a Staff Clinical Pharmacist as assigned, and satisfactorily performs the essential duties of the role for medication management.
Assists with training of pharmacy staff on code response and emergencypreparedness.
Develops quality improvement projects and participates in the quality improvement and medication use review activities of the department.
Precepts and educates pharmacy residents and pharmacy students. F: Monthly/ T: 40+ hours R: Individual
Prepares and collects data for MUE's, drug monographs for the P&T and special projects assigned by Clinical Manager.
Provides clinical support for multidisciplinary committees, including the Pharmacy and Therapeutics Committee, through development of materials to support clinical evaluation of drugs, procedures, and processes including the coordination and reporting of adverse drug reactions, pharmacist interventions and other quality initiatives, within areas of direct responsibility.
Achieves cost savings targets and actively contributes to the pharmacy department's pharmacoeconomic efforts and formulary management and assists the department leadership with maintaining budget targets.
Provides clinical support for multidisciplinary committees, including thePharmacy and Therapeutics Committee, through development of materials tosupport clinical evaluation of drugs, procedures, and processes including thecoordination and reporting of adverse drug reactions, pharmacist interventionsand other quality initiatives, within areas of direct responsibility.
Advances the profession through publication, presentations at local, state, or national meetings and providing community education.
Minimum Job Requirements
Bachelor's Degree Science in Pharmacy or Doctorate of Pharmacy (PharmD)
Eligible for/or current Florida Pharmacist License - maintain active and in good standing throughout employment
American Heart Association (AHA) BLS - maintain active and in good standing throughout employment
4-7 years of hospital experience as a Pediatric Pharmacist (OR) PGY-1 Pharmacy Residency in Pediatric Setting or PGY-2 Pediatric Residency
Knowledge, Skills, and Abilities
Knowledge of pharmacokinetic and pharmacotherapeutic properties of medications as they relate to the pediatric population
Knowledge of drug therapy management in acute pediatric conditions and pediatric and adult medical emergencies
Knowledge of pharmacist roles in resuscitations and direct patient care activities, including critical medication dosing, preparation, and administration
Ability to assess patient care conditions and evaluate patient response to medication therapy regimens
Ability to communicate and present information effectively in both oral and written form with all levels of hospital personnel and all patient groups
Ability to collaborate in a multi-disciplinary setting and serve as a liason between the pharmacy department and the nursing and medical staff
Ability to perform drug therapy monitoring and intervene as necessary on drug dosing, interactions, adverse effects and monitoring
Ability to intepret medication orders, medication profile lists, and oversee the distribution of medications
Ability to problem solve and think analytically
Ability to provide supervisory oversight for technical staff related to medication preparation and dispensing
Ability to troubleshoot in a timely manner including weekends and holidays
Ability to relate cooperatively and constructively with patients, co-workers, clinical/ medical staff, and interdisciplinary teams
Previous experience with Cerner, PyxisES, C2Safe, Baxa TPN, Dose Edge, MILT4, Lexicomp, Vigilanz, and PC desktop systems or equivalent pharmacy systems
Motivated and self- directed with a high degree of professional accountability.
Proficient in PC applications including Microsoft Office: Word, Excel, Access
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Nicklaus Children’s Health System, is the region’s only healthcare system exclusively for children. In addition to Nicklaus Children’s Hospital and a growing number of outpatient centers located throughout the tri-county area, the health system includes Nicklaus Children’s Hospital Foundation, the organization’s fundraising arm; Nicklaus Children's Pediatric Specialists, a nonprofit physician practice subsidiary; a management services organization, and an ambulatory surgery center. Our vision is to be where the children are. Ultimately, this means being there through all stages of health and life, both physically and emotionally. To be a trusted partner to children and their families, not only in times of illness, but throughout their life journey. Our mission is to inspire hope and promote lifelong health by providing the best care to every child.