Patient Care Pharmacist PRN - NMH & MWH

Why Work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart.

It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Provide medication therapy management services in collaboration with other providers to assure that drug therapy is safe, appropriate, cost-effective, and efficient. The pharmacist must maintain competency in unique aspects of drug therapy for the patients whom they provide care for, including factors related to patients of all age groups (neonates, pediatrics, adults, and geriatrics) and patient disposition (inpatient, ambulatory, and outpatient).

Pharmacy services provided may include interdisciplinary patient care rounds, medication reconciliation, medication therapy monitoring, medication orders management, medication dispensing, patient education, drug information, drug dosing, and various scholarly activities. The pharmacist will provide both clinical and distributive tasks for safe medication use, and provide training and education to students and residents as necessary.

Mastery of the Cerner pharmacy and hospital information system application is required. Must be proficient with technology and workflows associated with the medication management process including (but not limited to) automated dispensing cabinets, anesthesia carts, USP <797> IV requirements, and clinical decision support software.

The pharmacist ensures that patient care is maintained through compliance with the department’s and organization’s policies, rules and regulations by the respective State Board of Pharmacy, and other applicable regulatory bodies.

Responsibilities

Essential Job Functions

1. Patient Care Services

Review medication orders for appropriate dose, duration, frequency, dosage form, indication, allergy, interactions, and contraindications.

Ensure that medication regimen is consistent with all organizational medication use guidelines and policies, or other evidence-based guidelines in the absence of organizational guidelines, which includes (but is not limited to): antimicrobial use, intravenous to oral transition, renal dosing, anticoagulation, and pharmacokinetics/serum drug concentration protocols.

Adjusts medication regimen based on approved protocols and/or consultation with interdisciplinary team. onitor medication therapy for potential or actual drug interactions (e. g. drug-drug, drug-disease, drug-allergy, food-drug, or contraindications) and outcomes.

Works as an active member of multidisciplinary team and collaborates with healthcare providers within decentralized patient care areas to provide patient-centered care

Participates in interdisciplinary patient care roundsand oversees pharmacy resident and student participation in patient care rounds when applicable.

Performs and/or reviews medication histories, comparing prescriber’s orders to the patients active medication list(s), and works with prescribers to make changes as necessary

Document activities related to medication reconciliation in medical record across patient’s transition of care (including but not limited to: admission, transfer, and discharge)

Complete discharge medication review facilitate the discharge process, including discharge prescriptions, and/or provide discharge education per department procedures or upon request by patient or health care provider.

• Ensure compliance with health system inpatient drug formulary
• Completes medication profile review when staffing clinical area, reviewing the following factors as appropriate:
• Age, sex, health, weight, renal & hepatic function, or other physiological parameters
• Pregnancy and lactation status
• Appropriateness of the dose, route, rate, timing & frequency of administration, and indication
• Review for therapeutic duplication
• Available laboratory values and microbiology results
• Appropriateness of antimicrobial therapy (including anticipated/planned stop dates)

Potential Drug Interactions and Contraindications

• 2. Coordination of Distribution Systems
• Coordinate and participate in the preparation and distribution of medications, including communication of pending issues/transactions with team members and other health care professionals
• Coordinate drug delivery and documentation as appropriate.

Complete and pass competencies associated with sterile, non-sterile, and hazardous drug compounding management, as assigned based on area of work

Understand safety precautions, including hazardous materials handling and proper precautions against blood borne pathogens, as it relates to area of practice

Monitor that the medication use system is providing the right patient, the right drug, the right dose, the right route, and the right time with the right outcomes.

Serve as a liaison for inpatient patient information for outlying patient needs (retail pharmacies, home health, physician clinics, etc.)

• 3. Quality Improvement
• Identify and report adverse drug events (adverse drug reactions and medication errors) in the organizational reporting system
• Assure compliance with health system, hospital, and departmental policies and procedures
• Monitor compliance with state and federal laws and regulations related to the practice of pharmacy as well as standards and regulations for other regulatory agencies
• Participate in departmental and hospital committees as assigned
• 4. Training, Education, and Community Service

Provide direct supervision of certified pharmacy technicians, pharmacist interns, and pharmacy students and assist with their education, training, and development

Provide drug information/education to health care providers and patients upon request and as per department procedures

• Provide in-services and lectures to health care team members as assigned
• Precept and evaluate pharmacy residents and PharmD students on residency/clerkship rotations
• Provide drug information and disease prevention programs to consumer and patient groups as needed
• Follows and understands the mission, vision, core values, and Employee Standards of Behavior
• Complete required departmental education/competency modules (Age Friendly, etc.).
• 5. Other duties as assigned

Schedule: Required one shift per month, days or evenings

Job Description

Job Requirements

Education

Bachelor’s degree in Pharmacy or doctor of pharmacy (PharmD) degree required.

Experience

Must be at least 18 years of age with no current drug or alcohol addition/convictions of any drug related misdemeanor or felony

Two years of health care pharmacy experience preferred.

License/Certifications

• Current active Pharmacy Licensure (PH) for work state required.
• American Heart Association Basic life support (BLS) certification preferred.
• American Heart Association Advanced cardiovascular life support (ACLS) certification preferred.

Completion of an ASHP accredited residency training program and/or certification through a certifying program (Board of Pharmacy Specialties, etc.) preferred.

• Skills/Knowledge/Abilities
• Maintain competency in pharmaceutical knowledge and skills
• Effective verbal and written communication skills
• Ability to prioritize time and tasks according to patient needs and departmental duties
• Ability to supervise certified pharmacy technicians and pharmacist interns in departmental tasks and duties
• Ability to practice pharmacy with integrity towards coworkers and patients
• Ability accept and respond constructively to feedback and criticism
• Ability to learn computer and application skills as applicable to role

Ability to Make Judgements in Demanding Situations

• Ability to manage multiple concurrent activities, including reacting to frequent changes in duties and volume of work
• Physical Requirements
• Weight Demands
• Medium Work - Exerting up to 50 pounds of force.

50 pounds of force for one person or up to 100 pounds of force with assistance from a second person with the ability to meet Medium Work Weight Demands. A cabinet with a height of greater than 60" requires two individuals to move.

Physical Activity

Not Necessary for the Position (0%)

• Climbing
• Crawling
• Kneeling

Occasionally Performed (1%-33%)

• Balancing
• Crouching
• Lifting
• Pulling/Pushing
• Sitting
• Stooping/bending
• Twisting

Frequently Performed (34%-66%)

• Carrying
• Distinguish colors
• Grasping
• Keyboarding/typing
• Reaching
• Repetitive Motions
• Speaking/talking
• Standing
• Walking

Constantly Performed (67%-100%)

• Hearing
• Seeing/Visual

Job Hazards

Not Related

• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Explosives (pressurized gas)
• Electrical Shock/Static
• Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)

Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

Rare (1-33%)

Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF)

Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)

• Equipment/Machinery/Tools
• Mechanical moving parts/vibrations

About Methodist

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, out