Clinical Pharmacist - Cardiothoracic Transplant MGH

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Job Summary

Qualifications

PRINCIPAL DUTIES ANDRESPONSIBILITIES: 

• As it pertains to the service area in the pharmacy department, responsible for the optimization of drug therapy by identification, resolution, and prevention of drug related problems and improving therapeutic outcomes. 

• Responsible for providing direct or indirect patient care according to the laws and regulations governing pharmacists and the practice of pharmacy by theappropriate state and federal agencies. When assigned toparticular pharmacy service teams,maybe responsible for prescribing medications under specific collaborative drug therapy management agreements (CDTM). 

• Works independently, and within the limits of established pharmacy/ambulatory care practice site’s policies and procedures, as a member of the patient care team. Directs and coordinates the activities of a pharmacy service area. Supervises all support personnel during an assigned shift,operating within the limits of pharmacy policy andprocedures, and the regulations of the Board of Registration Pharmacy. Takes lead as a subject matter expert in their areas of practice at the site and system level. 

The following are essential job functions for Clinical Pharmacists: 

Percent of Time Spent 

Lead assigned patient service lines, clinical areas, and therapeutic programs:  

• Facilitate pharmaceutical care, direct patient care programs, medicationutilization systems within assigned care areas to assure drugutilization activities are aligned with patient care needs, evidence-based best practices,hospital guidelines,and regulatory standards 

• Design and implement new pharmacy programs, quality improvement changes, and continuous quality assurance initiatives to advance the organization’s medication-use systems and promoteoptimal patient outcomes 

• Design and implement stewardship activities and restriction/surveillance programs 

• Track and evaluate assigned pharmacy programs for operational, quality, and financial efficiency and routinely benchmark against local and national best practices 

• Develop strategies tooptimize medicationutilization, including but not limited to clinical guidelines, disease-specific pathways, formulary management, and medication-use policies 

• Provide departmental and institutional leadership for committees/meetings, hospital group/task forces, and approved external programs/organizations 

• Assure pharmacy is an integral part of the health-care delivery system andfacilitates enhancement and expansion of pharmacy services/programs 

Deliver directpatient-care and clinical practice, including decentralized and service-based programs: 

• Maintainproficiency in decentralized pharmacy services and clinical pharmacy programs 

• Place practice priority on the delivery of patient-centered care 

• Work as an active member of multidisciplinary team and collaborate with healthcarepersonnelwithin care areas 

• Establish collaborative pharmacist-patient relationships 

• Maintain patient information and interpret patients’ health care needs including patient problem lists and prioritized pharmacist interventions 

• Collect and documentaccurate patient medication histories and reconcile discrepancies 

• Identify high-risk patients and implement interventions to improvecarequality and safety 

• Makeappropriate evidence-based, patient-centered medication recommendations 

• Implement, evaluate, and redesign pharmaceutical care plans based on patient progress and evolving goals for medication usage, including drug dosing and monitoring  

• Provide written documentation in the patient’s medical record when requested 

• Obtain and maintain ACLSand BLScertification 

• Participate in the management of medical emergencies 

• Provide discharge medication review, reconciliation, and counseling asappropriate to help with the transition of care 

• Provide evidence-based medication education to physicians, nurses, and other professionals 

• Educate patientsand care giversregarding safe and effective use of medications,possible medication side effects, and the role of prescribed medications in the overalltreatment plan 

• Maintainproficiency in hospital computer systems and medication ordering systems 

• Interpret, evaluate, and accurately process medication orders 

• Complete critical patient monitoring and review patient chart toidentify, prevent, or mitigate drug-related problems, improperdrug or dose selection, subtherapeutic dosage, over dosage, adverse drug reactions, drug interactions, untreated indications, medication use withoutan indication, and treatment failures 

• Follow established standard work parameters andmaintains standard work environments 

Participates in pharmacy operations and medication dispensing:  

• Maintainproficiency in and actively engage in operational programs, central dispensing pharmacies, satellite dispensing pharmacies, and specialty pharmacy areas asappropriate for job assignment 

• Facilitate medication procurement, ordering, and dispensing procedures including, but not limited to, chemotherapy, parenteral nutrition, controlled substances, etc. 

• Utilize pharmacy automation and supportive technology proficiently  

• Oversee pharmacy operations and technician practice/activities when assigned  

• Promote the use of the formulary by converting non-formulary medications to formularyalternatives when possible, evaluate appropriateness of non-formulary medication requests, and support procurement of non-formulary drugs when necessary 

Facilitate experiential education andpreceptorship:  

• Maintainproficiency in the four preceptor roles and actively emulate education/mentorship  

• Serve as a preceptor/educator for MGH pharmacy residency (PGY1 and PGY2) and student experiential programs, includingmaintaining training and experience in pharmacy practice areasappropriate for teaching assignments 

• Develop student, resident, and staff training experiences/competencies and create new relationships for teaching and training opportunities 

• Identify, design, andmentor learners inimplementing improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs 

• Demonstrate personal leadership qualities, role model, and business acumentoadvance the profession and practice of pharmacy 

Performs other duties as assigned:  

• Maintain a sustained record of contribution to the total body of knowledge in pharmacy practice through presentations, publications, and professional affiliation activities 

• Participate as a formal reviewer for a peer-reviewed medical or pharmacy journals 

• Maintain up-to-date knowledge of contemporary hospital practice and clinical service, trends and innovations in pharmacy leadership, and updates in traditional therapeutics, professional practice standards, or health care regulatory requirements 

• Maintain a specialized evidence-based knowledge of drug and drug therapy by reviewing relevant professional journals and suggested readings 

Relationships: 

• Clinical Pharmacists report directly to aPharmacy Manager orArea Director and work collaboratively with administrative, pharmacist, and technical to support department initiatives 

• Clinical Pharmacists have frequent interactions with physicians, nurses, other members of the health care team, students, residents, and external professional groups 

• Clinical Pharmacists supervise all support staff (e.g., pharmacy technicians) as assigned  

QUALIFICATIONS: 

REQUIRED: 

• Must be eligible for licensure to practice pharmacy in the Commonwealth of Massachusetts 

• Postgraduate residency/fellowship training 

• Board Certification by examination, or equivalent certification, in the relevant specialty ispreferred,required within18 months of hiring 

• Must meet all Board of Pharmacy requirements to enter into a collaborative drug therapy management agreement, when applicable  

• Massachusetts Controlled Substance Registration license, National Provider Index number, and a Drug Enforcement Administration Registration number, when applicable 

PREFERRED:  

• Completion of ASHP-accredited PGY1 andPGY2 Cardiology or Transplant Pharmacy Residency or Fellowship preferred  

• Prior experience in the solid organ transplant service line

Additional Job Details (if applicable)

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: 

• Extensive knowledge and ability in all areas of the department including: IV Admixtures, Drug Information, Ambulatory, Manufacturing, and Drug Distribution 

• As it pertains to the service area in the pharmacy department,demonstrateappropriate knowledge of principles of growth and development over the life span of the neonate, adolescent, adult, and geriatric patient. Possess ability to assess patient datarelative to age specific needs. Provide care as described in the department's policies/procedures 

Additional General Skills/Abilities:  

• Knowledge of contemporary hospital/clinical practice and service 

• Knowledge and understanding of general hospital operations and regulatory compliance 

• Strong written and verbal communication skills 

• Ability to interact constructively with supervisors, peers, and support personnel 

• Ability to integrate clinical and distributive pharmacy services with quality improvement, teaching, research, and professional development activities 

• Significant general clinical knowledge andexpertise in traditional therapeutics and patient-centered care 

• Significant knowledge andexpertise in advanced pharmacy practice, specialty medication therapy management, and specialty evidence-based medicine in areaappropriate for clinical assignments 

• Strong teaching and precepting skills andexpertise in experiential training 

WORKING CONDITIONS: 

• Able tolift up to 20lbs 

• Able to stand for extended periods of time 

• Able to sit for extended periods of time 

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

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EEO Statement:

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.