Under general direction of the Manager, the pharmacist performs a variety of professional level functions to assist in providing patients with optimal pharmaceutical care. The pharmacist's efforts are directed primarily toward reviewing medication orders, conducting interventions with nurses and physicians and answering clinical inquiries, responding to emergencies in the perioperative areas, precepting Doctor of Pharmacy students/ pharmacy residents, and overseeing/checking the work of technicians, including the dispensing of medications and pharmaceutical preparations. The pharmacist participates in the quality improvement efforts of the department. The pharmacist participates in patient care committees, including surgery, anesthesiology, PACUs, sterile products, and other areas as necessary.
PRINCIPLE DUTIES & RESPONSIBILITIES
The perioperative pharmacist collaborates with and serves as a resource for nurses, physicians and other clinicians who participate in the management of the operating room (O.R.) and post anesthesia care unit (PACU) patient as well as other patients receiving care at areas covered by Department of Anesthesia, Critical Care and Pain Medicine (DACCPM). He/she is responsible for coordinating and delivering pharmacy services in compliance with all applicable policies, regulatory agency requirements and state and federal laws.
Reviews, approves, and clarifies peri-operative medication orders for appropriateness based on current clinical and institutional guidelines as well as patient-specific criteria.
Assesses all medication orders to ensure they meet established standards and practice guidelines of MGH Department of Pharmacy and Perioperative services. Reports order discrepancies to appropriate staff promptly.
Advises clinicians on drug selection based on current clinical guidelines to optimize drug therapy.
Completes applicable clinical competencies and participates in new clinical programs as established/implemented by the decentral clinical pharmacy team
Oversees the safe handling and preparation of various medications, including IVs.
Checks admixtures for accurate preparation, including the additive(s), parent solution, and label.
Assist with periodic review and creation of sterile compounding recipes as needed
Oversees technician activities and performs quality control checks.
Adheres to safety requirements in the handling and preparation of the medication and hazardous agents according to current guidelines (USP 797, USP 800 ASHP).
Oversees the ordering, storage and handling of medications and supplies.
Participates in education activities such as in-services, CE presentations, and publications.
Responds to emergencies within the perioperative areas and maintains certification in Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS)
Answers drug information questions.
Participates in the Safety Reporting System. Identifies and reports therapy errors and adverse drug reactions.
Monitors, documents, and reports medication recalls.
Participates in the training, education and mentoring of other pharmacists, pharmacy interns and technicians.
Ensures compliance with controlled substance distribution and control system.
Participate in area specific staff and department meetings as necessary.
Participates in quality, safety and other project work outside of regular staffing duties.
May participate in research activities with publication or presentation at local and/or national meetings.
Assists in the development of policy and procedures.
Verifies and manages Patient's 'Own Meds' per Department policy.
Understands and runs Omnicell reports and takes appropriate action if a discrepancy is identified.
Understands and interprets anesthesia flow charts and medication documentation.
Processes pain clinic prescriptions and facilitates storage of other 'white-bagged" medications until dispensed.
Understands basic functionality of Omnicell automated dispensing cabinets, anesthesia workstations, and troubleshoots issues accordingly
Provides training to new anesthesia residents, CRNA's, RN, and anesthesia techs.
Other duties as assigned by the Manager, Perioperative Pharmacy Services and the Director, Inpatient Pharmacy Operations
Graduate of ACPE accredited college of pharmacy
Licensed or eligible for licensure to practice pharmacy in Massachusetts
Completion of ASHP accredited PGY1 residency preferred
Experience (1-2 years) working in the perioperative setting preferred
SKILLS / ABILITIES / COMPETENCIES REQUIRED
Fluency in English.
Knowledge of Federal and State laws and regulations
Knowledge of contemporary pharmacy systems
Knowledge of USP 797, 795 and 800
Excellent comprehension of written policies and procedures
Ability to make appropriate decisions, develop and complete follow-up actions.
Professional maturity and the ability to make sound decisions on deadline independent of close supervision.
Ability to establish and maintain relationships with providers, nurses, other members of the healthcare team, students, resident, and external professional groups.
Good judgment: must be able to distinguish when the needs of the patients comes first.
Effective interpersonal and communication skills.
Ability to work well on a team as well as independently.
Attention to detail and organizational ability.
Effective writing skills.
Good prioritization skills.
Effective problem-solving skills.
Ability to work under pressure.
Attention to detail
Must be able to lift to 25 lbs.
Must be able to stand or sit for extended periods of time
Pharmacy technicians and interns in the perioperative pharmacy space
Enforces formulary system, and department and area specific financial goals
Assures cost-effective medication utilization
Minimized medication waste
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