Clinical Pharmacist - Advanced (42352)

Under general supervision of the Chief Pharmacist, the Clinical Pharmacist - Advanced provides direct pharmaceutical care in the outpatient pharmacy program within Winslow Indian Health Care Center. This position is considered as the major source of pharmaceutical clinical information and is expected to manage selected patients with chronic disease states, as well as providing pharmaceutical care for acute patients. Upholds the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Maintains regular attendance and punctuality.
• Takes the appropriate health history, follows and adjusts the developed treatment plan and monitors the patient’s outcome to the prescribed treatment plan.
• Takes the appropriate history and performs limited physical assessment related to the specialized pharmacy clinics, such as insulin titration or anticoagulation management. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems.
• Documents all clinical activities, updates lists and medication allergy information in the medical record.
• Orders and interprets laboratory tests.
• Refers to appropriate services as needed via consultations. May provide appropriate treatment plan as described by consultant.
• Medications may be monitored, titrated and/or altered per Pharmacy clinics.
• Provides pharmaceutical services to focus on therapeutic drug monitoring. Analyzes medication regimens to ensure the most effective, least toxic, and most economical treatment plan, and communicates recommendations to ordering or primary care provider.
• Interviews and evaluates patients to ascertain significant past medical history and medication history.
• Evaluates medication regimens for appropriateness, drug interactions, therapeutic duplications, non-compliance and adverse drug events.
• Serves as therapeutic consultant to the medical staff.
• Fills and dispenses accurate prescription and over the counter drugs on orders of physician, optometrist, physician assistant, family nurse practitioner, and dentist.
• Counsels patients on the use, storage, cautious and side effects of all medications dispensed as well as documentation of cognitive services provided.
• Cancels prescriptions if the patient is no longer using the medication, the medication is being replaced by another, or if the medication is adding no therapeutic benefit.
• Initiates prescriptions for approved formulary agents, medical supplies as documented in clinic guidelines.
• Renews prescriptions up to 30 days if they have expired or were previously canceled in error; may change doses on existing medications.
• Provides formal and informal education and in-services to medical staff, pharmacy, and nursing staff as requested.
• Provides training for pharmacy residents, pharmacy students and medical students.