Clinical Pharmacy Specialist - Ambulatory

The Ambulatory Clinical Pharmacy Specialist will establish collaborative practice agreements in several specialty service lines. They will see patients, precept residents and students, and assist the Ambulatory Clinical Pharmacy Manager with the strategic expansion in the ambulatory space. It will be expected that they are or become BCACP, and may need licensure in DC, MD, and/or VA.

The Clinical Pharmacy Specialist will serve within their area as the representative of pharmacy in all aspects of the care the
pharmacy department provides. They will be responsible for review of pharmacy and organizational policies and procedures as they regard to drug use and departmental readiness for regulatory audits within and outside of their specialty area. They will provide oversight of formulary management (including development of guidelines and protocols) and drug-related education, work closely with other hospital departments to evaluate, direct, and modify pharmacy services, and assist in training of clinical staff and learners including competency assessments. The Clinical Pharmacy Specialist will also assist with oversight of the other pharmacy team members on their unit, when applicable. Academic scholarship will also be expected of this role including but not limited to authorship, presentations, and attendance at national meetings. The clinical pharmacy specialists will also be expected to help create and execute collaborative practice opportunities at Children's National.

• Interpret medication orders, profile orders and oversee the packaging, labeling and distribution of medications.

• Input orders into pharmacy computer system for area of practice when appropriate.

• Staff in the pharmacy operation to maintain distribution skillset.

• Assist in performing unit inspections and verifying accreditation readiness.

• Reviews medication lists for therapeutic duplication, omissions, dosing errors, drug interactions, and allergies.

• Reviews, interprets, and verifies new medication orders to ensure appropriate drug, dose, route, and frequency

• Assists nursing staff and other providers with automated dispensing machine questions.

• Perform drug therapy monitoring and intervene as necessary on drug dosing, drug administration, drug interactions, side-effects and monitoring issues.

• Complete therapeutic drug monitoring consults and adverse reaction reports.

• Document interventions and drug information.

• Document in patient chart when applicable and appropriate.

• Collaborates with multidisciplinary team to ensure appropriate medication access, including recommending alternative therapies as appropriate.

• Actively participates in the medication reconciliation process to ensure a complete and accurate home medication list.

• Works collaboratively with providers to implement and communicate comprehensive medication evaluation and management for patients including between care settings.

• Assist with the education, training, and general supervision of pharmacy students and residents.

• Assist with the training of new pharmacists.

• Provide lectures and drug reviews to various professional groups and committees.

• Develop system changes, educational programs and interventions that result in the reduction of errors in practice; including prescribing errors, dispensing errors, and administration errors.

• Take necessary steps to assure appropriate medication use throughout the organization.

• Identify drugs/therapies that should be considered for further evaluation and formulary addition.

• Provide accurate and timely drug information to physicians, nurses, and other health professionals.

• Maintain an active, current clinical practice based on evidence-based medicine.

• Serve as a clinical specialist resource for pharmacists, nurses and physicians; address and follow up on all issues related to systems and patient care.

• Assist the department in the management of drug shortages.

• Represent the Department on key committees.

• Assist pharmacy operations and informatics teams in implementation of new and updating of existing formulary items.

• Become credentialed and help to design, implement, and execute collaborative practice agreements.

• Lead cost-savings initiatives within the department.

• Lead and participate in quality improvement initiatives both within the department and externally.

• Contribute to the development of order sets by helping devise, implement, and test electronic order set builds.

• Assist with the growth of clinical pharmacy programs throughout the organization.

• Actively participates in the development and implementation of performance/quality improvement and patient safety activities for service area, Pharmacy Services and the Enterprise (e.g. responds to RLs, participated in RCAs/ACAs).

• Identifies high-cost, high-use agents within defined area of practice and participates in cost management initiatives (revenue generating, cost containment, etc.).

• Participate and/or lead research initiatives with medical unit and/or resident projects.

• Attend, present, and/or moderate at subject area conferences.

• Actively engage in preceptor development by attendings seminars, teaching in the Children's preceptor development series, and/or completing preceptor development CEs.

• Contribute to the primary literature by publication and/or poster presentations.

• Anticipate and responds to customer needs; follows up until needs are met

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

• Use resources efficiently

• Search for less costly ways of doing things

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance