The incumbent performs duties as a Clinical Pharmacist in direct support of the pharmaceutical healthcare of patients. This position is responsible for managing all pharmaceutical care services and functions related to the Hematology/Oncology Pharmacy in support of a tertiary care teaching medical center. Provides professional oversight and guidance to staff in the Hematology Oncology Pharmacy.
The incumbent works as a direct health care provider in an outpatient or inpatient setting. Serves as a Clinical Pharmacist Practitioner providing a full scope of healthcare services for patients with both acute and chronic illnesses and conditions covering the entire spectrum of medicine. The incumbent examines, treats, and follows outpatients with medical problems of all complexities. Independently manages the care of patients within protocols and reference manuals mutually agreed upon with the physician consultant. Assesses, plans, treats, counsels, and provides guidance and instructions to patients with a variety of acute and chronic illnesses. Based on agreed procedures, the incumbent sees patients, takes histories, performs physical examinations, orders laboratory tests, treats illnesses, and refers as appropriate to specialty/subspecialty care. Provides follow-up and ongoing disease management for patients. Participates in daily rounds to monitor and review drug therapy for rational indications, dosing, adverse drug reactions, drug interactions, I.V. incompatibilities and complications of multiple drug therapies. Prepares, compounds, and dispenses prescriptions according to professional and military standards. The oncology pharmacist competently manages problems in an inpatient ward, intensive care unit, or ambulatory care setting and is subject to institution wide medical review of practice patterns. Provides pharmaceutical care for non-appointed patients presenting with acute illnesses of variable severity, following the triage procedures established in the clinic or ward. Examines and conducts a thorough evaluation of patients utilizing laboratory and clinical findings to appropriately treat or refer patients to the appropriate specialty clinic or ward. Provides non-urgent care for patients of all ages. Obtains a health history from the patient and/or family/guardian and records findings. Requests special screening tests and laboratory tests and uses the results in assessing the patient’s medical problems. Identifies and manages specific illnesses. Develops, implements, and evaluates the treatment plans. Makes judgments about the use of medications and treatment, prescribing appropriate medications and treatments based on protocols. Consults with physicians when appropriate. Provides health information and/or instructions. Provides continuing follow-up care for managing complications associated with various malignancies and the toxicities associated with treatment. Provides physical evaluations per protocol as needed. Plans and provides appropriate treatments, initiating and modifying selective therapies. Writes prescriptions for legend and over the counter medications as approved by the Pharmacy and Therapeutic and Credentials Committees. Performs treatments authorized by protocol or physician consultant. Documents care via progress notes and orders on inpatient and outpatient medical records as dictated by instruction and peer review standards. Periodic evaluation of the proper utilization of medications will be accomplished by physician preceptor. Refers patients to supervisory physicians, other departments, support services, or to community social welfare agency and services as appropriate.
Monitors the dispensing of all cytotoxic and research –related pharmaceuticals in the MTF. Analyzes patterns and trends to determine appropriate, effective, and economical prescribing and dispensing of drugs. Where improvement of these areas can be identified, counsels, or recommends alternatives that will satisfy the medical needs of the situation. Looks for indications of misuse or abuse of pharmaceuticals and recommends corrective or remedial action. Inspects Oncology Pharmacy operations to insure compliance with standard operating procedures and quality assurance criteria and procedures. Provides pharmacy input to quality assurance reviews and similar processes. Active participant in the departments quality improvement activities. The incumbent accomplishes special quality assurance studies, and performs pharmacoeconomic analyses. Provides advice, professional consultation/opinions and written technical studies and professional reviews in support of the various boards and committees involved with evaluation of patient care and treatment. The incumbent attends department or board or committee meetings. Leads and participates in the ward and pharmacy Utilization Management and Quality Assurance processes. Develops and insures compliance with defined protocols. The incumbent attends Continuing Medical Education (CME) courses and maintains specialty specific CME sufficient to satisfy the requirements of applicable licensing agencies and The Joint Commission.
The oncology pharmacist serves as a consultant on cases involving multiple, serious, or life-threatening conditions with conflicting drug requirements, serious drug reactions or interactions, or other factors not receptive to standard or more common specialized approaches. Responds to inquiries from a wide range of DoD pharmacy benefit stakeholders. Develops and maintains products and services offered by the Department of Pharmacy to DoD pharmacy benefit stakeholders. The incumbent collaborates with specialists in other subspecialties on complex and multifaceted cases and educates DoD pharmacy benefit stakeholders about the clinical effectiveness and cost effectiveness of drug therapy. Follows through on all patients to ensure effective comprehensive medical service. In consultation with physicians, the incumbent develops pharmacotherapeutic regimens for especially difficult or complex cases. Monitors progress and response to the regimen, modifying dosages or methods as necessary. Supervises and conducts ward orientation for new medical, nursing, allied health, and pharmacy students, interns, and residents as they provide care diagnosis and treatment to patients. Also teaches in formal lecture settings, mentors and conducts final evaluation feedback. The incumbent prepares, conducts, or oversees the training of physicians, pharmacists, and other health care providers on the use of drugs and other pharmaceuticals. Monitors training of residents, interns, and fellows to insure drug related issues are fully and correctly dealt with in their curriculum and that the required levels of skill have been attained. Recommends and initiates changes and updates to instructions, regulations, and other guidance as needed.
The incumbent assesses the physical and psychological health status of patients and/or their families through history-taking and physical examination IAW established protocols and references. Discriminates between normal and abnormal findings on the physical assessment and screening data. Evaluates the assessment data in order to make prospective decisions regarding care and treatment in collaboration with physicians and other health team members. The incumbent serves as a patient and family advocate. Receives, investigates and acts on patient complaints. Uses tact and diplomacy during all communication with patients, families, and staff members. Assures a hygienic environment for patients and staff by employing prescribed monitoring and safety measures. Attends and participates in assigned committees, projects, and programs.
Doctorate Degree in Pharmacy
Completion of Hematology or Oncology Residency