Clinical Pharmacist

Albuquerque, New Mexico

• Participate in all tasks related to medication preparation and dispensing to ensure safe, accurate, and timely delivery of medications to inpatient patients. 
• Provide patient-specific therapeutic drug monitoring for inpatient care, communicating relevant findings and/or recommendations to healthcare providers both orally and in writing. This includes: 

• Assessing the therapeutic appropriateness of a patient's drug regimen. 

• Identifying and addressing therapeutic duplication in the patient's drug regimen. 

• Reviewing the appropriateness of the route and method of drug administration. 

• Monitoring patient compliance with the prescribed drug regimen. 

• Identifying and addressing drug-drug, drug-food, drug-laboratory, or drug-disease interactions. 

• Evaluating allergies and adverse reactions. 

• Reviewing clinical and pharmacokinetic laboratory data to anticipate side effects, toxicity, or adverse effects. 

• Recognizing physical signs and clinical symptoms relevant to drug therapy. 
• Provide clear and comprehensive medication counseling to inpatient patients, helping them understand the purpose, use, and potential side effects of their prescribed medications. 
• Conduct comprehensive appraisals of the patient's health status by completing medication histories, including patient interviews. 
• Participate in medication reconciliation for inpatients, including complete medication reconciliation and updating the medication profile to reflect an accurate, active list of VA and non-VA medications. 
• Report adverse drug events (ADE), near misses, and medication errors. Document findings as per service and facility protocols. 
• Participate in the medical center's MUE program to evaluate and improve the safe and effective use of medications for inpatient care. 
• Review and complete non-formulary medication approval consults for inpatient care, recommending formulary alternatives when appropriate. Ensure compliance with VA Criteria for Use and non-formulary restrictions. 
• Manage medication recalls and shortages for inpatient care, ensuring the availability of appropriate substitute medications, dosage strengths, and instructions to meet prescribed treatment regimens. 
• Manage inpatient medication orders by flagging prescriptions, using view alerts, and applying the "hold medication" function as necessary. 
• Serve as a role model and preceptor for pharmacy students, residents, and peers in the inpatient setting. Provide educational in-services to nursing, medical staff, and ancillary services to foster professional growth and development. 
• Actively participate in inpatient facility and service emergency preparedness activities, ensuring readiness for various healthcare situations. 
• Document all inpatient patient care activities in CPRS, including clinical assessments, interventions, recommendations, and monitoring. Ensure accurate workload credit for all appropriate inpatient activities. 

• Must be a graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited college or School of Pharmacy with a baccalaureate degree in Pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree.
• All licenses held by the personnel working on this contract shall be full and unrestricted licenses.