Clinical Pharmacist - Oncology Sterile Compounding

Summary :

Reports to the Pharmacy Manager Oncology and Sterile Compounding. Under the supervision of a Pharmacy Supervisor is responsible for the interpretation evaluation preparation and dispensing of medications pursuant to a legitimate order in keeping with established policies procedures and standards of practice and scope of pharmacy services for inpatient and outpatient oncology hematology and other patients of Rhode Island Hospital Hasbro Childrens Hospital and affiliate clinics (i.

e. Lifespan Cancer Institute (LCI) Tomorrow Fund Clinic and Lifespan Infusion Centers). Collaborates with and serves as a resource for members of the multidisciplinary team to monitor assess and intervene as needed to ensure safe appropriate and cost-effective medication use.

Reviews monitors and verifies orders for oral and parenteral chemotherapy and other medications for appropriateness of drug dosage route of administration completeness and potential incompatibilities.

Verifies chemotherapy and adjuvant medication orders against therapy plans treatment plans protocols standards of care and / or pediatric roadmap.

Identifies and clarifies with prescriber required changes to medication orders documents same. Responsible to perform detailed in-process medication checks for appropriate drug diluent drug volume base solution base solution volume beyond use date and labeling.

Performs sterile compounding and maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals i.

e. Rhode Island Department of Health Rhode Island Board of Pharmacy Rules and Regulations United States Pharmacopoeia (USP) Chapter

Pharmaceutical Compounding Sterile Preparations USP

Hazardous Drugs National Institute for Occupational Safety and Health (NIOSH) and The Joint Commission (TJC) Medication Management chapter .

Responsibilities :

Is responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.

Collaborates with and serves as a liaison and resource for members of the interdisciplinary team who manage care for oncology hematology and other patients at Rhode Island Hospital Hasbro Childrens Hospital and affiliate clinics (i.

e. Lifespan Cancer Institute (LCI) Tomorrow Fund Clinic and Lifespan Infusion Centers).

Maintains working knowledge of compounding and sterile preparation principles stability and compatibility (i.e. USP

and USP

Maintains working knowledge of and performs non-sterile compounding in compliance with USP

National Institute for Occupational Safety and Health (NIOSH) recommendations and Lifespan policies and procedures.

Maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals i.e. Rhode Island Department of Health Rhode Island Board of Pharmacy Rules and Regulations USP

NIOSH recommendations and TJC Medication Management chapter .

Reviews monitors and verifies orders for oral and parenteral chemotherapy and other medications for appropriateness of drug dosage route of administration completeness and potential incompatibilities.

Verifies chemotherapy and adjuvant medication orders against therapy plans treatment plans protocol standard of care and / or pediatric roadmap.

Identifies recommends communicates and clarifies with prescriber appropriate changes in therapy and / or clarification of unclear orders.

Ensures that pharmacy clinical services and programs support established standards of care meet or exceed patient care quality standards consider the aging processes and human developmental stages (neonate child adolescent adult geriatric) of the patient populations served.

Understands and complies with established procedures for dispensing chemotherapy agents when prescribed dose exceeds the defined daily or total regimen ceiling.

Complies with established procedures for maximum dose warnings.

References investigational drug protocols and follows delineated procedures for preparing dispensing and documenting investigational drugs.

Performs computer activities necessary for compounding. Understands and appropriately follows requirements for product documentation and check processes.

Completes accurate documentation of finished compounded medications per policy.

Performs detailed in-process medication checks for appropriate drug diluent drug volume base solution base solution volume beyond use date storage requirements and labeling.

Maintains knowledge of current requisites for safe handling administration and disposal of hazardous drugs. Provides detailed information and guidance to assist with effective treatment of extravasations.

Accesses safety data sheets (SDS) and reacts appropriately to hazardous medication exposures or spills.

Provides input on safety events related to oncology and sterile compounding services to minimize risk of reoccurrence.

Uses appropriate health literacy skills to provide effective patient counseling on treatment regimens including precautions to follow and adverse reactions to monitor.

Provides oversight to daily operations and processes relating to oncology and compounded sterile product services including maintaining the aseptic processing environment garbing aseptic work practices and cleaning / disinfection procedures.

Provides oversight to and mentors oncology and sterile compounding technicians residents and students.

Shares expertise by participating in the orientation and training of pharmacists residents student interns technicians and student externs.

Utilizes LifeChart reporting and inventory management systems effectively. Collaborates with pharmacy oncology and purchasing teams to procure oncology and infusion medications and related supplies in a timely manner.

Sets up calibrates and operates ancillary compounding equipment (i.e. pumps) appropriately.

Understands downtime procedures.

Provides input on the development of policies and procedures related to oncology and sterile compounding services.

Participates in the development of continuous quality improvement initiatives related to oncology and sterile compounding services.

Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs including but not limited to ongoing independent study

Exhibits proactive problem solving to help address issues impacting pharmacy oncology services.

Performs duties of other Pharmacist job categories as may be required.

Other information : BASIC KNOWLEDGE :

BASIC KNOWLEDGE :

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.

EXPERIENCE :

Effective interpersonal and communication skills both written and verbal to interact appropriately with patients families colleagues and others.

Effective organizational and presentation skills.

Knowledge of area / specialty specific technology including but not limited to pharmacy information systems automated dispensing technology software equipment and automation.

Experience with MS Word Excel Outlook and web browsers.

Must have the ability to multi-task and reprioritize as needed while maintaining accuracy and service standards.

Must obtain within 2 months of hire and maintain no less than semi-annually thereafter internal IV and oncology credentialing as demonstrated by successful completion of current competency assessments.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS :

Extended periods of time spent standing and walking.

Requires the visual and manual dexterity to operate a computer.

Occasional travel between facilities or sites as required.

INDEPENDENT ACTION :

Functions independently within broad scope of departmental policies and practices.

Refers specific complex problems to supervisor when clarification of departmental policies and procedures may be required.

SUPERVISORY RESPONSIBILITY :

None.