• Employment Type: Part Time
• Shift: Rotating
• Hours: Days, weekends
• Location: Boston, MA

General Description and Goals

This clinical pharmacist collaborates with pharmacists, physicians, nurses, and other providers to ensure safe, effective and economical drug therapy, particularly in patients who are admitted to an adult intensive care unit. The pharmacist will maintain a broad-based practice that integrates operational oversight, at-the-bedside clinical services, and teaching. This clinical pharmacy specialist will work mostly day shifts (e.g., 7:00 AM 3:30 PM), including a weekend rotation that may include evenings.

The pharmacist will:

• Review and approve all medication orders and provide timely responses to drug therapy questions for patients admitted to adult ICUs and if applicable, assigned step-down units
• Create and implement therapeutic drug monitoring plans and provide follow-up for medication related issues
• Conduct medication histories, reconcile patients admission medication orders and document in the EMR
• Reconcile discharge medication therapy plans and provide patient education for specific patients (e.g., patients to be transferred to long-term care facilities, patients discharged following an ischemic or hemorrhagic stroke, etc.)
• Obtain a handoff from and consult with other Tufts Medicine pharmacists while accepting responsibility for the care of critically ill patients transferred within the Tufts Medicine system
• Respond to medical emergencies (e.g., adult Code Blue, Stroke Code, etc.)
• Educate and serve as a preceptor to pharmacy students, PGY1 residents, and PGY2 residents
• Educate pharmacists, nurses, advanced practice providers, resident physicians and attendings about medications and treatment protocols used to care for critically ill patients

Clinical pharmacists (CP) at Tufts Medical Center work closely with other health practitioners to meet the various needs of our patients. They improve the health of patients by providing pharmaceutical care to individual patients and by serving as a resource to physicians, nurses, and other health professionals. Clinical pharmacists provide leadership by facilitating the development, implementation, and maintenance of hospital and departmental systems that promote desirable patient outcomes. They educate students, interns, residents, nurses and patients and they participate in drug therapy research. Pharmacists review and approve medication orders, monitor drug therapies, and provide drug information. Pharmacists supervise and direct support personnel. In the absence of the pharmacy manager, a clinical pharmacy specialist may be required to assume the essential responsibilities and perform the duties of the pharmacy manager.

PRINCIPAL DUTIES AND FUNCTIONS:

Education, Training and Development

• Provide continuing education for the Tufts Medical Center professional staffs (e.g., pharmacists, physicians, nurses).
• Serve as preceptor for co-operative education students and pharmacy interns.
• Serve as a co-preceptor for Doctor of Pharmacy students.
• Educate other health care providers by publishing drug information articles in the pharmacy newsletter.

Policy and Procedure Development and Maintenance

• Identify the need for, and create new policies and procedures.

Formulary Review and Maintenance

• Participate in periodic reviews of therapeutic classes of drugs and present findings to the Pharmacy and Therapeutics Committee and others.
• Prepare and present to the appropriate committees evidence-based reviews of drugs requested for formulary addition.
• Initiate and facilitate completion of drug use evaluations.

Guideline Development and Implementation

• Participate in the development and implementation of treatment guidelines, protocols and clinical pathways.
• Monitor compliance with treatment guidelines, protocols and clinical pathways and present findings to the appropriate committees.

Ensure Optimal Drug Therapy

• Participate in the development of departmental drug-specific and population-specific initiatives.
• Detect and report medication errors and adverse drug reactions in a timely manner.
• Provide clinical consultation to physicians, nurses and pharmacists.
• Provide accurate, adequate and timely drug information to Tufts Medical Center professional staff.
• Conduct medication history interviews, reconcile patients medication therapies and provide drug information to patients and their families.
• Document in the medical record patient evaluations and recommendations, medication reconciliation and medication histories.
• Document pharmacist interventions according to established policies.

Drug Cost Management

• Identify changes in drug usage (volume and patterns) based on published literature and Tufts Medical Center practices.

Department of Pharmacy Operational Support

• Collaborate with other pharmacists to provide service to every patient covered by a pharmacist team. This includes weekend, holiday, evening, night and on-call coverage as described in departmental policies and procedures.

Department of Pharmacy Quality Programs

• Participate by gathering and reporting data from one or more than one of the following Department of Pharmacy Quality Programs that relate to:
  • People
  • Clinical excellence
  • Operational excellence
  • Financial performance and growth
  • Safety and quality
  • Research

• Clinical pharmacists must be able to work independently with minimal direct supervision. They must be able to handle frequent interruptions and adapt to changes in workload and work schedule. They must be able to set priorities, make critical decisions, and respond quickly to emergency requests. Clinical pharmacists must be able to provide a high level of service to patients in a specialty practice.
• To perform this job successfully, an individual must be able to execute each duty satisfactorily and be able to use various computer systems proficiently. The candidate must be able to communicate effectively in English (orally and in writing).

CREDENTIALS:

• Must be a graduate of an accredited college or university with a BS in Pharmacy or a PharmD degree.The ideal candidate has a Doctor of Pharmacy degree and has completed a PGY2 residency in critical care or emergency medicine or has equivalent experience in critical care practice. Board certification is not required but is encouraged.

LICENSURE:

• Licensed to practice pharmacy in the Commonwealth of Massachusetts or eligibility.

WORK SCHEDULE:

• Part-time employment is 24 hours per week. Includes evenings, nights, weekends, and holidays as necessary.

WORKING CONDITIONS:

• Repetitive use of hand and fingers.
• May required lifting and carrying light loads, including boxes, equipment, and stooping or kneeling
• Must be able to physically operate equipment used for the job.

All your information will be kept confidential according to EEO guidelines.

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

COVID-19 POLICY:

Please note that effective October 1, 2021, as a condition of employment at Tufts Medical Center, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption.