Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Location: Duke Hospital (Department of Pharmacy) Durham, North Carolina
This clinical pharmacist will maintain a full time hematology/oncology clinical practice in the ambulatory adult bone marrow transplant program
Work Hours: - M-F, 8m-5pm, no holidays, no weekends
Clinical Practice and Medication Management:
Participate in adult bone marrow transplant clinic and provide clinical pharmacy services and oversight for safe use of medication. This includes prescribing, dispensing, administering, and monitoring of medications. This may include, but is not limited to:
-Perform chemotherapy counseling/education
-Complete/Review medication review/reconciliation
-Provide medication counseling
-Interpret pharmacokinetic/therapeutic drug monitoring data
-Screen for drug interactions, therapeutic duplications, omissions, etc.
-Provide initial screen and evaluation of chemotherapy orders for appropriateness
-Monitor patients for therapeutic and/or toxic response to medication/chemotherapy
-Evaluate and address supportive care needs
-Provide oral chemotherapy counseling, adherence tools and follow-up
-Coordinate patient care with inpatient colleagues
Ensures pharmacy staff competency so that pharmacists are providing appropriate drug therapy with consideration of the patient's diagnosis, age, weight, allergies, ADRs, organ function, and diet.
Provides support to improve safety and to reduce risk to patients treated in the Program. Reports events and/or concerns to SRS system.
Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care.
Provides coordination and oversight of transition of high-acuity treatments from inpatient to ambulatory infusion center.
Provides leadership of developing guidelines, order forms, and critical pathways to improve the care and safety of patients.
Provides leadership to maintain TJC accreditation standards within the realm of medication use within the Program.
Provide guidance and educational support to all pharmacy staff providing support to adult bone marrow transplant patients
Represent the adult bone marrow transplant concerns for Information Technology applications.
Participate in adult bone marrow transplant grand rounds, tumor boards, patient-care rounds, etc.
Coordinate with Duke retail pharmacies to ensure medication adherence.
Collaborates with Blood Cancer Center Infusion Pharmacy staff to provide continuity of care on medication related issues.
Research Practice Management:
Provide support of clinical trials education of Program staff to assure research compliance.
Provide education to participants in clinical trials as needed.
Develop and support study protocol development. This includes the development of concept sheets, in conjunction with the Investigational Chemotherapy Pharmacist, for pharmaceutical-sponsored, investigator-initiated studies and other protocols with adult bone marrow transplant faculty members.
Develop and participate in pharmacy-related research projects and quality improvement initiatives, MUEs, etc. within the Program.
Provide oversight of pharmacy staff implementing drug-related clinical research within the Program. When opportunity arises, serves on the IRB, IRB Audit Subcommittee, or CPC Protocol Review and Monitoring Committee.
Educational Practice Management:
Provide oversight of adult bone marrow transplant staff education for critical elements of medication use in patient care and clinical research.
Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of oncology therapies including chemotherapy agents.
Participates in the education of pharmacy students and pharmacy residents
Coordinates effort to provide timely drug information to the Program.
Provides leadership support for research efforts in patient care areas.
Assures that staff is competent and compliant in providing adequate patient education pertaining to drug therapy within the Program.
Presents scholarly materials at educational conferences for the adult bone marrow transplant and pharmacy professional meetings and organizations (Duke, State/Local, National)
Participates in departmental and hospital committees (ie. Oncology Formulary Evaluation Team) and initiatives related to oncology.
Document clinical activities, consultations, education, etc. in EMR
Refer patients to patient assistance programs as needed
Works with peers to achieve division and departmental goals
Maintains familiarity with all departmental programs and works as integral part of the pharmacy team.
Models behaviors that exemplify Duke's guiding principles, including trustworthiness, respect, diversity, learning and teamwork.
Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services
Takes responsibility for personal and professional growth
Knowledge, Skills and Abilities:
PGY2 oncology residency, BCOP
3 years oncology experience preferred, able to become CPP within a year
Doctor of Pharmacy Degree OR BS Pharmacy Degree
With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required.
Degrees, Licensures, Certifications
Licensed Pharmacist or eligible to practice pharmacy in North Carolina
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
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