Job responsibilities
Key Duties:
Provision
of Specialist Clinical Services:
Provide
a specialist clinical pharmacy and medicines optimisation service to
Gastroenterology and Specialty Medicine wards at WRH.
Following
accreditation, function as an Independent Prescriber within an allocated
clinical area or to a defined cohort of patients.This will be in
line with GPhc registration requirements and be formally agreed with all appropriate
and relevant Clinicians, as well as being within the departmental scope and
funding for IP practice.As an IP pharmacist the post holder will:
oPractice within
the scope of GPhC registration.
oAdhere to the
Medicines Policy in relation to scope and responsibilities of role.
oComply with the
Trust Medicines formulary.
oBe responsible for
providing on-going evidence of competency in relation to
theirprescribing role.
Ensure
compliance with medicines legislation, the Trust Medicines Policy, and
medicines related national and local guidelines within the Specialty Medicine
Division WRH.
Contribute
to producing and implement appropriate technical and professional SOPs and
associated policies to ensure that the Medicine Directorate medicines
management systems are safe, robust, guided by national directives, standards,
guidelines, and the post-holders own specialist knowledge, and are quality
assured.
Evaluate
prescribing practices and amend according to evidence-based practice,
national/regional directives and clinical governance targets on a daily basis,
during Consultant ward-rounds, and at multidisciplinary team meetings.
Recommending
best treatment.
Substantiate
pharmaceutical recommendations and advice to medical and nursing staff and
communicate effectively any necessary actions to medical and nursing staff.
Construct
pharmaceutical care plans for patients, assess and monitor clinical progress
and outcome with regard to their medication and actively intervene to ensure
that patients receive optimal care with minimal side effects.
Navigate/refer
patient appropriately across the health care economy to meet their specific
care needs.
Communicate
all findings for patient to the patient, carer and their usual care
co-ordinator
Provide
expert advice to other health care professionals on all pharmaceutical issues
arising within the specialist clinical area. This will include the
extrapolation of clinical and highly complex medicines information and clinical
trials where data may be lacking and analysing, interpreting and comparing
differing opinion or facts to determine the best prescribing strategy for an
individual patient or patient group
Be
responsible for the therapeutic blood monitoring of identified drugs within the
post-holders clinical area.
Medication
History Taking, Provision of Patient Information and Counselling:
Ensure
that information and patient counselling systems are implemented within their
specialist area according to patient need to ensure that patients obtain the
most benefit from their medicines.
Contribute
to setting standards for, and manage the counselling of patients on their
medicines within the Medical Directorate, to improve concordance and knowledge
of their therapy.
Ensure
all newly admitted patients are interviewed to construct an accurate medication
history and assess compliance/concordance issues.
Review
information against the admission details and prescription chart.
Pro-actively
identify to medical staff any potential or actual medicines-related hospital
admissions or associated issues and outline any required action to resolve
identified discrepancies.
Assess
patients discharge information requirements as early as possible in the admission
stay to be able to prepare information on medicines for them based on
individual need.
Complete
Patient Need Assessments to assess patients information requirements and
suitability for delegation of counselling to a junior pharmacist or lead
medicines management technician.
Counsel
patients with complex needs such as a physical disability which may affect
information requirements (sight or hearing), language difficulties, those with
life-threatening or terminal diagnoses and highly distressed patients.
Assist
with the development and initiation of any self-administration schemes as
appropriate within the post-holders clinical area in line with ward
requirements and team resources.
Managerial
responsibilities:
Plan
his or her own workload, contribute to the planning of the pharmacy
servicesand ensure pharmacy services to theMedical
Directorate are delivered according to plan.
Clinically
supervise on a day to day basis the ward-based medicines management pharmacy
team of medicines management technicians, pharmacists, and students as
allocated to achieve Trust and departmental medicines management targets on
allocated wards within the Medical Directorate.
Advise
and support technical staff in the delivery of pharmaceutical care within the
Medical Directorate WRH and refer performance related issues to the Clinical
Pharmacy Team Leader as appropriate.
Use
the Pharmacy Computer System and MS Word, Excel, Access, and Powerpoint to
produce reports, SOPs, analyses and training materials for others to support
the delivery of the post holders key roles and responsibilities.
Financial
Responsibilities:
Analyse
prescribing trends and provide guidance and advice on drug expenditure,
prescribing patterns and high cost drug use for Gastroenterology medicine as
needed
Advise
Consultants on proposed new medicines for use within the post-holders clinical
area and assist with compiling new product assessments and evidence-based
reviews for submission to the Area Prescribing Committee for formulary and
funding approval.
Implement
measures to keep the Medical Divisions drug expenditure within agreed budgets.
Discuss and influence drug expenditure and its management with key medical
staff, and Modern Matrons within the post-holders specialist area.
Handle
prescription charges whennecessary
Service
Development and Business Planning:
The post holder will:
Develop
links with the Clinical staff, Matrons and Ward Managers in relation to the
pharmaceutical needs of the Gastroenterology team and Speciality Medical
Division.
Contribute
to the pharmacy service development plan for the Speciality Medical Division,
with the Lead Clinical Pharmacists.
Contribute
to the pharmacy modernisation initiatives within theMedical
Division.
Contribute
to planning and organising the delivery, standard and modernisation of clinical
pharmacy services within WAHT.
Research and
Clinical Audit:
Ensure
all pharmaceutical aspects of research in the post-holders clinical area
complies with relevant legislation
Ensure
that all clinical trials of medicines in the post holders area comply with
National Guidelines, the Trust medicines policy, and the Trial Protocols.
Help
plan and conduct pharmaceutical practice-based research/audit in the Medical
Unit in conjunction with the Clinical Team Lead Pharmacist-Medicine.
Create
guidelines on the use of unlicensed medicines or licensed medicines used in an
unlicensed way where standard information is not available, within the
specialist post-holders area and to assist the pharmacy department.
Contribute
to the creation, implementation and audit of clinical guidelines relating to
all areas of medicines use within the post-holders area.
Education, Training and CPD:
Participate
in the Trust personal development review (PDR).
Agree
service and personal objectives with the Pharmacy Team Leader Specialty
Medicine and be responsible for self audit to demonstrate both achievement of
objectives and evidence of value to the Trust.
Participate
in a regular review of all duties with the Pharmacy Team Leaderand
make such alterations as necessary to meet the demands of a changing service.
Deliver
teaching and training on the post holders specialist area to pharmacy and
nursing staff including pharmaceutical induction for new medical and nursing
staff in theMedical Directorate WRHH.
Train,
assess and provide feedback for Foundation Trainee Pharmacist Graduates as
allocated.
Train,
assess and provide feedback for undergraduate students, medicines management
technicians and student technicians as allocated.
Identify
personal training and development required to ensure the quality of the
service.
Agree
and complete a yearly training plan (PDP) with the Pharmacy Team Leader at
personal development review (PDR)
Dispensary and other Operational
Responsibilities:
The post holder
will:
Assist
in the delivery of the WRH pharmacy departments dispensing and other
operational, and clinical, services as required to meet the needs of the
service:
oProvide
the clinical professional check on prescriptions dispensed within the
dispensary, ensuring that the Trust high cost drug procedure and Trust
Formulary is adhered to.
oAccurately,
with no margin for error, dispense/prepare medicines ensuring doses are correct
and accurately weighed, measured and or counted.
oEnter
patient details on the Pharmacy Computer System from prescriptions of doctors
and other practitioners and produce medicine labels.
oCheck
medicines that other pharmacy staff have dispensed/prepared to ensure they have
been dispensed correctly.
Participate
in the weekend and Bank Holiday rotas.
Participate
in the emergency on-call rota
