Band 7 Senior Rotational Pharmacist – Clinical and technical services

Job description

Job responsibilities

Please refer to the attached JD for a full list of roles and responsibilities that comes with the role.

CLINICAL RESPONSIBILITIES

To clinically verify prescriptions for chemotherapy and CIVAS products when required.

To assist in the provision of a high quality clinical pharmacy service as part of the multidisciplinary team, to the Cancer Services specialities to ensure maximum efficacy, safety and economic drug use and to demonstrate professional accountability to enhance patient care. This will include being present from time to time in various Cancer Services out-patient clinics and in the chemotherapy administration suite, to verify prescriptions, advise doctors and other health care professionals and to counsel patients.

To assist in the provision of a high quality clinical pharmacy service as part of the multidisciplinary team to the Women and Childrens Division, including the Neo-natal Unit.

To assist in the provision of the service to patients requiring Total Parenteral Nutrition as part of their care. To attend ward rounds, assess patients and order the most appropriate formulation for the patient on the day.

Responsibilities include:

Demonstration of a comprehensive level of knowledge within the specialities.

Delivery of a high quality, specialist ward based pharmacy service including drug supply, review of highly complex medication regimens, medicines reconciliation, drug interaction monitoring, adverse drug reaction monitoring and verification of chemotherapy regimens and discharge planning.

Communication of highly complex pharmaceutical information, according to the level of understanding, direct to patients/carers and healthcare professionals.

Empathising with and counselling patients/carers who may be distressed on all aspects of their medication to aid compliance and understanding.

Provision of prescribing advice in specialist areas, including drug selection, management of adverse events and dosage adjustment where limited/conflicting information is available.

Analysis and interpretation of specialist medicines information to provide advice to clinicians and healthcare professionals and ensure that this information is utilised in a systematic and appropriate way to optimise patient care.

Making evidence based decisions, in partnership with patients and other professionals within the specialist areas.

Assisting with the implementation of relevant local, network and national guidelines within the specialist areas.

Undertaking drug usage reviews and clinical audits.

Provision of support on concordance related issues to patients.

Liaising with primary care healthcare professionals to provide seamless care for patients.

Identifying the risks of medicines use within the specialties and assisting in implementing strategies to minimise them.

Making decisions with limited information in complex or clinically sensitive situations and demonstrating an advanced level of reasoning and judgement.

Promoting and adhering to infection control policies and guidelines.

To liaise and work with other specialist pharmacists to share best practice and develop patient focused pharmaceutical care.

To be aware of ethical dilemmas that may present in patient care and provide support and guidance to colleagues in any decision making process.

To support the development of clinical pharmacy services in line with local and national objectives.

2. TECHNICAL SERVICES RESPONSIBILITIES

To receive cytotoxic prescriptions from the Royal Free Hospital, or outside customers and check that the dose(s) prescribed is/are appropriate for the particular patient, based on the specified drug protocol, patients weight and liver and renal function.

To produce individual patient worksheets and labels for cytotoxic doses, PN and Central Intravenous Additive Services (CIVAS) doses when required, calculating quantities required and determining the correct expiry and storage conditions.

To be responsible for ensuring that written and computerised records relating to the manufacture and supply of cytotoxics and CIVAS products prepared by other staff are accurate and well maintained, particularly those involving clinical trials.

To be accountable for reviewing all relevant safety parameters prior to authorising manufacture and release of chemotherapy and provide specialist advice to prescribers regarding dosage modifications where necessary.

To be accredited to prepare, final check and release cytotoxic doses and CIVAS doses prepared under the Manufacturers (Specials) Licence. To ensure accurate preparation, documentation and labelling of the product. To final check products prepared under the Manufacturers Specials Licence.

To prepare cytotoxics him/herself, if necessary, to final check and release the product for use in a patient, when On-call.

To assist in the liaison with other members of the Cancer Services team, including doctors, ward and clinic nurses, pharmacists, research nurses and the pharmaceutical industry over any problems with cytotoxics, new protocols, supplies, special requests etc.

To final check batches and patient specific products prepared in the CIVAS, Sterile, Non-sterile and Pre-packing units and other products prepared in production to be administered to patients within the confines and outside the Royal Free Hospital.

To final check terminally sterilised products prior to bonding and transfer to Quality Assurance testing.

To ensure that activities carried out in the cytotoxic and CIVAS manufacturing units are following the Rules and Guidance for Pharmaceutical Manufacturers, local standard operating procedures and all relevant medicines legislation.

To be responsible for running the dose-banded Infliximab service, once this starts, either at The Royal Free Hospital and / or Finchley Memorial Hospital. This will include liaison with the appropriate clinic nurses to obtain clinic lists for the following week, checking any remaining stock, or stock returned, unused from the clinic(s), calculating how many of each strength need to be made and making suitable arrangements for them to be made, probably out of normal working hours.

To ensure compliance with current legislation and guidance relating to the waste disposal of pharmaceuticals, pharmaceutically contaminated sharps and, where appropriate, cytotoxic waste.

To initiate incident forms, Unusual Event and Change Control forms when required and to ensure that the reasons for the forms being required are investigated, risk assessed and appropriate changes made to paperwork/ new paperwork written, training given to staff to prevent a similar occurrence in future, as appropriate. To ensure all documentation is closed out at the end of the process.

Person Specification

Education & professional Qualifications

Essential

• MPharm or equivalent or BPharm for those qualified before 2002
• Registered with General Pharmaceutical Council.
• Currently undertaking post-graduate education e.g. clinical diploma, PTQA or having completed one of these.

Experience

Essential

• Significant relevant experience working in hospital pharmacy.
• Comprehensive Band 6 rotation, including Aseptic Services & Oncology/Haematology.
• Broad based clinical experience

Desirable

• Experience of training or managing others.

Skills and aptitudes

Essential

• Good written and verbal communication skills.
• Effective pharmaceutical skills.
• Ability to manage time effectively.
• Ability to communicate with patients and staff of all levels .
• Computer literate
• Ability to carry out day to day responsibilities and deal effectively with unpredictable / acute demands.
• Ability to justify and reason any advice given should this be challenged.
• Ability to plan, prioritise and organise self, others and workload.

Desirable

• Evidence of clinical audit/practice research
• Tutoring and teaching ability.

Personal Qualities & attributes

Essential

• Understanding of clinical risk and clinical governance
• Enthusiastic, well motivated, hardworking.
• Available to work weekends, bank holidays, late nights and shifts

Desirable

• Understanding of NHS national and local priorities.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

Royal Free Hospital

Pond Street

London

NW3 2QG

Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)