Provision of clinical pharmacy services for general Adult Medicine patients
Medication order verification for designated patients
Interdisciplinary collaboration to optimize drug therapy and prevent adverse medication events
Adverse event and medication error reporting when necessary
Pharmacokinetic monitoring and consultation
Providing drug information and education to medical and nursing staff.
when I was under training at drug information center I had done micro-tasks like :
1. Providing Drug Information to patients, caregivers, and health care professionals.
2. Creating and maintaining currency of a variety of print and online educational resources for patients (e.g., tip sheets, pamphlets) and health care professionals (e.g., in-service documents, newsletters) on topics such as optimal medication use, general health, or select clinical questions.
3. Educating health care professionals on safe and effective medication-use policies and processes, including development of resources to communicate this information.
4. Leading or participating in continuing education ser- vices for health care professionals.
5. Precepting and educating pharmacy students and residents.
6. Participating in quality improvement research projects and drug cost analyses.
7. Contributing to the biomedical literature and providing peer review for other contributors.
a. Overseeing daily prospective audit of antimicrobial's
b. Assisting in development and maintenance of an antimicrobial formulary approved by the medical staff.
c. Working with the infectious disease service to evaluate appropriate use of restricted antimicrobial's
d. Developing guidelines, policies, and other monitoring and intervention strategies for antimicrobial use and streamlining prophylactic, empiric, and definitive antimicrobial therapy
e. Compiling data and metrics on antimicrobial use
f. Working with the Antimicrobial Stewardship committee to maintain and update the Highland Hospital Empiric Therapy Guide.
g. Reporting data and findings to the Antimicrobial Stewardship, Infection Control and Pharmacy &
Therapeutics Committees.
1. The pharmacist prospectively evaluates all drug therapy for appropriate indications, dosage, drug interactions, and drug allergies; monitors the patient’s pharmacotherapeutic regimen for effectiveness and ADEs; and intervenes as needed.
3. In conjunction with the clinical dietitian, the pharmacist evaluates all orders for parenteral nutrition and recommends modifications as indicated to optimize the nutritional regimen.
4. The pharmacist identifies ADEs and assists in their management and prevention, and develops process improvements to reduce drug errors and preventable ADEs.
5. The pharmacist uses the medical record as one means to communicate with other health care professionals and to document specific pharmacotherapeutic recommendations.
The pharmacist provides pharmacokinetic monitoring when a targeted drug is prescribed.
7. The pharmacist provides drug information and intravenous compatibility information to the ICU team and uses the regional poison information center when indicated.
8. The pharmacist maintains current tertiary drug references.
9. The pharmacist provides drug therapy- related education to ICU team members.
10. The pharmacist participates in reporting ADEs to institutional committees and to the Food and Drug Administration’s MedWatch program.
11. The pharmacist documents clinical activities that include, but are not limited to, disease- state management, general pharmaco- therapeutic monitoring, pharmacokinetic monitoring, ADEs, education, and other patient care activities.
12. The pharmacist acts as a liaison between pharmacy, nursing, and the medical staff to educate health professionals regarding current drug-related procedures, policies, guidelines, and pathways.
13. The pharmacist contributes to the hospital newsletters and drug monographs on issues related to drug use in the ICU.
in that time I was under training in pediatric rotation while that I handled multiple tasks like:
in that time I was under training in pharmacy practise rotation while that I handled multiple tasks like: