Location: New York,NY, USA
NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Job Description A. Direct Patient Care • Participate in patient care rounds in assigned Neurology ICU • Comprehensive acute management of adult patients in the Neurology ICU • Review of medication profiles to assure optimal pharmaceutical care for all co-morbid conditions • Optimizing medication therapies to prevent and reduce medication errors • Therapeutic drug monitoring for appropriateness of use, dose, dosage form, and drug interactions • Provide pharmacokinetic consultations when requested • Provide patients with discharge counseling as applicable • Provide medication information to interdisciplinary Neurology ICU team • Develop medication guidelines, order sets, and protocols in collaboration with clinical staff • Pursue opportunities for optimization of Electronic Medical Record related to care of ICU patients • Document pharmacotherapy interventions within the Electronic Medical Record B. Education responsibilities: • Provide patient specific education to patients as requested by medical staff or nursing personnel • Facilitate, develop, and implement lectures to pharmacy staff in critical care related topics • Provide in-services to medical staff on pharmacological topics • Provide in-services to nursing staff on pertinent pharmacy-nursing related topics • Development of guidelines and protocols related to medicine and critical care. C. Departmental responsibilities • Ensure safe, appropriate, cost effective medication therapies for patients according to established policies, procedures, and protocols • Facilitate the development and implementation of treatment guidelines, protocols, formulary changes as approved by appropriate committees. Ensure guidelines & protocols match national 2 standards and include clinically appropriate treatment standards, while respecting the cost structure of the institution • Coordinate the selection and safe use of alternative medication in response to medication shortages • Provide clinical consultation and clarification to practitioners • Support the pharmacy department's clinical endeavors • Review the use of targeted medication for compliance with pharmacoeconomic programs • Suggest appropriate, cost effective therapeutic alternatives to medical staff • Monitor drug therapy regimens for allergies, contraindications, drug-drug interactions, drug-food interactions, drug-laboratory test interactions, adverse drug reactions, appropriateness of drug and dose, and therapeutic duplication • Help reduce or limit cost of medications utilized in the treatment of critical care patients through review of each specific patient medication regimen • Monitor cost of medication therapy for ICU patients and report to Section Chief and Pharmacy Leadership • Provide accurate, adequate, and timely drug information to professional staff • Contribute to the publishing of pharmacy newsletter • Supervise and conduct continued education to the pharmacists and pharmacy students • Prepare and review drug use evaluation criteria, adverse drug reaction reports, and pharmacy interventions summary to various committees • Participate in hospital education programs • Coordinate policies and procedures for clinical activities (i.e. therapeutic interchange, unacceptable abbreviations, look alike-sound alike drugs, medication events reporting etc.) • Participate in quality improvement activities of the department • Collect, analyze, and maintain data for all documented interventions • Establish productive, collaborative relationships among the multidisciplinary healthcare team • Sustain professional competence and promote development through participation in in-services, workshops, seminars, and professional organizations • Precept and mentor pharmacy students for local Colleges of Pharmacy • Train pharmacists and pharmacy students to participate in drug use evaluation • Facilitate discharge/transfer planning and transitions of care related to medication use • Complete special projects as assigned by Pharmacy Leadership • Participate in Pharmacy and Therapeutics committee through facilitation of drug formulary additions Minimum Qualifications PharmD Pharmacy degree required • Active New York State pharmacy license and registration. • Active ACLS certification. • PGY1 Pharmacy Residency completion or previous hospital experience required • Critical Care PGY2 Pharmacy Residency or a minimum of 3 years of comparable practice experience required • Board Certification in Critical Care Pharmacy preferred NYC Health and Hospitals offers a competitive benefits package that includes: