Lead Pharmacist Stroke and Thrombosis
Worcestershire Acute Hospitals NHS Trust
Job Description
Job description Job responsibilities To lead and manage the clinical pharmacy service to the Acute Stroke Unit at WRH. **Please refer to full Job Description Attached**Function as an Independent Prescriber within Medicine ensuring appropriate medicines are prescribed or de-prescribed after assessment, practicing within the scope of GPhC registrationProvide expert advice to other health care professionals on all pharmaceutical issues arising within the specialist clinical area.Manage and direct a ward-based medicines management pharmacy service to achieve Trust and departmental medicines management targets.Manage on a day to day basis medicines management technicians, clinical pharmacists, post qualified pharmacists and students as allocated to achieve these outcomesBe responsible for ensuring that the ward-based teams work efficiently, accurately and within their own individual job remitsTo assist the Deputy Director of Pharmacy (Clinical Services) in developing pharmacist- run clinics at the Worcestershire Royal Hospital.Attend and contribute to regular thrombosis committee meetings as a pharmacist representativeDevelop and contribute to the development of trustwide clinical guidelines and pathways as required within the terms of reference of the thrombosis committee.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 Division at WRH to improve concordance and knowledge of their therapy and delivering training for allocated ward-based technicians in medication history taking.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 resourcesLine manages members of the specialty medicine team and trainee pharmacists as allocatedPlan their own workload, contribute to the planning of the pharmacy services to the Medical Division and ensure pharmacy services are delivered according to plan.Role model best practice and individualised person-centred care and be a source expert of knowledge for individual staff and clinical teams, providing education and development opportunities to ensure quality of care is maintainedAssess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of careWork pro-actively in managing change in own specialty, to improve practice and health outcomesClinically 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 the Medical Division including:Managing the accurate and timely dispensing and supply of medicines to patients (one-stop dispensing)Evaluating and using patients own medicines brought into hospitalEnsuring ward-based discharge medicines are completed and ready for patients according to the agreed discharge plan.Auditing the medicines management system to demonstrate its value and identify where improvements can be made.Advise and support technical staff in the delivery of pharmaceutical care within the Medical Division 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.Produce monthly reports, analyse prescribing trends and provide guidance and advice on drug expenditure, prescribing patterns and high cost drug use for ASUAdvise 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.Identify and 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.Develop and monitor quality initiatives in line with local and national requirements and guidelines; take a lead role in the facilitation of such initiativesDevelop links with the Clinical staff, Matrons and Ward Managers in relation to the pharmaceutical needs of the Acute Stroke team and Medical Division.Contribute to the pharmacy service development plan for the Medical Division, attending review meetings with medical staff and Matrons to evaluate progress.Lead on the creation, implementation and audit of clinical guidelines relating to all areas of medicines use within the post-holders area. To facilitate unified consultant opinion on the treatment of specialist clinical conditions where appropriate, ensuring a best practice approach to key groups of patientsCreate 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 departmentContribute to the pharmacy modernisation initiatives within the Medical Division.Contribute to planning and organising the delivery, standard and modernisation of clinical pharmacy services within WAHT.Ensure all pharmaceutical aspects of research in the post-holders clinical area complies with relevant legislationEnsure 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 Division in conjunction with the Deputy Chief Pharmacist (Clinical Services).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.Participate in the Trust skills development review (PDR).Agree service and personal objectives with the Principal Pharmacist for 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 Principal Pharmacist for Medicine and 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, medical and nursing staff including pharmaceutical induction for new medical and nursing staff.Train, assess and provide feedback for trainee pharmacists during their foundation year as their designated supervisorTrain, 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 Principal Pharmacist for Medicine in line with objectives at PDR.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:Provide the clinical professional check on prescriptions dispensed within the dispensary, ensuring that the Trust high cost drug procedure and Trust Formulary is adhered to.Accurately, with no margin for error, dispense/prepare medicines ensuring doses are correct and accurately weighed, measured and or counted.Enter patient details on the Pharmacy Computer System from prescriptions of doctors and other practitioners and produce medicine labelsCheck medicines that other pharmacy staff have dispensed/prepared to ensure they have been dispensed correctly.Participate in the 7 day working and late night rota.Participate in the emergency on-call rota
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