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Physician Affiliate Groupof New York, PC Pharmacist - Full - Time ( 8:30 am to 4:30 pm) / Every other weekend in Queens, New York

Pharmacist - Full - Time ( 8:30 am to 4:30 pm) / Every other weekend

Location

US-NY-Queens

ID
2021-6221

Type
Regular Full-Time

Hospital
NYC Health + Hospitals/Correctional Health Services

Overview

Physician Affiliate Group of New York (PAGNY) is comprised of nearly 3,000 physicians and healthcare professionals who provide services to NYC Health + Hospitals (H+H), the largest public health system in the United States. Our practitioners are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City. EOE M/F/D/V

Besides providing administrative and human resources services, PAGNY also fosters an environment in its partner hospitals that allows healthcare professionals to identify and implement best practices across institutions; promote training, academic and research opportunities; develop multidisciplinary integrated clinical service lines; build new systems of care; and address the impact of anticipated major changes in the nation's healthcare system.

With approximately 65,000 admissions per year and 10,000 average daily population, the NYC jail system is among the largest in the nation. The Division of Correctional Health Services (CHS) of New York City Health + Hospitals (H + H) is responsible for the delivery of medical care, mental health care and discharge planning in the jail system. CHS is a national leader in the delivery of healthcare to the criminal-justice involved population and aspires to the highest standards of care, with the goal of meeting or exceeding what is available in the community. CHS care includes a comprehensive history and physical at the point of admission, robust screening efforts (HIV, hepatitis C, STDs, TB, etc.) and the management of chronic and acute illness. CHS views incarceration as a crucial opportunity to provide care to an underserved population and improve the population health of the communities to which our patients return. CHS is committed to continuously improving the delivery of care in the security setting, using the system-wide Electronic Health Record as a tool to promote patient safety and population health. CHS has contributed to the literature on medical care in the jail as well as public health concerns related to incarceration and seeks to build on a reputation as a national leader, now integrated into the larger H + H care delivery network. CHS seeks to promote an academic practice environment with ample opportunities for continuous education, clear pathways for career growth and engagement of front line staff in the ongoing process of improving clinical care.

Pharmacist

The pharmacy department is located in 9 facilities on Rikers Island located within minutes of LaGuardia Airport, one in Manhattan's Chinatown area, one in downtown Brooklyn and one in the Hunt's Point area of the Bronx. We are open seven days a week from 8:30 am to midnight. Our pharmacists work closely with our medical, mental health and nursing staff to provide our patients with pharmacy services while they are with us and when they are being discharged.

The pharmacy is fully computerized (Ascend). We utilize the Pyxis system at each of our clinics. We are currently embarking on CPOE and a computerized inventory system.

Practicing pharmacy in a correctional setting is similar to other institutional settings. Pharmaceutical care in our system is team focused with the medical, mental health and nursing staffs. Correctional health care primarily focuses on internal medicine and psychiatric illnesses with a public service/community health service focus. Core competencies for pharmacists include: asthma, hypertension, seizures, diabetes, infectious disease: including STD, HIV, Hepatitis C and TB and psychiatry. We have an on-site dialysis center, specialty clinics, dental clinics, urgi-center, radiology and nursery.

Responsibilities

The Clinical Staff Pharmacist is professionally responsible for the overall administrative, clinical and drug distribution activities of a satellite pharmacy. S/he performs related functions to assure the safety and quality of drug therapy which includes adherence with all federal, state and Correctional Health Services regulations and policies.Ensures proper functioning of the pharmacy as it relates as it relates to the assignment of duties, monitoring activities and the checking and approval of all functions performed by graduate pharmacists, technicians and assistants.

\* Enters drug orders and/or utilizes CPOE to enter drug orders. Retrieves data from the
computerized pharmacy profile system.
\* Prepares, checks and dispenses all medication using accepted standards of pharmacy practice
and departmental policies for unit dose, carry, out-patient and nursery distribution systems.
Checks all work done by the pharmacy technician prior to dispensing. All carry medication bags
are initialed by the approving pharmacist.
\* Reviews and interprets all drug orders with regard to the patient profile, the formulary system,
dosages, dosage schedules, routes of administration, rationale of therapy, incompatibilities,
therapeutic duplications and any other ramifications in drug therapy prior to dispensing.
\* Monitors and follows-up on patient drug therapy including compliance. Consults and follows-up
on any problems/questions including non-formulary drug orders, adverse drug reactions, drug
interactions, side effects, incompatibilities, etc. with the medical team.
\* Reviews and compares nursing DOT books with pharmacy records on at least a weekly basis.
Reviews and compares nursing insulin books with pharmacy records on a weekly basis.
\* When pharmacy technician notifies pharmacist that a patient has missed methadone, notifies
SMD or designee so that patient can be evaluated.
\* Provides routine drug information to the healthcare team.
\* Monitors the quality of patient care through quality assurance/improvement mechanisms (chart
reviews, medication use audits, etc.) Participates in clinic quality assurance projects as
requested.
\* Reviews patient electronic record when needed to ascertain physician rationale in ordering or
discontinuing a medication.
\* Checks Ascend patient transfer report and uses the report to fill patient cassettes or move them
as needed. Checks email each day for daily turn around and patients readmitted after discharge
reports to assure continuity of care. If patient was on methadone or DOT medications, contacts
previous building to obtain needed medication records. If patient is on insulin, informs nurse so
they can obtain a new order.
\* Provides patient counseling pertinent to their drug treatment regimen.
\* Prepares in-service education programs for presentation to pharmacy and/or clinic staff as well
as monographs on drug therapy for the Pharmacy and Therapeutics Committee.
\* Maintains adequate inventory of drugs and supplies including controlled substances and IV
solutions through use of par levels, inventory control and proper ordering. Assures preparation
of weekly pharmacy stock order. Assures reconciliation of packing slip or invoice against items
received. Assures notification of packaging supervisor of any discrepancies.
\* Utilizes IDWhere to order medication on a weekly and daily basis and transmits on both a daily
and weekly basis to packaging. Pharmacist has sole responsibilities in IDWhere.
\* Utilizes Pxyis to manage floor stock usage. Controlled substances are the pharmacist
responsibility. These records are maintained with all other controlled substances records.
\* Prepares, checks, audits and dispenses controlled substances and methadone according to
policy. Assures all inventories balance and all paperwork is appropriately completed by both
pharmacy and nursing.
\* Performs monthly Pharmacy/Clinic, Infirmary, Dental, Radiology area inspections including crash carts, emergency drug boxes, perk bags and seizure kits.
\* Assures documentation of daily methadone and work activity statistics using the pharmacy
statistical database. Prepares accurate monthly methadone and activity reports as per policy.
\* Participates in various infirmary, CDU and mental health patient rounds.
\* Has knowledge of policies and procedures in the packaging area.
\* Performs routine compounding of drug products and sterile preparations.
\* Allows new personnel to shadow them.
\* Distributes medication on an individual client basis when necessary.
\* Participates in clinic staff/team leader meetings.
\* Prepares and logs discharge prescriptions for patients leaving the institution.
\* Monitors and helps maintain the cleanliness and safety of pharmacy work areas.
\* Performs job responsibilities in a manner that promotes efficient use of resources.
\* Refers problems and steps already taken to resolve the specific problem at the clinical staff
pharmacist level to the pharmacy assistant director-buildings.
\* Maintains patient confidentiality of all pharmacy and clinical information. Disposes of all
unneeded reports and labels in shredding containers only.
\* Files all completed work in a neat and orderly fashion to assure that records can be easily
accessed in the future.
\* Performs or assumes other related duties as required.

Qualifications

Must have:
Must be a registered NY state pharmacist with either a BS in pharmacy or Pharm D. degree.

EOE M/F/D/V

PAGNY provides equal opportunity in employment. WE recruit, select, train and promote the most qualified individuals. No person will be discriminated against in employment because of race, natural origin, citizenship, military status, creed, color, sex, religious beliefs, marital status, sexual orientation, disability, pregnancy, genetic predisposition or carrier status, or protected characteristics under the law.

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