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Clinical Pharmacy Specialist-Emergency Medicine (Pharmacist)
Staff Pharmacist, Hospital
Cedar Rapids, IA
Position Description


The Clinical Pharmacy Specialist - Emergency Medicine is responsible for working in collaboration with the emergency department health care team within the established guidelines of the Pharmacy Department as assigned.  The Emergency Department Clinical Pharmacist Specialist provides comprehensive pharmaceutical care to Emergency Department patients through integrated drug distribution, clinical services, research and teaching.

The Clinical Pharmacy Specialist - Emergency Medicine is expected to understand and support the Mission and Vision of St. Luke’s Hospital.  The Clinical Pharmacy Specialist - Emergency Medicine is responsible for carrying out the philosophy and objectives as established by the Board of Directors and the Management Team.

The Clinical Pharmacy Specialist - Emergency Medicine reports to the Inpatient Pharmacy Manager.



The Clinical Pharmacy Specialist - Emergency Medicine  is an active member of the health care team maintaining the professional knowledge and skills necessary to assure patients receive quality medication therapy along with the resolution of practical and strategic problems, resolving conflict, implementing constructive change and adhering to legal and regulatory requirements.


Customers include inpatients and outpatients of all ages, physicians, and other hospital departments. 


The Clinical Pharmacy Specialist - Emergency Medicine, works cooperatively with pharmacy management to maintain daily workflow, identify additional duties or change of duties that would enhance pharmacy operation and supports the direction and achievement of the hospital’s short and long-range goals.


The Clinical Pharmacy Specialist, Emergency Medicine major job responsibilities are:

Provide comprehensive pharmaceutical care to Emergency Department

Participate in daily patient care activities.
Discuss medication order clarifications with the prescriber.
Document any changes in patient records, and inform others of medication order changes.
Monitor drug therapy to evaluate appropriateness of use dose, dosage form, regimen, route, therapeutic duplication, and drug interaction.
Provide pharmacokinetic consultations and other dosing as required.
Prevent, detect, monitor, document, and report adverse drug reactions and medications errors.
Participate in the drug therapy management of medical emergencies (i.e. code, trauma, stroke alerts, poisoning etc.).
Promote the use of the formulary by converting nonformulary orders to formulary when possible, but coordinates procurement of non-formulary drugs when necessary
Maintain and update a patient profiles with demographics, diagnosis, allergies, and current medications as warranted.
Reconcile pharmacy and nursing medication records as necessary. 
Facilitate discharge/admission/transfer for Emergency Department patients including preparation and dispensation of outpatient prescriptions as necessary.
Expedite antibiotic administration by all appropriate mechanisms
Counsel/triage patients on discharge/transfer medications as necessary
Optimize pharmacotherapy regimens utilizing current evidence-based recommendations.
Maintains current hospital pharmacy knowledge, professional expertise and skills necessary to assure the proper interpretation, safe preparation and dispensing of medications for all patients.
Provide operational support in the Emergency Department and Central Pharmacy as determined by departmental need.

Review medication orders for accuracy and appropriateness.
Order entry for assigned areas.
Resolves drug distribution related issues. Resolves automatic dispensing cabinet (Pyxis, Omnicell)and sterile product related issues. Covers assigned shifts as determined by departmental need.
Promote and demonstrate rational, cost-effective drug therapy.

Identify and implement drug therapy where positive pharmacoeconomic impact could be achieved.
Develop and conduct target drug programs and medication use evaluations as needed and report results to the Pharmacy and Therapeutics Committee or relevant subcommittees.
Document clinical consultations and cost avoidance as part of the departmental clinical documentation program.
Monitor the use of expensive medications to assure there issue consistent with approved criteria (e.g., alteplase, Factor VII, etc.)
Anticipate changes in drug therapy and report the potential impact it will represent to the overall hospital and drug budget.
Coordinate the pharmaceutical care of ongoing research in the emergency department.
Provide in-services for emergency department nursing and medical staff.
Initiate research investigations aimed at defining the role of emergency medicine pharmacists or optimizing the care of patients in the emergency department.
Take a leadership role in the teaching programs of the Department of Pharmacy Services and College of Pharmacy as they are related to emergency medicine.
Facilitate the personnel development in emergency medicine for pharmacists.
Provide presentations, publications, and other informative activities on emergency medicine and other drug-related topics to the health care community and general public.
Participate on hospital committees. Participate actively in emergency medicine team meetings and conferences.

General Expectations

Displays a positive, professional and customer service oriented appearance and attitude.
Understands and adheres to all safety practices while performing duties to minimize any risk of injury and / or exposure to hazardous material. Performs and/or assists with departmental inspections and, controlled substance verifications and reports, as assigned. Supervises pharmacy technicians in an efficient and effective manner, consistent with applicable laws, regulations and policies as warranted. 
Assists in maintaining adequate stocks of pharmaceuticals and supplies through established inventory management procedures, and cost effective utilization.  
Provides advice and recommendations to inventory staff and communicates unusual usage patterns.
Attends in-services, on the job training, and participates in continuing education programs to meet licensure requirements, developmental needs and keep abreast of new technologies.  Attends at least 75% of required departmental meetings.
Assists with executing and monitoring professional practices in order to meet necessary standards, recommendations and requirements of voluntary and government agencies (i.e. TJC, Iowa Board of Pharmacy Examiners, Drug Enforcement Agency (DEA), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF), State Board of Health, Occupational Safety and Health Administration (OSHA)).
Communicates with department management as necessary when problems or unusual circumstances arise.
   Is able to prioritize work appropriately and assists others as time and workload allows.
Promotes the development, preparation, implementation and attainment of departmental goals, policies, procedures and projects to enhance the effectiveness of present operations and/or for improved patient care, physician relations, public image, efficiency, and / or cost effectiveness.
 Interacts and communicates effectively with departmental staff, other hospital staff and customers to provide timely service, accurate information and to reduce problems and minimize exceptions.
Is aware of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.  Brings any questions or concerns regarding compliance to the immediate attention of department or hospital administrative staff.  
Exhibits understanding and  knowledge regarding utilization of pharmacy related components of the hospital information systems, automated medication dispensing equipment, outpatient pharmacy equipment/programs, and other equipment/software programs used to prepare, package, barcode, distribute, track and trend medication related processes.
Purposefully conducts all aspects of the job in an ethical manner in support of the hospital’s commitment to ethical behavior in all areas of personal and professional activity
Adheres to the hospital’s Focus Values at all times.
Performs other related duties as assigned.




A minimum of two years of relevant hospital pharmacy experience or an ASHP approved, hospital based PGY1 residency required. Current ACLS or equivalent certification or completion within 3 months of hire is required. Board Certification in a relevant specialty or PGY2 residency in a relevant specialty preferred, but not required.  Must maintain a current license to practice pharmacy in the State of Iowa.  Must be able to read, write and speak fluent English.   Must possess excellent communication and customer service skills. Must have the ability to makes good independent decisions based upon knowledge of the overall department function, policies and procedures.

MENTAL / COGNITIVE DEMANDS: Must be able to understand written, visual and other sensory stimuli.  Must have the ability to analyze written and spoken English.  Must be able to cope effectively with stressful situations, multiple tasks and time constraints.  Must be able to logically solve problems.  Must be able to interpret scientific data in a logical and coherent manner.  Must be able to interpret and follow detailed written and verbal instruction.   Must be able to work well with, manage and direct others.


BEHAVIORAL DEMANDS: Must be able to work well with all customers and co-workers. Must demonstrate a cooperative, courteous and dependable working performance.  Must possess high integrity and maintain confidentiality at all times.



Sit, walk, stand: May spend up to 50% of working time standing or walking depending on daily assignment. 
Lift, carry, push, pull: Generally not more than 50 lbs. of force is needed to lift, carry, push or pull objects. 
Bend, stoop, kneel, and reach: Bending, stooping, kneeling and reaching are required.
Manual dexterity / wrist and hand repetitions: Good manual and finger dexterity is needed for manipulation of compounding equipment and supplies and operating a computer keyboard. Depending upon daily assignment up to 90% of working time may be spent using a computer keyboard.  Repetitive wrist and hand motion may be required.
Vision / hearing / speaking: Must have good visual acuity, with the use of corrective lenses, as necessary, and either good depth perception, or the ability to accommodate for the lack of it. Speaking and hearing are essential to the needs of this position.  Color blindness must be assessed so appropriate precautions can be taken whenever color discrimination is required.

WORKING CONDITIONS: May be subjected to noise and disagreeable odors. Office and mechanical equipment are located in the work environment.  Workers are exposed to chemical (including antineoplastic) agents and must use appropriate personal protective equipment as trained.  Workers may be exposed to body fluid during response to participation in trauma/code/direct patient care interactions. Work is performed in a well-lighted, temperature - controlled, and humidity - controlled environment.
Contact Information

Marc Barnhart
UnityPoint Health - St Luke's
1026 A Ave NE
Cedar Rapids, IA 52406
Telephone: 3193685767
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