Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Hospital (Outpatient Clinic and Inpatient Antimicrobial Stewardship) Durham, North Carolina
The Duke University Hospital (DUH) Outpatient Parenteral Antimicrobial Therapy (OPAT) program improves patient safety by facilitating earlier discharge of patients on intravenous (IV) anti-infectives, providing close laboratory monitoring and documentation, and improving communication at transitions of care. The main role of this position is to support operations of the OPAT clinic, joining one clinical pharmacist practicing in this role. The position will also support the medication therapy needs of the ambulatory ID clinic 1K patients. The position will have dedicated time to support the Antimicrobial Stewardship and Evaluation Team (ASET) inpatient stewardship program on a weekly basis. ASET is dedicated to enhancing the quality of antimicrobial use throughout Duke University Hospital (DUH). This position will provide support alongside two antimicrobial stewardship pharmacists and working collaboratively with the Department of Pharmacy, medical staff, and other healthcare workers under the direction of the ASET Pharmacist Coordinator and Medical Director to better facilitate inpatient to outpatient transitions.
Clinical Practice and Medication Management: Infectious Diseases Outpatient Clinic
· Provides clinical pharmacy support for the Outpatient Parenteral Antimicrobial Therapy (OPAT) Program.
· Participates in clinic and provides clinical pharmacy services and oversight for safe use of medication for patients receiving home antimicrobial infusion therapies, such as:
o Completes medication reconciliation activities
o Provides medication counseling/education
o Interprets pharmacokinetic/therapeutic drug monitoring data and makes dose change recommendations as deemed appropriate
o Screens for drug interactions, therapeutic duplications, omissions, etc.
o Monitors patients for therapeutic and/or toxic response to medication
o Coordinates patient care with inpatient, home infusion, home health, and skilled nursing care teams
o Ensures continuity of care with antimicrobial therapy
· Provides support to improve safety and to reduce risk to patients treated in the ID programs. Reports events and/or concerns via the safety reporting system.
· Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care.
· Provides support to assure compliance with The Joint Commission accreditation standards.
· Coordinates with Duke Retail Pharmacies and Patient Assistance Program teams to provide seamless medication access to patients. Participates in
Specialty Pharmacy on-call coverage
· Facilitates prescription fulfillment through Duke Retail pharmacies.
· Serves as a resource for Duke Retail Pharmacy staff on ID-related medication issues.
· Proactively assesses and ensures medication adherence and makes appropriate documentation on the inquiry
· Provides oversight of ID staff education for critical elements of medication use in patient care and clinical research.
· Educates medical, nursing, and pharmacy staff about the management, prescribing, and monitoring of ID therapies.
Clinical Practice and Medication Management: Inpatient Antimicrobial Stewardship
· Perform prospective and retrospective antimicrobial review, feedback, and (when indicated) intervention throughout DUH (adults and pediatrics)
· Collaborate with other members of the Antimicrobial Stewardship Evaluation Team (ASET) interdisciplinary team to establish models and procedures to audit and provide prescriber feedback in order to optimize antimicrobial prescribing practices
· Represent ASET to front-line prescribers and administrative leaders at DUH
· Work to ensure optimal compliance with anti-infective related clinical pathways and guidelines
· Participate in the review of requests for restricted antibiotic use
Duke University Hospital Department of Pharmacy
· Maintains familiarity with all departmental programs and works as an integral part of the pharmacy team.
· Models behaviors that exemplify Duke's core values, including teamwork, integrity, diversity, excellence and safety.
· Takes responsibility for personal and professional growth.
· Ability to pursue Clinical Pharmacist Practitioner (CPP) designation.
· Participates in the education of pharmacy students and residents.
· Participate in the conduct of didactic and experiential training of present and future pharmacists and physicians in principles of antimicrobial stewardship
· Presents scholarly materials at educational conferences for the ID program and pharmacy professional meetings and organizations (Duke, State/Local, National)
· Understands and actively participates in the achievement of division and departmental financial goals
· Develops and participates in pharmacy-related research projects and quality improvement initiatives
· Provides leadership in developing guidelines, order forms, and critical pathways to improve the care and safety of patients.
Knowledge, Skills and Abilities:
Three years of clinical hospital experience and/or completion of a PGY1 residency and PGY2 residency in infectious diseases required. Candidates with experience as a member of an Antimicrobial Stewardship Program are preferred. Licensed as a pharmacist by the North Carolina Board of Pharmacy.
Advanced Knowledge, Skills and Abilities:
Advanced leadership skills, demonstrating progressive degrees of responsibility, the ability to lead projects and people, and to consistently deliver results; proficiency in knowledge translation, critical appraisal, implementing evidenced-based strategies, change management, and teaching; scholarly potential, interest, and participation in academic research; effective written and verbal communication skills; ability to establish and maintain working relationships with various members of health care teams; effective analysis of data and processes for opportunities for improvement; ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, organization; knowledge of accreditation standards and regulations related to health care; attention to detail and accuracy; and computer literacy
Doctor of Pharmacy Degree OR BS Pharmacy Degree
With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required.
Degrees, Licensures, Certifications
Licensed Pharmacist or eligible to practice pharmacy in North Carolina
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.