Responsible for fulfilling the pharmacist's role in dispensary, manufacturing, medicines information and clinical pharmacy services in order to promote safe, rational, effective & economic use of medicines. To participate in a structured, assessed programme to further develop their skills. During the daily ward visit the Pharmacist will:
1. Review prescriptions to ensure they are legal, safe, cost-effective, clinically necessary, appropriate, accurate, and complete
2. Arrange for drugs to be supplied to patients, wards and departments
3. Provide information and advice to nursing staff and patients on a daily basis, about drugs, doses, administration and potential side-effects
4. Provide similar information and advice to junior medical staff on a daily basis, and to Consultants as and when needed in both verbal and written form (e.g. Make entries in patient records)
5. Access and interpret clinical information for patients, and use it to individualise and monitor treatment
6. Undertake risk management and ensure compliance with legislation and relevant national policies and guidelines, along with local policies and procedures including the Trust Formulary.
7. Work in an effective team with and clinically supervise pharmacy technicians involved in Trust Medicines Management scheme on designated wards
8. Responsible for deciding stock holdings with the senior nurse for the ward
Dispensary
1. For allocated sessions or agreed periods each week act as the supervising pharmacist or Responsible Pharmacist in the dispensary.
2. Clinically assess in-patients and discharge prescriptions by reviewing current in-patient medication chart against discharge prescription
3. Check the prescriptions charts for legality, legibility and intention of prescriber, that the medication is suitable for the patient, any errors in dose, frequency, form and route, determine specific patient requirements, resolving any queries with the prescriber
4. Assess Out Patient prescriptions as above
5. Check the dispensing of the pharmacy technicians and pharmacy assistants/dispensers.
6. Issue dispensed items to outpatients with appropriate information and advice on their medicines and how to take them.
7. Ensure that out of stock items are assessed for urgency, notified to the patient/ward staff, obtained as soon as possible and dispensed promptly, to maintain treatment
8. Ensure that prescriptions are dispensed, checked and dispatched, according to priority and in a timely fashion
9. Check calculations for a range of prescription types including formulas for extemporaneously prepared medication, pediatric prescriptions and complex dosing regimes.
10. Dispense using the Pharmacy computer for issuing medication. Input patient specific information on the system which will be held as part of the patient record
11. Respond to queries from medical staff and all other hospital staff.
12. Supervise the clinical standards within the dispensary.
13. Help to supervise and train new Pharmacy staff working in the dispensary.
Medicines Information
1. Participate in the provision of the Medicines Information service in order to provide up-to-date, evaluated information on medicines, and give pharmaceutical advice to patients and healthcare professionals.
2. In response to enquiries, advise health care professionals regarding the treatment of individual patients to optimise their drug therapy.
3. Answer enquiries from health care professionals on specific patient groups or disease states and make recommendations to help inform their practice.
4. Answer enquiries from patients, empowering them with knowledge about their medications.
5. Take in enquiries by telephone, use a variety of information sources and clinical knowledge to answer the enquiry and respond by agreed deadline by means of verbal or written communication.
Pharmacy Manufacturing Unit
1. Work within the manufacturing unit and follow the Standard Operating Procedures and worksheets within the area.
2. Develop knowledge of aseptic preparation of pharmaceuticals to enable broader understanding for the checking and releasing of products.
3. Perform an initial and final check and release on a range of aseptically prepared products prepared under section 10 e.g. Cytotoxics, adult parenteral nutrition(PN), and neonatal parenteral nutrition.
4. Perform a clinical check on adult cytotoxic prescriptions received in the department and intervene as necessary with prescribers.
5. Answer queries from patients and hospital staff on chemotherapy, parenteral nutrition and other operational manufacturing issues.
6. Participate in a daily ward round for parenteral nutrition (alongside the dietician).
Working in Mental Health
1. Support the mental health dispensary and the clinical mental health pharmacy service to provide care to patients in mental health/learning disabilities inpatient units, and under mental health community services in Gloucestershire.
2. Support clinical pharmacy services to inpatient wards and community mental health team bases.
3. Clinical validation by reviewing all prescriptions regularly, ensuring optimum dose, administration and compliance with legislation.
4. Reporting of medication errors.
5. Improving patients' adherence with medication.
6. Attending weekly multidisciplinary team meetings.
Working in Clinical Oncology
1. Provide a daily ward visit to an oncology ward providing the same service as described in section above -clinical pharmacy.
2. Clinically screen prescriptions for systemic anti-cancer therapy (SACT) in the chemotherapy outpatient department.
3. Gain experience in haematology.
Minimum Requirements
1. 4 year Vocational Masters with one years postgraduate competency assessment with examination to enter the register.
2. Registration with the General Pharmaceutical Council.
3. Ability to develop own knowledge and skills based upon identified learning needs.
4. Good interpersonal skills.
5. Basic Competence in a standard range of IT skills.
6. Ability to perform high level calculations.
Join us at an exciting time for Gloucestershire Hospitals NHS Foundation Trust! We have an ambitious plan for our journey to Outstanding and are looking for aspirational, committed individuals to join us, making a real difference to both staff and patients.
As a former winner of England for excellence award: Tourism destination of the year, the beautiful city of Gloucester and the scenic regency spa town of Cheltenham are fantastic places to work and live.
As a hospital Trust we are currently involved in over 100 clinical trials and studies, whilst also providing acute elective and specialist services to a population of over 620,000.
By joining Gloucestershire Hospitals NHS Foundation Trust new colleagues can look forward to a warm welcome and a future full of opportunities and support. Gloucestershire Hospitals NHS Trust (GHT) is a large NHS trust, with two sites; Gloucestershire Royal and Cheltenham General serving all of Gloucestershire.
GHT has many support networks in place to ensure staff well-being, including a specialist well-being hub, exercise and activity classes and sports teams. GHT also fully supports the NHS Green Plan.
The pharmacy department has approximately 200 staff across both sites, and provides dispensary services, medicines information, procurement services and a full clinical service to wards. There is a regular free shuttle bus allowing easy transport between hospitals, both of which are located in the city/town centres with access to shops and cafes.
Pharmacy is committed to supporting the Trust to deliver its vision of best care for everyone, we strive to provide the whole team with the necessary skills and ongoing support to make a real difference to patient care, including a program to develop prescribing roles.
We are looking for enthusiastic and motivated individuals to join our pharmacy team as rotational band 6 pharmacists. This role will allow you to join our supportive development programme, including rotations through dispensaries, medicines information, aseptic and manufacturing services (including chemotherapy and TPN), mental health and oncology.
During the first year of practice, you will be supported by an individualised mentorship programme to build a strong foundation of skills and knowledge. You will then undertake a fully-funded post-graduate clinical diploma, opening opportunities for further personal and professional progression of your pharmacy career, including independent prescribing in the future.
This is an ideal opportunity for current trainee pharmacists or a qualified pharmacist wishing to start a career in hospital pharmacy.
Includes weekend working.
The proposed interview date is 26th February.
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