Under indirect, or direct supervision and based on the understanding of patient variables such as age, sex, and other physical characteristics: monitors or manages the medication therapy of hospitalized or ambulatory patients as assigned; confers with and assists medical personnel in the care and treatment of these patients; provides medication information and pharmacokinetic dosing advice; adjust doses, orders laboratory tests, and administers medications according to established policies & procedures; monitors medication distribution; dispenses, compounds, and distributes pharmacy products. Provides direction to ancillary pharmacy staff. Performs other duties as required.

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Performs sterile and non-sterile compounding.
• In collaboration with the health care team, develops and implements patient-specific plans to optimize medication therapy.
• Monitors the medication therapy to assure optimum therapeutic results.
• Manage and optimize medication therapy based on interpretation of data, assessments, and evaluations of patient outcomes.
• Follows hospital approved collaborative, pharmacokinetic drug therapy management protocols (e.g., adjust drug doses, order laboratory tests, assess therapeutic effectiveness etc.).
• Interviews patients and family members or other designated care givers to obtain information regarding medication use, medication allergies and sensitivities. Utilizes that information, as well as pertinent information from other data sources, into the patients medication management plan.
• Documents the information appropriately in the patients medical record or other computer systems.
• Advises patients and designated family members or other designated care givers regarding medication, directions for use, storage requirements, medication coordination with diet, importance of compliance, precautions and warnings for medication therapy.
• Advises the patient and designated family members or other designated care givers on the use of medication related devices.
• Provides pharmacokinetic dosing advice to medical personnel.
• Orders and adjusts medication dosages, orders laboratory tests, and administers medication under protocol according to established policies and procedures.
• Monitors the effectiveness and accuracy of the hospital medication distribution system.
• Reviews all medication orders for appropriateness and adherence to the drug formulary.
• Clarifies orders and intervenes when necessary.
• Verifies accuracy of medication preparation and dispensing by pharmacy personnel.
• Provides medical personnel with medication information.
• Identifies potential medication safety issues and works actively to prevent medication errors.
• Reviews patient medical records to detect adverse drug events, and assists medical personnel to form treatment plans in response to adverse drug events.
• Evaluates adverse drug events to determine their severity, probability, and preventability for further analysis and review.
• Reviews patients medical record to verify proper delivery and correct administration of medication.
• Ensures appropriate medication storage and security.
• Participates in investigational drug studies as required.
• Participates in problem identification and resolution. Consults with supervisors when appropriate.
• Supports a collaborative Labor-Management Partnership environment.
• Reports discrepancies to appropriate medical and/or administrative personnel.
• Develops and tests requirements and specifications for protocols, computer programs, pharmacokinetic dosing and other pharmaceutical care applications.
• Participates in assigned education and training programs.
• Develops and maintains teaching curriculum and conducts educational programs for pharmacy, other medical personnel, and patients.
• Actively participates in rounds, hospital committees, utilization review, quality management programs and other programs as needed.
• Participates actively as a member of the interdisciplinary team during medical emergencies (e.g. Code Blue).
• Performs other duties as required.