UNIVERSITY OF KENTUCKY HOSPITAL
CLINICAL PHARMACIST SPECIALIST
POSITION PURPOSE AND SUMMARY:
The Pediatric Hematology/Oncology Clinical Pharmacist Specialist provides
comprehensive pharmaceutical care to Pediatric Oncology (inpatient and
outpatient) and Hemophilia outpatients through integrated patient assessment and
monitoring, drug distribution, clinical services, research and teaching.
• Must possess a Pharm.D. Degree.
• Substantial pediatric oncology experience or has completed a Pharmacy Practice
Residency with experience in Pediatrics or a specialized clinical residency in
• Licensed as a pharmacist in the Commonwealth of Kentucky.
• Maintains competency in unique aspects of drug therapy for pediatric oncology
and/or hemophilia patients.
The major job responsibilities (MJRs) of this position are: pharmaceutical care to
Pediatric Oncology patients, drug distribution support, clinical intervention,
investigational drug studies, research, teaching and pharmacy representation in
Medical Center committees.
The following activities are components of the position to assist in meeting the
major job responsibilities:
• Provide comprehensive pharmaceutical care to Pediatric Oncology patients.
• Provide clinical pharmacy support for inpatient pediatric H/O service
• Communicates medication order clarification with the inpatient pediatric
pharmacy satellite staff..
• Monitor drug therapy to evaluate appropriateness of use, dose, dosage form,
regimen, route, therapeutic duplication, and drug interactions.
• Provide pharmacokinetic consultations as required.
• Prevent, detect, monitor, document, and report adverse drug reactions and
• Participate in the drug therapy management of medical emergencies.
• Promote the use of the formulary by converting non-formulary orders to
formulary when possible, but coordinates procurement of non-formulary drugs
when necessary.(SCM ).
• Facilitate discharge/transfer for Pediatric Oncology patients, relative to drug
• Anticipate discharge/transfer date and medications.
• Facilitate discharge/transfer planning and smooth transition to alternate site of
care or the outpatient pharmacy. (inpatient nurse coordinator’s responsibility)
Specific Outpatient Pediatric Oncology and Infusion Pharmacy functions:
• Responsible for writing inpatient, and outpatient chemotherapy orders,
• calculating body surface areas, calculating all patient specific
• doses, calculating needed compatible fluids for admixture, writing for
• pre and post chemo hydration and adjunct medications.
• Responsible for providing clinical support for pediatric H/O clinic and UK
• Children’s Hospital inpatient nursing staff regarding chemotherapy
• Medication administration and related questions.
• Responsible for reading COG protocols in specific to treatment plans, medication
administration guidelines, medication dosing adjustments, required labs as they
pertain to appropriate dosing, and toxicity monitoring and adjusting subsequent
• Responsible for dispensing out patient parental chemotherapy medications as
needed. A UK clinic pharmacy technician will be responsible for preparing the
chemo therapy either at the pediatric H/O clinic on appointed days.
• Responsible for processing chemotherapy medication orders in a computerized
patient files in the pediatric H/O clinic.
• Responsible for ordering and maintaining chemotherapy and adjunct medications,
and needed supplies for the Pediatric H/O Clinic Pharmacy.
• Responsible for reviewing and forwarding medication bills to Department staff
assistance for processing.
• Responsible for maintaining up to date medication references for the Peds H/O
• Responsible for keeping the clinic pharmacy compliant with KY Board of
• Responsible for conducting medication interviews with care givers of pediatric
H/O clinic patients. Medication profiles will be added to patients’ charts, and will
be updated with each patient visit.(Goal for 2006)
• Responsible for maintaining chemotherapy medication files in the pharmacy with
a copy of chemotherapy medications orders and relevant chemotherapy protocol
• Responsible for providing pharmacokinetic services for outpatient and inpatient
pediatric H/O patients.
• Responsible for assisting with pain management of outpatient pediatric oncology
• Responsible for providing medication consults to pediatric H/O attending, nurse
practitioner, and nursing staff.
• Responsible for developing policy and procedures for chemotherapy medication
preparations, storage, and dispensing at the Pediatric H/O Clinic. Pharmacy, to be
used as a reference in the absence of regular clinic pharmacist.
• Responsible for providing pharmaceutical care to select pediatric none
Hematology/Oncology patients through coordination of specialized infusion
medication procurement and administration. Work closely with pediatric GI nurse
coordinators/attending to schedule and provide Remicaide infusions in the
pediatric H/O clinic infusion room. Responsible for maintaining a cost effective
inventory of specialized infusion medications and coordinate insurance
• Responsible for reviewing monthly KMSF billing summary for medications
• Responsible for ordering narcotic medications for use in the Sedation Suit.
Responsible for maintaining narcotic usage records and proper storage.
Specific Outpatient Hemophilia Treatment Center functions:
• Servicing the needs of the UK HTC 340B program, including
dispensing hemophilia factor, managing inventory, reviewing billing
for accuracy, creating and updating patient files with type and quantity
of factors dispensed each month, and working with KMSF and UK
HTC to assure appropriate blood factor dispensing and inventory
• Responsible for reviewing the factor invoices for billing accuracy.
• Promote and demonstrate rational, cost-effective drug therapy.
• Identify and implement drug therapy where positive
pharmacoeconomic impact could be achieved. The ultimate goal is to
develop and assure cost effective clinical pathways.
• Document clinical interventions and cost avoidance
• Anticipate changes in drug therapy and report the potential impact it
will represent to the overall hospital and drug budget.
Facilitate investigational drug studies.
• Coordinate the pharmaceutical care of ongoing research in pediatric oncology.
Provide in-services for pediatric oncology related investigational studies to the
nurses and pharmacy staff.
• Anticipate the pharmacoeconomic impact of investigational drug studies.
• Take a leadership role in the teaching programs of the Department of
Pharmacy Services and College of Pharmacy as they are related to pediatric
oncology. Precept Pharm.D. clerkship students
• Precept and mentor pharmacy practice and pediatric specialty residents.
• Provide staff development support to nurses, and physicians.
• Provide presentations, publications, and other informative activities on
pediatric oncology and other drug-related topics to the health care community
and general public.
• Seek appropriate academic appointment with the College of Pharmacy.
• The position will be funded 77% KMSF, 23% UK Hospital for salary and
• Will report to the Associate Director of Pharmacy Services and Director of the
Pediatric Oncology/Hemophilia Treatment Center.
• Works collaboratively with pharmacy staff.
5.0 PATIENT POPULATION SERVED
Provides pharmaceutical care to pediatric and adolescent oncology patients, adults are
treated in the HTC.