General Responsibilities 

Reviewing patient medication regimens and providing recommendations to optimize therapy based on clinical guidelines and best practices. Conducting medication reconciliation to ensure accuracy and safety during transitions of care. Educating patients and caregivers on proper medication use, side effects, and adherence strategies. Collaborating with healthcare providers to develop and implement patient-specific care plans. Monitoring patient outcomes and adjusting therapy as necessary to achieve therapeutic goals. Participating in interdisciplinary rounds and providing pharmacotherapy recommendations. Providing drug information to healthcare professionals and patients as needed. Contributing to quality improvement initiatives related to medication use and patient safety. Documenting interventions, clinical assessments, and recommendations in the electronic health record. Staying current with developments in pharmacotherapy and evidence-based medicine.

Additional Responsibilities by Specialty Area:

Critical Care Areas 

Participate in multidisciplinary rounds with the critical care team  Design, modify, and evaluate medication therapy regimens for critically ill patients' patient-specific factors  Intervene on medication therapy including, but not limited to, renal dosing, anticoagulation choice, dosing, and monitoring, IV to PO interchange, concentration optimization, glycemic control, and pre-admission medication reconciliation Perform therapeutic drug monitoring for vancomycin, aminoglycosides, anticoagulants, anti-epileptic medications, and other high-risk medications and order labs as necessary Prevent, detect, monitor, document and report adverse drug reactions and medication safety events Respond to emergency situations including cardiac arrest (Code Blue) and post-arrest targeted temperature management, acute ischemic stroke (Code Stroke), and rapid sequence intubation Provide drug information and education Patient/family education  Participate in quality, safety and other project work related to critical care  Conduct medication use evaluations and research projects in collaboration with other healthcare professionals to identify areas of medication use optimization with publication and/or presentation at local and/or national meetings Participate in site and system wide Critical Care committees Precept pharmacy residents and pharmacy students