DAILY ROLE OF HOSPITAL PHARMACIST
I love my job but when I tell people I'm a hospital pharmacist I get blank stares. Hopefully this will give more details on why I don't count by fives all day!
- •Multi-disciplinary roundsI work at a teaching hospital where we have pharmacists round with a critical care team, internal medicine team, and palliative care team. The team may include an attending, medical residents, social worker, nursing staff, dietician, pharmacy or medical students and respiratory therapist. I help point out ways to improve appropriate medication use and prevent med errors. This is by far my favor part of my job
- •Attend medical emergenciesIf there is a cardiac arrest in the hospital there will be a pharmacist at bedside preparing all those important medications. I also attend traumas, stroke alerts, STEMI alerts (heart attack), and sepsis alerts
- •TeachingI work at a teaching hospital where pharmacists participate in lectures to our medical staff and inservice to nursing staff. We also take pharmacy students on rotation and answer all kinds of questions everyday
- •Adjust your medicationsIf you're in the hospital chances are you're not at your baseline. I will make sure your meds are adjusted for change in kidney function, interactions with new meds, other lab functions, etc
- •Dose Vancomycin and AminoglycosidesThese are broad spectrum IV antibiotics that have huge patient and indication variability. I'm in charge to dosing them appropriately to minimize side effects
- •Dosing your TPNTotal Parenteral Nutrition = you're too sick to eat so we feed you through your IV. The balance on nutrients and electrolytes is most likely managed by a pharmacist at your hospital
- •Discharge counselingWe have a program where a pharmacist counsels patients on their new medications before leaving the hospital so they know what their medication changes are and what side effects to expect. We also do a follow-up phone call a couple days after discharge to check on patients
- •Insurance and cost trouble shootingMedications are expensive and my patient population is low income. I work with physicians to try to find cost effect options, medications coverage, insurance paperwork, and other inventive alternatives. GoodRX app has become my go to!
- •Antibiotic StewardshipA pharmacist working with an Infectious Disease doctor helps make sure patients are in appropriate antibiotics at the right dose for each patient. They also help prompt de-escalating antibiotics once cultures finalize
- •Checking actual medicationsAnd finally I do make sure that each tablet and IV product that reaches each patient is correct.