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!
  1. Multi-disciplinary rounds
    I 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
  2. Attend medical emergencies
    If 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
  3. Teaching
    I 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
  4. Adjust your medications
    If 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
  5. Dose Vancomycin and Aminoglycosides
    These are broad spectrum IV antibiotics that have huge patient and indication variability. I'm in charge to dosing them appropriately to minimize side effects
  6. Dosing your TPN
    Total 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
  7. Discharge counseling
    We 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
  8. Insurance and cost trouble shooting
    Medications 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!
  9. Antibiotic Stewardship
    A 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
  10. Checking actual medications
    And finally I do make sure that each tablet and IV product that reaches each patient is correct.