Description

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Summary:
The University of North Carolina (UNC) Healthcare system is a not-for-profit, integrated health care system, owned by the State of North Carolina and based in Chapel Hill. This health system exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care to residents of North Carolina. 

The UNC Medical Center, the cornerstone of UNC Healthcare, is a public, academic medical center focused on providing high quality patient care, educating health care professionals, advancing research and providing community service. The medical center includes North Carolina Cancer Hospital, North Carolina Children's Hospital, North Carolina Memorial Hospital, North Carolina Neurosciences Hospital, and the North Carolina Women's Hospital. 

UNC’s Department of Pharmacy is an organization of more than 300 dedicated employees with focused attention on caring for patients of the UNC Health Care system. The department is culturally diverse and has a variety of backgrounds, interests, capabilities, and experience. Additionally, the UNC Department of Pharmacy is nationally recognized for excellence in pharmacy practice and has received numerous ASHP Best Practices Awards in Health-System Pharmacy.

The focus of this position will be providing pharmaceutical care including comprehensive pharmaceutical care, disease management, and transitions of care in the ambulatory care setting to adult patients requiring parenteral nutrition therapy. This individual will collaborate with members of the multidisciplinary nutrition support team. Precepting pharmacy students and residents is also a requirement.

Nutrition Support Pharmacist Responsibilities (80%), in collaboration with the interdisciplinary outpatient nutrition support team 

• Clinical Responsibilities: Builds a clinical practice that collaborates with physicians and providers to care for clinic patients. Works closely with clinic physicians and providers to determine appropriate treatment plans. Provides longitudinal dosing and monitoring of appropriate regimens. Aligns daily practice with medication management goals set forth by the institution or pharmacy director, including medication use evaluations and medication reconciliation. Educates patients and families about their treatment plans and subsequent medication management including lab monitoring. Educates staff on guideline updates and practice advancements associated with this patient population. Manages toxicities and adverse effects caused by medication regimens for patients seen in the clinic. Manages transitions of care for patients from the acute to ambulatory care setting and vice versa.
•  Optimize nutrition support therapy outcomes through the development of a comprehensive nutrition care plan
•  Select, modify, and monitor nutrition support therapy 
• Prevent and/or identify drug-drug, drug-nutrient, nutrient-nutrient, and drug-laboratory interactions and/or compatibilities 
• Recommend pharmacologic adjuncts to nutrition support therapy and adjust regimens based on patient response 
• Develop, implement, and adhere to institutional policies and procedures related to nutrition support therapies including parenteral nutrition order transmission and documentation 
• Collaborate with prescribers to optimize orders 
• Assist with transitions of care
• •  Admission medication reconciliation
  •  Discharge medication reconciliation 
  • Coordination of prescriptions with outpatient home infusion pharmacy
  •  Provide discharge counseling when needed and complete appropriate documentation 
•  Assist in development and implementation of innovative disease management and medication use programs 

Service Responsibilities (10%)