Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 Job Description Job Group (Delete as applicable): Job Title: Existing Grade: Care Group: Service Line: Department: Location: Appraiser: Accountable to: Position Number: Date: Allied Health Professional ANTIMICROBIAL STEWARDSHIP PHARMACIST Band 8A Clinical Support Services Pharmacy Summary PHARMACY Derriford Hospital Assistant Director of Pharmacy (Clinical Development) Director of Pharmacy Director of Infection Control via lead Consultant for antimicrobial use. November 2016 Job Purpose: Delivery of high quality specialised Antimicrobial Stewardship service to promote the safe, rational, costeffective use of antimicrobial drugs across the trust, through development of controls, practices guidelines, personal targeted intervention and the development of the existing service in line with the national Start Smart then Focus principles. Key Dimensions: To assist in the development of systems and processes to ensure the rational and cost effective use of antimicrobial agents as a means of reducing antimicrobial resistance to antibiotics expenditure and related adverse drug effects. To further develop the Antimicrobial Stewardship Programme in line with the principles laid down in the Start Smart then Focus toolkit. To assist in the planning and delivery of training with regards to the effective and efficient use of antibiotics. To assist in the control of antimicrobial drug through enabling and promoting prudent and targeted antimicrobial use. To support clinical pharmacy services as required Organisational Chart Director of Infection Control Lead Consultant for antimicrobials Antimicrobial Pharmacist Band 8a Document1 Director of Pharmacy ADP (Clinical Development & Governance) ADP (Operations) Senior Clinical Pharmacists Band 8a ADP (Technical/ Research) Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 PRIMARY DUTIES & AREAS OF RESPONSIBILITY Provide expert guidance, direction and strategy in the use of antimicrobial agents across PHNT in collaboration with clinical staff in microbiology and pharmacy. Provide a proactive antimicrobial review service in collaboration with the clinical staff in microbiology via a programme of regular ward rounds. These will be supplemented by ad-hoc patient liaison as and when required. Develop systems to ensure all clinical and relevant non-clinical staff are proactively involved in managing the use of antimicrobial agents as appropriate. Develop systems to ensure all pharmacists are proactively involved in managing the use of antimicrobial agents as appropriate Develop systems for the measuring, monitoring and feeding back the appropriateness of antimicrobial use across PHNT. Produce, in collaboration with the clinical staff within microbiology and the Plymouth Area Joint Formulary Committee, prescribing and administration guidelines for use across PHNT and the local health community. Audit and review the use of prescribing and administration guidelines, including the surgical antibiotic prophylaxis guidelines. Develop systems for reducing the inappropriate use of antimicrobial agents e.g. IV / oral switching, time limited prescriptions etc. Develop an educational programme for all staff around the rationale use and administration of antimicrobial agents. Develop new and novel methods of influencing prescribers to ensure the most appropriate choice of antimicrobial agents for individual patients. Assist the Medicines Utilisation and Assurance Committee (MUAC) in horizon scanning and evaluating data on new antimicrobial agents / drug requests. Provide a link between PHNT and primary care surrounding the appropriate use of antimicrobial agents within the community. Assist in developing new and novel ways of managing patients across the primary / secondary care interface e.g. the development of “home care” services. o o o o Assist in the management of clinical risk associated with the use of antimicrobial agents (and other medicines: Monitor prescribing/drug errors and identify medicines/clinical settings of high clinical risk Identifying and implementing models of good practice to minimise clinical risk Providing risk assessments relating to prescribing/drug usage, especially high risk injectable drugs. Production of prescribing information Be an active member of the infection control committee. To undertake non-medical, independent or supplementary prescribing in line with the directorates needs and within the post holders sphere of competence. OTHER GENERAL DUTIES Assist in developing and providing a high quality specialised clinical pharmacy service to patients within a designated clinical area by promoting safe, effective and economic use of medicines. Assist in developing and providing continuity of pharmaceutical care to patients being transferred to other areas within the trust, or discharged. Ensure medicines are prescribed and administered in line with local and national policies, and within the legal framework. Document1 Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 Provide specialist, evidence-based advice on the choice, administration, monitoring and storage of medicines to senior medical and nursing staff. Assist in the development of the specialised pharmaceutical service in accordance with national and local initiatives e.g. Health Care Commission requirements, Standards for Better Health, NHS litigation standards, RPS requirements, NICE guidelines, NSF, local and regional policy, medical and professional guidelines etc. Investigate and report untoward incidents such as complaints or drug administration errors as detailed in Trustwide and local protocols and procedures, as appropriate. Assist in the provision of clinical pharmacy services to other specialities, as appropriate Assist in the provision of dispensary services, in line with local procedures and the legal framework for the supply of medicines. o Assist in the provision of medicines information services: Provide evaluated, evidence-based information to medical or pharmacy staff, nurses and patients. Provision of pharmaceutical education and training across the Trust, pharmacy department, pharmacy undergraduates and Peninsula Medical School as required. Assist the Lead Pharmacist for Education and Training with departmental training by acting as a role model and mentor to other members of pharmacy staff: Contribute to the continuing education, clinical audit, practice research and training activities with the pharmacy department Undertake and maintain a record of personal Continuing Professional Development. Maintain and continually develop in depth specialist knowledge of pharmaceutical practice relevant to the individual clinical area. Increase the level of knowledge & skills within the Trust through sharing best practice and supporting others to develop their professional abilities. Ensure that expertise within your area is seen as a resource within and outside the Trust and form working partnerships with other health and social care service providers. Support team members to deliver on their objectives through offering advice, guidance and support as appropriate. Participate in any Pharmacy departmental initiatives to optimise the efficiency of delivering pharmaceutical services. Participation in weekend working and bank holiday arrangements. Any other reasonable duties as may be required by the Director, or Assistant Director, of Pharmacy. COMMUNICATION & WORKING RELATIONSHIPS Works closely with: Clinical and laboratory Microbiology staff and Infection Control and Prevention Team Consultants, StR’s and junior medical staff Directorate management teams, including Clinical Director, Directorate Manager, Clinical Leads and Directorate Nurse. All pharmacy team including Senior Pharmacy Managers Nursing staff including Matrons, Ward Managers and nurse specialists. Patients and relatives/carers. Liaises with: General Practitioners and Community Pharmacists Pharmacists fulfilling similar roles in other Trusts Document1 Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 Trust purchasing staff Communication with external agencies such as drug companies and their representatives Other Participate in the pharmacy late night, weekend and bank holiday rotas. To participate in any Pharmacy departmental initiatives to optimise the efficiency of delivering pharmaceutical services. Any other reasonable duties as may be required by the Director of Pharmacy. All Job Holders are required to… Work to the Trust values - Put patients first, Take ownership, Respect others, Be positive, Listen, learn and improve. Adhere to Trust policies and procedures, e.g. Health and Safety at Work, Equal Opportunities etc. Maintain personal and professional development to meet the changing demands of the job, participate in appropriate training activities and encourage and support staff development and training. Attend statutory, essential and mandatory training. Respect the confidentiality of all matters relating to their employment and other members of staff. All members of staff are required to comply with the requirements of the Data Protection Act 1998. Comply with the Corporate Governance structure in keeping with the principles and standards set out by the Trust. Comply with the codes of professional conduct set out by the professional body of which registration is required for the post. Ensure they are familiar with the Risk Management Framework, follow policies, procedures and safe systems of work, make known any hazards or risks that they identify and take all necessary actions to reduce risk. Ensure the welfare and safety of children within their care. This includes staff who come into contact with children and families in the course of their work as well as those staff who have a specific role with children and families. Ensure they attend Child Protection training at the appropriate level within the specified time frame. Staff must comply with Safeguarding Policies and Procedures in order to promote safeguarding and prevent abuse to vulnerable people using Trust services. Maintain the prevention and control of infection and fully comply with all current Trust Infection Control policies and procedures. Take responsibility for any records that they create or use in the course of their duties, in line with the Public Records Act and be aware that any records created by an employee of the NHS are public records and may be subject to both legal and professional obligations. All Managers are responsible for… Assessing risks and implementing the necessary actions to minimise these risks within their sphere of responsibility. They must also enable staff to attend the relevant statutory and essential training. Managing attendance in accordance with the Trusts Attendance Management Policy. All Heads of Departments are responsible for… Ensuring all necessary risk assessments are carried out within their division, Service Line or department in liaison with relevant sources of specialist support and expertise within the Trust. They must also ensure that the risk management process is completed appropriately. Note This job description is neither definitive nor exhaustive and is not intended to be totally comprehensive. It may be reviewed in the light of changing circumstances following consultation with the post holder. This job description is to be read in conjunction with all current Plymouth Hospitals NHS Trust policies, procedures & guidelines. Job Description Agreement Document1 Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 Name ………………………………… Line Manager ………………………... Signature …………………………….. Signature …………………………….. Date …………………………………. Date …………………………………. Document1 Agenda for Change Author: Claire Ackerman Version 8 Date: June 2015 PERSON SPECIFICATION – ANTIMICROBIAL STEWARDSHIP PHARMACIST – BAND 8A ATTRIBUTES ESSENTIAL KNOWLEDGE & EXPERIENCE QUALIFICATIONS APTITUDE & ABILITIES DISPOSITION / ATTITUDE / MOTIVATION Document1 Specialised proven knowledge of antimicrobial drug use. Appropriate and sufficient experience of pharmacy practice. Demonstrable experience in a range of clinical specialties. Excellent proven knowledge of general clinical pharmacy and drug use Understanding of NHS priorities Previous experience of teaching, training and staff development. Master’s Degree in Pharmacy, or equivalent Registered member of the General Pharmaceutical Council (GPhC) Successful completion of 1-year pre-registration training Postgraduate diploma in clinical pharmacy Non-medical prescribing qualification, or willingness to complete NMP qualification Proven evidence of Continuing Professional Development Good communication skills, written and verbal, with ability to demonstrate fluency, clarity and effectiveness at all levels. Time management skills Organisational skills Good negotiating skills Can prioritise own workload Can meet deadlines Can remain composed and effective in demanding situations Can reflect and critically analyse own performance Good computer literacy Able to identify, prioritise and solve problems Numerate and literate Committed to developing and extending pharmacy services Able to critically evaluate evidence. Able to implement change Able to work effectively with senior medical and trust managerial staff Well developed teaching and presentation skills Self-motivated Effective team worker Ability to work as an individual Able to cope under pressure Proactive, takes own initiative Sensitive & supportive Diplomatic Assertive Act as advocate Strong professional values Influence senior Pharmacy, Medical & Nursing staff Can identify own limitations DESIRABLE Previous experience of providing support to the management of a hospital directorate. Experience in writing up research for publication in scientific, pharmaceutical or medical journals. Experience in presenting research in the form of a poster. Experience of developing pharmacy services. Demonstrate potential management ability Knowledge and understanding of financial issues Well-developed teaching and presentation skills Agenda for Change Author: Claire Ackerman OTHER FACTORS Document1 Version 8 Date: June 2015 Able to work flexibly and participate in on-call, late night, weekend and bank holiday rotas Good health as verified by Occupational Health Valid, clean driving licence
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