ADVANCE infectious diseases pharmacy and LEAD antimicrobial stewardship in order
to OPTIMIZE the care of patients

Clinical Pharmacist Specialist, Infectious Diseases and Antimicrobial Stewardship

02 Sep 2022 11:10 AM | Shelley Warnock (Administrator)

Clinical Pharmacist Specialist, Infectious Diseases and Antimicrobial Stewardship

Primary Location: Newport Hospital, Newport, Rhode Island

Contact: Diane Parente, PharmD, BCIDP at dgomes5@lifespan.org

Position Summary:

The Department of Pharmacy is seeking a pharmacist specialist whose primary role will be providing infectious disease (ID) focused pharmacotherapy services to hospitalized patients. The pharmacist will be responsible for antimicrobial stewardship (AMS) activities at Newport Hospital (NH) while also providing AMS and ID Consult coverage at The Miriam Hospital (TMH).

 Position activities include:

  • Provide direct pharmaceutical care services by promoting the safe and effective use of anti-infective agents
  • Coordinate and maintain the AMS program in collaboration with the AMS physician directors and affiliate-wide AMS/ID pharmacists.  These responsibilities include, but are not limited to:
    • Conduct daily AMS activities including: prospective audit of antimicrobial use, review of all positive blood culture results, respiratory viral panel results, and Accelerate Pheno® results for Gram negative rod bacteremia with real-time intervention and feedback (12 months NH, 6 months TMH)
    • Implement AMS initiatives to promote optimal antimicrobial use and measure impact of interventions
    • Report on applicable AMS metrics, including antimicrobial utilization and identify opportunities to optimize antimicrobial use and patient care
    • Participate in anti-infective/AMS quality improvement projects in collaboration with pharmacy, infectious diseases, clinical microbiology, infection prevention, nursing, and quality
    •  Assist in developing and maintaining the anti-infective formulary, anti-infective guidelines and use evaluations, infectious disease related clinical pathways, and order sets
    • Serve as an active member of the Lifespan Antimicrobial Stewardship Committee and Infection Prevention Committee
    • Ensure TJC, CMS and other AMS regulatory compliance
  • Round with infectious diseases consult service(s) (~16 weeks at TMH)
  • Attend Wednesday and Friday ID Conference and Micro Rounds, act as a resource to the inpatient ID providers and fellows regarding drug therapy and monitoring
  • Education-related activities include:
    • Serve as a preceptor to pharmacy residents (PGY1 and PGY-2), APPE pharmacy students, and infectious diseases physician fellows
    • Provide didactic lectures to local pharmacy, nursing, and physician assistant schools
    • Provide in-services to pharmacists, providers, nurses, and other healthcare staff on but not limited to AMS, protocols, guidelines, and department initiatives
  • Serve as a liaison between the Department of Pharmacy and Division of Infectious Diseases
  • Maintain competency in the pharmacy dispensing system through participation in practice coverage in the inpatient pharmacy.  Weekend rotation is one weekend a month and two holidays
  • Demonstrate ongoing professional development including meeting continuing education requirements, keeping abreast of current literature as it relates to clinical, financial and safety outcomes in the area of infectious diseases and antimicrobial stewardship
  • Contribute to pharmacy practice and medical community through research project presentations at state/national meetings and/or publication in reviewed journals.  Specialist may serve as a mentor on resident research projects

Qualifications:

  • Graduate of an accredited College of Pharmacy, Doctor of Pharmacy degree
  • Licensed to practice pharmacy in the State of Rhode Island or eligible for licensure
  • Completed an ASHP-Accredited PGY1 pharmacy residency and an ASHP-Accredited PGY2 in infectious diseases or applicable fellowship or equivalent experience
  • Ability to function independently and collaboratively within a team setting. Highly motivated; effective communication, problem solving, and organizational skills required

Reporting Structure:

The infectious diseases clinical pharmacist specialist reports to the Director of Inpatient Pharmacy at Newport Hospital and collaborates closely with the Antimicrobial Stewardship Directors.  Other key collaborators include infectious disease pharmacists, other clinical pharmacists, infectious disease physicians, microbiology and infection control departments. This individual will also interact with other various departments including but not limited to information technology, administration, physician groups, and nurses.

ID Clinical Pharmacy Team at Lifespan: 

We currently have six Clinical Pharmacist Specialists in Infectious Diseases across the Lifespan System: three Antimicrobial Stewardship/Inpatient ID pharmacists (one specialist at The Miriam Hospital and two at Rhode Island Hospital) and three ID/HIV pharmacists at The Miriam Hospital ID & Immunology Clinic. The ID pharmacists work closely as a team and collaborate with one another to ensure optimal transitions of care between the inpatient and ambulatory settings. Additionally, the team works together on projects, guidelines, protocols, and implementation of system-wide initiatives. The ID pharmacists are members of the Lifespan Antimicrobial Stewardship Committee and attend Infection Control meetings regularly at their respective sites.

Lifespan Health System and Antimicrobial Stewardship Program (ASP):

A not-for profit organization, Lifespan is Rhode Island’s first healthcare system committed to providing patient-centered care.  Lifespan health system has five hospitals in Rhode Island including Rhode Island Hospital, The Miriam Hospital, Newport Hospital, Hasbro Children’s Hospital, and Bradley Hospital.  Lifespan Hospitals utilize Epic for their electronic medical record system.

Newport Hospital is a not-for-profit community hospital with 129 licensed beds offering acute care and community health services to people in Newport County, Rhode Island. Newport Hospital provides a range of services including but not limited to emergency care, general medicine, surgical services, intensive care, inpatient/outpatient rehabilitation, inpatient behavioral health, and birthing services.

The Miriam Hospital is a not-for-profit community teaching hospital with 247 licensed beds affiliated with The Warren Alpert Medical School of Brown University.  The Miriam Hospital provides a range of services including but not limited to general medicine, emergency medicine, surgical services, and intensive care. In addition, The Miriam Hospital is a Primary Stroke Center, a Center of Bariatric Surgery, and Total Joint Center.

The Brown Infectious Diseases division has 34 active providers within the Lifespan system. Rhode Island Hospital includes four inpatient infectious diseases adult consult services: three general ID services (teaching and non-teaching) and one ID transplant and hematology/oncology service. The Miriam Hospital has three infectious diseases adult consult services: two general ID services (teaching and non-teaching) and an immunology/HIV service. Newport Hospital has one ID consult non-teaching service.

The Antimicrobial Stewardship Program (ASP) at Lifespan was implemented in 2014 and encompasses a multi-disciplinary approach. The Lifespan Antimicrobial Stewardship Committee includes representation from the Division of Infectious Disease, Pharmacy, Nursing, Infection Prevention, and Microbiology from ASPs across Lifespan hospital affiliates.  Prospective audit and feedback (including blood culture review) and restricted antibiotics are core strategies for the ASP.  AMS rounds are conducted daily with the ASP directors. In addition, the ASP has a collaborative relationship with microbiology and is instrumental in implementing rapid diagnostic initiatives. 

Interested candidates should send an email with a letter of interest and CV to:

Contact:                 Diane Parente, PharmD, BCIDP
Contact Title:         Clinical Pharmacist Specialist, Infectious Diseases
Contact Address:  The Miriam Hospital
                              Department of Pharmacy
                              164 Summit Avenue
                              Providence, RI 02906
Contact E-mail: dgomes5@lifespan.org

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