Clinical Oncology Pharmacist

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Sierra Staffing Published: January 5, 2018


Award-winning 332-bed not-for-profit hospital centrally located on Florida’s Treasure Coast. An integral part of the healthcare community and well known for our award-winning Duke-affiliated comprehensive cancer program and nationally-recognized vascular surgery and orthopedic services. We are presently reviewing applications for a Clinical Pharmacist position specializing in the area of oncology. Under supervision of Operations Manager and Clinical Coordinator, you will function in a high level clinical role but may be expected to participate in operations from time to time. Demonstrates competency in mixing and compounding sterile medications, including large volume parental solutions, piggybacks, hyperalimentation and chemotherapy. Furnishes information concerning medications and therapeutics to physicians and nurses. Maintains stock inventory and supplies. May provide instruction and direction to technicians. Assists in maintenance of charges and records pertaining to medications. Serves the role of clinical advocate for the patient in the area of pharmacotherapeutics. Provides for the safe and effective use of medications in the hospital.

The Oncology Pharmacist shall work with a team of physicians, nurses and financial experts to provide evidence based, timely and accurate pharmaceutical care for patients utilizing the IRMC facilities. The pharmacist shall develop and manage protocols for prescribing, dosing and monitoring of chemotherapy agents, erythropoietic and iron preparations, antibiotics and immune globulin. The pharmacist shall lead a systematic review of indications, dosage and reimbursement of all requests to determine appropriate use of IRMC resources. The Oncology Pharmacist shall establish and work within a safe work environment for the reconstitution, infusion and disposal of hazardous medications. The Oncology Pharmacist shall manage and expedite therapy containing investigational drugs or research protocols. The Oncology Pharmacist shall develop and implement staff development programs for pharmacists, mentor pharmacy residents or students and provide in-service education to physicians, nurses, and medical students. The Oncology Pharmacist may be expected to rotate through the centralized distribution process on weekends on a limited basis.

Major Responsibilities:

  • Manage the day to day functioning of the infusion center: Review new orders, interact with staff to determine daily work flow, organize review of each new patient for approval for care in the infusion center
  • Guide administration of chemotherapy for infusion center patients: Review all chemotherapy orders for appropriate dose, duration, safety parameters, review patient diagnosis and relevant labs that might affect chemotherapy response or toxicities
  • Manage care of chemotherapy patients receiving Darbepoetin or Erythropoietin: review patient diagnosis, indications for therapy, response to therapy and pertinent labs to determine need for dose adjustment; prepare sterile product for administration
  • Guide the use of immune globulin in outpatient population: Review all indications for immune globulin, select the correct pharmaceutical preparation for infusion and prepare sterile product.
  • Prepare pharmaceutically elegant sterile products: Review all doses, routes of administration and carrying solutions, follow guidelines for gowning, gloving and cleansing of appropriate hood, use standard procedures for withdrawing, mixing and examination of sterile products.
  • Responsible for working in a safe and protective manner at all times keeping in mind that safety and environmental hazards are the responsibility of all employees for themselves, other staff members and patients.
  • Control costs of pharmaceutical agents administered in the infusion center: Review cost of chemotherapy regimens, determine re-imbursement for prescribe drugs, intervene with more economically feasible alternatives, and work with patient assistance programs to recover lost revenue.
  • Participate in “Pay - It – Forward” program: Review patient application for assistance, determine cost to IRMC for therapy, interact with Foundation committee to determine patient need and appropriateness to approve grant for patient care.
  • Develop and maintain data collection and analysis tools to perform trending of chemotherapy utilization in relation to appropriate therapy choice, quality targets, and cost-savings and report results to the Pharmacy and Therapeutics Committee.
  • Provide pharmacokinetic consultations as required.
  • Precept PGY-1 resident rotations and APPE PharmD clerkship students.
  • Provide limited operational support to the pharmacy


  • Requires PharmD or BS Pharmacy degree
  • Requires active state of Florida Pharmacy license
  • Maintain continuing education as required by the Board of Pharmacy.
  • Requires ASHP accredited PGY-1 residency or minimum of 3 years in clinical systems and workflow
  • Prefer ASHP accredited PGY-2 residency in Oncology or completion of post graduate fellowship in Oncology or minimum of 3 years of experience in pharmaceutical care of oncology patients
  • Prefer board certification from the Board of Pharmaceutical Specialties in Oncology




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