Pharmacist On-Call


  1. Perform outpatient pharmacy functions for the full range of pharmaceuticals provided in the medical facility to include: Controlled, highly potent, and other drugs required special handling.
  2. Review the prescriptions, patient medication profiles, and patient records to determine appropriateness, safety and completeness of medication, authenticity of prescriber, possible drug interactions, history or likelihood of adverse reaction, and any special aspects or considerations in dispensing the prescribed pharmaceutical.
  3. Oversee the compounding of drugs as prescribed, whether individually or in bulk; determine formulations to beused, dosage forms, quantities, concentrations, number of doses, ect.
  4. Ensure correct labeling, handling, storage, and dispensing; review prescriptions set up by pharmacy technician from volume or prepackaged stores; ensure proper item, quantity, labeling before authorizing release.
  5. Consult with patients in a knowledgeable and caring manner; conduct necessary patient education concerning the medication, its administration, sign of reaction and related matters; counsel patients on the course of treatment, likelihood of success, possible adverse reactions, and related matters.
  6. Manage controlled substance inventory records, medication inventory and procurement; complete all necessary reports and documentation in accordance with Federal and State regulations, IHS policy, and Service Unit policy and Procedures.
  7. Perform periodic inspections of drug storage facilities to ensure correct handling, accountability of controlled substance
  8. Ensure equipment is properly set-up and operated, components and additives are correctly identified, qualities computed and measured, and compounding properly performed.
  9. Participate with physicians in determining course of treatment for unusually complex or difficult cases; advises on the use of various drugs and drug therapies to include investigational are limited use terms.
  10. Review efficiency of drug regimen; advise on alternative and cost effectiveness.
  11. Report and document medication errors and unusual circumstances.
  12. Verify that the prescribed medication is within safe dosage range, that components and additives are correctly identified, that the quantities are accurately computed and measured, and that the compounding is performed as specified.
  13. Review physician unit dose orders, patient medication profile and records to ensure appropriateness and safety of medication orders. Verifies correctness of medication quantity, and that instructions for storage and administration are understood and complied with.
  14. Advise physicians of findings and recommendations and provides technical supervision to other professional and non-professional staff assigned to this function.
  15. Provide assistance to staff, oversees operations to insure adherence to professional standards. Patient safeguard, applicable law and regulations, quality assurance requirements, administrative procedures, and general operating policies.
  16. Conduct training of professional and non-professional and prescribing staff on developments in drug therapy, rational therapeutics (i.e. Advises on effectiveness and efficiency of various regimens and alternatives, cost effective prescribing).
  17. Assist with training of pharmacy employees; train personnel in preparation, storage, handling, and administration of drugs and other pharmaceuticals.
  18. Represent the pharmacy and functions on various committees, and at any meetings.
  19. Support clinical investigations as required; participates in operations of a drug information center and drug information retrieval system as required
  20. Maintain 340b compliance and strict adherence to formulary.
  21. Monitor, train, and supervise pharmacy staff; including, but not limited to, pharmacy technicians and the lead pharmacy technician.
  22. Other duties as assigned by supervisor.