- Therapeutic Collaboration: Participate in medical rounds with physicians to design, implement, and monitor optimal, individualized medication plans for inpatients and outpatients. - Medication Safety & Protocols:Review medical histories, analyze regimens for contraindications, adjust doses, and initiate protocol-driven therapies and diagnostic tests. - Patient Advocacy & Counseling:Counsel patients on proper drug administration, side effects, and adherence, while monitoring therapy outcomes post-discharge. - Pharmacokinetic Dosing :Establish and maintain a comprehensive dosing service, monitoring drug levels and physiological changes to adjust dosing intervals safely. - Resource & Waste Optimization:Guide staff through Medication Utilization Evaluations (MUE) and analyze high-cost drug therapies to make cost-effective recommendations to the P&T Committee. - Education & Mentorship Provide drug lectures and continuing education to medical, nursing, and pharmacy staff, while serving as a preceptor to pharmacy students and residents. - Clinical Leadership & Operations:Direct clinical pharmacy staff (including Reservists/students), manage the Adverse Drug Event Program, assist with clinical research protocols, and support hands-on medication dispensing.