Services & Requirements

Achieving Better Patient Outcomes

  • Pharmacists will document all recommendations and write progress notes in the permanent medical record
  • Improve outpatient care through pharmacist documentation in the hospital
  • Pharmacists utilize medication therapy protocols to enhance patient care and safety (including narrow therapeutic drugs, stress ulcer prophylaxis protocol, bowel protocol, IV to PO, fall consults, renal dosing, warfarin, vancomycin, and aminoglycoside consults)
  • Pharmacists automatically order serum drug concentrations and other pertinent labs
  • Pharmacists actively participate in various stewardship activities
  • Pharmacists provide feedback during interdisciplinary rounds
  • Pharmacists provide drug therapy management 24/7
  • Pharmacists provide discharge counseling for high risk patients 


  • Pharmacists will be board certified
  • Pharmacists will have completed post-graduate training (residency)
  • Pharmacists may undergo credentialing and privileging process beyond licensure that defines and authorizes pharmacists’ scope of practice
  • Pharmacists will actively participate in the training of pharmacy and medical students and residents

Medication Safety

  • Pharmacists will conduct prospective review of all medication orders before administration
  • Provide continual follow-up and monitoring of interventions and medication error trends
  • Improve medication reconciliation process on admission and discharge