Job Title:                                             Critical Care Senior Pharmacist
Reference No:                                    07/045 (2022)
Department / Directorate:              Pharmacy Department, COO Directorate
Reports to:                                         Critical Care and Anaesthesia Lead Pharmacist (Chief II)

Tallaght University Hospital (TUH) is an exciting and dynamic place to work. The team at the Hospital are in the midst of implementing a new hospital strategy that has already delivered on the opening of a new renal unit, day surgery centre, step down facility in the community and a new ICU extension. It is an exciting time to join the TUH team and one of Ireland’s main teaching hospitals with so many plans to enhance patient care. The Hospital believes in investing in their team and offers excellent education and research opportunities.

TUH is one of Ireland’s largest acute teaching hospitals, adult, psychiatric and age-related healthcare on one site. The Hospital has 450 adult beds with over 3,500 people on staff and more than 50 different nationalities represented. The Hospital is a provider of local, regional and national specialties. It is also a national urology centre, the second largest provider of dialysis services in the country, a regional orthopaedic trauma centre and a designated trauma unit.

TUH is one of the two main academic teaching hospitals of Trinity College Dublin - specialising in the training and professional development of staff in areas such as medicine nursing, health and social care professionals, emergency medicine and surgery, amongst many others. TUH is part of the Dublin Midlands Hospital Group which serves a population of over 1.2 million across seven counties. 

TUH Vision and Values
The vision of the Hospital is “People Caring for People to Live Better Lives” through excellent health outcomes supported by evidenced based practice, positive patient and staff experience in an empowering and caring environment. A culture of innovation and quality improvement in everything we do.
Our TUH CARE values – for patients, their families, our community and staff are:
  • Collaborate – together and with our academic and care partners
  • Achieve – our goals, positive outcomes and wellbeing
  • Respect – for patients, each other and our environment
  • Equity – for patients and staff
At TUH we view our staff as our most valuable asset and every member of the Team is valued equally.  We recognise that a skilled, satisfied and motivated workforce is a prerequisite to high quality care.

A full overview of TUH is available on www.tuh.ie/about us

purpose of the role:
To provide and develop Critical Care pharmacy services to patients in TUH.
  • Support the Critical Care Lead Pharmacist in the provision and development of a comprehensive clinical pharmacy services.
  • Act as an expert resource on the safe and effective use of medicines for patients during the perioperative period.
  • This role includes direct patient care for critical care beds.
  • Support safe and effective medicines provision for patients in critical care.
  • Support clinical governance processes, such as incident reporting and investigation, complaint handling, development of guidelines, policies and procedures, and the monitoring and evaluation of services for critical care and operating theatres.
  • Ensure the safe, effective and efficient use of medicines in Critical Care and Theatres.
  • Support the provision of relevant evaluated financial data on medicines expenditure, income, and cost saving or avoidance initiatives in Critical Care and operating theatres
  • Act as a role model to junior staff through supporting their learning and development
  • Support the education of pharmacy and other multidisciplinary staff groups on relevant medicines-related matters
  • Support the set-up, implementation and monitoring of relevant clinical trials in critical care
  • In co-operation with the Lead Critical Care Pharmacist, apply a critical approach to medicines use in critical care, and conduct research to address research questions or areas of equivocal data.

overview of role:
Key Duties and Responsibilities
  • Manage the day-to-day delivery of clinical pharmacy services to assigned patients.
  • Participate in policy formation and development of the clinical pharmacy service under the leadership of the Critical Care and Anaesthesia Lead Pharmacist.
  • Represent issues relating to medicines management amongst senior staff and/or committees e.g. peri-operative committee.
  • Support the entry of new drugs through liaison with appropriate medical, nursing or pharmacy staff, this will include entry of drugs due to supply issues.
  • Complete projects as assigned by managers with in the Pharmacy Department.
  • The post holder may be asked to deputise for the Critical Care and Anaesthesia Lead Pharmacist as required in order to provide continuity of service during planned and unplanned absences.
  • Identify and implement operational processes to the standards of best practice in order to optimise use of resources and ensure compliance with statutory requirements Actively participate in a team of skilled staff, creating and promoting healthy working relationships.
  • Support key development projects including implementation of Automated Dispensing Cabinets and Critical Care & Theatre Software Systems with medicines management software components. Support the implementation of Electronic Prescribing and Medicines Administration in TUH.
  • Support the Leader of Education & Research by promoting practice research within the Critical Care service in the provision of education and training to staff and students.
  • Support the work of the Medication Safety Manager by ensuring that the Critical Care Pharmacy Team assist promptly with medication safety incidents and activities.
  • Support the work of the formulary development pharmacist by ensuring that the Critical Care Pharmacy Team assist promptly with formulary activities.
  • Ensure that the Critical Care Pharmacy Team makes the best use of information technology for patient care.  Understand the limitations of existing systems and seek to improve technology.
  • Participate in research activities consistent with the post.
  • Participate in the on-call and weekend service duty roster.
  • Participate in the rosters as required in co-ordination with the other pharmacy managers.
  • Any other duties assigned by the Critical Care Lead Pharmacist/Head of Pharmacy / Pharmacy Operations Manager
  • Clinical
    • Provide clinical pharmacy input into the care of patients in close co-operation with medical and nursing staff, and in accordance with departmental resource allocations and prioritisation procedures. This will include ward-based chart review and clinical input on all aspects of the medication use process.
    • Work to ensure optimal patient outcomes from drug therapy. This will involve providing help and advice to patients on all aspects of therapy, and collaborating with community pharmacists to ensure optimal transitions of care.
    • Ensure best practice and compliance with guidelines.
    • Demonstrate accountability to patients, service users, stakeholders and the profession.
    • Follow legal, ethical and professional codes of conduct.
    • Demonstrate a whole-system, patient-focused approach.
    • Advise and intervene where appropriate, by participating in agreed ward rounds and/or documenting recommendations.
    • Mentor less experienced staff, including medical and nursing staff as the need arises.
    • Develop, implement, monitor and maintain strategies for documenting and evaluating the contributions of clinical pharmacists.
    • Facilitate the safe, effective and consistent use of medications; the post holder will assist the formulation of policies and procedures relating to the use of medications within Critical Care Areas, in collaboration with medical and nursing colleagues.
    • Develop and undertake clinical audit.
    • Contribute to the development of, and operate within, agreed clinical pharmacy standards.
    • Ensure continuity of service the post holder will be responsible for the hand-over of pertinent information to other pharmacists e.g. during transitions of care. The post holder must also keep the on-call pharmacist appraised of any issues deemed appropriate.  The post holder will also ensure that all pharmacy staff are kept aware of new developments and practices in his/her area of responsibility.
  • Leadership
    • Lead by example a professional, punctual and dedicated service.
    • Create, promote and maintain clear, open communications and healthy working relationships.  Stimulate initiative among team members.
    • Assist with changes in work, procedures, techniques or technologies having regard to developments in the field of Critical Care medicines management including Theatres.
    • Ensure that medicines usage is in line with best practice, implementing the Pharmacy and organisation’s strategy.
    • Ensure that the safety and efficiency of the Pharmacy services is validated by quality assurance activities.
    • Identify risks in relation to medicines use, and support the development and implementation of strategies aimed at risk reduction
  • Education and Research
    • Identify own training and personal development needs.
    • Actively seek opportunities to meet training and development needs.
    • Demonstrate a commitment to continuous personal and professional development in order to develop and share good practice and act as a resource.
    • Act as a mentor to pharmacists, nursing and medical staff.  This may involve provision of lectures and workshops as well as ward-based tutelage.  This will be done in liaison with the Education & Research Manager. 
    • Support the development, implementation, monitoring and evaluation of policies, procedures, protocols and guidelines to deliver optimal and economical patient care.
    • Participate in regular departmental in-service education meetings both in the Pharmacy Department and in his/her area of responsibility.
    • Participate in medication related research carried out in the Critical Care Areas. The post holder will look for opportunities for meaningful research and will liaise with the Critical Care Lead Pharmacist and the Education & Research Manager with a view to developing these opportunities in co-operation with the medical staff.
    • Lead or assist with the supervision of projects.
  • Financial
    • Liaise with the Critical Care and Anaesthesia Lead Pharmacist to ensure that expenditure on medicines and staff is controlled within the Departmental budget.
    • Liaise with the Formulary Development Pharmacist in relation to costing of new drugs and formulary changes.
    • Seek out opportunities to ensure the cost effective use of medicines in critical care including ICU, PACU and theatres.
    • Ensure that departmental or organisational policies (e.g. generic prescribing, generic substitution, compliance with formulary guidelines) are enforced.
  • Quality Improvement
    • Lead the application of quality improvement tools and methods (e.g. brainstorming, priority matrix, control charts, cause and effect analysis) to improve systematically the pharmaceutical care of patients
    • Promote and engage in team work with medical, nursing and pharmacy staff to improve the quality of the medication use process
    • Apply statistical methods to analyse data from routine collection systems, medication use evaluations and audits, and take action to bring about improvement using data driven decisions
    • Collect, interpret and present to the Head of Pharmacy data and information on Critical Care and Theatre activities and expenditure.
  • Organisational
    • In co-operation with the Pharmacy Dispensary Manager ensure seamless supply of medication to Critical Care and Theatres. Utilise and promote technology where available. Seek additional resources where possible.
    • Act as a mentor to junior pharmacy staff, and an educational supervisor when required.
    • Assist or lead the provision of induction training to new Pharmacy staff in Critical Care.
    • Assist the pharmacy response to medication shortages in Critical Care.
    • Participate in Dispensary or Aseptic Unit rosters and the Pharmacy weekend and on-call roster.

Qualifications & Experience required
Must have:
  • Be registered in the Register of Pharmacists as maintained by the Pharmaceutical Society of Ireland, or be entitled to be so registered
  • Have not less than three years’ satisfactory post registration hospital experience
  • Possess the requisite knowledge and ability (including a high standard of suitability) for the proper discharge of the duties of the office
  • A relevant post-graduate qualification
  • Previous teaching and lecturing experience.
  • Experience of working with multidisciplinary teams and promoting good communications

Reward & Recognition
  • Remuneration is in accordance with the Department of Health Consolidated Salary Scales, grade code 3271.
  • The appointment is Permanent, Whole time and pensionable.
  • The annual leave entitlement is 29 working days per year. The leave year runs from 1st April to the 31st of March each year.
  • Normal working hours are 35 worked over 5 days. Your contracted hours of work are liable to change between the hours of 8 am to 8 pm over 7 days to meet the requirements for extended day services in accordance with the terms of the Framework Agreement.

Application process
Applications can be submitted ‘on-line’ at www.tuh.ie/careers by completing the application form and attaching your CV.  Candidates should be aware that, when applying for a post through the 'On-Line' Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application.  Should you for any reason, not receive this automated acknowledgement, you should notify the Human Resources Department, before the closing date, otherwise your application will not be considered.
All candidates should note that, in order to maintain a timely process, the closing date and time for receipt of applications will be strictly adhered to.

Informal Enquiries to:                       Mary Coyle Critical Care and Anaesthesia Chief II Pharmacist -  
Telephone (01) 4142413 or email mary.coyle@tuh.ie
Closing Date:                                      Before close of business on:  15th August, 2022


Age Restrictions In Relation To Applications
Age restriction shall only apply to a candidate where he/she is not classified as a new entrant
(within the meaning of the Public Service Superannuation (Miscellaneous Provisions) Act, 2004).
A candidate who is not classified as a new entrant must be under 65 years of age on the first day
of the month in which the latest date for receiving completed applications for the office occurs.

A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the  office and be in a state of health as would indicate a reasonable prospect of ability to render regular and efficient service.

Garda Vetting
Garda vetting is sought for all employees and prospective employees of Tallaght University Hospital.  Given the specialised nature of the services provided, your appointment will be subject to satisfactory Garda vetting and re-vetting in circumstances where the Hospital deems it appropriate.  The Hospital will then process the necessary documentation to endeavour to obtain the satisfactory Garda clearance for you. You are obliged to disclose previous and any criminal convictions acquitted during the course of your employment.  Should the Hospital obtain information from the Garda vetting unit to indicate that your Garda clearance report is not satisfactory and / or if you have supplied the Hospital with false or misleading information in relation to your Garda clearance status, the Hospital reserves the right to withdraw or terminate the contract in accordance with Tallaght University Hospital Garda vetting policy.

Point on Salary Scale
New appointees to any grade start at the minimum point of the scale. Incremental credit will be applied for recognised relevant service in Ireland and abroad (Department of Health Circular 2/2011). Incremental credit is normally granted on appointment, in respect of previous experience in the Civil Service, local authorities, health service and other public service bodies and statutory agencies.

The probationary period may be extended at the Hospital’s discretion but will not in any case exceed 9 months. Confirmation of your appointment as a permanent member of staff is subject to the successful completion of the probation period.  Termination of this agreement within the probationary period shall be at the discretion of the Hospital, in accordance with the Minimum Notice and Terms of Employment Act, 1973 - 2001.

Termination of Employment
The employment may be terminated at any time by one months’ notice on either side except where circumstances are dictated by the Minimum Notice and Terms of Employment Act 1973/91. The Management’s right under this paragraph shall not be exercised save in circumstances where the Management is of the opinion that the holder of the office has failed to perform satisfactorily the duties of the post or has misconducted himself/herself in relation to the post or is otherwise unfit to hold the appointment.

Sick Leave
  • There is provision for sick pay at the Hospitals discretion, subject to the regulations and details found in the Staff Handbook/ Personnel Policy Manual, as per the Hospitals sick leave policy.
  • In the event of absence from work, you are required to contact your Manager/Supervisor within one hour of starting time on the first day of absence, while a Medical Certificate is required for any illness lasting in excess of two days. Failure to comply with the sick leave policy may result in a loss of pay for the period of absence and may also incur disciplinary action.
Information Technology & data
  • Make the most effective and efficient use of developments in information technology for both patient care and administrative support in a manner which integrates well with systems throughout the organisation.
  • Collect, interpret and present data and information on the Department’s activities, staffing and expenditure, as required.
Pension Arrangements and Retirement age
There are three superannuation schemes currently in operation for staff in Tallaght University Hospital:
(a)        Voluntary Hospital Superannuation Scheme (Non-New Entrant) 
(b)        Voluntary Hospital Superannuation Scheme (New Entrant)
(c)        Single Public Service Pension Scheme
Please read carefully the summary of the criteria for the three superannuation schemes below. This will assist you in identifying which scheme membership is applicable to your employment circumstances.
(a)        If you have been continually employed in the public service prior to the 1st April 2004 and you have not had a break in service of more than 26 weeks, you will be included in the Voluntary Hospital Superannuation Scheme (Non-New Entrant) with a Minimum Retirement Age of 60 and a Maximum Retirement Age of 65.
(b)        If you have been continually employed in the public service post the 1st April 2004 and you have not had a break in service of more than 26 weeks, you will be included in the Voluntary Hospital Superannuation Scheme (New Entrant) with a Minimum Retirement Age of 65. There is no Maximum Retirement Age.
(c)        If you have commenced employment in the public service as a new entrant or you are a former public servant, returning to the public service after a break of more than 26 weeks, you will be included in the Single Public Service Pension Scheme effective from the 1st January 2013 with a minimum retirement age of 66 (rising to 67 and 68 in line with state pension changes).  The maximum retirement age under this scheme will be age 70.

Health & Safety
  • All employees must comply with the Safety, Health and Welfare at Work Act, 2005.
  • Comply with relevant Health and Safety responsibilities as outlined in Hospital Polices, Protocols and Procedures relevant to your area.
  • Take reasonable care to protect your own safety, health and welfare and that of any other person who may be affected by your acts or omissions at work.

Hygiene / Infection prevention and control 
  • All employees have responsibility for Hygiene awareness.  Hygiene is defined as “The practice that serves to keep people and environments clean and prevent infection.”
  • All employees also have a responsibility under their terms of employment to prevent transmission of infection and to follow the hospital infection control policies and guidelines as outlined in the Infection Control Manual.
  • All employees must be aware that they work in an area where there is potential for transmission of infection.
  • All employees have a responsibility to follow hand hygiene guidelines as this is the single most important intervention to prevent the transmission of infection.

Quality, safety and risk management
  • Support the delivery of the Quality, Safety and Risk Management Programme, including the appropriate identification and management of risks and incidents throughout the hospital.

Data Management
  • Ensure compliance with the obligations required by the Data Protection Act 2018.

You will be aware of the confidential nature of Hospital work and in particular, the right of patients to confidentiality.  To this end, you will not discuss workings of the Hospital or its patients or disclose any information of a confidential nature except as required to do so in the course of your work. No records, documents or property of the Hospital may be removed from the premises of the Hospital without prior authorisation. You must return to the Hospital upon request and, in any event, upon the termination of your employment, all documents or other property of the Hospital which are in your possession or under your control.

Mandated and Designated Persons under Children First Act 2015
Schedule 2 of the Children First Act 2015 specifies the classes of persons defined as Mandated           Persons for the purposes of the Act. This includes a range of disciplines that are employed by the hospital including all medical practitioners, registered nurses, physiotherapists, psychologists, social workers and others.  This includes staff working in adult services. All mandated persons have two main legal obligations under the Children First Act 2015.  Mandated persons, under the legislation are required to report any knowledge, belief or reasonable suspicion that a child has been harmed, is being harmed, or is at risk of being harmed. The Act defines harm as assault, ill-treatment, neglect or sexual abuse, and covers single and multiple instances. Mandated persons are also required to assist Tusla, if requested, in assessing a concern which has been the subject of a mandated report. Designated Officer are required to receive reports of suspected child abuse or neglect from any person who is of the opinion that (a) a child has been or is being assaulted, ill-treated, neglected or sexually abused, or (b) a child’s health, development or welfare has been or is being avoidably impaired or neglected. Full detailed list of mandated and designated staff together with details of their roles and responsibilities can be found on https://www.tusla.ie/children-first.  It is the responsibility of all staff employed by TUH to be aware of their roles and responsibilities under the legislation and to complete mandatory Children First Training.