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Pharmacy Medical

Daly City, California, United States
August 16, 2018

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Joseph C. Agunobi CV Page *

Curriculum Vitae


Phone:678-***-**** ●


Service-oriented licensed pharmacist with almost a decade of community and institutional pharmacy experience. Strong background in inpatient and outpatient pharmacy operations, pharmacokinetic dosing, aseptic techniques, literature research and review, and exceptional patient counseling skills. Seeking to be part of an organization where I can grow professionally and utilize my knowledge, skills and experience to improve patient safety, quality of care and clinical outcomes Skill Highlights

o Knowledge of Epic, Cerner, Allscripts and

Meditech EHR systems

o Ability to guide customers (patients, nurses,

physicians) in selecting the right prescription and non-prescription medications.

o Ability to apply knowledge of normal lab values to evaluate patient care and recognize significant


o Ability to evaluate physicians’ orders for adverse drug reactions, side effects, allergies,

incompatibilities and appropriateness.

o Prescription dispensing, oral and IV compounding. o Exceptional skills in patient counseling,

Medication Therapy Management, Drug

Utilization Review and literature review.

o Experience working in a highly demanding,

fastpaced environment.

o Track record of establishing and maintaining

positive relationship with team members


The University of Findlay: Findlay, Ohio

o Doctor of Pharmacy Practice May 2017

o Master of Science in Health Informatics May 2015 o Bachelor of Science in Biology/General Science December 2014 Certifications and Licenses

Ohio pharmacist license – RPH. 03337227 February 2018 Ohio State Board of Pharmacy

Certification in Health Information and Management Systems November 2016 ASHP Pharmacy Informatics Certification

Advance Cardiovascular Life Support (ACLS) Certification February 2016 Basic Life Support (BLS): Provider both CPR and AED American Heart Association

Immunization Delivery Training Program June 2012

Approved by all US State Board of Pharmacy

Medical and Biomedical Regulatory Affairs Certification May 2010 - Present College of Mathematics and Science, Kennesaw State University Joseph C. Agunobi CV Page 2

Institutional Pharmacy Experience

St Rita Medical Center Mercy Health System Lima Ohio IPPE (Clinical Rotations) February 2014 – May 2015 o Performed diabetes, HF, and Coumadin education for patients as ordered by the physician o Correctly prepared Intravenous Solution, Total Parenteral Nutrition, and chemotherapy drugs for patients. o Compounded medications as needed per the doctor’s order o Managed inventory, making sure count of products are accurate o Promptly and accurately filled and labelled prescriptions o Filled Acudose® machines on the nursing units as needed o Filled operating room trays and code carts ensuring medications are complete, unadulterated, and unexpired o Communicated with nurses, doctors about medication orders and missing medications. o Filled operating room trays appropriately

o Responded to “code blue” with pharmacists and pharmacy residents to help prepare needed medications o Dosed warfarin, vancomycin and other renally adjusted medications for patients throughout the hospital. o Rounded with multidisciplinary team of physicians and nurses in the general medicine unit Advance Clinical Rotations

Mercy Regional Medical Center Lorain, Ohio

Advance Pharmacy Practice Experience (APPE) September 2016 April 2017 Infectious Disease Rotations

Preceptor: Michelle Cardenas, PharmD

Antimicrobial Stewardship Program (ASP)

o Reviewed about 300 (i.e. 3 pts. per day, 5 days per week, 20 days/month) Inpatient’s profiles with infectious diseases using Rxinvision and Epic willow database system. Identified causative organisms based on microbiology, chemistry, and other lab results (i.e. blood, urine, etc.), then made recommendations on treatment plans, monitoring parameters, and next follow up.

o Assessed patient's medication therapies using applied PKPD principles and determined key patient education counseling points

o Journal club presentation on “Antiretroviral Therapy for the prevention of HIV-1 Transmission." o Inter-Professional collaboration training: Infectious Disease review lectures and interactive discussion session with University Hospital's medical Residents medical doctors at St. John Medical o Inter-Professional cross training with microbiology laboratory team. Participated in microbiological testing of cultures

(I.e. blood, sputum, urine, and stool) for pathogens, performed different gram stains, acid test, and penicillin-binding protein 2b (PBP 2b) gene test. Made recommendations on antibiotics de-escalation or changes based on the causative organism from the microbiology lab result.

General Medicine I & II Rotations

Preceptors: Julie Ritchie, PharmD, Mallory Hipsher. PharmD o Prepared Drug compounds

o Conducted drug reconciliation and discharge counseling o Received orders from caregivers, verified new medication orders, screened for drug related problems such as, drug-therapy duplicates, drug-drug interaction, renal dosing, INR, Platelet count, etc. o Prepared unit dosing, non-sterile and sterile IV protocols o (Via USP 800 guidelines and regulations), Chemo IV drug mixing o Recorded daily CII Pyxis inventory in both the hospitals pharmacy and DEA database system for transparency and accountability. o Developed patient assessment and treatment plans that include cost improvement and cost benefit initiative in making clinical decision. o Completed a Comprehensive Drug Utilization Report on ceftazidime/avibactam (Avycaz®) IV antibiotics Advanced Special Populations (Intensive Care)

Intensive Care Unit (ICU)

Preceptors: Josh Harold, Resident PGY1 Rph, Sarah Buzard-Suffel, PharmD o Accessed ICU patient’s profiles on present medical illness, reasons for ICU admission, and current health condition. o Participated in multi-professional ICU rounding every morning. On daily basis prior to ICU rounding: Evaluate patient's MAR for current medications to determine if they met criteria based on Evidence Based Medicine and/or Per hospital protocols then make recommendations on DVT/VTE Prophylaxis, o Stress Ulcer Prophylaxis, IV to PO, erythropoietin therapy (if Hgb < 7.1), bicarb (if ABG pH < 7.2), etc. Joseph C. Agunobi CV Page 3

o Evaluated antibiotic therapy appropriateness by reviewing microbiology results, XR-Chest portal, Vancomycin trough levels, Creatinine clearance, and other pertinent labs Accessed pt.’s Respiratory status, (BiPAP, CPAP, Mechanical Ventilation, Ventura Mask, other), Urine I/O, Vasopressor dosing, etc. o Weekly current clinical guideline topic discussions with pharmacy residents and clinical pharmacists. o Conducted Weekly Clinical Pearl on current healthcare topics (e.g. Zika Virus). o Others includes: patient case presentation on “Acute Respiratory Failure due to COPD Exacerbation", and Journal Club Presentation on 4F-PCC (kcentra) versus Frozen plasma in acute bleeding reversal (for pts. on VKA therapy) in urgent care setting.

Anticoagulation Clinic

Community Pharmacy/Ambulatory Medicine

Preceptor: Bruce Petkovsek, Rph

o Direct patient care visits, which includes performing Point-of-Care INR/PT testing, patient assessment, provides dosing and care instructions. o Documentation of All Visit Summaries (AVS) to patient’s Progress (co-signed by a Certified RPh), and make scheduling for next follow up visit. o Evaluates/assesses and implements care plan for patients based on clinical and laboratory values. Assessments includes evaluating patient’s dietary habits, medication changes

(prescriptions, herbal, Over-the Counter), social habits (alcohol, tobacco), and other disease state changes (i.e. CHF, thyroid disorders, cancer, liver dysfunction, etc.) that may impact warfarin therapy. o Ensures quality assurance occurs for rapid protime tests and troubleshoots problems issues. o Consult PCP for INR > 5 Per pharmacy-physicians’ collaborative care agreement. Utilize appropriate dot phrases and templates within Epic to document all patient care appropriately. University Hospital Medical Center Cleveland, Ohio Healthcare Informatics, Drug Policy/Information, Medication Safety November 2016 Preceptor: Indrani Kar, PharmD, Michelle King, PharmD, Joseph Moss, PharmD o Developed drug monograph on ustekinumab (Stelara®), presented it to the Institution’s P&T committee for formulary approval, and aid to create an Order Set for CPOE and general clinical practice use

o Completed a longitudinal project on Control Management (CM): Managed the University Hospital System’s outpatient pharmacy Database Upgrades Project o Completed training on programming Alaris IV Smart Pump by guardrails software o Developed and presented on Superiority and Non-inferiority clinical trial Article (Journal Club)

o Developed and presented on ‘overview and the role of pharmacy informatics and Pharmacy Information System (PIS)

o Pharmacy Information System Maintenance (Upgrades, Ordersets, Formulary) o Practical extensive training on order set build in ‘Test and Prod’ in Allscript CDSS application, MLM (Medical Logic Module)

o Change Control Management and Retail Pharmacy Database Maintenance o Applied concepts and trainings includes: Medication Safety through use of Technology Work Experience

Walgreens Pharmacy Co. May 2016 Present

Registered Pharmacist (Rph)

o Medication Therapy Management (MTM)

o Comprehensive Medication Review (CMR)

o Immunization Administration (Certified)

o New to medication consultation/Counseling

o Medication Verification and dispensing

o Ambulatory Clinical Pharmacist collaborates with other health care providers o Inventory Management, Financial Profitability, Loss Prevention, and Workflow Management Walgreens @UCSF Westlake, Ohio / San Francisco, CA Specialty Pharmacy September 2016 – May 2018

Graduate Pharmacist

Joseph C. Agunobi CV Page 4

Kroger Pharmacy Findlay, Ohio

Paid Pharmacy Intern August 2011 – Sept 2016

Supervisor: Ming Yu, Rph

o Administered immunizations to adult patients under supervision of the pharmacist o Transferred drugs in and out of the pharmacy under supervision of the pharmacist o Took prescriptions over the phone under pharmacist’s supervision o Retrieved and file pharmacy prescriptions in the appropriate files and assist pharmacist with checking in and pricing drug orders o Maintained inventory levels, pull outdated/recalled merchandise o Received doctor’s calls and customer’s medical questions under the pharmacist supervision o Assisted the Pharmacist with all third party transactions including the completion of any paperwork Providence Pharmacy Inc. Fairburn, Georgia

Pharmacy Technician Level II July 2007 - August 2010 Supervisor: Clement Okpala, Pharm D

o Managed pharmacy stock inventory

o Assisted in training new technicians

o Product dispensing, data entry, and product release o Resolved inbound communication problems and/or contacted manager o Assisted in purchasing and receiving non-controlled products from Cardinal o Resolved insurance adjudication queries and prior authorizations o Maintained inventory levels, pull outdated/recalled merchandise o Operated a cash register including: cash, checks, and charge transactions; bagging merchandise, insurance signature logs and offer/refer questions to Pharmacist

Pharmacy Informatics Experience

Wood County Hospital (WCH) Bowling Green, Ohio

Clinical Pharmacy Data Analyst Intern June 2015 - December 2015 Cerner Database System

Preceptors: Todd Leopold, RPh, Pharm D, Director of Pharmacy April Clagg, Electronic Health Record (EHR) Specialist, WCH o Clinical data analysis (Cerner database)

o McKesson Acudose medication dispensing management o Assisted pharmacists, and other caregivers on issues with pharmacy computer system o Worked with IT department and EHR vendors on database issues o Pharmacy domain management and support

o USP 797/800 requirement update

o Attended P&T meetings

o Provided informative education to caregivers on new pharmacy system updates Research and Publications

Topic: The Impact of Computerized Clinical Decision Support Systems (CDSS) on Antimicrobial Stewardship Initiatives Agunobi C Joseph, MSHI, PharmD candidate, Bradley Shinn RPh, PharmD; Presented at the 2016 UF’s Symposium for Scholarship and Creativity, Findlay Ohio, United States Abstract: Increases in antibiotic resistance has led to the need for more effective quality measures for prescribing antibiotic therapy. Clinical Decision Support Systems (CDSS) have been shown to minimize unnecessary antibiotic prescriptions and help ensure that these medications are only prescribed when necessary. Objective: To review the benefits of integrating electronic health records (EHR) with CDSS in stewardship programs to promote the conservative prescribing antimicrobial agents. Method: This analysis utilized a systematic literature review of published studies on the use of EHR and CDSS to improve clinical decision making in antimicrobial stewardship programs. Conclusion: The utilization of computerized CDSS has become an important component of antimicrobial stewardship programs in many hospitals. Healthcare providers have implemented these tools to manage and monitor antibiotic prescribing protocols, which has resulted in more appropriate and better-focused use of antimicrobial agents. Joseph C. Agunobi CV Page 5

Membership, Honors and Activities

Member of American Pharmacist Association (APhA) 2011 Present American Society of Health-System Pharmacist, Member 2011 Present Ohio Society of Health-System Pharmacist, Member 2011 Present Student Society of Health-System Pharmacist Member 2011 Present Golden Key International Honor Student Society Award 2007 Present Computer Skills

Healthcare and Community Pharmacy Database Systems: o McKesson/3M/Cerner and Epic Database System

o Walgreen Pharmacy database system

o Rite Aid Pharmacy database system

o Kroger Pharmacy database system

o Microsoft window operation system

o Microsoft office (MS Excel, SQL, Assess, and MS Project) o PKPD Modeling software

o Professional user in NONMEM© software –pharmacokinetics’ parameters Medisoft Advance Version 17 Software

o Hospital database managements

o Medical billing and coding

o Insurance claim management

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