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Assistant Director Clinical Pharmacist

Location:
New York, NY
Posted:
January 06, 2024

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Resume:

Antonette S. Flecha, Pharm. D.

** ******* *****

East Norwich, NY 11732

Home: 516-***-****

Cell: 631-***-****

Email: ad2h9k@r.postjobfree.com

EDUCATION

Doctor of Pharmacy Degree September 2002 – January 2007

Arnold and Marie Schwartz College of Pharmacy and Health Sciences

Long Island University

Brooklyn, NY

English Major, Journalism Minor September 1999 - May 2002

State University of New York at Stony Brook

Stony Brook, NY

NEW YORK STATE PHARMACIST LICENSE

New York State License 051527 I March 2007 - Present

Immunizer

CLINICAL PHARMACIST: ASHP CERTIFIED

PGY 1 Pharmacy Residency

Brookhaven Memorial Hospital July 2007 - June 2008

Patchogue, NY

BOARD CERTIFIED GERIATRIC PHARMACIST

BCGP # 99108545 July 2021 - December 2028

CPR & AED October 2013 -September 2022

National CPR Foundation (CPR & AED)

NEW YORK STATE NOTARY PUBLIC August 2014 - August 2022

Registration Number 01FL6309892

WORK EXPERIENCE

Elmhurst Hospital Center Queens, NY September 2020 - Present

Assistant Director Pharmacy

Under the direction of the Director of Pharmacy is responsible for the 24-hour day to day management, staffing and coordination of several decentralized satellite pharmacy operations.

Directly coordinates the day to day operations of the satellite pharmacies under their jurisdiction with regards to staffing, work assignments, efficiency, consistency and quality.

Medication Management Co-Chair for NYCHHC

Chair of Anticoagulation Subcommittee NYCHHC

Chair of Diabetes Subcommittee NYCHHC

Medication Occurrence Report Committee Chair

MICU Performance Improvement Committee Member

Medicine Performance Improvement Committee Member

IPPE Saint John’s Student Coordinator and Preceptor

APPE Saint John’s Student Coordinator and Administration Elective Preceptor

Oversees both the clinical and technical supervision of pharmacy staff. Makes recommendations for promotion, discipline, termination, corrective training, or additional personnel action.

Trains, instructs, monitors and evaluates staff in the performance of their responsibilities on an ongoing basis to assure staff is competent in all skills and processes required for their job title and provides appropriate feedback. Maintains accurate, accessible, up to date records of audits of staff's skills.

Implements and monitors policies, objectives, goals and standards of the department. Assists in the planning, development, evaluation and problem solving of current and new programs, policies, procedures, staffing levels and expansion of services.

Assistant Director of Pharmacy Buildings/Automation Projects

Provides onsite guidance and direction to professional pharmacy, medical, mental health, nursing and dental staff with regard to clinical activities including problem orders, appropriate drug use, difficult therapies, drug information and controlled substance accountability.

Disseminates information to pharmacy staff, such as new or revised policies and procedures. Plans, develops and conducts in-service education programs for supportive and professional staff.

Assists in the maintenance and troubleshooting of the pharmacy computers, Pyxis, ID Where inventory and temperature monitoring systems, programs and equipment.

Assists in the identification, data collection and monitoring of both performance and quality assurance indicators. Provides feedback as to the effectiveness of established systems and makes recommendations for change and improvement.

Assures that par levels are established and maintained. Assures that adequate inventory levels of drugs and supplies are maintained in the satellite pharmacies and packaging.

Oversees preparation of pharmacy satellites for all audits, surveys and inspections including necessary record keeping, policy review, and physical plant upkeep.

Provides supervision for the pharmacy packaging, sterile preparation and manufacturing programs both centrally and in the satellite pharmacies.

Assumes system-wide responsibility for all pharmacy operations for the week when on-call during evenings, weekends and holidays.

Manages the integration and maintenance of automation and technology to assure safe and appropriate use of medications.

Manages the processes that identifies and resolves problems related to pharmacy automation and technology.

Supervise the activities of the PYXIS equipment, and personnel assuring compliance with protocols

Evaluates staff formally on an annual basis.

Precepts Pharmacy students, and residents from local colleges of Pharmacy

Member of Workforce Diversity Taskforce

Montefiore Medical Center Bronx, NY November 2017 – September 2020

Clinical Transplant Pharmacy Manager,

Solid Organ Transplant, Adult and Pediatrics

Daily/Regular Responsibilities:

In-Patient and Out-Patient Education and Medication Management for Adult and Pediatric Liver, Heart, Kidney and Lung Transplant Patients.

Transplant Ambulatory care for Adults and Pediatric Pre and Post-Transplant Patients

Daily Renal dose, as well as Hepatic dose adjustments.

In-Patient Surgical Intensive Care Patient Monitoring and Management for all Post Transplant Patients.

Managed and adjusted all tacrolimus and cyclosporine doses based on trough levels and patient status

Multi-Disciplinary-Rounds for Inpatients, and proper documentation in charts as per CMS and UNOS guidelines

Transplant Outpatient Clinic Consults and Education for patients, caregivers and family members.

Managed staff pharmacists, and provided role modeling to staff, developed orientation materials for new hires, and trained new staff members

Preceptor for PGY-1 pharmacy residents in solid organ transplant elective

Preceptor for APPE pharmacy students in solid organ transplant elective from SUNY Buffalo

Developed protocols for the medication management of transplant induction, maintenance and rejection

Provides in-services bimonthly to residents on immunosuppression and solid organ transplant.

Adjunct Professor at Einstein School of Medicine, Division of Hepatology

Fidelis Care NY June 2016 - October 2017

Clinical Pharmacist, Managed Care

Daily/Regular Responsibilities:

Implementing programs and initiatives to improve care of patients and control drug costs as well as overall cost of health care

Develop and revise drug policies based on clinical guidelines and best practice standards of care

Oversee Pharmacy and Therapeutics Committee

Develops and implements a process which ensures that the Pharmacy and Therapeutics Committee (P&T) efficiently and effectively promotes the efficacious, safe and cost-effective use of medications

Educate health plan staff and network physicians on drug utilization policies and formulary changes

PGY-1 Residency Program management, and education of the resident in preparation of practicing at a clinical level

Maintains competence required for the current job position and demonstrates knowledge in the following areas: Medication safety, hazardous drug utilization, member confidentiality, disaster/emergency recovery, controlled substance monitoring, and medication error management

Educate provider community on preferred drugs and generic alternatives as appropriate to further manage health plan costs

Works with provider community to improve outcomes of clinical programs such as disease management programs

SUNY Downstate Medical Center August 2016-Present

Pharmacology Professor

Brooklyn, NY

Daily/Regular Responsibilities:

College of Health-Related Science Graduate students in Pharmacology

Teach course covering all aspects of medication, drug safety management, effects of drugs on the body in different populations, disease states, as well as management of Internal Medicine and Gestational patients

Difference of pharmacokinetics and pharmacodynamics between all ages of all patients from infancy to geriatrics, as well as women who are gestating

Review NY State law for medication prescribing practices for both general and narcotic prescriptions

Teach how to calculate and adjustments medication dosages based on Ideal, Actual and Adjusted Body Weight

Auburndale Pharmacy Inc. March 2014-Present

CEO, Supervising and Ambulatory Care Clinical Pharmacist

Daily/Regular Responsibilities:

Ambulatory Care Counseling and MTM management.

Specialty medication dispensation and counseling for infectious diseases such as Hepatitis, Immunosuppressive medications for Transplant patients, Oncology medications, as well as Hormonal Therapies.

Direct consultation with Physicians on patient care plans and medication management, therapeutic drug monitoring, formulary drug management, and drug approval processing.

Pediatric weight-based dosing and education of all medications.

Pediatric Pulmonary Medicine specializing in Asthma, Bronchiolitis, Cystic Fibrosis, Sarcoidosis, Pneumonia, RSV (Respiratory Syncytial Virus) and Multi Drug Resistant TB.

Admixture and Administration of vaccinations for Geriatric, Adult and Pediatric populations.

Manage all staff Pharmacists, Interns, and Technicians in regular dispensation and medication management in the pharmacy department.

Community outreach education programs featuring diabetes, preventative medicine, drug abuse and misuse, and blood pressure education and management.

Education and documentation of Pharmacy personal on all regulatory guidelines.

NorthWell Transplant Center April 2012–December 2015

Clinical Pharmacist Department of Surgery Specifically in the Solid (Renal) Organ Transplant Population

Daily/Regular Responsibilities:

In-Patient and Out-Patient Education and Medication Management

Surgical Intensive Care Patient Management Post Kidney Transplant Surgery

Nursing Education, In-Servicing, and Credentialing for Medication Administration of Chemotherapeutic agents.

Thymoglobulin Cost savings initiative implemented saving hospital over $50,000 annually.

Pharmacy Intern and Student Preceptor for APPEs and Residents.

Pharmacokinetic and Pharmacotherapeutic Drug Monitoring

Medication Dosing and Dose Adjustments Made Daily

Daily Renal, as well as Hepatic dose adjustments.

Multi-Disciplinary-Rounds for Inpatients, and proper documentation in charts as per CMS and UNOS guidelines

Transplant Outpatient Clinic Consults and Education for patients, caregivers and family members.

Pharmacy and Therapeutic Committee Membership and Responsibilities for both adults and Pediatrics

Ran the Mycophenolate REMS Programs for the Transplant and Nephrology Department. Educated Prescribers in the importance of patient education and pregnancy testing. Enrolled of Nephrology and Transplant Department Prescribers in the Mycophenolate REMS Program. Educated patients on risk of pregnancy, maintained consent forms, and documented ongoing pregnancy test for compliance.

Assisted in medication management for Bariatric Surgery patients based on Absorption changes post-surgery.

SUNY Downstate Medical Center October 2008 – April 2012

Clinical Pharmacist-Renal Transplant and Nephrology

Brooklyn, NY

Daily/Regular Responsibilities:

In-Patient and Out-Patient Education and Medication Management for both Adult and Pediatric Kidney Transplant Patients.

In-Patient and Out-Patient Education and Medication Management for both Adult and Pediatric Nephrology Patients.

Dosing Adjustments of medications for Hemodialysis and Peritoneal Dialysis patients for both Adults and Pediatric patients.

Daily Renal, as well as Hepatic dose adjustments.

In-Patient Surgical Intensive Care Patient Monitoring and Management for all Post Kidney and Liver Transplant Patients.

Nursing Education, In-Servicing, and Credentialing for Medication Administration of Chemotherapeutic agents.

Pharmacy Intern and Student Preceptor for APPEs and Residents.

Transplant Outpatient Clinic Patient follow up care for Adults and Pediatric Pre and Post-Transplant Patients

Pharmacokinetic and Pharmacotherapeutic Drug Monitoring

Medication Dosing and Dose Adjustments Made Daily for Immunosuppressant Medications.

Multi-Disciplinary-Rounds for Inpatients.

Outpatient Dialysis Anemia Management: ESA Dosing and Dose Adjustments for both Adults and Pediatrics.

Cost savings Initiative Implemented for ESA Dosing and Management based on guidelines, a multi-disciplinary approach to care, and proper utilization of IV Iron therapy saving over $250,000 annually for the HD center.

IV Iron Therapy Protocol for Adults versus Pediatrics with alternate agents due to FDA approval of Venofer in Adults only and Ferrlicit in both.

Protocol for Entereg use post GI surgery, Proper EASE REMS requirement fulfillment, and prescriber limitations, initiated.

Hofstra University School of Medicine Assistant Professor of Surgery

Hempstead, NY July 2013-December 2015

Daily/Regular Responsibilities:

Introduce medical students to Immunosuppressive Medication Management

Teach immunosuppressant pharmacology and pharmacokinetics

Assist in teaching all areas of medication therapeutic management

St. John’s College of Pharmacy Adjunct Preceptor for Pharmacy Transplant and Bariatric Surgery

Queens, NY May 2012-December 2015 Daily/Regular Responsibilities:

Introduce students to Immunosuppressive Medication Management

Teach dosing adjustments based on varying renal function, and pharmacokinetics

Teach Literature Assessment and Utilization for Medication and Disease State Management.

Long Island University: Arnold and Marie Schwartz College of Pharmacy Adjunct Preceptor for Pharmacy Transplant/Nephrology Elective

Brooklyn, NY September 2010-April 2012

Daily/Regular Responsibilities:

Introduce students to Immunosuppressive Medication Management

Teach dosing adjustments based on varying renal function, and pharmacokinetics

Teach Literature Assessment and Utilization for Medication and Disease State Management.

Teach End Stage Renal Disease Anemia Medication Management

TEXT BOOK CHAPTERS

“Drug Nutrient Interactions” Burrowes, Kovedsky . Primary Author Chapter 9 Nutritional Strategies for Chronic Kidney Disease Among Adults. Dr A Flecha. 2019.

“Obstetric and Gynecologic Nephrology: Women’s Health Issues in the Patient with Kidney Disease.” Pharmacologic, Breastfeeding and Nutritional Considerations During Pregnancy and Postpartum. Author Dr. A Flecha. Springer Science Media Business. Anticipated release 2018.

“Atlas of Kidney and Pancreas Transplantation.” Chapter 23: Pharmacology, Primary Author Dr. A Flecha. JayPee Brothers Medical Publishers, PA. Released 2014.

“Liver Transplantation: Operative Techniques and Medical Management.” Chapter 55: Pharmacology, Author Dr A Flecha. McGraw Hill Publishers, NY. Released 2021.

ABSTRACTS & JOURNAL ARTICLES

“Adverse Drug Reaction of Blackened Tongue to Oral Vancomycin Compounded Suspension.” Abstract accepted for presentation at American Society of Transplantation (AST) Cutting Edge of Transplantation (CEOT): February 2016, Dr A Flecha Primary Author.

“Interaction between Tacrolimus, Atorvastatin and Levaquin-An Unreported Drug-Drug Interaction.” Abstract accepted for presentation at National Kidney Foundation: Spring Clinical Meeting, March 2015, Dr A Flecha Primary Author.

“Interaction between Tacrolimus, Atorvastatin and Levaquin-An Unreported Drug-Drug Interaction.” Abstract 2149133 accepted for presentation at American Society of Transplantation: Cutting Edge of Transplantation, 2015, Dr A Flecha Primary and Presenting Author.

“Reversed Gingival Hyperplasia due to Cyclosporine.” Abstract 2149603 accepted for presentation at American Society of Transplantation: Cutting Edge of Transplantation, 2015, Dr A Flecha Primary and Presenting Author.

“Factors Associated with Completion of Pre-Kidney Transplant Evaluations.” Alex, A, Flecha, A, Siskind, E. 2014. International Journal of Angiology, Volume 23, No 1/2014.

“Aggressive Therapeutic Management of BK Viremia to Prevent Allograft Failure.” Abstract 1890170 accepted for presentation at American Society of Transplantation: Cutting Edge of Transplantation, 2014, Dr A Flecha Primary and Presenting Author.

“Comparative Average Cost Analysis of Hemodialysis and Successful Kidney Transplants in an Adult Population.” Bhaskaran, M, Flecha, A, Molmenti, E, Sachdeva, M, 2013. American Journal of Transplantation. Supplement 2, Volume 13, p76. Malden, Ma, ASTS, Wiley Periodicals. www.asts.org/meetings

Presented at ASTS 13th Annual State of the Art Winter Symposium

“Specific Patient Factors Contribute to Compliance for Renal Transplant Recipient Evaluation.” Alexander, M, Bhaskaran, M, Flecha, A, Molmenti, E, Siskind, E. 2013. American Journal of Transplantation. Supplement 2, Volume 13, p80. Malden, Ma, ASTS, Wiley Periodicals. www.asts.org/meetings

“Post Perfusion Biopsy is Useful in the Diagnosis of Early Acute Accelerated Antibody Mediated Rejection, but is not Predictive of Six Month Creatinine Levels in Kidney Transplant Recipients.” Bhaskaran, M, Flecha, A, Molmenti, E. American Journal of Transplantation, Volume 12 Issue Supplement s3, 2012.

“Serial Doppler Studies and Selective Angiographic Interventions to Address Early Transplant Renal Artery Abnormalities.” Bhaskaran, M, Calderon, K, Flecha, A, Fishbane, L, Molmenti, E. 2012. International College of Angiology. 54th Annual World Congress ICA 2012, Abstract for presentation, Austria September 2012.

NATIONAL CONTINUING EDUCATION CME PRESENTATIONS

“Dermatologic Considerations, and Medication Management in Pediatric Solid Organ Recipients,” American Transplant Congress (ATC) 2020, Philadelphia, Pa. Guest Speaking Presentation [20-30 minutes Dr Antonette Flecha]

“Immunoglobulin and Secondary Immunodeficiency’s.” Online Audio CME, 1 credit, Winter 2013-2014. National Association of Specialty Pharmacy.

“Renal Transplant Immunosuppression.” Online CE, 1 Credit, June 2014. NSLIJ Department of Continuing Education, Division of Nursing.

ORGANIZATIONS AND COMITTEES

American Society of Health-System Pharmacists member 2004 – Present

American Pharmacists Association member 2006 – Present

American Society of Transplantation member 2012 – Present

Elected Committee Member PCOP Pediatric Community of Practice 2017-2020

Italian American Pharmacist’s Society

PSSNY Pharmacist Society of the State of New York

American College Clinical Pharmacology Full status member 2008 – Present

Global Professional Network of Women: Chosen Nationally to Represent Clinical

American Society for Metabolic and Bariatric Surgery Member (ASMBS) 2016

Transplant Alliance Transplant Mentor 2016-Present

Mentor new Transplant Pharmacists

American College of Clinical Pharmacists 2008-Present

Member of Geriatric Board 2022

ACCP Pharmacist Mentor 2022

AWARDS AND HONORS

Who’s Who In America Pharmacology Professionals 2022

Arnold and Marie Schwartz College of Pharmacy Certificate of Appreciation 2010-2011

Pharmacokinetics Tutor: Long Island University 2006.

Dean’s List: Long Island University 2003 and 2006.

University Scholars Award: Long Island University 2003 – 2005.

Dean’s List: SUNY Stony Brook 2000 – 2002.

High School Honors Graduate: June 1999.

Spanish Honors Society: Commack High School 1998 and 1999.

National Spanish Exam: Honorable Mention, and award 1996.

ASHP Certified Clinical Pharmacist

Certified ChemoChek Pharmacist: Trained and Certified to Prepare Chemotherapy

EDUCATIONAL PRESENTATIONS

Hypogonadism Fidelis Care NY 8/2016

Kidney Club (Brooklyn Community Chapter) 2/2009 Renal Diseases and Management (Brooklyn-Downstate University)

Kidney Club 1/2010 Renal Medications and Community Questions (Brooklyn-Downstate University)

Nursing Education 10/2009 Rituxan and Transplant Patients

Nursing Education 2/2010 Transplant Medication Overview

Diabetes Club (Brooklyn Community Chapter) 4/2010 Brooklyn Community and Downstate Health Care Workers “New Treatment Options and Drug Disease Management.”

Kidney Club 9/2011 “Kidney Medications Open Question Forum: Meet the Clinical Pharmacist.”

Diabetes Club 10/2011 Brooklyn Community and Downstate Health Care Workers “Update on Diabetes Medications, and Open Forum for Community Questions.”

Diabetes Club 2/2012 (Pending) “Community Outreach to Educate on Over the Counter Medications and Diabetes.”

“Mycophenolate REMS Program Initiative, and How to Properly Comply” 10/2013: Audience Nephrologists, Surgeons, and Clinicians

LANGUAGES

Fluent in Spanish

Conversational in Polish & Italian



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