Arutiun Sargsian

• Manage and monitor medication refill schedules for outpatient hospice patients to ensure timely access to prescribed therapies.
• Coordinate communication between pharmacies, nurses, and physicians regarding medication updates, availability, and required adjustments.
• Review and assess potential drug–drug interactions to support safe and appropriate patient care.
• Provide clinical input on medication regimens to help optimize therapeutic outcomes while maintaining cost-effective treatment plans.
• Support the clinical team by offering medication-related guidance and clarifications to ensure smooth workflow and informed decision-making.

1) Providing drug therapy recommendations to healthcare providers to ensure safe and effective use of medications:

• selection of optimal and rational antimicrobial therapy based on data on the microflora's resistance to antimicrobial drugs
• analysis of potential drug interactions and the risk of developing adverse events related to drug interactions
• analysis of patients' medical histories for unjustified prescription of medications and polypharmacy and correction of prescribed medication

2) Developing and implementing hospital-wide policies and procedures related to drug therapy:

• compiling a medication formulary and analyzing purchased medications to ensure the hospital is equipped with the most effective and cost-effective drugs

3) Developing a standard for reporting adverse events through the automated information system "Roszdravnadzor"

4) Educating healthcare providers, patients, and caregivers on safe and appropriate use of medications by delivering lectures and conducting seminars on the topics:

• rational prescribing of antimicrobial drugs
• metabolism of drugs and potential changes in pharmacokinetic and pharmacodynamic parameters of medication

5) Conducting pharmacokinetic consultations and therapeutic drug monitoring for patients with complex medical conditions or receiving high-risk medications.

6) Collaborating with other healthcare professionals to develop and implement comprehensive patient care plans.

The main responsibility during my career in Oncology Center named after N.P. Napalkov was ensuring the availability and timely receipt of all necessary chemotherapy drugs to meet the needs of the hospital's patients.

To fulfill this task, I utilized various methods for collecting data on the number of patients undergoing chemotherapy, their prescribed treatment regimens, the average and individual doses of medications, and the rate of their consumption. I then used this data to calculate the hospital's need for medications and to assess the budgetary expenditures associated with these drugs.

To ensure the accuracy of this data, I collaborated with the technical support center responsible for the hospital's information system's performance, the hospital's analytical department responsible for collecting statistical data, and the hospital's pharmacy responsible for receiving medications from suppliers and dispensing them to chemotherapy departments.

Also I was responsible for drafting preliminary responses to official letters from the Ministry of Health and sending final versions after approval by the chief.

In addition, I was included in clinical trials ongoing in hospital as a data-manager.

• Participating in the planning and design of the clinical trial protocol
• Ensuring that the clinical trial is conducted in compliance with the applicable regulatory and ethical requirements
• Recruiting and screening potential study participants
  Conducting informed consent procedures for study participants
• Collecting and managing study data in accordance with study protocol and applicable regulations
• Conducting study visits and procedures according to the protocol
• Monitoring study participants for safety and adverse events
• Reporting adverse events and study progress to the principal investigator and regulatory authorities
• Participating in data analysis and interpretation of study results
• Contributing to the preparation and publication of study reports and scientific papers

As a registered nurse I was participating in clinical trials in phase of bio-equality of researched medication compared to drug of choice. It included collection of blood samples for pharmacokinetic analysis of the investigational drug in strict accordance with the study design schedule, centrifugation and processing of biological specimens for further shipment to the research laboratory.

• Monitoring and assessing the patient's vital signs, such as heart rate, blood pressure, respiratory rate, and oxygen saturation.
• Administering medications and treatments as prescribed by the physician.
• Collaborating with the multidisciplinary healthcare team to develop and implement a care plan for the patient.
• Assisting with diagnostic tests and procedures,
• such as blood draws, x-rays, and CT scans.
• Managing and maintaining invasive devices, such as central lines, arterial lines, and ventilators.
• Monitoring and managing the patient's pain levels and comfort.
• Providing emotional support and education to the patient and their family members.
• Documenting patient care in the electronic medical record accurately and timely.
• Maintaining a safe and clean environment for the patient.
• Adhering to infection prevention and control protocols to prevent the spread of infection.

• Preparing patients for surgery by conducting pre-operative assessments, taking vital signs, and administering medications as ordered.
• Assisting surgeons during procedures by providing necessary equipment and supplies, and monitoring patients' vital signs.
• Administering medications and treatments, such as wound care and pain management, as ordered by the physician.
• Documenting patient care in medical records, including assessments, interventions, and patient responses.
• Collaborating with other healthcare professionals, such as surgeons, anesthesiologists, and physical therapists, to develop and implement patient care plans.
• Educating patients and their families about post-operative care, including wound care, pain management, and potential complications.
• Monitoring patients for potential complications, such as bleeding or infections, and taking appropriate actions to manage these issues.
• Participating in hospital committees and quality improvement initiatives to improve patient care and outcomes.