Raj Joshi

• Screening and processing Oncology IV orders for clinic patients.
• Providing medication information to physicians and health care professionals.
• Making clinical interventions and suggestions for all oncology Medications and drug interactions for adult patients.
• Responsible to supervise pharmacy technician in making sterile products preparations and following 797 requirements.
• Checking compatibility, calculations, checking in all preparation process of cancer IV medications
• Oral chemotherapy protocols activation and follow up
• Responsible for policies.
• Monitoring research protocols

• Responsible for maintaining research medication preparation and dispensation, inventory, Monitoring visit, protocol updates and administrative responsibilities for 50+ VA Medical center, oncology research protocols.
• Responsible of writing dispensing guide lines, train all research staff on dispensing research medication for all new protocols, attending all site qualifications and site initiation visits and monitoring visits.
• Developed and revised research pharmacy standards of operation policies.
• Contributed scientific and professional reviews for several committees including the Investigator's Committee , tumor board and the institutional Review Board (IRB).
• Prepared all pharmacy documents for internal and external audits which includes SWOG, NCI, ECOG, NIH.
• Helped in creating and maintaining a Research Pharmacy Training Manual for pharmacy staff ,using Vista Chemotherapy Management (VCM)
• Train all employees which includes training them on VCM, dispensation procedure, emphasizing on adherence to follow each research protocol requirements for all research drugs preparations and dispensation.
• Developed a streamlined dispensing procedure for all VA protocols through the reorganization of the research pharmacy workload.
• Poster at AVAHO with Investigator Drs. Das, Pinto,Westley affiliation with Stanford
• Training Fellows in to research and general protocols in Hematology/Oncology.

Reported adverse drug events (ADE) and medication errors in alignment with regulatory policies and procedures.

• Exhibited proficiency chemo compounding including research protocols
• Communicated potential issues and reactions to specific oncology medications for VA patients.
• Reviewed research and general patient medication profiles and medical records to screen for cancer drug selection, dosing, contraindications, side effects and therapeutic outcomes. Randomization of patients in oncology protocols
• Evaluated appropriateness of drug therapy based on patient-specific factors and drug information per research protocol guideline.
• Reviewed and evaluated orders for non-formulary drugs for appropriateness and compliance.
• Evaluated pertinent laboratory data involving drug-drug interactions.
• Dispensed medications and communicated with prescribers regarding therapeutic incompatibilities.
• Inventory,assigning patient to research protocols , dispensing control and strict record keeping for audit, helping clinical data managers, investigators,research health professional.