Identify patient‑specific drug related problem(s) and collaborate with other healthcare providers in providing recommendations and effective solutions in optimising pharmacotherapy.
Facilitate safe and appropriate use of drugs.
Perform medication reconciliation for all new admissions in a timely manner as well as regular medication reviews for existing patients.
Perform bedside medication counselling for patients on discharge to home and ensuring medication list is promptly updated within the day of discharge.
Ensure in‑house clinical guidelines are regularly updated and adhered to by healthcare providers.
Communicate effectively when providing professional advice and evidence‑b...