Hilda Pamhizai Maduku

Medicines Information Pharmacist / Clinical Pharmacist

• Provided evidence-based information to consumers and clinicians on prescription and over-the-counter medicines, including dose, administration, adverse effects, drug interactions, and stability.
• Supported safe use of medicines in special populations (pregnancy, breastfeeding, paediatrics).
• Advised on product availability, alternatives, and intravenous (IV) compatibility.
• Assisted clinicians with complex enquiries, decision-making, and provided second opinions.
• Reviewed consumer information materials and clinical guidelines for accuracy and clarity.
• Conducted evidence reviews to support therapeutic decisions and guideline development.
• Guided healthcare staff in the use of information resources to ensure safe, effective practice.
• Managed temperature excursion enquiries within SA Health sites, ensuring compliance with storage standards.

• Delivered specialised clinical pharmacy services to patients with musculoskeletal conditions, including fractures, bone infections, arthritis, osteoporosis, and elective orthopaedic surgery (e.g., hip replacements).
• Provided comprehensive pharmacotherapy management: venous thromboembolism prophylaxis, antibiotic cover with focus on bone penetration, pain management, and management of adverse drug reactions (postoperative nausea/vomiting, opioid-induced constipation).
• Supported antimicrobial and opioid stewardship in high-risk, complex orthopaedic patients, ensuring safe, effective, and evidence-based use of medicines.
• Collaborated in multidisciplinary orthopaedic teams.

• Medication Review and Reconciliation- Review patients' medication histories, verify medications on admission, during the stay, and at discharge to avoid errors.
• Drug Therapy Management- Assess medication appropriateness, adjust doses for patient-specific factors, and monitor drug levels for medications with narrow therapeutic ranges.
• Patient Counseling and Education- Educate patients on proper medication use, side effects, and adherence, and offer guidance on managing chronic conditions.
• Medication Safety- Identify and prevent adverse drug reactions and medication errors, ensuring safe medication practices.
• Collaboration with Healthcare Team- Work closely with physicians, nurses, and other healthcare professionals during ward rounds to provide medication therapy recommendations.
• Therapeutic Drug Monitoring- Regularly check lab results and adjust medications as needed to improve outcomes and reduce side effects.
• Formulary Management and Drug Selection- Ensure appropriate medication choices based on hospital formulary, guidelines, and cost-effectiveness.
• Antimicrobial Stewardship- Promote appropriate use of antibiotics to prevent resistance, ensuring correct drug selection, dosage, and duration.
• Discharge Planning- Assist with discharge by ensuring patients leave with the correct medications and clear instructions, maintaining continuity of care.
• Documentation and Record Keeping**: Maintain accurate records of all pharmaceutical care activities, including interventions and therapy plans.

• Enquiries related to prescription, over-the-counter (OTC), and complementary medicines
• Management of complex or clinically nuanced medicine-related questions
• Provision of second opinions to support clinical decision-making
• Post-discharge medication support and patient counselling
• Guidance on appropriate dosing across various patient populations
• Assessment and interpretation of drug–drug and drug–complementary medicine interactions
• Evaluation and reporting of suspected adverse drug reactions (ADRs)
• Recommendations for alternative routes of administration when standard routes are unsuitable
• Advice on safe storage and handling of medicines in various settings

• Advise prescribers on drug contraindications, incompatibilities, and therapeutic alternatives
• Use iPharm for medication dispensing and distribution of ward stock
• Access and review patient medical histories, pathology, and medication profiles using Sunrise EMR
• Prepare Webster packs for Community Access Program (CAP) patients
• Dispense and check inpatient, discharge, and outpatient prescriptions
• Prepare and verify infusion medications for infusion clinics
• Check and process bulk imprest orders for hospital wards
• Review and monitor individual patients’ medication therapy for safety and efficacy
• Participate in multidisciplinary team meetings to support clinical decision-making and patient-centred care

• Provide advice on dispensary and over-the-counter (OTC) products to support customer health and wellbeing
• Recommend therapeutic options and perform solution selling for Schedule 2 and 3 medicines
• Conduct PPIs and MedsChecks to optimise medication use
• Build and maintain trusting relationships with customers through continuity of care
• Prepare Webster packs for ongoing medication management
• Administer vaccinations within the pharmacist’s authorised scope of practice
• Dispense and provide methadone to clients as part of opioid replacement therapy
• Advise prescribers on drug contraindications and incompatibilities
• Review and monitor individual patients’ medication therapies for safety and effectiveness
• Maintain prescription files and ensure accurate recording of narcotics, poisons, and habit-forming substances

• Provide expert advice on dispensary and over-the-counter (OTC) products to support customer health and wellbeing
• Recommend therapeutic options through effective solution selling of Schedule 2 (S2) and Schedule 3 (S3) medicines
• Conduct Pharmacist-Provided Interventions (PPIs) and MedsChecks to optimise medication use and adherence
• Build and maintain long-term relationships with customers through personalised service and professional trust
• Administer vaccinations within the pharmacist’s approved scope of practice
• Advise prescribers on drug contraindications and incompatibilities to support safe prescribing
• Review and monitor the medication therapy of individual patients to ensure safe, effective treatment
• Maintain prescription records and ensure the compliant documentation of Schedule 8 (S8) medications

• Prepared and dispensed medications for inpatients in line with safety and quality standards.
• Participated in ward rounds with multidisciplinary healthcare teams to optimise patient care.
• Provided professional advice on health issues, symptoms, and medicines in response to patient and customer enquiries.
• Recruited, trained, and managed pharmacy staff to ensure efficient service delivery.
• Accurately processed prescriptions and dispensed medications across inpatient and outpatient settings.
• Ordered, managed, and sold medicines and pharmacy stock, ensuring adequate supply and stock control.
• Engaged with medical representatives to review and update product knowledge.

• Purchased, compounded, and dispensed medications in accordance with professional and regulatory standards.
• Collaborated with medical personnel to provide integrated treatment plans and patient advice.
• Recorded and maintained accurate patient medication histories to support safe prescribing.
• Ensured the safe, secure, and compliant storage of all medicines, including controlled substances.
• Stayed up to date with current pharmacy practice, new drugs, and therapeutic uses.
• Dispensed medications for both inpatients and outpatients, ensuring accuracy and timeliness.
• Counselled patients on their medicines, including potential adverse effects and safe use.

• Ensured the availability of medicines and medical supplies across the district in line with national targets.
• Implemented effective stock control and supply chain management measures in accordance with national guidelines.
• Quantified district commodity requirements and monitored the procurement process for medicines and supplies.
• Facilitated the establishment and regular meetings of the Health Management and Therapeutics Committee (HMTC).
• Coordinated Medicines Utilization Studies and reviews to guide evidence-based practice.
• Led pharmacovigilance activities at district level and trained healthcare staff in monitoring and reporting adverse drug reactions.
• Developed district disposal plans for expired/obsolete medicines, ensuring safe and compliant disposal.
• Monitored timely execution of supply management activities, ensuring medicines reached end users according to delivery schedules.
• Conducted supportive supervision visits to district health facilities, focusing on medicines management and integration with Ministry of Health and Child Care (MOHCC) plans.

• Implemented effective stock control and supply chain management measures in line with national guidelines.
• Ensured the safe and secure storage of medicines and supplies across all departments.
• Facilitated and coordinated Health Management and Therapeutics Committee (HMTC) meetings to support rational medicine use.
• Coordinated Medicines Utilization Studies and reviews to inform clinical and policy decisions.
• Led pharmacovigilance activities at central level and trained healthcare staff on monitoring and reporting adverse drug reactions.
• Maintained and regularly updated Logistics Management Information System (LMIS) tools within the district.
• Analysed LMIS reports to make evidence-based logistics decisions on procurement and distribution.
• Performed additional duties as assigned by the Head of Department/Office, demonstrating flexibility and adaptability.