Job description# Domain Expert – Nursing (UpToDate Lexidrug) **To qualify you must use UpToDate Lexidrug (or Lexicomp) regularly - weekly or more - as a working part of your job, with 2+ years of professional nursing experience.** Lexidrug knowledge we require **Core (required of all candidates)** - Knows how to check a patient's full active medication list before administering a new drug — not just the drug in hand against the one most recently given - Knows how to recognize when a finding means "hold the dose and escalate" versus "safe to proceed" — nursing scope is catching and escalating, not resolving the clinical question independently - Knows how to reconcile medications across a transition of care (admission, transfer, discharge) — catching discrepancies between home meds, brought-from-home bottles, and current orders - Knows how to monitor for and recognize an adverse reaction or interaction after administration, tied to the actual administration timeline (what was given, when, in what order) - Knows how to document and communicate an escalation clearly — what was found, what was held, who was notified — not just note a concern and move on **Specialized depth (strong working knowledge in at least 2–3 of the following)** - Trissel's IV Compatibility — Y-site/syringe compatibility and line management for patients on multiple simultaneous infusions - High-alert medication administration protocols (insulin, anticoagulants, opioids, chemotherapy, sedation) - Pediatric/weight-based dosing and administration - Geriatric-specific administration precautions (fall risk, sedation, Beers Criteria-relevant drugs) - Patient/caregiver discharge education, including multi-language teaching materials - Drug I.D. for medication reconciliation (verifying an unlabeled or brought-from-home medication) What you'll do - Confirm a medication is safe to administer against the patient's **full** active med list and administration history — not just the one drug named in the question - Catch a medication reconciliation gap, a missed IV compatibility issue, or an adverse-reaction pattern that requires tracing the actual administration timeline - Judge completeness: was the full clinical picture (all active meds, administration timing, transition-of-care history) accounted for, or was the question scoped too narrowly - Distinguish "within nursing scope to resolve" from "needs escalation to pharmacy or the prescriber" — correctly routing rather than either overreaching or under-escalating - Verify that a correct nursing finding is actually **carried through** — dose held, right person notified, chart documented — not just noticed and left there Requirements - **Frequent Lexidrug (or Lexicomp) use - weekly or more - in your current or recent role** - **2+ years of professional nursing experience, inpatient/acute care setting strongly preferred** - Reflexive use of Interactions and Trissel's at the point of administration; can spot a missed interaction, a reconciliation gap, or a symptom-onset red flag on sight - RN license in good standing; BSN or higher preferred - Strong working knowledge in at least 2–3 specialized areas above, tied to your practice setting (e.g., ICU, oncology, pediatrics, geriatrics) - Comfort judging whether a correct nursing finding was properly escalated and documented, not just identified - Prior data annotation, labeling, or AI evaluation experience is a plus
