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Daniel Nobel Application Package 2X• Sara__:� W Initial 5-ISI.WNl) Avc -TN M p-t4M gCO-C 1 FL, 3? 13 G Home Address City State Zip Code Sos 4o 0257q UNJNIMSVTC l QF mkoc-m\ Business Name w1S now i2�" D�vE Zo8® Sam &96L DPW16L (�)-nom I L, wm alffitAL LES614 tH I H KIMUST Occupation Y1tilWm I FL 3313(6 Professional License (describe): 3wc 0i�- FL- P}I►'}►G" US7 Expires: Please attach a copy of currently effective professional license. Pursuant to City Code section 2-22(4)a & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the Cityfor a minimum of six months. • Resident of Miami Beach for a minimum of six (6) months: Yes Q&r No Z) • Demonstrates ownership/interest in a business in NTiami Beach for a minimum of six months: Yes L' No W • Are you a registered voter in Miami Beach: Yes Z6 No Z] • I am now a resident of: North Beach LJ South Beach iddle Beach • 1 am applying for an appointment because I have special abilities, knowledge and experience. Please list below: j WV4e tarxCed nn 4 wmrtturtt)v SeHinP fy,�drxL�ry rvaswtfweLtuss Qtt�.A%V J Pwv cllod,ww�wwt�.r.ot3 �tJisaW 60rWt^%l+4-e- S—NAU .14zv^l'OV7.4VI . t 00M AA16a V�-f"j-ur • Are you presently a registered lobbyist with the City of Miami Beach? Yes U or No u Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Office of the City Clerk. Affordable Housing Advisory Committee Health Advisory Committee Parks and Recreation Facilities Board° G.O. Bond Oversight Committee Mayor's 415' Street Committee Mayor's Blue Ribbon Panel on Ocean Drive Art in Public Places Committee Health Facilities Authority Board Personnel Board Audit Committee Hispanic Affairs Committee Planning Board* Board of Adjustment* Historic Preservation Board Police Citizens Relations Committee Budget Advisory Committee Housing Authority Production Industry Council Committee on the Homeless Human Rights Committee Senior Affairs Committee Committee for Quality Education inMB LGBTQAdviso Committee Sustainability- ustainabili Committee Convention Center Advisory Board Marine& Waterfront Protection Authority Transportatiorf, Parking, & B' cle-Pedestrian Facilities Committee Cultural Arts Council Miami Beach Commission for Women Visitorand Convention Authority Design Review Board Normandy Shores Local Government Nei hborhood Improvement Youth Commission Disability Access Committee Ad Hoc Anti -Bullying Task Force Next Gen Council Animal Welfare Committee Board members are required to file Form 1 - "Statement of Financial Interest" with the State. If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently -effectively license, and furnish the following information: Type of Professional License License Number License Issuance Date License Expiration Date Page 1 of 4 F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\useful stuff 00 Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center. • Please describe your past service with the City's Youth Centers (include dates of service): • Present participation in Youth Center activities by your children: Yes No If yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Child's name: • Have you ever been convicted of a felonv? Yes Age: Program: Age: Program: or No 7&J If ves. please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes —1 or NoLQ.t If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes l� or No I) If yes, explain in detail: • Are you currently serving on any City Board or Committee? Yes El or No If yes, which board/committee? • In what organization(s) in the City of Miami Beach do you currently hold membership? NC1 -(JAf�1�t1 �So we4 v t Name Position Name Position • List all properties owned or in which yQu have an interest within the City of Miami Beach: bw �n t i' b Q W rd oy�3e A 1e- 1 S12 ovl V hp� Cit uS2ivFlt.� • Are you now employed by the City of Miami Beach? Yes U or No Which department and title? l�4 • Pursuant to City Code Section 2-25 (b): Do you have a parent X11, spouse 1B, child brother or sister who is employed by the City of Miami Beach? Yes Ljor No I If "Yes," identify person(s) and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. RacelEthnic Categories What is your race? African-American/Black Y� Caucasian/White Asian or Pacific Islander Native-American/American Indian Page 2 of 4 F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\useful stuff I1 Other— Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. El y No L:A Yes Do you consider yourself Physically Disabled? E3 No Yes NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the City (Miami -Dade County Code section 2-11.1). o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2-11.1). o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). o Sunshine Law - Florida's Government -in -the -Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict — Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. It applies equally to members of advisory and non -advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND 1 HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." DA -N t EL Wlt�5tt- nate Name Or Applicant Irt.r:Abt rKuv 1) Received in the Office of the City Clerk by: Name of Deputy Clerk Control No. Date ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 F:\CLER\$ALL\BOARD AND COMMITTIES DATABASE\useful stuff EDUCATION May 2009 May 2005 LICENSURE July 2009 BOARD CERT: Dec 2017 Dec 2012 CLINICAL May 2015 March 2015 Apr 2014 May 2010 May 2009 PROFESSIONAL aniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu Phone: 305-469-0259 Doctor of Pharmacy University of Florida College of Pharmacy,Gainesville, FL Bachelor in Science, Food Science and Human Nutrition University of Florida, Gainesville, FL FL License Number: PS45039 (active) (gArvr10fl2(g Board Certified Oncology Pharmacist (BCOP), Board of Pharmacy Specialties Board Certified Pharmacotherapy Specialist (BCPS), Board of Pharmacy Specialties OSHA's Bloodborne Pathogens and Biomedical Waste Training, University of Miami Biological Safety Training, University of Miami Collaborative Institutional Training Initiative (CITI), University of Miami Immunization Certification, American Society of Health -System Pharmacists International Pharmacy, University of Florida College of Pharmacy EXPERIENCE May 2018 — Present em/Onc Clinical Research Pharmacist Sylvester Cancer Center, Miami, FL • Created and actively manage the investigational preparation reference Hsi for the IV room • Create and update order sets and data sheets for new studies and protocol amendments • Actively involved as a contributing member of the data safety and institutional review board • Ensure research clinic is in compliance with hospital policies, state and federal regulations, and joint commission standards. • Provide direct patient care services through counseling and education. • Established the first clinical pharmacy services for the phase 1 clinic. • Provide therapeutic recommendations to the clinical team in alignment with guidelines of each protocol. • Advise principal investigators on proper dosing and prescribing investigational products. • Participate in beacon validation meetings for orderset review and approval process. • Provide comprehensive drug profile review for drug interactions, contraindications, and inappropriate therapeutic regimens. Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobelQq miami.edu Phone; 305-469-0259 • Actively participate in programs to improve research performance. Aug 2015 — Present Adjunct Faculty, Miami -Dade Medical College Physician Assistant Program Miami, FL • Collaborate with faculty and administrators to improve pharmacy related content and delivery in various courses • Tutor physician assistant students on pharmacology and pharmacotherapy topics • Create and provide lectures, incorporating active learning strategies such as discussions and team based learning Feb 2015 —Apr 2018 Research Pharmacist, Sylvester Cancer Center, Miami, FL • Collaborate with research study groups in developing pharmacy manuals for investigational products • Educate nursing staff on proper administration and compatibility for novel investigational products. • Provided new employee orientation and tour to incoming clinical research staff members • Prepare, label, and dispense investigational products and maintain related regulatory documentation • Dispense research medications in compliance with individual sponsor study protocols • Provide various pharmacotherapy services for special populations, including pediatrics and oncology • Ensure documentation and logging procedures are accurate and adhere to regulatory standards • Ensure compliance of research protocols and standard operating procedures within the IV room • Educate IV room personnel on preparation methods for novel investigational products • Developed and present a monthly error log as a process improvement procedure July 2009 — Dec 2016 I Pharmacist, CVS, Miami Beach, FL • Advise prescribers on proper choice of medication therapy, dosing, and clarification of prescriptions • Actively counsel and address medication related concerns of patients, including special populations such as pediatrics, geriatrics, and pregnant women • Manage technician team and maintain control of medication inventory • Interact with patients via multiple forms of communication to ensure quality care • Provide immunization services June 2012 — Feb 2015 Pharmacy Educator, Sylvester Cancer Center, Miami, FL • Educated pharmacy staff on policies and new procedures within the department • Updated staff on proper tubing and priming techniques for research and chemotherapy medications • Educated on the proper techniques of dispensing and packaging medications • Reviewed and updated the hematology/oncology IV reference list of medications • Created and managed the fust electronic pharmacy workbook through SharePoint drive • Designed competencies based on educational needs of the department • Provided new employee orientation and training within each division of the pharmacy department Aug 2010 —Feb 2015 Hematology/Oncology Pharmacist, Sylvester Cancer Center, Miami, FL • Provided specialized chemotherapy, stem cell transplant, ICU, and internal medicine services • Actively involved in executing clinical research protocols for novel chemotherapy treatment • Ensured compliance of research protocols and standard operating procedures within the IV room •Served as an alternate pharmacist for the pediatric hematology/oncology clinic • Reviewed treatment plans, monitored labs, and performed chemotherapy dosing calculations • Ensured safety and appropriateness of pediatric hematology -oncology chemotherapy regimens • Compounded patient specific TPNs and IV admixtures while utilizing aseptic technique • Worked closely with Beacon and Epic IT teams to streamline and validate order entry procedures • Participated in code blue and rapid response teams • Provided cost containment by obtaining approval and reimbursement for high cost medications 2 el W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu Phone: 305-469-0259 Aug 2011 — Aug 2012 Independent Contractor, Natural Standard Medical Publisher, Somerville, Massachusetts • Contributing author and peer reviewer • Collected and interpreted monographs, statistical reports, and protocol summaries to author articles May 2007 — Aug 2007 Pharmacy Intern, Shands Hospital, University of Florida, Gainesville, FL • Assisted the research pharmacy with proper labeling, inventory control, and record keeping activities • Prepared and processed regulatory documents and adverse event reporting for the IRB and corresponding regulatory bodies • Calculated, designed, and prepared total parenteral nutrition based on patient parameters • Engaged in administrative responsibilities and oversaw implementation of new satellite pharmacy May 2003 — Dec 2003 Pharmacy Assistant, Parkshore Pharmacy, Miami, FL • Facilitated and assured quality of unit -dose packaging for patients of long term care facilities EDUCATION TOOLS AND ASSESSMENT DEVELOPMENT Feb 2015 Calculations, Hem-Onc, and USP 797 competencies for pharmacists & technicians Jan 2015 Competency and training video for proper laminar clean hood technique Oct 2014 — Feb 2015 Rapid response & code blue tip sheet for pharmacists Sep 2014 — Feb 2015 Chemotherapy & biological fluid compatibility & proper tubing chart for the IV room April 2014 — Feb 2015 New unit -dose packaging software training for pharmacists and technicians March 2014 Provided Intellidose training for new pharmacists Feb 2013 — Feb 2015 SharePoint Database: Useful Web links, References, and Guidelines for Pharmacy Personnel Jan 2014 — Feb 2015 Developed and maintain the electronic welcome package booklet for new employees Dec 2012- Feb 2015 iForm Updates and Maintenance for the Pharmacy Department June 2013 iForm Software Training for Technicians: Main Pharmacy Inspections Feb 2013 iForm Software Training for Pharmacist: Unit Inspection Areas Jan 2013 Correct Medication Order Practices and Clarifications for Intern Residents Oct 2012 IV Electrolyte Hydration and Calculations Pharmacist and Technician Competency Oct 2012 USP 797 Pharmacist and Pharmacy Technician TraHing Aug 2012 Joint Cotrunission Readiness Education QUALITY AND PERFORMANCE IMPROVEMENT PROJECTS Oct 2017 — Present Investigational Drug Services Error Log July 2017 — Present nvestigational Product Dilution and IV Priming List for Main Pharmacy April 2016 Residency Program Description for IDS rotation Jan 2015 IV room viable air and surface cultures spreadsheets PRESENTATIONS ((FORMAL LECTURES) Feb 2018- Present Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Jan 2017 Miami FL, 33136 Email: dnobel@miami.edu Nov 2012 Phone: 305-469-0259 Nov 2014 — Jan 2015 E-FORCSE (Electronic -Florida Online Reporting of Controlled Substance Evaluation) pharmacist education and training Jan — June 2014 Team leader for organization and execution of medication validations for Epic upgrade April 2014 Chemotherapy and Standard IV Concentration Updates Dec 2013 — Feb 2015 IV Room Updates and Standardization Dec 2013 Standardization of Chemotherapy Scheduling with CTU Leadership Nov 2013 Order Entry Validations for the Updated Epic System March 2013 New Pharmacy Employee Training Checklist Feb 2013 Docetaxel IV Preparation Procedures for IV Room Pharmacists Nov 2012 Shelf Life and In -use Expiration Dates for Bulk Liquids and Unit Dose Packaging Standards Oct 2012 Update: IV Room Policy and Garbing Standards PRESENTATIONS ((FORMAL LECTURES) Feb 2018- Present Introduction to Investigational Drug Services (Research Pharmacy Slides) Present to new employees of the clinical research services at the University of Miami Jan 2017 The Art of Writing Prescriptions Presented to Physician Assistant 2nd year students at Miami Dade Medical College Nov 2012 Natural Medicine: Understanding Product Development and Application to Patient Safety Presented to University of Miami faculty and health care practitioners iCamp, Integrative and Complementary Medicine Pxacticum Jan 2012 ifferences Between Thymoglobulin and ATGAM Medications Presented to University of Miami pharmacists and technicians Department of Pharmacy at Sylvester Cancer Center April 2009 3steoporosis Overview and Available Treatment Options resented to College of Pharmacy faculty and students niversity of Florida, Jacksonville, FL Jan 2009 CCP: CHEST Updates in Clinical Practice Guidelines resented to clinical pharmacist and pharmacy student hands Hospital at the University of Florida, Gainesville, FL Nov 2008 tmcmre of Pharmacy Practice and Pharmacy Education Curriculum in The United States resented to clinical faculty, pharmacy students, and preceptors niversitat de Barcelona, Barcelona, Spain Aug 2008 tiretroviral Agents and Treatment Options for Kaposi's Sarcoma resented to clinical pharmacists, residents, and students apartment of pharmacy at Jackson Memorial Hospital, Miami, FL 0 aniel W. Nobel, Pharm.D., BCOP, BCPS July 2013 1475 NW 12th Ave. Suite 2080a May 2013 Miami FL, 33136 May 2013 Email: dnobel@miami.edu April 2013 Phone: 305-469-0259 Aug 2008 Raltegravir with Optimized Background Therapy for Resistant HIV-1 Infections Presented to clinical pharmacists, March 2013 residents, and students Department of pharmacy at Jackson Memorial Hospital, Miami, FL May 2008 Patient Case Presentation: Diabetes Mellitus Type II Dec 2012 Presented to clinical pharmacists and pharmacy students Nov 2012 Department of pharmacy at Memorial Hospital, Jacksonville, FL April 2008 Management of Chronic Obstructive Pulmonary Disease Sept 2012 Presented to clinical pharmacists and pharmacy students Department of pharmacy at Memorial Hospital, Jacksonville, FL PRESENTATIONS IN-SERVrt'Fci July 2013 Uchart: New Order Entry Process May 2013 Uchart: Renal Dosing Interventions May 2013 Utilization of SharePoint Electronic Pharmacy Workbook April 2013 Uchart: Epic Upgrade March 2013 New Pyxis Items and Order Entry March 2013 Dilutions and Concentrations for Chemotherapy and Biological Medications Jan 2013 echnician Job Description Policy Dec 2012 chart: MAR Access Nov 2012 chart: Charging Vaccinations June 2012 arivax®/Zostavax® Vaccines: Look Alike Sound Alike Sept 2012 echnician License Renewal Requirement PUBLICATIONS Fall 2011 �ahnoncllosis and Reptiles Consumer Monograph I atural Standard Research Collaboration, Cambridge, MA. LEADERSHIP: COMMITTEEM INOVLEMENT Jun 2017 — Present Health Advisory Committee, Miami Beach, FL Sep 2016 — Present University of Miami Central IRB member, Miami, FL April 2016 — Present E Kperiential Education Committee: Preceptor Advisory Board Larkin College of Pharmacy, Miami, FL Feb 2015 — Present UI iversity of Miami Data Safety Monitor Committee Content Expert, Miami, FL Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu Phone: 305-469-0259 Nov 2015 — Present University of Miami Preceptor Advisory Committee, Miami, FL Nov 2015 —June 2017 University of Miami Protocol Review Committee, Miami, FL Sep 2012 — Oct 2014 University of Miami Nutritional Advisory Committee, Miami, FL PROFESSIONAL SI RVICE AND ACTIVITIES Mar 2018 Nova Southeastern University 2018 Future Summit, Davie, FL Feb 2018 AAHRPP Reaccreditation Site Visit Interview for University of Miami, Miami, FL Oct 2017 Judge for Local ASHP Larkin University Clinical Skills Competition, Miami, FL Jan 2017 — Present Preceptor for Larkin College of Pharmacy, Miami, FL April 2016 - Present Annual ACPE Accreditation Interview for Larkin University, Miami, FL Feb 2016 — Present roast Masters, Miami, FL Sep 2015 — Present Preceptor for Nova Southeastern College of Pharmacy, Miarr, FL Dec 2016 Larkin Community Outreach Patient Education Fair, Hialeah, FL Aug 2016 Career Panel (IDS Introduction) at Larkin College of Pharmacy, Miami, FL April 2014 —April 2015taff Relief Research Pharmacist, UM AIDS Clinical Research Unit, Miami, FL Sep 2013 11 ��M-IRB Expert Consultant for a Randomized, Double -Blind, Placebo -Controlled Study, i ;ami, FL May 2012 eighborhood Leader, Miam Beach City Hall Leadership Academy, Miami Beach, FL March 2008 nternational Studies Outreach Chair, University of Florida, Gainesville, FL May 2004 —June 2005 Chairman of Fund Raising, Pre -Pharmacy Society, University of Florida, Gainesville, FL PROFESSIONAL Nov 2017 iamiLeukemia Symposium, Miami, FL March 2017 ylvester Cancer Center Retreat, Miami, FL Jan 2017 iami Cancer Meeting, Miami, FL Daniel W. Nobel, Pharm.D., BCOP, BCPS 1475 NW 12th Ave. Suite 2080a Miami FL, 33136 Email: dnobel@miami.edu Phone: 305-469-0259 Jan 2014 Miami Cancer Meeting, Miami, FL July 2012 — Jan 2014 University of Miami Clinical Nutrition Seminars, Miami, FL April 2013 Clinical Nutrition Assessment Conference, Miami, FL March 2012 Initial Consultant Pharmacy Licensure at Nova Southeastern University, Davie, FL April 2012 Clinical Nutrition Assessment Conference, Miami, FL Jan 2011 Miami Cancer Meeting, Miami, FL INTERNATIONAL OUTREACH SERVICE April 2008 Project Heal, Interdisciplinary International Clinical Outreach, Ecuador PROFESSIONAL June 2015 — Present Hematology/ Oncology Pharmacy Association June 2012 — Present American College of Clinical Pharmacy April 2008 — Present Florida Society of Health System Pharmacists Sep 2005 — Jan 2010 American Society of Health System Pharmacists Aug 2005 — Jan 2009 American Pharmacist Association Academy of Student Pharmacists May 2004 —June 2005 Pre -Pharmacy Society DOCTORATE OF P_ ARMACY, ADVANCED PHARMACY PRACTICE EXPERIENCES (APPE) March 2008 — Feb 2009 Ambulatory Care, Shands Hospital at the University of Florida Preceptor: Karen Sando, PharmD ntetnational Foreign Study, Universitat de Barcelona Preceptor: Douglas Ried, PharmD IV/ Infectious Disease, Jackson Memorial Hospital Preceptor: Nafessa Chin -Beckford, PharmD eriatrics OmmCare Preceptor: Brian Wolstenholm, PharmD, CPh ommunity Pharmacy, Walgreens Preceptor: Bob Bibliowicz, BPhartn Adult Medicine, Memorial Hospital, Preceptor: Jamie Snider, PharmD Foreign Study, Project Heal, Ecuador, Preceptor: Doug Ried, PhartnD REFERENCES AVAILABLE UPON REQUEST 7 w U Z 9 M 2 co tI� -4 �wI--. 0LLG LL LL 0wQ w ca w aW LL. 00 z Q. +V3 r_ 0 V U Q r a a ( EID C " _a !L rn �, CO m w LLJ m LLI LL � N N C3 LIJ ... ©... rry Lil U)LU w J < ti LU LW a N O ) M p cn Cu Q N LU W Z CpLLJ .� c'! C? p Q C%4 Q En LL Q W i]J Z Z w a a F-