If you are a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-11299221-22-AK. The primary function of a Clinical Pharmacy Specialist is to assure the safe and appropriate use of medications, be an advocate of rational drug therapy through the following: evaluation of the appropriateness of drug therapy based on patient specific factors; individualization of drug therapy; evaluation, dispensing, providing medications, and drug information. The duties of the Clinical Pharmacy Specialist in the Pharmacy Service include but not limited to: Clinical 1. The CPS provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitoring for efficacy, side effects and clinical outcome; and advises prescribers as appropriate. The CPS will provide these services while functioning under a Pharmacy Ambulatory Care Scope of Practice or a Pharmacy Inpatient Scope of Practice. The Scope of Practice for a CPS must allow for initiation, modification, and discontinuation of medications based on the principles previously listed. 2. Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient both orally and in writing. Monitoring will include prospective review and intervention in: Therapeutic appropriateness of a patient's drug regimen Therapeutic duplication in the patient's drug regimen Appropriateness of the route and method of administration Degree of patient compliance with the prescribed drug regimen Drug-drug, drug-food, drug-laboratory, or drug disease interactions Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects 3. Performs continuous evaluation of prescribed medications to assure optimal drug therapy. 4. Provides medication counseling to patients. 5. Completes medication histories including patient interviews. 6. Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers. 7. Evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies. 8. Assesses drug safety and efficacy, including evaluation of physical symptoms. 9. Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program. 10. Participates in the medical center Medication Utilization Evaluation (MUE) program. 11. Recommends formulary alternatives and completes non-formulary consults as assigned. 12. Maintain current BLS or ACLS certification. 13. Provides routine pharmacokinetic consultation, including dosing vancomycin and aminoglycosides as assigned. 14. Provides routine clinical pharmacy consultation, including renal dosing, TPN and anticoagulation monitoring as assigned. 15. Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education. 16. Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule. 17. Enters supply orders appropriate for patient care per facility policy. 18. Manages various actions, as appropriate, for medication orders to include: flagging prescriptions, managing view alerts, using the "hold medication" function, and generating unsigned discontinued orders using Service Reject. 19. Serves as a role model and preceptor to pharmacy students and residents. 20. Assumes an active role in staff development of peers and provides educational in-services to pharmacy, nursing, medical staff or to other ancillary services. Dispensing 1. Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing. 2. Ensures all medication orders are entered into the electronic patient medical record. 3. Fills all orders in a timely fashion; review of the patient's allergy history, drug-drug, drugnutrient, drug-laboratory and drug-disease state interactions and assessment for clinical relevance should be performed and dealt with appropriately. 4. Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved. 5. Selects, compounds, admixes, dispenses and fills a range of drugs which may include IV Admixtures, extemporaneous preparations, special formulations, ophthalmics (subconjunctivals and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas. Adequate quality assurance procedures shall be followed as applicable. 6. Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment. Work Schedule: Monday - Friday, 8:00a - 4:30p, hours may vary to include nights, weekends and holidays Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position. Position Title/Functional Statement #:CLINICAL PHARMACY SPECIALIST (Mental Health)/PD000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.