Veterans Affairs, Veterans Health Administration Clinical Pharmacist in Buffalo, New York
Summary The Clinical Pharmacist provides distributive and clinical Pharmacy support service to primary care, medicine, surgery and specialty clinics within the VAWNYHS. The scope of practice of the CP covers direct and indirect patient care, drug therapy monitoring, quality assurance/improvement, staff/patient education and consultation. Responsibilities The Clinical Pharmacist serves a multi-functional role and is specially prepared by education and experience to have an advanced knowledge of pharmacology, pharmacokinetics, pharmacodynamics, and pharmacotherapeutics. The Clinical Pharmacist spend a significant amount of time in the distributive and clinical areas of practice within the facility. These areas include, but are not limited to: medication processing and distribution, informational technologies, drug information and medication reconciliation. Distributive: Fills medication orders by selecting the correct drug and dosage form, reducing the drug from bulk to the quantity prescribed, compounding when necessary, then packaging and labeling the drug in an appropriate manner. Responsible for the dispensing of drugs, especially controlled substances, investigational and cytotoxic drugs, to assure that legal and agency regulations and instructions are followed, that proper and complete recordkeeping is maintained, and that the drug storage areas are stocked, safe, and secure. Reviews the patient medication profile prior to dispensing drugs and medications to ensure safe and appropriate medication use. Responsible for special formulations, and for extemporaneous compounding of routine and special medications requiring complex compounding procedures. Initiates medication orders for patients per approved protocol, established guidelines or provider consultation. Responsible for providing care in inpatient or other areas as required to meet patient care needs and to maintain competence in those areas of pharmacy practice. Clinical Duties: Identifies drug-induced problems that may be affecting the patient, takes appropriate steps to manage these problems and/or communicates these findings to his/her primary provider (includes drug side effects, allergic reactions, toxicities, dosage regimens, and non-compliance concerns). Reviews and recommends therapeutic care plans utilizing the most effective, least toxic, and most economical medication treatments, recognizing the special drug considerations of the age and stage of life for the patient, and communicates this plan to the patient's primary provider. Monitors patient profiles and ensures information is correct and up-to-date. This may include addition of or correction of documented allergies/ADRs, addition of or discontinuation of non-VA medications and discontinuation of orders per current scope of practice. Applies pharmacokinetics, using rate order equations as appropriate to assess serum levels using volumes of distribution and/or renal and hepatic clearances and to make recommendations when necessary. Analyzes laboratory, imaging and clinical data so as to make recommendations for modifying drug dosing when necessary in an effective manner and to rule out drug interferences or interactions. Makes suggestions to aid in the selection of alternate medications in cases where the initially selected plan fails to achieve the desired therapeutic result, are not available or when a more cost-effective approach appears appropriate. Applies the VISN2 auto-substitution protocols where indicated. Communicates this information to the patient's primary provider. Conducts drug usage evaluations, and monthly reviews of drug regimens for long term care patients/residents in accordance with medical center/pharmacy policy and JCAHO standards. Education: Assists in the orientation and training of new pharmacy employees, pharmacy residents, pharmacy students, medical residents, medical students, attending providers and pharmacy volunteers. Functions as a consultant to the medical staff on pharmacotherapeutics, pharmacokinetics, and toxicology via effective written and oral communication. Facilitates clinical portions of preceptorship programs for pharmacy interns and externs. Performs in-service training to pharmacy, medicine, nursing, and other disciplines as scheduled. Quality Assurance and Improvement: Participates in the DUE/MUE process by assisting in; determination of problem areas, criteria development, analysis and follow-up as deemed appropriate; e.g., education, review, etc. Documents all patient-centered workload according to current VISN2 Pharmacy guidelines. Research: Dispenses investigational and research drugs to inpatients and outpatients as required in accordance with VA policy. Participates in pharmacy research to optimize operational efficiency; e.g., in the testing of new VISTA/CPRS or other software, use of pharmacy technicians in functions formerly provided by pharmacists, etc. Work Schedule: Rotating tours including some nights and weekends Telework: Available Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/30/2021. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/. License: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. English Language Proficiency. Pharmacists must be proficient in spoken and written English. Grade Determinations: One year of specialized experience equivalent to the next lower grade (GS-11). Examples of Specialized experience include: reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; contacting providers as appropriate; documenting recommendations and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, non-formulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. In addition to the specialized experience, pharmacists assigned to this position must demonstrate the following KSAs: Knowledge of professional pharmacy practice Ability to communicate orally and in writing to both patients and health care staff Knowledge of laws, regulations and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters References: VA Handbook 5005/55 Part II, Appendix G15. Pharmacist Qualification Standard. The full performance level of this vacancy is GS 12. Physical Requirements: Employees are expected to work 40 hours per week. This includes nights, weekends and/or holidays as assigned. Mandating to cover other shifts may occur resulting in exceeding a 40-hour week but compensated via overtime or compensatory time at the employee's discretion. Work demands include standing, walking, stooping, kneeling, bending, twisting, repetitive use of hands and fingers, carrying light loads (up to 50 lbs.) and pushing/pulling large/heavy carts. Normal ranges of hearing and vision are required to perform work and communicate effectively, must have the visual ability to distinguish between basic colors and shades of color as well as small font (tablet imprints, expiration dates, lot numbers etc.) Work demands the ability to perform tasks requiring rapid mental and muscular coordination functions simultaneously if necessary. Must be physically capable of operating various types of equipment used for the job. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.