Veterans Affairs, Veterans Health Administration Pharmacist(Clinical Spec) in Coatesville, Pennsylvania
Summary The CPS functions at the highest level of clinical pharmacy practice to provide evidence-based pharmaceutical care to patients. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing best evidence, most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, etc. Responsibilities A. Clinical 1. Functions independently under an individual scope of practice as attached and defined by the health care system for selected disease states with comprehensive medication management to provide pharmaceutical care to patients. This includes but is not limited to the design, implementation, and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. 2. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. 3. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. 4. Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. 5. Applies knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities. 6. Has expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings. 7. Performs patient care activities in working directly or indirectly with the health care team and patient encompassing a variety of modalities and professional responsibilities. 8. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. 9. Serves as the primary provider to consult to other VA providers in practice area on the appropriate Veterans Affairs National Formulary (VANF) medications to consider for patients that are choosing to transfer their care to VA or during transitions of care 10. Reviews literature routinely to provide an evaluation of efficacy, safety, and cost-effectiveness for routine patient care and projects as assigned. Maintains a current knowledge of therapeutics and disease management. Assists with medication use evaluations and other Pharmacy and Therapeutics activities. 11. Documents clinical interventions in a timely and professional manner as appropriate. 12. Promotes and monitors compliance for established drug therapy policies. 13. Works with providers to ensure compliance with national, VISN, and local initiatives. 14. Serves on medical center and/or VISN committees as requested. B. Education and Research 1. Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other medical center personnel as required. 2. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess and document patient comprehension. Is able to refer patients to educational programs provided at the medical center by multidisciplinary teams. 3. Is skilled at using both written and verbal communication techniques in teaching others. 4. Serves as preceptor for pharmacy students and pharmacy residents in accordance with established protocols. Supervises projects as required by pharmacy residents and students 5. Assists in new employee orientation sessions as scheduled. 6. Assists in the development of proposals for improved and/or new clinical pharmacy services. 7. May assist is designing and completing research studies involving clinical pharmacist functions, quality assurance, drug use evaluations, or pharmacotherapy C. Drug Information 1. Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information. 2. Has a good working knowledge of information resources, both written and electronic. 3. Maintains a current knowledge of therapeutics and disease management. D. Program Management 1. Assists in the operations of the other areas of the Pharmacy Service Line including distribution and clinical work in other areas (e.g. medication order review and verification, relief help in other clinics or pharmacies as needed) 2. Ensure timely completion of all position pre-requisites and requirements as established by CVAMC, VISN 4, and the Veterans Health Administration (VHA). (e.g. documentation of licensure, education hours, mandatory training, unsigned notes) 3. Supervisory responsibilities: Responsible for guidance and direction of staff members as needed by circumstance Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m., with some evenings, weekends, and holidays. Financial Disclosure Report: Not required *THIS IS A BARGAINING UNIT POSITION** Requirements Conditions of Employment Qualifications 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 is required. 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/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) Licensure: As a Clinical Pharmacy Specialist you must hold a 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. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: GS-13 Clinical Pharmacist Specialist The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs: (1) Ability to communicate orally and in writing to persuade and influence clinical and management decisions. (2) Expert understanding of regulatory and quality standards for their program area. (3) Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. (4) Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. (5) Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Assignments: Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. References: VA Handbook 5005/55 Part II Appendix G15 The full performance level of this vacancy is GS-13. Physical Requirements: Applicants must be able to distinguish basic colors. Sitting/standing/bending and some light lifting will be a daily requirement. There may be prolonged periods of computer use including reading/typing/printing. Moderate lifting, 15-44 lbs.; moderate carrying, 15-44 lbs.; reaching above shoulders; use of fingers; both hands required; walking up to 3 hours/day; standing up to 6 hours/day; near vision correctable at 13' to 16" to Jaeger 1 to 4; ability to read printed materials; ability to distinguish colors; emotional stability. Education IMPORTANT: A legible 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 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 view the following link for information regarding an Alternate Application.