Veterans Affairs, Veterans Health Administration Pharmacist-Clinical Specialist in Lawton, Oklahoma
Summary The Clinical Pharmacist Practitioner (CPP), PACT is a representative of pharmacy service who will work closely with the Ambulatory CAre Service and thier Assigned primary care teams.. The incumbent functions to provide for the pharmacotherapeutic needs of the patients. To fulfill these obligations, the incumbent has a comprehensive scope of practice, which includes prescriptive authority, monitoring drug therapy, ordering laboratory tests, and other specified clinical functions. Responsibilities Serves as an authoritative information source on drugs and their appropriate uses. Interfaces with physicians and other health care professionals in the care of patients to achieve rational, cost-effective drug therapy. Designs therapeutic plans, including the choice of medication, dosage, and therapeutic endpoints, based on patient specific information available from the medical record, patient or his representative, and physician using accepted pharmacokinetic concepts and pharmacodynamic principles. With approved clinical privileges and under the appropriate supervision of a physician, assumes limited authority to direct drug therapy and order laboratory tests as indicated to monitor drug therapy. Evaluates the drug literature to compare and contrast therapeutic regimens. Recognizes the important medical problems, disease states, symptoms, and abnormal findings which may necessitate alteration of drug therapy or which may be induced by drug therapy when given a verbal or written patient presentation of symptoms, signs, laboratory tests, and diagnoses. Establishes and expands the patient data base through interpretation of medication history, physical examination, and ongoing patient specific monitoring of drug therapy; and documents this information in the formal patient medical record. Serves as a liaison for pharmacy service. Assesses and provides for the educational needs of the patient and family to help ensure that pharmaceutical outcome goals are met. Provides specialized education and training support to other professional services in the broad area of advanced pharmacotherapeutics. This may include medical students or medical residents. Serves as a clinical resource in the broad area of medication use in patients. Supervises undergraduate and graduate pharmacy students on assigned rotations if assigned. Serves as a preceptor for post-Pharm.D. residents and/or fellows. This includes the design, implementation, and supervision of a clinical education and training learning experience in acute care/internal medicine for PGY1 pharmacy residents. Designs and supervises implementation of interdisciplinary programs in education, training, and clinical practice with pharmacy, medical, dental, nursing, and research services. Performs in-service training as scheduled. (Assures the accuracy and appropriateness of drug dispensing and compounding of medications based on patient history and medication profile review. This includes data entry into the computer, screening orders for drug-drug and drug-food interactions, dosing errors, allergies, incompatibilities, contraindications, formulary availability and final verification of the order. Consults with other health care professionals (i.e., physicians, nurses, dietitians, etc.) when necessary in all areas (i.e., Outpatient, Unit Dose, IV Admixtures, Ward Stock Pharmacy Services, CBOCs, State Veterans Centers, etc.) Consults with patients and medical center staff whenever there are questions concerning therapeutic or policy matters regarding outpatient prescriptions and inpatient physician orders. Provides quality control analysis of dispensing activities of automated dispensing equipment and pharmacy technicians. Utilizes innovative and creative procedures to implement cost containment. Plans work and helps set priorities for the pharmaceutical care services and works with the Associate Chief, Clinical Pharmacy/Education and Program Managers of Primary Care and Inpatient Care to determine associate's clinical activities. Maintains an effective liaison with staff members of all professional disciplines and services for consultation regarding drugs, pharmaceutical problems, and pharmacy operating policies and procedures and works with the clinical coordinator and pharmacy supervisors to change procedures when necessary. Routinely informs the Associate Chief, Clinical Pharmacy/Education and Program Managers of Primary Care and Inpatient Care of any problems concerning the cost impact of changing prescribing patterns and offers recommendations to correct these problems to pharmacy and medical center administration. Coordinates and performs selected drug utilization evaluations at the request of the Pharmacy and Therapeutics (P&T) Committee. Serves as an active member of the medical center's committees as requested. Evaluates and documents reported adverse drug effects associated with patients being seen. Contributes to clinical pharmacy section, pharmacy service, or facility initiatives targeting quality assurance, quality improvement, cost containment, or other foci. Work Schedule: Monday-Friday 7:30am-4pm Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Pharmacist-Clinical Specialist/PD000000 Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications If you are current federal employee be sure to apply to this announcement CBSU-11347485-22-LML * Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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:(1) 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. OR 2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy GraduateEquivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). Licensure. 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 May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations For GS-13 Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. 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. Clinical Pharmacy 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 ands 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 of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs: a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience : PGY 1 residency, PGY2 residency in Ambulatory Care, experience in ambulatory care pharmacy practice References: VA HANDBOOK 5005/55 PART II APPENDIX G15 Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves: Must be in overall good health. The work requires standing, walking, moderate lifting and carrying of items. The work also requires the use of fingers, the ability to read without strain (far vision correctable in one eye to 20/20 and 20/40 in the other), and the ability to hear (aid permitted). 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. 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. As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required exception from this requirement using the reasonable accommodation process. 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.