Veterans Affairs, Veterans Health Administration Clinical Pharmacist in Spokane, Washington
Summary INCENTIVES NOT AUTHORIZED The clinical pharmacist is a licensed professional with knowledge and proficiency in pharmacy practice. The primary responsibility is to manage pharmacy operations for the Intensive Care Unit (ICU), Urgent Care Clinic (UCC), and Acute Care Units during the after-hours period Sunday through Saturday. The incumbent is responsible for analyzing real/potential drug-related medical problems and implementing corrective action ensuring patients receive optimal drug therapy. Responsibilities The duties of the Clinical Pharmacist include but are not limited to: ICU/UCC/Inpatient Finishing and Dispensing: Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing. Ensures all medication orders are entered into the electronic patient medical record. Manages various actions, as appropriate, for medication orders to include verifying orders; intervening on orders; using the order reject function; generating unsigned discontinuation orders using PowerChart; and voiding orders. Fills all orders within the expected timeframe for each order type: Performs review of the patient's allergy history, drug-drug, drug-nutrient, drug-laboratory and drug-disease state interactions with assessment for clinical relevance performed and addressed appropriately. Reviews medication profiles and monitors for compliance or potential abuse; pursues mediation and resolution when problems are identified. Selects, compounds, dispenses and fills a range of drugs including extemporaneous preparations, special formulations, ophthalmic preparations, (subconjunctival and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas - adequate quality assurance procedures shall be followed as applicable. Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment. Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations. Completes all IV section compounding and assumes all duties of that position as required, including the compounding of chemotherapy and hyper alimentation. Executes the unit dose medication management systems in the medical center and CLC as required for after-hours medication provision. Maintains a working knowledge of applicable inpatient pharmacy automation programs (e.g. TCG-Rx, Omnicell) as needed. Clinical Duties: The pharmacist provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitors for efficacy, side effects and clinical outcome; and advises prescribers as appropriate. Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient orally and /or 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 Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects Performs continuous evaluation of prescribed medications to assure optimal drug therapy. Assesses drug safety and efficacy, including evaluation of physical symptoms as reported, with recommendations provided to the healthcare provider in charge of the patient. Provides medication counseling to patients, during admission as needed, and during discharge as outlined in the Pharmacist Competency Assessment. Coordinates continuity of pharmaceutical care from Inpatient to Ambulatory Care; acts as a liaison between Inpatient Pharmacy Service and the Outpatient Pharmacy Service during admission, hospitalization and discharge. Enters supply orders appropriate for patient care in coordination with the healthcare provider in charge of the patient, in accordance with VA medical facility policy. Performs medication reconciliation at all transitions of care, including updating the medication profile to reflect an accurate, active list of VA and non-VA medications - this may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking. Documents all patient care activities in EHR (e.g. consults results; medication reconciliation; discharge counseling). Outpatient Enters and processes Care in the Community prescriptions timely, accurately, and completely. Finishes prescriptions while screening all patient profiles for therapeutic duplication, formulary compliance, allergies, drug-drug, and drug disease and drug-food interactions in addition to other tasks assigned daily. Fills controlled substances prescriptions while complying with all DEA, VHA and local facility regulations and policies. Takes various actions, as appropriate, for medication orders to include: verifying orders; intervening on orders; and discontinuing appropriate orders using PowerChart. Work Schedule: Sunday-Saturday: 7:00pm to 7:30am; 7 on 7 off Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Clinical Pharmacist/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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. 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/. (COPY OF TRANSCRIPT IS REQUIRED) (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 Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). (COPY OF TRANSCRIPT IS REQUIRED) 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. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. (COPY OF LICENSE REQUIRED) 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: GS-11: Experience, Education, and Licensure. None beyond the basic requirements. Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed. GS-12: Experience or Education: In addition to the basic requirements, candidates must meet one of the following: 1 year of experience equivalent to the next lower grade level (GS-11) OR Completion of an ACPE-accredited Pharm.D. program. (COPY OF TRANSCRIPT REQUIRED) Clinical Pharmacist: A pharmacist in this assignment handles routine medication-related activities in accordance with local, Veterans Integrated Service Network (VISN), and national policies and regulations. These include, but are not limited to: 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, nonformulary 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 experience listed, Pharmacists assigned to this position must demonstrate the following KSAs: 1. Knowledge of professional pharmacy practice. 2. Ability to communicate orally and in writing to both patients and health care staff. 3. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. 4. 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, June 7, 2012 The full performance level of this vacancy is GS-12. Physical Requirements: Light lifting/carrying (under 15 lbs), reaching above shoulder, use of fingers, walking, repeated bending, hearing (aid permitted). Working closely with others and working alone. 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.