This position plans and provides clinical pharmacy care in oncology/hematology areas throughout the medical center; works with other pharmacists and practitioners to provide comprehensive clinical and educational services, precepts residents and students on clinical rotation for inpatient and/or outpatient Oncology/Hematology; prepares chemotherapy; coordinates handling of investigational drugs. 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. 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.) (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). 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. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. (b) 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 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: 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. References: VA HANDBOOK 5005/55 PART II APPENDIX G15 ["VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws Plans and provides patient related clinical pharmacy and drug information services in inpatient and outpatient oncology/hematology areas and takes responsible and appropriate actions to promote optimum, most cost effective, drug therapy. Functions under a scope of practice consistent with skills, training, and education, and consistent with the pharmaceutical care needs in oncology/hematology. Reviews patient profile for appropriateness, duplication, drug/drug and drug/food interactions, incompatibilities, or other drug related problems, and either makes appropriate changes to patient's medications or recommends change to the provider who is seeing the patient. Evaluates physician's orders as to appropriateness and contacts the provider for recommendations to optimize therapy and follow medical center standards. Completes order entry in computer system. Prepares and dispenses chemotherapy and adjunct pre-medications in accordance with requirements for hazardous and non-hazardous medication requirements including but not limited to Equashield system. Precepts Pharmacy residents and students as assigned. Provides in-service education programs to pharmacists, nurses, medical students, and other health care professionals. Completes training as necessary for becoming more knowledgeable in areas of clinical pharmacy, research, or quality improvement projects. Designs, develops, and participates in programs to evaluate the quality and/or impact of services in the oncology/hematology area. This includes conversion/cost-saving initiatives, new drug request reviews, policy revision, order set/protocol changes, and participating in medication use evaluation (MUE). Completes training as necessary for becoming more knowledgeable in areas of hazardous compounding specifically regarding accrediting agencies and best practice guidelines put forth such as Joint Commission and USP standards. Participates in monthly chemotherapy meetings and quality assurance goals for sterile compounding compliance. Supports, and participates in relevant research efforts of the Medical Center and health care personnel where feasible and within the realm of his/her clinical interests. Designs or participates in research studies involving drug therapy or clinical pharmacy functions within the realm of his/her practice. Coordinates the receiving, storing, and dispensing of investigational drugs for current research studies at the medical center. Work Schedule: Monday - Friday, 8:00am - 4:30pm, with rotating weekends.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 92025-A\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial 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.