This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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: 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. 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. 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 Pharmacy Specialist: Experience/ Residency and Fellowship Training: Experience: In addition to the basic requirements, candidates must have 1 year of experience equivalent to the next lower grade Examples 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. OR Residency and Fellowship Training: Residency and fellowship training programs in a specialized area of clinical pharmacy practice may be substituted for creditable experience on a year-for-year basis. The pharmacy residency program must be accredited by the American Society of Health-System Pharmacists (ASHP). A fellowship program that is not accredited by the American College of Clinical Pharmacy (ACCP) will need to have comparable standards for experience to be creditable (Professional Standards Board refers to the Deputy Chief Consultant for Professional Practice for the determination). Pharmacists assigned to this position must demonstrate the following Knowledge, Skills and Abilities (KSAs): Ability to communicate orally and in writing to persuade and influence clinical and management decisions. Expert understanding of regulatory and quality standards for their program area. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. 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, dated June 7, 2012 The full performance level of this vacancy is GS-13. The grade at which an applicant may be selected for this vacancy is GS-13. Physical Requirements: Heavy lifting (45 pounds and over), heavy carrying (45 pounds and over), use of fingers, reaching above shoulder, both hands required, walking (up to 6 hours), standing (up to 6 hours), pushing (up to 2 hours), kneeling (up to 2 hours), repeated bending (up to 6 hours), climbing, legs only (up to 2 hours). Both legs required, both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid may be permitted). Work Environment: Working closely with others, working alone, protracted or irregular hours of work, outside and inside, dust, slippery or uneven walking surfaces. The incumbent observes safety precautions while working with a variety of equipment. Work involves regular and recurring exposure to moderate risks or discomforts which require special safety precautions (e.g., risk exposure to caustic agents, flammable liquids when unpacking supplies or cleaning equipment). The incumbent works with drugs and chemicals in which care must be taken in the event accidental contact is made to the skin, eyes and lungs. Incumbent follows guidelines for preparation, handling and administration of hazardous drugs and disposal of all pharmaceutical waste in compliance with medical center policy. ["The Staff Pharmacist practices as the Clinical Pharmacy Specialist (CPS) for the assigned primary care area. The CPS supervises all pharmacotherapy provided by team providers to ensure that National Treatment Guidelines are being followed in addition to adherence to National Formulary and local policy. The incumbent is assigned special reports, projects, and problem matters, requiring an overall or specialized knowledge of the trends, problems, and other matters affecting the total Pharmacy operation. Duties include, but are not limited to: Independently manages unstable pharmacotherapy patients in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality; Will be active in such areas as Outpatient Pharmacy, Inpatient Pharmacy, Automated Drug Distribution Systems, Long Term Care and Home-Based Primary Care reviews, consultation, procurement, stock control, prepackaging and storage; Performs clinical pharmacy duties with full professional authority, knowledge, and judgment, operating as a generalist with advanced level of responsibility and experience in all aspects of the total Pharmacy operation; Accurately interprets medication orders and dispenses medications and/or medical supplies accordingly. Makes appropriate written documentation as required by VA Manual; Reviews medication profiles prior to dispensing medications, Consults with proper medical staff when necessary. Assists in maintaining records of drug reactions, allergies, or other information pertinent to the patient's medication profile; Dispenses controlled substances and is accountable for accuracy of the work. Must have knowledge of the procurement, storage, security and dispensing of requirements as directed by Federal, State, and VA regulations. Quantities of Schedule II and Schedule III substances will be double checked prior to dispensing; Verifies by signature the identification list of medications brought to the facility by patients being admitted; Responsible for the inspection of drugs and biologicals in specific assigned areas. Make inspections monthly and verifies by documented signature; Assumes pharmacist-in-charge assignments and performs the duties of a supervisory position in addition to staff assignment; Responsible for the inspection and stock control of drugs and supplies on the emergency carts. Make inspections monthly or as necessary after notification to Pharmacy that a cart has been used; Reviews patient drug regimens for appropriate indication, dose, drug allergies, and duplication of medications and drug interactions. Monitors the process and outcome of patient care relating to drug therapy; Identifies all drug-induced problems that may be affecting the patient or contributing to a need for hospitalization. This would include drug side effects, allergic reactions, toxicities, improper dosage regimens, non-compliance, etc.; Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters; Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contract therapeutic regimens and roles for new drugs, with a special emphasis in medications used in referred patients; Interfaces with providers, including physicians, PAs, ARNPs in the design of the veteran's treatment regimen to achieve optimization of rational and cost-effective drug therapy. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm. Tour may be adjusted to meet agency needs.\nTelework: Not available\nVirtual: This is not a virtual position.\nFunctional Statement #: 502-00177-F\nRelocation/Recruitment Incentives: Not authorized\nEDRP Authorized: Contact Patricia Wilson at Patricia.Wilson2@va,gov, the EDRP Coordinator for questions/assistance\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.