If you are a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-11654013-22-KGM. The primary function of a Clinical Pharmacy Specialist is to assure the safe and appropriate use of medications, be an advocate of rational drug therapy through the following: evaluation of the appropriateness of drug therapy based on patient specific factors; individualization of drug therapy; evaluation, dispensing, providing medications, and drug information. Basic Requirements: United States Citizenship: Citizen of the United States. 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: The Clinical Pharmacy Specialist must meet the following requirement: 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.) Foreign Graduates: 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. Grade Determinations: Clinical Pharmacy Specialist, GS-0660-13 Experience: Must have 1 year of experience equivalent to the next lower grade level. Demonstrated Knowledge, Skills, and Abilities: 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. Preferred Experience: PGY1 Pharmacy Residency or equivalent preferred. References: VA Handbook 5005/55, Part II Appendix G15, Licensed Pharmacists, GS-660, Qualification Standard. This can be found in the local Human Resources Office. The actual grade at which an applicant may be selected for this vacancy is GS-13. Physical Requirements: This position's primary functions include communicating with patients, caregivers, doctors and nurses. This position may require sitting for extended periods of time while using a computer. Light lifting (under 15 pounds), reaching above shoulder, use of fingers, walking, standing, specific visual requirement (ability to read prescriptions), hearing (aid permitted). (See VA Directive and Handbook 5019, Employee Occupational Health Services). ["The duties of the Clinical Pharmacy Specialist in the Pharmacy Service include but are not limited to: Clinical 1. The CPS provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitoring for efficacy, side effects and clinical outcome; and advises prescribers as appropriate. The CPS will provide these services while functioning under a Pharmacy Ambulatory Care Scope of Practice or a Pharmacy Inpatient Scope of Practice. The Scope of Practice for a CPS must allow for initiation, modification, and discontinuation of medications based on the principles previously listed.\n2. Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient both orally and 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 Appropriateness of the route and method of administration Degree of patient compliance with the prescribed drug regimen Drug-drug, drug-food, drug-laboratory, or drug disease interactions Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects 3. Performs continuous evaluation of prescribed medications to assure optimal drug therapy.\n4. Provides medication counseling to patients.\n5. Completes medication histories including patient interviews.\n6. Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers.\n7. Evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies.\n8. Assesses drug safety and efficacy, including evaluation of physical symptoms.\n9. Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program.\n10. Participates in the medical center Medication Utilization Evaluation (MUE) program.\n11. Recommends formulary alternatives and completes non-formulary consults as assigned.\n12. Maintain current BLS or ACLS certification.\n13. Provides routine pharmacokinetic consultation, including dosing vancomycin and aminoglycosides as assigned.\n14. Provides routine clinical pharmacy consultation, including renal dosing, TPN and anticoagulation monitoring as assigned.\n15. Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education.\n16. Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.\n17. Enters supply orders appropriate for patient care per facility policy.\n18. Manages various actions, as appropriate, for medication orders to include: flagging prescriptions, managing view alerts, using the \"hold medication\" function, and generating unsigned discontinued orders using Service Reject.\n19. Serves as a role model and preceptor to pharmacy students and residents.\n20. Assumes an active role in staff development of peers and provides educational in-services to pharmacy, nursing, medical staff or to other ancillary services. Dispensing 1. Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing.\n2. Ensures all medication orders are entered into the electronic patient medical record.\n3. Fills all orders in a timely fashion; review of the patient's allergy history, drug-drug, drug-nutrient, drug-laboratory and drug-disease state interactions and assessment for clinical relevance should be performed and dealt with appropriately.\n4. Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved.\n5. Selects, compounds, admixes, dispenses and fills a range of drugs which may include IV Admixtures, extemporaneous preparations, special formulations, ophthalmics (subconjunctivals and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both\noutpatient and inpatient areas. Adequate quality assurance procedures shall be followed as applicable.\n6. Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment. Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m.\nCompressed/Flexible: Not available\nTelework: Not available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Clinical Pharmacy Specialist/PD00265F\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.