The incumbent plans and provides clinical pharmacy services in Emergency Department (ED); works with other clinical and staff pharmacists to provide comprehensive clinical, informational, and educational services; reviewing the computerized medication profiles, resolve problems, performs medication reconciliation of patient profiles at initial transition of care from the Emergency Department to respective inpatient ward for admission to the medical center, and/or upon discharge from the ED. 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 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 Clinical Pharmacy Specialist Experience: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignments: 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. Demonstrate Knowledge, Skills and Abilities: 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. Preferred Experience: Previous ED Experience Board Certification (BCPS) PGY1 Pharmacy Residency Program References: See VA Handbook 5005, Part II, Appendix G15 The full performance level of this vacancy is GS-13. Physical Requirements: The incumbent must be physically and mentally able to perform efficiently the duties of the position. The work requires regular and recurring physical exertion, involving standing for prolonged periods of time, lifting/carrying of pharmaceutical supplies weighing at least 50 lbs., and bending/stooping. ["Duties included but are not limited to: Performs medication reconciliation of patient's profiles prior to admission to respective ward/unit, or discharge from the medical center Renews prescriptions for maintenance medications on patients who present to the ED for maintenance medication refill and renewal in accordance with Medical Center and Emergency Department policies. Validates and updates patient allergy information in the Veterans Health Information and Technology Architecture (VistA) and the Computerized Patient Record System (CPRS) for all patients who are admitted to the medical center. Validates and updates patient Adverse Drug Reaction (ADR) information in VistA and CPRS. Monitors and assesses the outcome of drug therapies including physical assessment and interpretation of laboratory and other diagnostic parameters. Participates in anticoagulation drug therapy monitoring, specifically warfarin, heparin and low molecular weight heparins, for all patients in the ED. Evaluates INR and aPTT values and adjusts warfarin dose and/or heparin based on indication, and desired therapeutic effect. Plans and provides patient related clinical pharmacy drug information and associated pharmacy support services in assigned areas and takes responsible and appropriate actions to promote optimum, most cost effective, drug therapy. Facilitates adherence to the formulary in the ED Participates in comprehensive clinical pharmacy programs. Documents interventions/therapy maintenance in a pharmacy CPRS progress note. Provides coverage for all clinical pharmacy functions on MICU and CCU as needed during times of overlap in the ER. Evaluates physician orders for appropriateness based upon patient medication profiles, medical history, age and physical status. This includes screening orders for dosage errors, interactions, allergies, contraindications, formulary availability and stop dates. Consults prescriber or other provider, when appropriate. Precepts pharmacy residents, interns, and students as assigned. Provides in-service education programs to pharmacists, pharmacy interns, pharmacy students, nurses, medical students and other health care professionals. Completes training as necessary for becoming more knowledgeable in area of Emergency Medicine, research, or quality improvement projects. Designs, develops, and participates in programs to evaluate the quality of clinical pharmacy services, other pharmacy services, and drug usage and prescribing practices, as they relate to the medication reconciliation process in an attempt to measure the effectiveness of this process. Work Schedule: Monday-Friday, 7:00am-3:30pm, 9:00am-5:30pm, 12:30pm-9:00pm, Rotating weekends and holidays.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 91129A\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.