Clinical Pharmacist (Gap Coverage) The incumbent functions as a Clinical Pharmacist providing Clinical Pharmacist staffing gap coverage in both the Inpatient (primary) and Outpatient Sections of the Pharmacy Service at the VA Central Iowa Health Care System (VHACIHS). 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. OR 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-12 Clinical Pharmacist (Full Performance Level) Experience or Education: In addition to the basic requirements, candidates must meet one of the following: 1. 1 year of experience equivalent to the next lower grade level, GS-11, or 2. Completion of an ACPE-accredited Pharm.D. program. AND Knowledge, Skills and Abilities (KSAs): Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (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. Preferred Experience: Minimum of 2 years (or equivalent) inpatient hospital pharmacy practice experience. IV room trained and experience in sterile hazardous and non-hazardous medication compounding under USP 797 and USP 800 guidelines. Non-sterile product compounding trained and experience under USP 795 guidelines. Clinical Pharmacy practice experience managing TPN, anticoagulation, vancomycin, aminoglycoside, and smoking cessation under a collaborative care agreement and scope of practice. Clinical Pharmacy practice experience with intravenous to oral medication conversions and hepatic/renal dose adjustments. References: VA HANDBOOK 5005/55, PART II, APPENDIX G15 The full performance level of this vacancy is GS-12. Physical Requirements: Light lifting/carrying, reaching above shoulder, use of fingers, walking, standing, repeated bending, and climbing ["VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Duties include, but are not limited to: 1. The primary function of a clinical pharmacist is to assure the safe and appropriate use of medications and be an advocate of rational drug therapy through the following list of examples and activities: a. Participates in all tasks related to medication preparation and dispensing. b. 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. c. 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: i. Therapeutic appropriateness of a patient's drug regimen ii. Therapeutic duplication in the patient's drug regimen iii. Appropriateness of the route and method of administration iv. Degree of patient compliance with the prescribed drug regimen v. Drug-drug, drug-nutrient, drug-laboratory, or drug-disease interactions vi. Allergies vii. Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects viii. Physical signs and clinical symptoms relevant to the patient's drug therapy d. Performs continuous evaluation of prescribed medications to assure optimal drug therapy. e. Provides medication counseling to patients. f. Conducts comprehensive assessments of patient's health status by completing medication histories, including patient interviews. g. Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers. h. Completes medication reconciliation 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. i. Assesses drug safety and efficacy, including evaluation of physical symptoms. j. Reports adverse drug events (ADE), near misses, and medication errors. Documents findings according to service/facility policies and procedures. k. Participates in the medical center medication utilization evaluation (MUE) program. l. Recommends formulary alternatives and reviews non-formulary/restricted formulary medication requests for appropriateness and compliance with VA Criteria for Use. m. Implements VA medical facility policies including therapeutic interchanges and automatic substitutions (e.g., Pharmacy and Therapeutic Committee activities) n. Manages recalls and medication shortage situations by recommending alternative dosage strengths and instructions to provide appropriate substitutions for the patient. o. Enters supply orders appropriate for patient care per facility policy. p. 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. q. Extends refills until next scheduled appointment under the provider's name per facility policy. r. Serves as a role mode and preceptor to pharmacy students and residents. s. Assumes an active role in staff development of peers and provides educational in-services to nursing, medical staff, or other ancillary services. Work Schedule: Full-time; Monday - Friday, rotating weekends and holidays, without a set work tour. Work tours may include 0600-1430, 0700-1530, 0730-1600, 0800-1630, 0930-1800, 1130-2000, 1330-2200, and overnight (3rd shift). Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial 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.