The Clinical Pharmacy Specialist is assigned to the Pharmacy Service, located at the Lexington VA Healthcare System. 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. Grade Determinations: In addition to the basic requirements for employment in paragraph 2, the following criteria must be met when determining the grade of candidates: Possess one year of experience at the next lower level (GS-12) and fully meet the KSA's at the next lower level (GS-12) performing the following duties, 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.The full performance level of this vacancy is 13. PHYSICAL REQUIREMENTS: See VA Directive and Handbook 5019.Work may involve prolonged standing, walking, bending, stooping, pushing, and lifting of weights up to 40 pounds. ["The incumbent functions as a physician extender with a comprehensive Scope of Practice which includes prescriptive authority, monitoring drug therapy, ordering of laboratory tests, and other specified clinical functions. The incumbent will be responsible for the professional and administrative management of the Critical Care services provided by the Pharmacy Service. Conduct comprehensive appraisals of patients' health status by taking health histories, drug histories and performing physical examinations. Document relevant findings in the patient's medical record. Evaluate drug therapy through direct patient care involvement, with clinical assessment and objective findings relating to patient's responses to drug therapy and communicating and documenting those findings and recommendations to appropriate individuals and in appropriate records (i.e., patient's medical record). Develop and document therapeutic plans utilizing the most effective, least toxic, and most economical medication treatments. Order, perform, review and/or analyze appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Prescribe medications, devices and supplies to include initiation, continuation, discontinuation, monitoring and altering therapy, based upon established formulary or protocols. Perform physical measurements necessary to assure the patients responses to drug therapy. Assist in the management of medical emergencies, adverse drug reactions, and acute and chronic disease states. Administers medications according to pre-established protocol when requested by physicians. Identify and take specific corrective action for drug-induced problems according to protocol. Order consults (i.e., dietician, social work) as appropriate to maximize positive drug therapy outcomes. Serves as a liaison between Pharmacy Service and the Critical Care Units. Assist in discharge planning and ensure continuity of care for patients leaving the hospital. Obtains medication history and reconciles medication therapies for each patient upon admission, discharge or transfer and summarizes the significant findings, both documented in the medical record and reported to the responsible physician when appropriate. Able to perform all duties of a GS-12 Clinical Pharmacist. Other duties as assigned. Work Schedule: 730am - 400pm, Monday thru Friday, Weekends and Holidays Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized EDRP Authorized: 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. The EDRP Coordinators can be reached at VISN9HREDRP@va.gov. 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.