The Clinical Pharmacist is a licensed professional with knowledge and proficiency in pharmacy practice including pharmaceutics, pharmacokinetics, pharmacodynamics and pharmacotherapeutics. incumbent is responsible for processing nonformulary requests, aiding in creation of facility specific criteria for use of nonformulary medications, in cost savings initiatives under the direction of the facility's formulary manager, maintaining an overall expertise in national and local formulary processes. 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. 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. Physical Requirements. See VA Directive and Handbook 5019. 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: Knowledge of Professional Pharmacy Practices. To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice. Professional practice means paid/non-paid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board. 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. GS-11 Pharmacist Experience, Education, and Licensure. None beyond the basic requirements. GS-12 Clinical Pharmacist (Full Performance Level)Experience or Education. In addition to the basic requirements, candidates must meet one of the following: 1 year of experience equivalent to the next lower grade level, or Completion of an ACPE-accredited Pharm.D. program Knowledge, Skills, & Abilities (KSAs). Pharmacists assigned to this position must demonstrate the following knowledge, skills and abilities (KSAs): Knowledge of professional pharmacy practice. Ability to communicate orally and in writing to both patients and health care staff. Knowledge of laws, regulations, and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security. Skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. References: VHA Handbook 5005 Part II Appendix G15 The full performance level of this vacancy is GS12. The actual grade at which an applicant may be selected for this vacancy is GS12. Physical Requirements: This work is primarily sedentary. Physical demands may include repetitive body movements including the following: frequent reaching, standing, walking, and lifting of equipment and/or patients to provide patient care. This position requires extension of the hand(s) and arm(s) in any direction including above or below shoulder level, during the provision of patient care, including retrieval of needed equipment, supplies and to make contact with the patient. This position may require the maintenance of an upright position to perform duties associated with patient care. ["Clinical 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. 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. Performs continuous evaluation of prescribed medications to assure optimal drug therapy. Provides medication counseling to patients and caregivers . Completes medication histories including patient interviews. Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers. Participates in patient care rounds, review charts, evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies. Performs medication reconciliation at all transitions of care, including updating the medication profile to reflect an accurate, active list of VA and non-VA medications. Assesses drug safety and efficacy, including evaluation of physical symptoms. Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program. Participates in medical emergencies (if BLS or ACLS certified) and emergency preparedness activities. Recommends formulary alternatives and completes non-formulary and restricted consults as assigned. Provides pharmacokinetic consultation, including dosing vancomycin and aminoglycosides, in accordance with local policy. Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education. Dispensing Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing. Ensures all medication orders are entered into the electronic patient medical record. 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. Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved. Selects, compounds, dispenses and fills a range of drugs including extemporaneous preparations, special formulations, ophthalmic (subconjunctival and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas. Adequate quality assurance procedures shall be followed as applicable. Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment. Supervises the activities of support personnel. (8) Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations. Program Management/Administrative Responsible for the daily operational status of the various aspects of the Pharmacy Service and keep Pharmacy supervisors and staff informed of administrative problems issues. Ensure all aspects of medication accountability, security, automated dispensing equipment maintenance, and timeliness of service are in accordance with local medical center policies and other VHA,FDA, DEA, State and Federal regulations. Prioritizes work, work flow and make administrative decisions when Supervisory Pharmacist are not available. Responsible for creation, development, implementation and ongoing monitoring of policies related to Clinical Pharmacy practice. Assists pharmacy service in complying with Research, Veterans Affairs, Office of Inspector General, Joint Commission, and FDA requirements Maintains physical and computer security of Pharmacy areas while ensuring confidentiality of sensitive patient information. Education Provides education to health care providers regarding medication use. Maintains basic knowledge of pharmaceutics, pharmacokinetics, pharmacodynamics, and pharmacotherapeutics in the area of practice. Assumes an active role in the overall pharmacy-training program consisting of students, externs, interns, residents, and professional and non-professional staff members. Conducts on-the-job training and provides guidance through designated programs. Keeps abreast of new developments in pharmacy practice and drug therapy by reading pharmacy and medical literature and participating in continuing education programs. Orients new employees in pharmacy duties, policies, and procedures Work Schedule: Full-Time, Monday-Friday; 8:00am to 4:30pm Telework: Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required"]

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