The Emergency Department Clinical Pharmacy Specialist (ED CPS) serves as a mid-level provider with prescribing privileges as outlined in the individual's Scope of Practice. The ED CPS functions at the highest level of clinical pharmacy practice to provide evidence-based pharmaceutical care to patients. 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. 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.) 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. English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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). All licensed pharmacists employed in VHA in this occupation on June 7, 2012 are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Grade Determinations: GS-13 Experience: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. AND Applicant must meet the knowledge, skills, and abilities listed below: 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. References: VA HANDBOOK 5005/55 PART II APPENDIX G15 The full performance level of this vacancy is GS-13. Physical Requirements: The work requires regular and recurring physical exertion, involving standing/sitting for prolonged periods of time, lifting/carrying of pharmaceutical supplies weighing up to 50 lbs, and bending/stooping. The work may entail repetitive wrist movement while using various size syringes, vial cap removal, and typing. ["Duties include but are not limited to: Provides an extensive range services to patients within the emergency department. Works as a member of assigned services, monitors patients for a variety of disease states as designated under the individual's scope of practice. Designs, implements, assesses, monitors, and documents therapeutic plans using the most effective, least toxic, and most economical medications. Offers additional interventions to maximize patient care outcomes, taking into consideration choice of therapy, safety, efficacy, and cost. Participates in the daily evaluation of patients in assigned areas, assesses patient response to therapy, and provides appropriate therapeutic, dosing, and laboratory recommendations. Orders and assesses laboratory results, making the necessary recommendations and adjustments to the patient's therapy. Works as an active member of the interprofessional team. Performs activities such as physical assessment, ordering appropriate tests/consults, making referrals, etc., to achieve desired outcomes. Identifies and documents drug errors, adverse drug reactions, allergies, and patient compliance issues per facility procedures. Takes specific corrective action per protocol or as permitted by approved scope of practice. Documents and ensures timely completion of alerts, encounters, notes, clinical interventions, consults, etc. in patient record and/or other data collection tools per local policy. Identifies areas in which improvements in clinical services can be made and completes at least one project a year (e.g., quality/performance improvement, implementation of new service, enhancement of existing service, etc.). Provides medication counseling/education to patients, caregivers, etc. Provides clinical pharmacy consultations and drug information to professional staff on the pharmaceutics, pharmacokinetics, pharmacodynamics, and pharmacotherapeutics of pharmaceutical products. Recognizes suicide risk factors and understands facility policies regarding suicide prevention, support systems, and referral resources. Reviews, evaluates, adjudicates, and documents requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria, where applicable, per facility/department policy. Promotes and monitors compliance with established drug therapy policies. Actively participates in Hospital Emergency Response drills and is knowledgeable for Pharmacy Emergency Preparedness procedures. Assists the VAGLAHS emergency department pharmacy program in developing, implementing, and maintaining the program and improving overall patient emergency department management within the facility. Develops quality improvement parameters to continually assess the impact of pharmacy's emergency department interventions and participates in various committees as assigned. Designs, conducts, and participates in studies, audits, and evaluations under the auspices of committees responsible for formulation and review of drug use policies and quality assurance committees. Actively identifies and contributes to the development of new services, or to the enhancement of an existing services. Establishes and maintains good work flow patterns to ensure efficient clinic management. Trains pharmacists, pharmacy technicians, and other relevant staff. Participates in all aspects of training such as conducting on-the-job training and monitoring performance. Assists in new employee orientation and training, as assigned Work Schedule: Monday-Sunday and holidays, variable shifts which may include days, evenings, or overnight shifts; tours may be adjusted to meet medical center and patient care needs. Virtual: This is not a virtual position. Functional Statement #: 000000 Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.