The Clinical Pharmacist is a licensed professional with knowledge and proficiency in pharmacy practice including pharmaceutics, pharmacokinetics, pharmacodynamics and pharmacotherapeutics. The incumbent is responsible for analyzing real and potential drug-related medical problems and implementing corrective action to ensure that patients receive optimal drug therapy. The clinical pharmacist also applies standards relating to all aspects of distribution and control of scheduled and non-scheduled drugs. 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: evaluation of the appropriateness of drug therapy based on patient specific factors; individualization of drug therapy; evaluation, dispensing and providing medications, and drug information.
The employee must be able to demonstrate the knowledge and skills necessary to complete the duties of the position, including the necessary skills to provide care appropriate to the population of the patients served. Such knowledge and skills are identified in the Competency Assessment Checklist of the position and include knowledge and skills in:
Communication and interpersonal relations, including the ability to appropriately and courteously relate to internal and external customers.
Maintenance of confidentiality of patient/employee information, electronic and print.
The medical center performance improvement program.
How to work and function in the medical center in a safe manner, including infection control and the correct operation of equipment.
Population-specific care, as identified in the Population-Specific Competencies, including effectively communicating with patients who are 66 years and older and who may have hearing, physical or cognitive impairments.
The incumbent is a graduate of a degree program in pharmacy from an approved college or university. A full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States, or the District of Columbia is required. In addition to the basic requirements, the incumbent must have the equivalent of one year of experience comparable to the GS-11 level or completion of an ACPE-accredited Pharm.D. program. Also, knowledge, skills and abilities and other characteristics as outlined in VA Handbook 5005/55, Part II, Appendix G15, Licensed Pharmacist, GS-660 Qualification Standard.
(1) The pharmacist 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.
(2) 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:
(a) Therapeutic appropriateness of a patients drug regimen
(b) Therapeutic duplication in the patients drug regimen
(c) Appropriateness of the route and method of administration
(d) Degree of patient compliance with the prescribed drug regimen
(e) Drug-drug, drug-food, drug-laboratory, or drug disease interactions
(f) Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects
(g) Physical signs and clinical symptoms relevant to the patients drug therapy
(3) Performs continuous evaluation of prescribed medications to assure optimal drug therapy.
(4) Provides medication counseling to patients.
(5) Completes health and medication histories including patient interviews.
(6) Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers.
(7) May participate in patient care rounds, reviews charts, evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies.
(8) 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. This may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking.
(9) Assesses drug safety and efficacy, including evaluation of physical symptoms.
(10) Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program.
(11) Participates in the medical center medication utilization evaluation (MUE) program.
(12) Recommends formulary alternatives and completes non-formulary consults as assigned.
(13) Documents recommendations and interventions
(14) Assists in medical emergencies including code teams (if BLS or ACLS certified) and emergency preparedness activities.
(15) Provides pharmacokinetic consultation in accordance with local policy.
(16) Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education.
(17) Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.
(18) Enters supply orders appropriate for patient care per facility policy.
(19) 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.
(20) Extends refills until next scheduled appointment under the providers name per facility policy.
(21) Serves as a role model and preceptor to pharmacy students, interns and residents.
(22) Assumes an active role in staff development of peers and provides educational in-services to nursing, medical staff or to other ancillary services.
(23) Responsible for maintaining his/her professional competency by keeping abreast of current medical and pharmaceutical literature, new drugs and therapies, and applies this knowledge in his/her daily duties.
(24) May work under a scope of practice within his/her knowledge set with a managing provider.
(25) Participates in Performance Improvement (PI) Measurements / activities (Mock Surveys, Tracers)
(26) Participates on Trail Audits for controlled substances and reports discrepancies to appropriate managers. Follows up on the resolution of discrepancies.
B. Dispensing and Compounding
(1) Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing.
(2) Ensures all medication orders are entered into the electronic patient medical record.
(3) Processes, checks and fills all orders in a timely fashion; review of the patients 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.
(4) Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved.
(5) Selects, compounds, dispenses and fills a range of drugs including extemporaneous preparations, special formulations, ophthalmics (subconjunctivals and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas. Adequate quality assurance procedures shall be followed as applicable.
(6) Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment.
(7) Supervises the activities and provides oversight of support personnel and technical staff in all aspects of medication
(8) Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations.
(9) Compounds medications in accordance with USP 797 standards and local policies and procedures.
(10) Ensures USP 797 regulations for controlled environment are followed.
(1) Functions as acting supervisor or pharmacist in charge when assigned.
(2) Represents pharmacy and contributes clinical and administrative expertise as a member of committees within the assigned area.
(3) Assures security over pharmacy areas and provides an immediate report to management in event of inconsistencies.
(4) Supervises the work flow and gives direction to pharmacy technicians as needed.
Relocation Incentive is Not Authorized for This Position.
Tour of Duty:
Pharmacy Service is a 24/7 System, Clinical Pharmacist May be Assisgned to any Number of Shifts
Physical Demands: Basic physical exertion is required. The work is primarily performed while Standing and Sitting though some work may require longer periods of standing. The regular recurring work of the position involves sitting at a desk, conferences, meetings etc.