Clinical Pharmacist (Midnight)

Full Job Description

In this role, you will be responsible for managing multiple complex programs such as medication protocols, therapeutic drug monitoring, adverse drug reactions, medication reconciliation, medication histories and medication counseling for outpatients and inpatients in acute, subacute, and extended care units.

You will interpret and process medication orders, evaluate drug therapy, dispense appropriate medication and counsel patients on proper use, monitoring, and storage of medications.

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 Internet­Based 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.

Grandfathering Provision: All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard 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.

For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions.

Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.

Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration, that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.

If a licensed pharmacist who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.

Grade Determinations: Creditable Experience: 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 (Professional Standards Board refers to the Deputy Chief Consultant for Professional Practice for the determination).

Quality of Experience. Qualifying experience must be at a level comparable to pharmacy experience at the next lower level.

Experience as a Graduate Pharmacist is creditable provided the candidate was used as a professional pharmacist (under supervision) and subsequently passed the appropriate licensure examination.

Part-time Experience. Part-time experience as a professional pharmacist is credited according to its relationship to the full-time workweek.

For example, a pharmacist employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service.

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.

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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019. Major Duties:

VA Careers - Pharmacy: https://www.youtube-nocookie.com/embed/Fn_ickNBEws FUNCTIONS OR SCOPES OF PRACTICE: Clinical: Participates in multidisciplinary team rounds when assigned to an inpatient unit.

Provides consultative services that foster appropriate, evidence-based medication use.

Monitors patient response to therapy and provides appropriate recommendations regarding treatment alternatives or additional interventions to maximize patient care outcomes taking into consideration safety, efficacy and pharmacoeconomic.

Interviews and evaluates patients on admission and discharge and as necessary during stay when assigned to an inpatient unit or within ambulatory care settings for appropriateness of pharmacologic therapy and develops a pharmaceutical care plan for those patients receiving complex and high-risk medication regimens.

Monitors and assesses the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.

Initiates, continues, modifies, discontinues, and otherwise orders drug therapy for both inpatients and outpatients only in accordance with health care system protocols, policies, and procedures.

Monitors formulary management protocols and programs approved by the Pharmacy & Therapeutics Committee in the limitation or restriction of medication use.

Performs medication reviews and evaluates as assigned and when necessary to support patient care and comply with established standards and regulations.

Attends Code Blue emergencies when assigned to an inpatient area.

Distributive: The Clinical Pharmacist performs all duties that are considered routine of a staff pharmacist at VAEKHCS without a standard operating procedure (i.e., processing and filling medication orders).

Interprets and evaluates inpatient and outpatient medications orders for appropriateness of drug therapy.

Orders are checked for patient allergies, drug interactions, incompatibilities, and duplication.

Identifies, interprets and resolves prescribing and dispensing issues, including pharmacotherapeutic and formulary management. Documents interventions as necessary.

Responsible for the safe and appropriate dispensing of medications within the unit dose, automatic replenishment/ward stock, IV admixture and outpatient prescription medication management systems.

Contract Nursing Home (CNH) duties will be assigned to the Clinical Pharmacist(s) trained in this area.

Education: Provides orientation and training to new employees, including technicians, volunteers, and pharmacists. Serves as a preceptor for pharmacy clerkship students and pharmacy residents.

Academic Professional Record (APR) must be maintained annually.

Maintains professional competency on drug therapies and innovations in pharmacy practice pertinent to the care provided in this health care system.

Assists in the development, coordination and provision of drug therapy in-service programs, staff development programs, patient education programs and other system- wide drug information programs.

Administrative Support/Program Management: Provides technical guidance and monitors pharmacy support staff assigned to their work areas.

Performs proper recordkeeping and maintains proper documentation when required or appropriate for all dispensing activity and patient interventions.

Ensures sensitive data for patient files, both printed and electronic, remain confidential.

Ensures ADP systems for pharmacy practice and patient care are utilized for official duties and remain secure.

Actively participates in various quality management and performance improvement activities such as drug utilization evaluations, drug class reviews, adverse drug reaction monitoring, new drug request reviews, prior approval/non-formulary drug reviews, ongoing drug monitoring, and a variety of activities associated with the provision of pharmaceutical care.

Serves as a member of pharmacy and health care system clinical care committees and workgroups.

Research: Designs and/or participates in drug related research studies under FDA guidelines that have undergone review and approval by the Research & Development Committee and the Investigational Research Board.

SUPERVISORY CONTROLS: The Clinical Pharmacist reports to the Pharmacy Operations Supervisor or Associate Chief, Pharmacy Operation Services.

The Clinical Pharmacist has clinical and administrative responsibility for their practice, with general supervisory guidance from Pharmacy Operations Supervisor, or Associate Chief, Pharmacy Operations Services.

Work Schedule: Friday, Saturday, Sunday, Monday, Tuesday, Wednesday - 8:00pm - 7:30am / Thursday - 8:30pm - 7:30am / Off 7 days Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 0000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized