Clinical Pharmacist- Outpatient

Full Job Description

The clinical pharmacist is a 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.

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 English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).

Citizenship: Be a citizen of the United States.

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: 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.

Exception: Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C.

§ 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist.

For grade levels above the GS-11, the candidate must be licensed. GRADE DETERMINATIONS GS-11 Experience and Education: None beyond the basic requirements.

GS-12 Experience and Education: One (1) year of experience equivalent to the next lower grade level, or Completion of an ACPE-accredited Pharm.D. program.

Knowledge, skills and abilities (KSAs): In addition to the basic requirements, candidates must meet one of the following: 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.

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).

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-12.

The actual grade at which an applicant may be selected for this vacancy is GS-12 .Physical Requirements: See VA Directive and Handbook 5019. Major Duties:

Clinical 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.

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: Therapeutic appropriateness of a patient's drug regimen Therapeutic duplication in the patient's drug regimen Appropriateness of the route and method of administration Degree of patient compliance with the prescribed drug regimen Drug-drug, drug-food, drug-laboratory, or drug disease interactions Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects Physical signs and clinical symptoms relevant to the patient's drug therapy Performs continuous evaluation of prescribed medications to assure optimal drug therapy.

Provides medication counseling to patients. 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.

This may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking. 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 the medical center medication utilization evaluation (MUE) program.

Recommends formulary alternatives and completes non-formulary consults as assigned.

Participates in medical emergencies including code teams (if BLS or ACLS certified) and emergency preparedness activities.

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.

Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.

Enters supply orders appropriate for patient care per facility policy.

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.

Extends refills until next scheduled appointment under the provider's name per facility policy. Serves as a role model and preceptor to pharmacy students and residents.

Assumes an active role in staff development of peers and provides educational in-services to nursing, medical staff or to other ancillary services.

The pharmacist is 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.

Work Schedule: Monday- Friday 8:00 AM to 4:30 PM or 8:30 AM to 5 PM Telework: Ad-hoc Virtual: This is not a virtual position.

Functional Statement #: FS-55099-A, FS-55100-A, Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized