The Clinical Pharmacy Specialist (CPS) SUD acts as a representative of the Pharmacy Service, in a variety of positions throughout the Healthcare System. The practice for the CPS consists of direct and indirect patient care, drug therapy monitoring, prescriptive authority, quality assurance/improvement, and staff/patient education. This position is temporary and will end on or before 9/30/2024. Functions independently under an individual scope of practice as defined by the health care system for chronic disease states with comprehensive medication management to provide pharmaceutical care to patients. This includes but is not limited to the design, implementation, and monitoring of therapeutic drug plans to achieve positive, definite outcomes through direct interactions with patients and providers in assigned areas. At Wilmington VAMC, CPSs maintain a global scope of practice. The SUD CPS also may be assigned to provide cross-coverage for other CPS and or other areas of the pharmacy service as needed. - Obtains medication histories from patients and summarizes significant findings in the medical record. Reviews patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes. - The SUD CPS incumbent is expected to seek DEA licensure to support the need of program success and expansion. -Provides comprehensive medication management for chronic pain management conditions, including but not limited to neuropathic pain, low back pain, fibromyalgia, and osteoarthritis. In addition, the SUD CPS performs risk assessment and mitigation including urine drug screening and interpretation, universal precautions, opioid/benzo tapering and monitoring, and appropriate referrals. - Provides medication monitoring and comprehensive medication management for substance use disorders including alcohol use disorder (AUD), opioid use disorder (OUD), and tobacco use disorder. - May perform physical assessments necessary to evaluate and monitor for initiation and modification of medication therapy management to ensure appropriate response. - Applies knowledge of normal laboratory values in the evaluation of patient care; recognizes and takes necessary and appropriate action on significant abnormalities. - Performs patient care activities in working directly or indirectly with the health care team and patient, encompassing a variety of modalities and professional responsibilities. - Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Reviews literature routinely to provide an evaluation of efficacy, safety, and cost-effectiveness for routine patient care and projects as assigned. - Maintains a current knowledge of therapeutics and disease management. Assists with Medication Use Evaluations (MUE) and other Pharmacy and Therapeutics (P&T) Committee related activities. - Promotes and monitors compliance for established drug therapy policies in accordance with VHA/DoD guidance or latest evidence-based practice. - Works with providers to ensure compliance with national, VISN, and local initiatives. - Uses appropriate references to research drug information and serves as an expert on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. - Provides timely and accurate responses to drug information inquiries from all customers. - Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess and document patient comprehension. When needed, is able to refer patients to educational programs provided at the medical center by multidisciplinary teams.- Serves as preceptor for Pharmacy Students and Pharmacy Residents in accordance with established protocols and standards. - Assists in new employee orientation process where applicable and with the development of proposals for improved and/or new clinical Pharmacy services. Participates in the MUE process through proactive identification of problem areas, criteria development, analysis of findings, and recommendation of follow up actions (e.g. education) that are deemed necessary. - Documents adverse drug events in electronic medical record and assists with updating VA Adverse Drug Event Reporting System (VA ADERS). - Analyzes data and completes reports, including clinical care reviews (peer reviews) in accordance with established facility policy. Prepares, submits, and presents reports for P&T Committee and other reports as assigned in a proactive, timely and accurate manner when called upon. - Is responsible for ensuring ongoing compliance with medication management standards set forth by the Joint Commission, VHA Office of the Inspector General (OIG), and other accrediting bodies. Assists in continuous reporting and improvement of medication errors and adverse drug reactions. - Other duties as assigned Work Schedule: Monday - Friday 8:00am to 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.