If you are not a current, permanent VA employee or Federal employee from another agency or HPT, you should apply under CBST-11106866-21-ER. This position is located in the Pharmacy Service at the VHSO in Fayetteville, AR. The incumbent works independently under their scope of practice, plays a defined role in budgetary execution and serves as a mid-level provider to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. The duties of the Clinical Pharmacy Specialist in the Pharmacy Service include but are not limited to: Clinical 1. The CPS 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: 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 3. Performs continuous evaluation of prescribed medications to assure optimal drug therapy. 4. Provides medication counseling to patients. 5. Completes medication histories including patient interviews. 6. Serves as a drug information resource. 7. Evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies. 8. Assesses drug safety and efficacy, including evaluation of physical symptoms. 9. Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program. 10. Participates in the medical center Medication Utilization Evaluation (MUE) program. 11. Recommends formulary alternatives and completes non-formulary consults as assigned. 12. Provides routine pharmacokinetic consultation, including dosing vancomycin and aminoglycosides as assigned. 13. Provides routine clinical pharmacy consultation, including renal dosing, TPN and anticoagulation monitoring as assigned. 14. Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education. 15. Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule. 16. Manages various actions, as appropriate, for medication orders. Dispensing 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. Fills all orders in a timely fashion; review of the patient's allergy history, 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, admixes, dispenses and fills a range of drugs 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 of support personnel. 8. Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations. Education 1. Assumes an active role in pharmacy training programs consisting of students, externs, interns, residents, and professional and non-professional staff members. Conducts on-the-job training and provides guidance through designated programs. 2. Collaborates with Clinical Pharmacists on pharmacy training and development, to promote the learning experience and improve the performance of pharmacists, pharmacy technicians, pharmacy interns, pharmacy residents and students. 3. Provides education to health care providers regarding medication use. Responsible for developing and managing clinical pharmacy activities and functions with an emphasis on improving quality of medical care for patients; reduce the cost of treatment and hospitalization; and assure safe and rational use of medications. Participation in documentation of interventions, medication error and adverse drug event reporting. Works with other health care providers to develop programs for improvement of drug use. Develops and conducts drug usage evaluation in areas of need from a cost and patient outcome perspective. Assists in managing the hospital formulary and ensures its appropriate utilization by health care providers. Work Schedule: Monday through Friday 8 am to 4:30 pm, hours may vary to include nights, weekends and holidays. Financial Disclosure Report: Not required
Internal Number: 600311700
About Veterans Affairs, Veterans Health Administration
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.