The Clinical Pharmacists 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. They apply 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. Duties will include: 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. Recommends alternative therapeutic options in cases where drug therapies have failed to produce desired results. Performs continuous evaluation of prescribed medications to assure optimal drug therapy. Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers. Participates in the provision of pharmaceutical services for patients receiving IV, unit-dose, and other complex therapies within the medical center. Works closely with the provider, the patient and others to ensure an appropriate level of care is provided for patients. Follows the patient clinically (through the review of laboratory test results, progress notes of other providers, patient interviews, etc.), records results and makes suggestions to the provider for change, as appropriate. 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. Maintains effective interdepartmental relationships by committee membership, active problem resolution skills and close cooperation with other services in accomplishing the medical center mission and goals. Assumes an active role in staff development of peers and provides educational in-services to nursing, medical staff or to other ancillary services as assigned. Dispensing: Interprets and verifies doctors' orders, performs patient medication profile review (allergy, drug interaction screens, etc.) and provides drug and policy information to patients and medical center staff. Consults with patients and medical center staff whenever there are questions concerning therapeutic or policy matters regarding outpatient prescriptions or inpatient (residential treatment unit) orders. Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing. Ensures all medication orders are entered into the electronic patient medical record. Finishes all orders in a timely fashion. Reviews the patient's history of allergies and drug-drug, drug-nutrient, drug-laboratory and drug-disease state interactions. The assessment for clinical relevance should be performed and dealt with appropriately. Assures the accuracy of drug dispensing and the compounding of medications based on patient history and medication profile review, good clinical practice and other pertinent factors. This includes but is not limited to data entry into the computer, screening orders for drug-drug and drug-food interactions, dosing errors, allergies, incompatibilities contraindications and formulary availability. Discrepancies are reviewed with the provider and resolved. Once satisfied, the pharmacist will send/release the order forward for filling. Selects, compounds, dispenses and fills a range of drugs and supply items including extemporaneously compounded sterile preparations, special formulations, controlled and non-controlled substances, oncolytic agents, ward or clinic stock orders in both outpatient and residential treatment areas. Adequate quality assurance procedures shall be followed as applicable. Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment. Additional duties as assigned. Work Schedule: Monday through 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.