The incumbent must demonstrate the knowledge, skills and abilities to process and fill prescriptions, operate and maintain dispensing equipment, operate and use the Pharmacy and VA information systems, maintain appropriate files and to prepare sterile compounds under supervision. In addition, the incumbent will demonstrate the ability to solve problems, troubleshoot operational problems and recommend solutions. Completes the processing of all prescriptions from the computer-generated prescription document that includes, but is not limited to the following: Checks new prescription label for accuracy. Obtains correct stock container. Counts or pours correct amount of medication. Prepackages medication into appropriate container. Affixes prescription and appropriate auxiliary labels to container, initialing prescription label. Completes prescription control document including manufacturer, lot number, date filled, initials of technician and other information necessary to clarify the prescription document. Requests check by pharmacists, and at this point, asks for pharmacist to initial any corrections or special instructions. Properly routes prescription for mail-out or window pick-up. Demonstrates extensive knowledge of Pharmacy VISTA computer packages, uses VISTA to determine patient eligibility from computer data. Updates patient information within DHCP system (i.e., patient's address - temporary, permanent, etc.). Incumbent is able to use information from the VISTA Outpatient Pharmacy package to provide technical information to customers when assigned. Performs a variety of bulk compounding including, but not limited to ointments, lotions, solutions, etc. Uses a variety of pharmaceutical equipment. Refers to master formula cards for preparation instructions. Reports any unusual occurrence, i.e., color or consistency change, to pharmacist and makes adjustments accordingly. Files, on a daily basis, all prescription and computer generated documents in an accurate and complete manner to allow for immediate retrieval. Restocks, on a daily basis, each filling station with the following: vials, prepackaged medications, stocks miscellaneous items such as antacids, syringes, etc. Also, assumes that filling station has all necessary equipment for daily operation. Maintains cleanliness and orderliness of pharmacy by cleaning of glassware, spatulas, bottles, shelves, counters, cabinets and all other items or areas associated with prescription processing. Understands principles of inventory control; monitors for changes in pattern of use, notifying pharmacy procurement staff if levels appear to be inappropriate (i.e., too low, too high, out of stock). Deals appropriately with direct and telephone inquiries from patients, Medical Center staff and others referring any unanswerable questions concerning professional practice to a pharmacist. Questions of an informational nature should be answered rather than delegated. To answer informational questions, incumbent will utilize available references. Verifies patient identification by VA card or inpatient bracelet when dispensing medication at pharmacy window. Correctly matches patient's social security number to number on package of medication dispensed. Has working knowledge for care and operation of the Automated Prescription Filling Machine (Optifill). Reviews and restocks replenishment inventory on all drugs in the automated dispensing cabinets (Pyxis) on scheduled days assuring that stock is rotated and outdated items are removed from inventory. Filling of extemporaneous orders presented to Pharmacy Service by hospital personnel and charging items in VISTA computer package in DHCP. I.V. Room Duties: Persons assigned to work in IV Room will have received training in aseptic technique and handling of hazardous drugs. Incumbent will demonstrate proficiency in preparation of oncology medications and other sterile products, proficiency in calculation appropriate volumes to provide accurate dosing. Incumbent will demonstrate knowledge and ability to compound complex solutions, such as parenteral nutrition orders. Prepares sterile solutions, including chemotherapy and hyper-alimentation (which need various sterile intravenous additives) for dispensing to individual patients. Sets up the additives, primary sterile solution, and the miscellaneous accessories such as needles, syringes, for a check by the pharmacist. Those preparations, approved for mixing by the pharmacist are prepared in a laminar flow hood using aseptic techniques. The final product is set aside for inspection by the pharmacist. Any discrepancies, such as incompatibility, floaters or precipitates are brought to the attention of the pharmacist. The appropriate corrections, if any, are noted on the medication order. In the course of setting up the preparation for mixing, calculations and conversions of proper weights and measures are made by the incumbent. Responsible for ensuring supplies (i.e., solutions, injections, needles, syringes, etc.) are maintained at sufficient levels. Ensures that monthly quality assurance testing is performed in the sterile preparation areas. Work Schedule: Primarily 7:00AM-3:30PM, 7:30AM-4PM, 8:00AM-4:30PM, includes rotating weekends, nights, and holidays 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.