The Clinical Pharmacy Specialist (CPS) in Anticoagulation functions at the highest level of clinical pharmacy. Under an advanced scope of practice, the CPS works independently at least 25% of the time, providing expertise and direct patient care. The CPS is responsible for the clinical and program management of pharmacy services in the Anticoagulation Clinics.
Education Debt Reduction Program (EDRP): Eligible- *See "Additional Information" section below for more details.
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FUNCTIONS OF THE POSITION:
a. Obtains comprehensive health history including but not limited to medication therapy, medical history, laboratory and diagnostic study results, and limited physical assessment.
b. Identifies patient-specific medication issues including, but not limited to, drug interactions, adverse effects, efficacy, appropriateness, medication safety concerns and adherence problems.
c. Develops customized therapeutic plans utilizing effective, safe, and economical medication treatments that incorporates Veteran's preference and adherence.
d. Provides comprehensive medication and disease state management services and prescribing medications and treatments in accordance with their individualized scope of practice and in collaboration with healthcare professionals responsible for the Veterans' care.
e. Educates the Veteran and caregivers on disease state management and proper use of prescribed medications. Evaluates patient's ability to understand medication instructions, and provides oral and written counseling on their drug therapy.
f. Orders, performs, reviews and/or analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the Veteran's drug therapy as a member of the treatment team.
g. Orders consults (i.e. dietician, social work) as appropriate to maximize positive drug therapy outcomes.
h. Communicates actions and recommendations to appropriate individuals and documents relevant findings in the Veteran's medical record.
i. Documents patient safety events such as medication errors, adverse events, and near misses appropriately.
j. Completes pharmacy consults applying clinical knowledge in accordance with established policies and procedures.
k. Assists in the management of medical emergencies and adverse drug reactions.
l. Verifies providers orders to be complete and appropriate for dose, route, and frequency to facilitate Veteran care.
m. Assists with continuity of care for Veterans during transitions of care.
a. Serves as a resource and expert in drug therapy knowledge and demonstrates skills in utilizing the evidence as it pertains practice area(s).
b. Serves as a liaison between the Pharmacy Service and the assigned practice area(s).
c. Responsible for managing all clinical pharmacy services within the assigned practice area(s)
d. Captures workload, documents clinical activities, and maintains productivity consistent with applicable performance measures and monitors.
e. Maintains an expert understanding of regulatory and quality standards pertaining to pharmacy within the assigned practice area(s).
f. Assists in the development of policies, guidelines, and protocols in practice area assuring they are consistent with current standards of practice, VHA Guidelines and Directives.
g. Complies with VA, Hospital and Pharmacy Service policies and procedures relevant to the assigned practice area(s).
h. Represents pharmacy service in team meetings, local, VISN, and national committees, task forces, and workgroups relating to the assigned practice area(s).
i. Participates in quality assurance, process improvement activities, and performance monitors.
j. Provides expertise to leadership for pharmacy issues including, but not limited to patient safety, drug shortages, adverse drug events.
k. Maintains certification for and performs point-of-care testing. Enters lab results.
3.Education and Personal Competence
a. Communicates effectively with Veterans, co-workers, hospital staff and pharmacy management.
b. Remains current with all required training, e.g. licensure, BLS, TMS, certification.
c. Provides pharmacy related education and reference materials to medical staff, nursing staff, residents, students, and other healthcare professionals in the assigned practice area(s).
d. Attends and participates in clinical pharmacy activities, e.g., clinical pharmacy staff meetings, staff development.
e. Engages in the training of pharmacy staff, residents, and students.
f. Serves as an effective preceptor of residents and students as assigned.
Supports the organization's research and education mission, including participation in residency research projects and contribution to the medical literature.
C. SUPERVISORY CONTROL
Incumbent is under the direct supervision of the Ambulatory Care Clinical Pharmacy Supervisor. The incumbent plans and carries out work assignments and resolves problems on recurring assignments in accordance with oral or written instructions, policies, training or previous exposure to accepted agency practices.
Work Schedule: The selectee may be required to work various shifts based on patient care needs.
Financial Disclosure Report: Not required
This job opportunity announcement may be used to fill additional vacancies in similar positions. This includes the same grade level and occupational series, but may be used for a different service or location.
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/19/2021.
Citizenship. 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. (1) 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.
NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.(2) 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. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16.
English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
Grade Determinations: (GS-13)Candidates must have 1 year of experience equivalent to the next lower grade level of a GS-12 to include; Handling routine medication-related activities in accordance with local, Veterans Integrated Service Network, and national policies and regulations; Reviewing, interpreting, and verifying medication orders for appropriateness; Processing/filling medication orders; Interacting with & making recommendations to other clinical staff regarding medication therapy ordered to ensure safe and effective care; Reviewing the patient's medications, allergies, labs, and other pertinent information from the medical record to identify and solve medication-related problems; Contacting providers as appropriate; Documenting recommendations & interventions; Providing refill extensions & partial medication supplies; Taking health and medication histories; Performing medication reconciliation; Providing drug information; Assisting in formulary management including therapeutic substitutions ,Documenting and assessing adverse drug events; Assisting in medical emergencies; Providing oversight of technical staff in all aspects of medication distribution.
Pharmacists assigned to this position must demonstrate the following KSAs:
a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions.
b. Expert understanding of regulatory and quality standards for their program area.
c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise.
d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy.
e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.
References: VA Handbook 5005, Part II, Appendix G15.The full performance level of this vacancy is GS-13. The actual grade at which an applicant may be selected for this vacancy is GS-13.
The incumbent must be physically and mentally able to efficiently perform the duties of this position. The work requires regular and recurring physical exertion, involving standing for prolonged periods of time, lifting/carrying of supplies weighing at least 50 pounds, bending/stooping, pushing/pulling of automated dispensing cabinets through various terrains.
Preferred Experience: Preferred Experience:
ASHP-accredited PGY1 Pharmacy Practice Residency with at least 1-year of practice in ambulatory care with anticoagulation patient management or equivalent experience, or PGY2 Ambulatory Care Pharmacy Residency that includes anticoagulation patient management. In addition, Certified Anticoagulation Care Provider (CACP), Board Certified Ambulatory Care Pharmacotherapy Specialist (BCACP) or Board Certified Pharmacotherapy Specialist (BSPS) will be highly considered.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S.
Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs