The outpatient clinical pharmacy specialist is primarily responsible for providing pharmaceutical services to adult patients of all ages in accordance with approved policies and procedures and accepted pharmacy practice For the Fargo VA Health Care System, at the Bismarck VA Clinic in Pharmacy Service. The Outpatient Clinical Pharmacy Specialist (CPS) is a registered pharmacist who has acquired the knowledge and expertise to function independently in their advanced practice roles. Duties include but are not limited to: Conducts comprehensive appraisals of patient's health status by taking health histories, drug histories including "non-VA" medications, performing medication reconciliation, and documenting relevant findings in patient's electronic medical record. Evaluates and reconciles drug therapy through direct patient care involvement and outside medication sources such as nursing homes, other hospitals and remote data sources with clinical assessment and objective findings relating to patient's responses to drug therapy and communicating and documenting those findings and recommendations to appropriate individuals and in appropriate records. Evaluates orders written by providers and determines appropriateness based on patient medication profiles, and inputs, if necessary, information into a computer system; provides comprehensive pharmacotherapy consultative services at the request of providers. Identifies patient-specific medication issues, including drug interactions, adverse effects, lack of effectiveness, appropriateness, and compliance problems and collaborate with other providers/staff. Develops and documents therapeutic plans utilizing the most effective, least toxic and cost-effective medication treatments. Reviews and/or orders appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Analyzes laboratory and diagnostic test data so as to recommend modifications in drug therapy and dosing as necessary. Maintains registration in FDA mandated clozapine monitoring. Assists in identifying, reporting, managing, and taking specific corrective action for adverse drug reactions according to the "Adverse Reactions to Drugs" in the pharmacy service policy and procedure manual. This does include but is not limited to filing appropriate incident reports. Identifies and resolves pharmacotherapy problems related to patient care. Problems may involve but are not limited to occurrences involving dispensing activity. Participates in developing criteria for drug use evaluations, data collection, trending reports and other quality improvement programs as required to ensure appropriate and safe drug utilization. Initiates and/or revises medication protocols & policies according to most current literature. Reviews non-formulary medication requests and makes appropriate recommendations in accordance with PBM criteria and current publishes data. Participates as a member on committees as requested/required. Collaborates with staff to educate patients and caregivers about proper medication usage and makes recommendations for educational materials. Educates patients and health care professionals about proper medication usage. Assists in planning and evaluating pharmacy education programs, accepts teaching other staff as part of the function of a clinical pharmacist. Provides formal clinical education, drug information/literature evaluation and training programs to physicians, nursing staff and other health care professionals as warranted. Acts as clinical preceptor and supervisor for pharmacy residents and professional and technical level pharmacy students. Attends and actively participates in all clinical pharmacy activities, i.e. staff development, residency/student. education/conferences, journal club and noon conferences Conducts and/or participates in drug and drug-related research under VA and FDA guidelines and regulations; and approved by Investigational Review Board (IRB) and Research and Development Committee and utilizes information gained from those studies to improve hospital practices and patient care. Serves as preceptor of residents' research projects as assigned. Keeps abreast of advances in pharmacotherapy and pharmacy practice and integrates these into practice. Accepts and supports changes are necessary to improve pharmacy services to patients and to maintain professional progress of pharmacy services. Actively seeks to promote and maintain good working relationships with facility medical staff, support staff, Service Line staff, and pharmacy staff. Participates in Pharmacy Services and/or other hospital committees/work groups/projects. Work Schedule: Mon - Fri 8:00 - 4:30pm, No weekends or holidays. Financial Disclosure Report: Not required This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program.
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.