The clinical pharmacist 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. Duties include but are not limited to: The pharmacist provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics 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 via notes in the electronic health record Performs continuous evaluation of prescribed medications to assure optimal drug therapy Provides medication counseling to patients Completes medication histories including patient interviews Serves as. a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers Participates in patient care rounds, review charts, evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies 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 Assesses drug safety and efficacy, including evaluation of physical symptoms Reports adverse drug events (ADE), close calls, and medication errors Participates in the medical center medication utilization evaluation (MUE) program Recommends formulary alternatives and completes non-formulary consults as assigned Participates in medical emergencies including code teams and emergency preparedness activities Provides pharmacokinetic consultation, including dosing vancomycin aminoglycosides and anticoagulants, in accordance with focal policy. Documents findings in the electronic health record as applicable Implements P&T Committee policies including therapeutic interchanges and automatic substitutions to include appropriate patient and provider education Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule Enters supply orders appropriate for patient care per facility policy Manages various actions, as appropriate, for medication orders Extends refills until next scheduled appointment under the provider's name Serves as a role model and preceptor to pharmacy students and residents Assumes an active role in staff development of peers and provides educational in-services to nursing, medical staff or to other ancillary services The pharmacist is responsible for maintaining his/her professional competency by keeping abreast of current medical and pharmaceutical literature, new drugs and therapies, and applies this knowledge in his/her daily duties Serves on performance improvement and patient safety committees as applicable 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 Fills all orders in a timely fashion Reviews medication profiles and monitors for compliance or potential abuse Selects, compounds, dispenses and fills a range of drugs Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment Supervises the activities of support personnel Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations Provides education to health care providers regarding medication use Assumes an active role in the overall pharmacy-training program Keeps abreast of new developments in pharmacy practice and drug therapy Coordinates the receipt and distribution of all drugs in an investigational and/or clinical evaluation status and maintains appropriate records regarding their use as applicable Maintains patient confidentiality Adheres to all medical center and department policies and regulations Manages information security within areas of responsibility to assure that computer system security and confidentiality of sensitive information is maintained, and that employee access to sensitive information is limited only to that which the employee requires to perform their duties Work Schedule: Rotating hours; Rotating weekends and federal 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.