Clinical Pharmacist - Inpatient

Summary Inpatient Clinical Pharmacist The incumbent functions as a Clinical Inpatient Pharmacist primarily in the Inpatient Section of the Pharmacy Service at the VA Central Iowa Health Care System (VHACIHS). The position reports to the Inpatient Pharmacy Supervisor - Pharmacy Service. Qualifications United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Education: 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 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 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-12 Clinical Pharmacist Experience or Education: In addition to the basic requirements - candidates must meet one of the following: 1 1 year of experience equivalent to the next lower grade level - or 2 Completion of an ACPE-accredited Pharm.D. program AND Knowledge - Skills - and Abilities (KSAs): Pharmacists assigned to this position must demonstrate the following knowledge - skills and abilities (KSAs): 1 Knowledge of professional pharmacy practice 2 Ability to communicate orally and in writing to both patients and health care staff 3 Knowledge of laws - regulations - and accreditation standards related to the distribution and control of scheduled and non-scheduled drugs and pharmacy security 4 Skill in monitoring and assessing the outcome of drug therapies - including physical assessment and interpretation of laboratory and other diagnostic parameters Preferred Experience: 1 year or more inpatient clinical pharmacist experience in a hospital setting with focus on medication distribution - pharmacy automation operation - non-sterile and sterile compounding (under USP 795 - 797 - 800) - clinical scope of practice - and protocol driven conversions/interventions Reference: For more information on this qualification standard - please visit The full performance level of this vacancy is GS-12 Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Duties VA Careers - Pharmacy: Duties include - but are not limited to: Clinical: 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 list of examples and activities: 1 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 2 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 Monitoring will include prospective review and intervention in: a Therapeutic appropriateness of a patient's drug regimen b Therapeutic duplication in the patient's drug regimen c Appropriateness of the route and method of administration d Degree of patient compliance with the prescribed drug regimen e Drug-drug - drug-nutrient - drug-laboratory - or drug-disease interactions f Allergies g Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects - toxicity - or adverse effects h Physical signs and clinical symptoms relevant to the patient's drug therapy 3 Performs continuous evaluation of prescribed medications to assure optimal drug therapy - safety - and efficacy 4 Provides medication counseling to patients Medication counseling may include - depending on tour: a Bedside discharge counseling b Follow-up phone call discharge counseling c Counseling patients at the Pharmacy pick-up window 5 Conducts comprehensive assessments of patient's health status by completing medication histories - including patient interviews 6 Serves as a drug information resource by providing up-to-date drug information to prescribers - other health care professionals - patients and caregivers 7 Participates in patient care rounds and reviews patient electronic health records 8 Participates in the medication reconciliation process - in accordance with facility processes: a Pharmacists under a scope of practice (CPP): when acting as a provider - the CPP will complete a medication reconciliation 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 b Pharmacists not under a scope of practice: when NOT acting as a provider - pharmacists will participate in the medication reconciliation process This may include a medication history - identifying discrepancies - coordinating with the care team to review discrepancies - processing medication orders - and providing patient medication education 9 Reports adverse drug events (ADE) - near misses - and medication errors Documents findings according to service/facility policies and procedures 10 Participates in the medical center medication utilization evaluation (MUE) program 11 Completes non-formulary and medication approval consults in the acute care setting Recommends formulary alternatives when appropriate Reviews orders for compliance with VA Criteria for Use and non-formulary drug restrictions 12 Implements VA medical facility policies including therapeutic interchanges and automatic substitutions (e.g. - Pharmacy and Therapeutic Committee activities) 13 Manages recalls and medication shortage situations by recommending alternative dosage strengths and instructions to provide appropriate substitutions for the patient 14 Enters supply orders appropriate for patient care per facility policy 15 Manages various actions - as appropriate - for medication orders to include: flagging prescriptions - managing view alerts - using the \"hold medication\" function - and generating unsigned discontinued orders using Service Reject 16 Extends refills until next scheduled appointment under the provider's name per facility policy 17 Completes patient electronic health record documentation with encounter information for inclusion in Pharmacy Service workload credit for all clinical assessments - interventions - recommendations and monitoring 18 Participates in facility and service line emergency preparedness activities 19 Participates in antimicrobial stewardship activities outlined in guidance or medical center policy as appropriate (e.g. - IV to PO conversion - aminoglycoside monitoring) and providing appropriate action (e.g. - recommendations to providers - therapeutic substitution) Work Schedule: Full-time 1130-2200 - compressed tour - with rotating weekends and holidays Telework: Not available Virtual: This is not a virtual position Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized #J-18808-Ljbffr U.S. Department of Veterans Affairs