CLINICAL PHARMACIST
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. The clinical pharmacist also applies standards relating to all aspects of distribution and control of scheduled and non-scheduled drugs. 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:
evaluation of the appropriateness of drug therapy based on patient specific factors; individualization of drug therapy; evaluation, dispensing and providing medications, and drug information. Duties of the Clinical Pharmacist (Hematology/Oncology) include but are not limited to:
Provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitors for effectiveness, side effects, and clinical outcomes; and advises prescribers as appropriate. 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. Performs continuous evaluation of prescribed medications to ensure optimal drug therapy. Provides medication counseling to patients and caregivers. 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. Processes and fills all orders in a timely fashion; review of the patient's allergy history, drug-drug, drug-nutrient, drug-laboratory and drug-disease state interaction and assessment for clinical relevance should be performed and dealt with appropriately. Provides education to health care providers regarding medication use. Maintains basic knowledge of pharmaceutics, pharmacokinetics, and pharmacotherapeutics in the area of practice. Dispensing:
Reviews all medication orders for appropriateness, drug selection, dosage, route of administration, and the amount prior to dispensing. Ensure all medication orders are entered into the electronic patient medical record Fill all orders in a timely fashion; review of the patient's allergy history, drug-drug, drug-nutrient , drug-laboratory and drug-disease state interactions and assessment for clinical relevance should be performed and dealt with appropriately. Work Schedule:
8 hours shift between 6:
00 AM to 7:
00 PM, rotating weekday, weekend and Holiday shifts to meet the needs of the service Financial Disclosure Report:
Not required Basic Requirements:
Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)b. 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. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone:
(312) 664-3575, or through their Web site at:
http:
//www.acpe-accredit.org/. (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. Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed. Preferred
Experience:
working in an acute care setting -Inpatient and/or Hematology/Oncology Pharmacy. Grade Determinations:
GS-11 Pharmacist Experience, Education, and Licensure. None beyond the basic requirements. (NOTE:
See exception to licensure requirement above). GS-12 Clinical Pharmacist (Full Performance Level) 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. Clinical Pharmacist. A pharmacist in this assignment handles routine medication-related activities in accordance with local, Veterans Integrated Service Network (VISN), and national policies and regulations. These include, but are not limited to:
reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and 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 and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. 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. References:
VA Handbook 5005/55, Part II, Appendix G15 The full performance level of this vacancy is GS-12. The actual grade which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12. Physical Requirements:
Physical demands include the following:
repetitive motion activities requiring the use hands and fingers for extensive keyboarding and in some settings to open and close medication bottles to check filled prescriptions or preparing doses in the Narcotic Treatment Program; sitting or standing for extended periods of time; easily walking around all areas of the pharmacy and Medical Center (wards and clinics). Required to sustain extended periods of stretching, standing and reaching in the course of his/her employment, which may involve lifting heavy items (30-45 pounds).
Estimated Salary: $20 to $28 per hour based on qualifications.
evaluation of the appropriateness of drug therapy based on patient specific factors; individualization of drug therapy; evaluation, dispensing and providing medications, and drug information. Duties of the Clinical Pharmacist (Hematology/Oncology) include but are not limited to:
Provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitors for effectiveness, side effects, and clinical outcomes; and advises prescribers as appropriate. 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. Performs continuous evaluation of prescribed medications to ensure optimal drug therapy. Provides medication counseling to patients and caregivers. 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. Processes and fills all orders in a timely fashion; review of the patient's allergy history, drug-drug, drug-nutrient, drug-laboratory and drug-disease state interaction and assessment for clinical relevance should be performed and dealt with appropriately. Provides education to health care providers regarding medication use. Maintains basic knowledge of pharmaceutics, pharmacokinetics, and pharmacotherapeutics in the area of practice. Dispensing:
Reviews all medication orders for appropriateness, drug selection, dosage, route of administration, and the amount prior to dispensing. Ensure all medication orders are entered into the electronic patient medical record Fill all orders in a timely fashion; review of the patient's allergy history, drug-drug, drug-nutrient , drug-laboratory and drug-disease state interactions and assessment for clinical relevance should be performed and dealt with appropriately. Work Schedule:
8 hours shift between 6:
00 AM to 7:
00 PM, rotating weekday, weekend and Holiday shifts to meet the needs of the service Financial Disclosure Report:
Not required Basic Requirements:
Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)b. 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. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone:
(312) 664-3575, or through their Web site at:
http:
//www.acpe-accredit.org/. (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. Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed. Preferred
Experience:
working in an acute care setting -Inpatient and/or Hematology/Oncology Pharmacy. Grade Determinations:
GS-11 Pharmacist Experience, Education, and Licensure. None beyond the basic requirements. (NOTE:
See exception to licensure requirement above). GS-12 Clinical Pharmacist (Full Performance Level) 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. Clinical Pharmacist. A pharmacist in this assignment handles routine medication-related activities in accordance with local, Veterans Integrated Service Network (VISN), and national policies and regulations. These include, but are not limited to:
reviewing, interpreting, and verifying medication orders for appropriateness; processing and filling medication orders; interacting with and 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 and interventions; providing refill extensions and partial medication supplies; taking health and medication histories; performing medication reconciliation; providing drug information; assisting in formulary management including therapeutic substitutions, nonformulary reviews and medication usage evaluations; documenting and assessing adverse drug events (ADEs); assisting in medical emergencies; providing oversight of technical staff in all aspects of medication distribution. 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. References:
VA Handbook 5005/55, Part II, Appendix G15 The full performance level of this vacancy is GS-12. The actual grade which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12. Physical Requirements:
Physical demands include the following:
repetitive motion activities requiring the use hands and fingers for extensive keyboarding and in some settings to open and close medication bottles to check filled prescriptions or preparing doses in the Narcotic Treatment Program; sitting or standing for extended periods of time; easily walking around all areas of the pharmacy and Medical Center (wards and clinics). Required to sustain extended periods of stretching, standing and reaching in the course of his/her employment, which may involve lifting heavy items (30-45 pounds).
- Department:
0660 Pharmacist - Salary Range:
$110,404 to $134,553 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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