This position is located in Pharmacy Service of the White River Junction VA Medical Center, a Complexity Level 2, highly affiliated medical center with outpatient clinics throughout Vermont and New Hampshire. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Duties include, but are not limited to: 1) Practices as the Clinical Pharmacy Specialist for the assigned area. The CPS independently manages unstable pharmacotherapy patients in his/her assigned clinic, and supervises technical support personnel to ensure the clinic system is run efficiently and that quality indicators are met. 2) Utilizes the highest level of clinical privileges for CPS to manage assigned patients. 3) Interfaces with providers, including physicians, PAs, ARNPs in the design of the veteran's treatment regiment to achieve optimization of rational and cost effective drug therapy as required. 4) Serves as an authoritative information source on drugs and their utilization in therapy, with special emphasis on medications used in treatment of the assigned patients. 5) Evaluates the drug literature by analysis of experimental design and methodology, in order to compare and contract therapeutic regimens and roles for new drugs, with a special emphasis in medications used in for anticoagulation. 6) From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognizes and lists important medical problems, disease states, symptoms or abnormal laboratory values that may necessitate altering the therapeutic regimen or which may be induced by drug therapy. 7) Establishes and expands the patient data base through interpreting the drug history, medical history, physical examination and ongoing patient specific monitoring of therapy, with documentation in the formal patient medical record. 8) Designs a therapeutic regimen or plan, based on patient-specific information, which includes establishing a therapeutic endpoint, electing an appropriate drug and related therapy, and establishing an appropriate dosage regimen. 9) Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters and makes referrals as acute management problems arise. 10) Under appropriate supervision by a physician and with approved clinical privileges assumes authority to direct therapy, order lab tests as indicated for appropriate patient monitoring. 11) Provides consultation on selection of appropriate therapeutic regimens as a follow-up of non-target INR results obtained from ambulatory care and inpatients as required. 12) Provides highly specialized education and training support to other professional services in the broad area of anticoagulation. 13) Works to develop, upgrade, and disseminate acceptable criteria for use of formulary and non-formulary medications and other high cost items directed at employing cost effectiveness without compromising the quality of patient care as assigned. 14) Provides physicians and other providers a focal resource for discussion of medical problems requiring a pharmaceutical intervention. 15) Interviews patients when necessary conducting a medication history and formulating a pharmaceutical care plan. 16) Identifies all drug-induced problems that may be affecting the patient or contributing to a need for hospitalization for referral to the emergency department. This would include drug side effects, allergic reactions, toxicities, improper dosage regimens, noncompliance, etc. 17) Makes recommendations to the responsible physician for optimal management of drug induced problems either verbally or in writing when requested. 18) Evaluates the risk-benefit ratio of various therapeutic alternatives, develops a therapeutic plan utilizing the most efficacious, least toxic and most economical pharmacological treatment modalities available, and communicates these plans to the patients' physician. 19) Provides and promotes cost effective pharmacy services, offering reasonable, appropriate alternatives to high cost drugs. 20) When assessing or providing patient care the employee will evaluate the impact of the age of the patient as it relates to ability to understand directions, provide objective self assessment or any other medical milieu appropriate to the overall treatment plan. Work Schedule: Hours are rotating, including weekends and holidays, as needed. Telework: Not available Virtual: This is not a virtual position Position Description/PD#: Clinical Pharmacist Specialist/FS#F02392 Relocation/Recruitment Incentive: Not authorized 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.