Clinical Pharmacist
4 weeks ago
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
Work Schedule: Varying tour of duty depending upon needs of agency - to include swing shifts, weekends, and holidays.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 03598F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
The clinical pharmacist 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. The Pharmacist will, when assigned, rotate through inpatient and outpatient areas and all shifts as required by the Pharmacy Service.
Duties of the position include, but are not limited to:
- 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.
- 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 assure optimal drug therapy.
- Provides and documents in the medical record medication counseling to patients.
- 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. This may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking.
- Performs discharge medication reconciliation prior to patient's discharge and summarizes the significant findings, both documented in the medical record and appropriately reports to the responsible physician.
- Shares responsibility in providing education to patients regarding anticoagulation therapies and help facilitate patient enrollment into the outpatient anticoagulation clinics and communicate appropriate follow-up as necessary with the patient.
- Assesses drug safety and efficacy, including evaluation of physical symptoms.
- Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program.
- 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 (if BLS or ACLS certified) and emergency preparedness activities.
- Implements Medical Use 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/protocol.
- Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved.
- Ensures all medication orders are entered into the electronic patient medical record.
- Provides education to health care providers regarding medication use.
- Assumes an active role in the overall pharmacy-training program consisting of students, externs, interns, residents, and professional and non professional staff members. Conducts on-the-job training, in-services and provides guidance through designated programs.
- Receives faxed, mailed, electronically prescribed, or delivered prescriptions written by Non-VA providers.
- Communicates with Non-VA providers to clarify prescriptions or to request medication changes due to VA formulary.
- Initiates the prior authorization process with Non-VA providers when required and requests all pertinent documentation.
- Enters prior authorization consults in CPRS for review and completion by the VISN prior authorization team.
- Reviews controlled substance prescriptions prior to Vista entry or electronic processing to ensure all required information is documented on the prescription.
- Contacts Non-VA providers via telephone for any missing/required information for controlled substance prescriptions or prescription clarifications.
- Other duties as assigned by management.
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