Summary

The VA Sierra Nevada Health Care System (VASNHCS) is seeking a highly skilled and motivated Clinical Pharmacist to provide comprehensive pharmaceutical care in both inpatient and outpatient settings. This position plays a vital role in ensuring safe - effective - and evidence-based medication use for our Veteran population across Northern Nevada and Northeastern California.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• 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
• (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program
• Today the sole degree is Doctor of Pharmacy)
• [TRANSCRIPTS MUST BE SUBMITTED WITH APPLICATION] (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)
• YOU MUST SUBMIT COPY OF FPGEC CERTIFICATION WITH THE APPLICATION PACKAGE]
• (3) NOTE: Current VA Employees grandfathered into the GS-660 occupational series may be reassigned - promoted up to and including the full performance (journey) level - or changed to lower grade within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions]
• 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
• [YOU MUST SUBMIT A COPY OF CURRENT LICENSE WITH THE APPLICATION PACKAGE]
• 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
• Grandfathering Provision
• All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including positive education and licensure/certification/registration that are part of the basic requirements of the occupation
• For employees who do not meet all the basic requirements required in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: (1) Employees grandfathered into the GS-660 occupational series may be reassigned - promoted up to and including the full performance (journey) level - or changed to lower grade within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions
• (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard
• Employees initially grandfathered into this occupation - who subsequently obtain additional education and/or licensure/certification/registration - that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation
• (3) If a licensed pharmacist who was retained under this provision leaves the occupation - the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation
• Physical Requirements
• See VA Directive and Handbook 5019
• English Language Proficiency
• Pharmacists must be proficient in spoken and written English in accordance with 38 U.S.C. 7402(d) and 7407(d)
• May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria)
• Preferred Experience: Experience in both inpatient and outpatient pharmacy settings
• Strong communication and clinical decision-making skills
• Completion of a PGY1 pharmacy residency and/or experience precepting trainees
• Grade Determinations: 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
• Assignment
• 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 - dated June 7 - 2012 - VA Licensed Pharmacist Qualification Standards - GS-660
• This can be found in the local Human Resources Office
• The full performance level of this vacancy is GS-12
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-11 to GS-12
• Prior experience functioning in both inpatient and outpatient pharmacy settings - including verification of orders - dispensing - and managing automated pharmacy systems
• Physical Requirements: Moderate lifting - 15-44 pounds
• Use of fingers
• Both hands required
• Walking (3 hours)
• Standing (4 hours)
• Ability for rapid mental and muscular coordination simultaneously
• Depth perception
• Ability to distinguish basic colors
• Hearing (aid permitted).

Duties

• Work Schedule: Tour of duty will vary
• includes 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 Financial Disclosure Report: Not required 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 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
• 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
• 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
• 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
• 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
• Reviews medication profiles and monitors for compliance or potential abuse
• problems encountered shall be resolved
• Maintains adequate drug stock - inspects drug storage areas - supervises repacking and the operation of automated dispensing equipment
• Supervises the activities of support personnel
• All controlled substances in the section are secured and controlled according to applicable laws (DEA
• CFR 21 - Part 1300) - VA rules and regulations and department policy
• Accurate physical count - documentation - and administrative requirements (per VA Handbook 1108.01) are consistently and thoroughly maintained
• Compliance is evidenced by supervisor review and reports of incidents provided to the supervisor
• Controlled substance discrepancies are resolved in a thorough and timely manner
• Unresolved discrepancies are reported immediately to the supervisory pharmacist for resolution and to the VA Police if still unresolved after supervisory review
• Compliance evidenced by supervisor review and review of Police reports submitted
• Receives faxed - mailed - electronically prescribed - or delivered prescriptions written by Non-VA providers
• Communicates with the pharmacy procurement team when specialty medications are needed
• 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
• Provides education to health care providers regarding medication use
• When assigned - participates effectively as pharmacy representative for committees - task forces - etc. - and perform other duties that are deemed essential to the pharmacy operation
• Other duties as assigned by management.