Clinical Pharmacist

Department of Veterans Affairs

The primary functions include the timely and accurate preparation and dispensing of medications to both inpatients and outpatients. Must exercise professional judgment in matters of appropriate dosing and therapeutic regimes. Rotates through different areas of Pharmacy Service: Outpatient, Inpatient (IV Admixture and Unit dose) and Clinical areas. The primary goal is facilitation of appropriate, safe, and cost effective drug therapy for our patients.

• Inpatient Evaluates physician orders and patient treatment for appropriateness of therapy, patient's response to therapy, adverse drug effects, pertinent laboratory monitoring, polypharmacy, cost containment issues and prescribing compliance with established protocols and criteria. Verifies and processes inpatient unit dose medication orders in the VISTA Inpatient Medication package accurately. Ensures inpatients medications are labeled appropriately (i.e.: inhalers). Processes and interprets IV orders and enters them into VISTA IV Admixture package. Ensures IV medications (IV admixtures, IV piggybacks, TPN, etc.) are prepared accurately using aseptic technique. Checks IVs prepared by Pharmacy Technicians or prepares accurately using aseptic technique. Provides medications to wards via Omnicell. Enters controlled substances dispensed or returned accurately and timely into the VISTA Controlled Substances package and Omnicell. Supervises inpatient Pharmacy Technicians in all aspects of Unit Dose and/or IV Admixture areas. Accurately checks all manually prepackaged medications using Prepackage Logbook, and checks automated packaging steps appropriately. Responds to Pharmacokinetic Consult and appropriately orders labs and antibiotics. Appropriately follows up on labs and follows protocol. Outpatient Interprets new outpatient prescriptions and enters them into the VISTA Outpatient Pharmacy package appropriately, using professional judgment and VA guidelines. Processes prescription refill requests via the VISTA Outpatient Pharmacy package appropriately. Evaluates physician orders and patient treatment for appropriateness of therapy, patient's response to therapy, adverse drug effects, pertinent laboratory monitoring, polypharmacy, cost containment issues and prescribing compliance with established protocols. Fills prescriptions timely, accurately, and appropriately using ScriptPro. Checks prescriptions filled by Pharmacy Technicians using ScriptPro. Dispenses prescriptions using ScriptPro, including asking patient to show Veteran ID Card (VIC). If no VIC, patient must have 2 other forms of identification (complete name and social security number). Supervises Pharmacy Technicians when filling, mailing and/or dispensing prescriptions, and compounding products. Clinical Renews outpatient prescriptions when appropriate in CPRS. Upon request, evaluates restricted and non-formulary requests, and applies national and local guidelines to arrive at an informed decision to approve or disapprove. Consults with patients regarding how to take new medication appropriately, side effects and precautions. Provides written drug information. Consults with nurses concerning drug dosage, availability, and order changes. Provides medication information to nurses, physicians, and other health personnels. Provides inhaler patient information upon consult request. Enters CPRS note upon consult completion. Provides direct patient care activities via a variety of pharmacist run clinics (examples include anticoagulation clinic and new patient pharmacy consults). General Responsible for controlled substance accountability. Represents Pharmacy Service at various committee meetings. Responsible for various Pharmacy related projects. Provides the highest level of professional and ethical behavior. Work Schedule: 4/10 hour shifts that include alternating weekends and holidays based upon department needs. Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 53080-A, 53079A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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