Provides highly innovative and progressive clinical pharmacy services and developing and directing clinical pharmacy programs in the Emergency Department (ED). Consultations generally cover all aspects of clinical pharmacology including the rational and appropriate use of drugs, pharmacokinetics, toxicology and the management of drug and chemical toxicities. Current permanent VA employees and Federal employees from other federal agency should apply under CBST-11299820-22-HYC The duties of the Clinical Pharmacy Specialist (Emergency Department) includes but is not limited to: Provides advanced pharmacology and therapeutic consultations to the professional staff. Initiates orders for appropriate medications and diagnostic tests, and documents same in the patient's medical record. Assures the safe, appropriate, cost-effective use of drugs in assigned patient care areas through the application of specialized knowledge and the use of judgment in the collection and interpretation of data specific to each patient and in tactful interactions with other professionals. Interviews and evaluates patients upon admission to the ED for appropriateness of pharmacologic therapy and medication reconciliation. Determines medication history for potential drug interactions, therapeutic duplications, efficacy of current medications regimens and compliance patterns and/or drug reactions, and acts to resolve any problems. Evaluates and ensures optimal medication regimens for patients through analysis of medication profiles, laboratory data, other medical and social data, and direct patient observation. Identifies any drug induced problems that may be affecting the patient or contributing to the need for emergency care / hospitalization and acts to achieve their resolution. Evaluates providers' orders as to appropriateness based on patient medication profiles, inputs information into VistA or verifies orders entered by healthcare providers as needed. Identifies drug related problems such as allergies, toxicities, improper dosage regimens, etc., which may require individualized treatment, adjustment of dose, or change of drug, and communicates this information to the provider. Consults with providers, may initiate changes, deletions or additions to the current medication regimen as established by existing clinical prescribing privileges and scope of practice, as appropriate, to optimize the cost: benefit ratio of the regimen. Orders consults (i.e., dietician, social worker) as appropriate to maximize positive drug therapy outcomes. Provides accurate, up-to-date, relevant drug information and drug literature analysis to health care professionals, and acts as a therapeutic consultant on matters of a high degree of complexity and difficulty. Shares responsibility for drug usage evaluation with appropriate health care professionals. Actively participates in quality assurance programs. Assists providers in developing effective, least toxic, and most economical, drug treatment plans by weighing the risk: benefit and cost: benefit of various therapeutic alternatives. Coordinates the Medical Center adverse drug reaction reporting program in emergency department areas. Provides therapeutic and adverse drug reaction monitoring on a continuing basis. Manages out-of-stock situations by substituting alternate dosage strengths and instructions of the same medication equal to the prescribed dose and schedule as approved by the Pharmacy and Therapeutics Committee, including patient education as necessary. Develops and provides education programs for patients and for pharmacy, medical, and nursing staff. Work Schedule:7 days on /7 days off (12-hour shifts) or a floating tour of duty based on agency needs to supply 24/7 ED coverage Telework: Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Clinical Pharmacy Specialist (Emergency Department)/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): 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.