Pharmacist(Clinical Specialist ( Floater)

Summary This position is located at the Fredericksburg Health Care Center (FxHCC), Fredericksburg, Virginia. The Floater Clinical Pharmacy Practitioner (CPP) functions at the highest level of clinical practice, works independently under their individual scope of practice to directly care for patients as assigned. This may include, but not limited to, Anticoagulation Management Clinic, PACT, HBPC, non-formulary or other order processing. Duties Duties include, but are not limited to: Clinical

• Direct Patient Care Activities Core functions include face-to-face and virtual encounters with referred patients, for comprehensive medication management in practice areas identified in their individual scope of practice. Functions as an advanced practice provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Clinical
• Indirect Patient Care Activities Identify patients who may benefit from comprehensive medication management through population management reports during team huddles, referrals, and/or consults. Review patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings with prescribers and provides appropriate alternatives to current treatment plans as needed. Apply knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and makes dose adjustment recommendations based on objective laboratory findings. Administration Functions Participates in medication use evaluations activities, audits or quality management monitoring as designated by supervisor. Gathers data for administrative reports when assigned. Upon request, independently prepares reports or participates in pharmacy projects. Assists in preparing for special accreditations and reviews (e.g. The Joint Commission, Inspector General, etc.,) and meets with reviewing/inspecting officials and pharmacy management. Performs at least one hospital committee assignment per year or attends professional meeting and presents a report to the facility's professional staff and documents committee contribution or impact of meeting. Education Demonstrates knowledge of the standards related to ambulatory care drug use. This includes, but is not limited to, the standards established by DEA, FDA, VA, the state, and The Joint Commission. Serves as an authority on drug usage, interactions, over dosages, and compliance to medical staff, nursing staff, technicians, aides, students, and pharmacists of lower grade. Serves as a clinical pharmacy preceptor for Doctor of Pharmacy students from the appropriate affiliated Schools/Colleges of Pharmacy. Serves as a preceptor for PharmD residents and maintains a sustained record of contribution and commitment to pharmacy, as defined by ASHP. Research Demonstrates knowledge of the design, conduct, and interpretation of controlled clinical drug trials or other research related to his/her practice area as applicable. Participates in developing criteria for drug utilization evaluations, data collection, trending reports, and other quality assurance activities as required to ensure appropriate and safe drug utilization. Recognizes and prepares case studies suitable for presentation and publication as appropriate. Technical Skills Understand and interpret clinical and technical issues brought to the attention of the individual. Independently utilize an electronic healthcare record including but not limited do recording encounter documentation, entering medication or lab orders, and updating medication lists/allergies. Compound or prepare pharmaceutical products per facility guidance. Work Schedule: Monday
• Friday 7:30am
• 4:00pm Compressed/Flexible: May be available at the discretion of the service chief Telework: ADHOC-May be authorized Virtual: This is not a virtual position Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Qualifications 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. English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education 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. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: (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

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 a Copy of Fpgee and Toefl with

Your Application

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.

NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification.

In Addition to Meeting the Basic Requirements Listed

ABOVE,

You Must Meet the Grade Requirements in Order to Qualify

For This Position.

Grade Determinations: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Examples of experience include: 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; providing refill extensions and partial medi