Functions as a pharmacy consultant to Spinal Cord Injury and other Medical Center professional staff. 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-11299503-22-HYC The duties of the Clinical Pharmacy Specialist (Spinal Cord Injury) includes but is not limited to: Functions as a pharmacy consultant to Spinal Cord Injury and other Medical Center professional staff. Evaluates providers' orders as to appropriateness based on patient medication profiles, inputs information into VistA or verifies orders entered by healthcare providers as needed. 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 selected patients to determine medication history for potential drug interactions, therapeutic duplications, and efficacy of current medication regimens, compliance patterns and/or drug reactions and acts to resolve any problems. Develops individualized dosing regimens, based on the pharmacokinetics of the drug(s) employed, the renal status and other pertinent parameters of the patient in question, and institutes the regimens or makes appropriate recommendations to the patient's provider. Initiates orders for appropriate medications and diagnostic tests, and documents same in the patient's medical record. Evaluates prior authorization drug requests through in-depth evaluation of the patient's condition and recommends alternatives when indicated and completes consults within established timeframes. Analyzes the patient's medication regimen for drug interactions, and determines the potential and significance of each interaction. Recommends to the Spinal Cord Injury providers optimal management of drug-induced problems either verbally and/or in writing. Evaluates and ensures optimal medication regimens for patients through analysis of medication profiles, laboratory data, other medical and social data, and direct patient observation. 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. 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. 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 assigned areas. Provides therapeutic and adverse drug reaction monitoring on a continuing basis. Identifies any drug-induced problems that may be affecting the patient or contributing to the need for hospitalization and acts to achieve their resolution. 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. Makes recommendations to providers to improve patient care and enhance patient safety. Develops and provides education programs for patients and for pharmacy, medical, and nursing staff. . Work Schedule: Monday-Friday 07:30am-4:00pm or 08:00am - 4:30pm or based on agency needs Telework: Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Clinical Pharmacy Specialist (Spinal Cord Injury-Inpatient); Clinical Pharmacy Specialist (Spinal Cord Injury-Outpatient) /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.