The Clinical Pharmacy Specialist (CPS) in Ambulatory Care (PACT and Anticoagulation) functions at the highest level of clinical pharmacy. Under an advanced scope of practice, the CPS works independently at least 25% of the time, providing expertise and direct patient care. The CPS is responsible for clinical, pharmacy medication initiatives and program management of pharmacy services in the Ambulatory Care Clinics. Clinical Pharmacy Specialist (CPS) in Ambulatory Care Functions consist of the following: 1. Clinical Obtains comprehensive health history including but not limited to medication therapy, medical history, laboratory and diagnostic study results, and limited physical assessment. Identifies patient-specific medication issues including, but not limited to, drug interactions, adverse effects, efficacy, appropriateness, medication safety concerns and adherence problems. Develops customized therapeutic plans utilizing effective, safe, and economical medication treatments that incorporates Veteran's preference and adherence. Provides comprehensive medication and disease state management services and prescribing medications and treatments in accordance with their individualized scope of practice and in collaboration with healthcare professionals responsible for the Veterans' care. Educates the Veteran and caregivers on disease state management and proper use of prescribed medications. Evaluates patient's ability to understand medication instructions, and provides oral and written counseling on their drug therapy. Orders, performs, reviews and/or analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the Veteran's drug therapy as a member of the treatment team. Orders consults (i.e. dietician, social work) as appropriate to maximize positive drug therapy outcomes. Communicates actions and recommendations to appropriate individuals and documents relevant findings in the Veteran's medical record. Documents patient safety events such as medication errors, adverse events, and near misses appropriately. Completes pharmacy consults applying clinical knowledge in accordance with established policies and procedures. Assists in the management of medical emergencies and adverse drug reactions. Verifies providers orders to be complete and appropriate for dose, route, and frequency to facilitate Veteran care. Assists with continuity of care for Veterans during transitions of care. 2. Program Management Serves as a resource and expert in drug therapy knowledge and demonstrates skills in utilizing the evidence as it pertains practice area(s). Serves as a liaison between the Pharmacy Service and the assigned practice area(s). Responsible for managing all clinical pharmacy services within the assigned practice area(s) Captures workload, documents clinical activities, and maintains productivity consistent with applicable performance measures and monitors. Maintains an expert understanding of regulatory and quality standards pertaining to pharmacy within the assigned practice area(s). Assists in the development of policies, guidelines, and protocols in practice area assuring they are consistent with current standards of practice, VHA Guidelines and Directives. Complies with VA, Hospital and Pharmacy Service policies and procedures relevant to the assigned practice area(s). Represents pharmacy service in team meetings, local, VISN, and national committees, task forces, and workgroups relating to the assigned practice area(s). Participates in quality assurance, process improvement activities, and performance monitors. Provides expertise to leadership for pharmacy issues including, but not limited to patient safety, drug shortages, adverse drug events. Maintains certification for and performs point-of-care testing. Enters lab results. 3. Education and Personal Competence Communicates effectively with Veterans, co-workers, hospital staff and pharmacy management. Remains current with all required training, e.g. licensure, BLS, TMS, certification. Provides pharmacy related education and reference materials to medical staff, nursing staff, residents, students, and other healthcare professionals in the assigned practice area(s). Attends and participates in clinical pharmacy activities, e.g., clinical pharmacy staff meetings, staff development. Engages in the training of pharmacy staff, residents, and students. Serves as an effective preceptor of residents and students as assigned. 4. Research Supports the organization's research and education mission, including participation in residency research projects and contribution to the medical literature. C. SUPERVISORY CONTROL Incumbent is under the direct supervision of the Ambulatory Care Clinical Pharmacy Supervisor. The incumbent plans and carries out work assignments and resolves problems on recurring assignments in accordance with oral or written instructions, policies, training or previous exposure to accepted agency practices. Work Schedule: The selectee may be required to work various shifts based on patient care needs. Financial Disclosure Report: Not required Education Debt Reduction Program (EDRP): Eligible- *See "Additional Information" section below for more details.
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.