The incumbent is responsible for providing pharmaceutical care to assigned inpatients as directed by the Associate Chief of Acute Care Pharmacy and Specialty Pharmacy. The primary area of involvement for the incumbents selected for these positions will be Intensive Care Unit (ICU), Cardiology, Oncology / Acute Care, Spinal Cord Injury (SCI) / Community Living Center (CLC), and Medicine / Surgery. The incumbent serves as a highly trained medication management expert and consultant in highly complex, clinical scenarios, collaborating with providers to ensure safe, appropriate, and cost-effective use of medications. The Clinical Pharmacy Specialist provides direct patient care and is responsible for providing comprehensive medication management (CMM) services as a core part of multidisciplinary care teams. The incumbent will be responsible for developing, providing, and supporting the educational programs of the pharmacy service in the specialized area. As the medication expert, the incumbent is a champion for the specialized area's quality improvement (QI) efforts: medication safety initiatives, Opioid Safety Initiative (OSI), anticoagulation monitoring and management, Antimicrobial Stewardship activities, pharmacokinetic dosing services and management, and dose optimization, including renal/hepatic adjustments, drug-drug, and drug-food interactions, lab monitoring and smoking cessation. Clinical Pharmacy Specialist possesses anticoagulation management scope of practice, as part of collaborative medication management, to hold warfarin and other oral and parenteral anticoagulation medications prescriptive authority; order, interpret, and monitor laboratory results; develop and execute patient-centered therapeutic plans within the parameters of their scope of practice. Clinical Pharmacy Specialist possesses scope of practice, as part of collaborative medication management, to hold prescriptive authority to perform comprehensive medication management for critical care and cardiology patients including: Vancomycin dosing, Aminoglycosides dosing and medication renal dosing adjustments. Prescriptive authority includes initiating, modifying, and continuing medication regimens, ordering related laboratory tests and diagnostic studies, and taking independent corrective action for identified drug-induced problems to maximize positive drug therapy outcomes. (prescriptive authority does not extend to controlled substances) Clinical Pharmacy Specialist promotes delivering opioid overdose reversal therapy and helps reducing opioid overdose deaths by possessing scope of practice, as part of collaborative medication management, to hold prescriptive authority to furnish naloxone prescriptions to patients on chronic opioid treatment or when needed. Clinical Pharmacy Specialist is ideally placed to advise people on how to stop smoking and to provide information on the supply of medication. The pharmacist possesses scope of practice, as part of collaborative medication management, to hold prescriptive authority to provide treatment for smokers who want to stop and coordinate with smoking cessation clinic for continuation of care after discharge. When assigned, provides medication reconciliation and appropriately renders care to the Oncology Clinics, and Infusion Center including appropriate computer documentation and follow-up activities. Appropriately utilizes VCM (Vista Chemotherapy Manager) software to process chemotherapy orders. Accurately compounds and dispenses chemotherapeutic and adjunctive medications for various administration routes. Routine clinical pharmacist duties include ordering, reviewing and analyzing appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy, pharmacokinetic monitoring, ordering medications, devices, supplies, monitoring for appropriate dosing based on renal and hepatic function, completing non-formulary medication consults for cardiology and patients or other departments as assigned, and consulting as appropriate to maximize positive drug therapy outcomes. Knowledgeable about pharmacokinetics, dosing and administration of reversal agents and specific antidotes for vitamin K antagonists and direct oral anticoagulants (DOAC). Responsible for verifying dosing, medication preparation or retrieval, nursing administration guidance and patient monitoring. Interviews and evaluates patients' medication regimens during their admission into the hospital as assigned for accuracy and appropriateness of therapy and document medication reconciliation note in the Computerized Patient Care Record System (CPRS). Designs a pharmaceutical care plan if needed and document the plan in progress note. All activities and interventions performed are documented in CPRS, allowing for seamless transitions of care and effective communication within the patient's healthcare team. In collaboration with the specialized area's physicians and the patients, the incumbent plays a key role in antimicrobial stewardship and determining antimicrobial selection. The incumbent works closely with the antimicrobial stewardship team to ensure antimicrobial stewardship initiatives are implemented and maintained appropriately. Work Schedule: Monday - Friday, 8 hour shifts between 7:00am - 5:30pm, holidays, & weekends and overnight shifts on rotating basis
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.