The Clinical Pharmacy Specialist (CPS) functions as a consultant to physicians and other health care staff in the Long-Term Care setting as well as coordinating the pharmacy aspects of the Antimicrobial Stewardship (AMS) Program with appropriate medical staff. The incumbent will provide a wide variety of functions which will include, but not be limited to: direct and indirect patient care, completion of monthly chart reviews including assessing the efficacy, safety and appropriateness of drug therapy, making recommendations to providers and executing appropriate follow-up, and interpreting laboratory values and suggesting appropriate adjustments in medication regimens. Under an approved Scope of Practice, and with appropriate supervision by a physician, the incumbent will assume limited authority to direct therapy as per established protocols, order laboratory tests as indicated for patient monitoring, and approve the use of non-formulary medications. The incumbent is responsible for planning and coordinating educational programs related to pharmacotherapy in geriatrics or AMS for pharmacy and medical staff. The incumbent precepts residents and students on clinical rotations for geriatric and AMS. Duties of the position include, but are not limited to: Completes drug regimen reviews and provides pharmacotherapy recommendations for Community Living Center (CLC) patients as necessary for new patients, on a monthly basis, or more often as clinically indicated. Chart reviews are accomplished in a timely manner according to policy and procedure, JCAHO requirements and acceptable patient care. Completes detailed medication histories, focusing on adherence or nonadherence with prescribed regiment, identifying potential adverse effects of medications taken, and evaluating overall medication regimen as it compares to therapeutic goals, and assuring that the medication "list" is reconciled accurately with actual medication use. As part of drug regimen reviews, seeks to minimize potential adverse effects, significant drug-drug interactions, simplify the regimen and, insofar as possible, educe the number of medications prescribed (especially those that are problem prone or high risk in the elderly). Monitor the results of his/her recommendations and be able to provide data as to what actions were taken by the attending physician in response to his/her recommendations. The clinical pharmacist will keep up-to-date with regards to drug therapy and extended care practice. He/she will readily provide drug information when it becomes evident that intervention is needed. The clinical pharmacist will take an active role with regards to long term treatment team planning and will be available to physicians, nurses, patients and other pharmacists and any other appropriate individuals, with accurate drug information. The clinical pharmacist will aid in the preparation of a treatment plan for those patients. Formulary Management: Provides consultations concerning drug therapy/nonformulary requests to staff pharmacists as requested. Is actively involved in the nonformulary process. Works closely with providers concerning non-formulary drug requests. Provides clinical pharmacy services within inpatient/outpatient stewardship settings. Provides clinical stewardship expertise by developing protocols not limited to antibiotic de-escalation, IV - to - PO conversions, prospective audit and feedback, etc. Provides education and training to all health care providers including physicians, nurses, and pharmacists and all others involved with the prescribing, administering and dispensing of medications to patients. Provides education to patients for the purpose of fostering compliance with medication regimens. Identifies areas of concern and corrects those potential problem areas using appropriate educational techniques. Assists the Clinical Pharmacy Manager in development and implementation of programs which assure and enhance patient care. Keep abreast of new developments in the field of drug therapy by completing required and relevant continuing education programs, reading and understanding publications of studies and investigations as related to our current practice. Supervises and trains pharmacy residents, graduate and undergraduate students as assigned. Provides clinical stewardship expertise by developing protocols not limited to antibiotic de-escalation, IV - to - PO conversions, prospective audit and feedback, etc. Pharmacy and Therapeutics/MUE Committee: Actively participates on committees and Task Forces when assigned. Participates in the Pharmacy and Therapeutics/MUE Committee and assists the Clinical Coordinator in QA and MUE activities, and other committees such as Long-term Advisory committee, and antibiotic utilization. Concurrently reviews antibiotic use as part of overall quality improvement programs and prepares necessary reports for presentation to the Pharmacy & Therapeutics Committee. Work Schedule: 08:00AM - 04:30PM (Monday Through Friday) 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.