The Clinical Pharmacy Specialist works independently under the Associate Chief of Clinical Pharmacy Services and Chief of Pharmacy Service and keeps them apprised of trends/problems associated with their assigned activities. The primary responsibility of the Women's Health/ PACT Clinical Pharmacy Specialist is the provision of evidence-based pharmaceutical care services through direct and indirect interaction with patients. Collaborates with providers to pursue optimal medication therapy management for patients within the practice-based areas of Women's Health and Primary Care (such as, but not limited to, chronic obstructive pulmonary disease, contraception, diabetes, gestational diabetes, heart failure, hyperlipidemia, hypertension, hypothyroidism, menopause and hormone replacement therapy, osteoporosis, preconception planning, tobacco use disorder management) and assisting with safe use of medications during pregnancy. Promotes and manages drug therapy based on current clinical knowledge that is consistent with policies established at the national, regional, and local levels. Functions as part of the pharmacy team to support continuity of care and ensure the best use of pharmaceuticals. Follow patients until they achieve the pharmaceutical therapeutic goals set by the provider, Chief of Staff, or designee, or longer if deemed necessary. Serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and acts as a consultant for intensive medication therapy management services. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Actively involved in reviewing patient medication regimens for cost effective 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. Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Assists with medication use evaluations and other Pharmacy and Therapeutics activities on behalf of national, VISN, and local Medical Center initiatives as needed. Documents clinical interventions in CPRS in a timely and professional manner as appropriate. Promotes and monitors compliance for established drug therapy policies. Works with providers to ensure compliance with national, regional, and local initiatives. Serves on Medical Center and/or regional committees as requested. Performs drug conversions and assists with drug shortages when needed. Provides patient-specific drug therapy modifications to maximize patient response and minimize drug interactions, adverse drug effects, and poly-pharmacy while providing cost-effective treatment. The assessments are based on clinical reviews and objectives measures. Clinical Pharmacy Specialists will determine if a referral to the physician is necessary when disease progression occurs, or adverse drug events require treatment interventions. Orders, performs, reviews and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy. Follows-up with patients on lab or test results to discuss the plan of therapy (i.e. changes in medication therapy, monitoring and evaluation, additional testing requirements, referral to primary care or specialty care physician). Participates in the training and in-servicing of pharmacists, pharmacy technicians, pharmacy students, pharmacy residents, and other medical center personnel as required. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication and tracking methods based on age and developmental considerations. Is able to accurately assess patient comprehension. May serve as preceptor for pharmacy students and pharmacy residents in accordance with established protocols. Assists in new employee orientation sessions as scheduled. Assists in the development of proposals for improved and/or new clinical pharmacy services. Maintains a current knowledge of therapeutics and disease management. Provides timely and accurate responses to drug information inquiries from all customers. Works and communicates effectively with others while remaining courteous, tactful, and understanding when interacting with others, even in potentially difficult or volatile situations. Treats patient, team members, other facility employees and visitors with respect. Responds to needs appropriate for the service in a courteous and timely manner. Performs administrative/continuous quality improvement (CQI) activities as assigned/directed by supervisor or Chief of Pharmacy Service. Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. 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.