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Clinical Pharmacist (Inpatient)

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Job Ref:  351772300
Employer:  U.S. Department of Veterans Affairs
City:  Ann Arbor
State:  Michigan (MI)
Position type:  Full-Time

TOUR OF DUTY: Day Shift (Monday - Friday)

The Inpatient Clinical Pharmacist is a licensed professionalwho demonstrates advanced knowledge and proficiency in pharmacy practice including pharmaceutics, pharmacokinetics, pharmacodynamics, and pharmacotherapeutics. The incumbent is responsible for analyzing real and potential drug related medical problems and implementing corrective action to ensure that patients receive optimal drug therapy. The pharmacist also applies standards relating to distribution and control of scheduled and non-scheduled drugs.

Inpatient pharmacists are assigned to specific interdisciplinary teams for the purpose of coordinating, communicating, and integrating the prescribed medication regime into the interdisciplinary plan of care, as well as to educate clinicians and patients/caregivers relative to parameters described above.

The incumbent is administratively accountable to the Associate Director for Patient Care Service (ADPCS) and is assigned to specific interdisciplinary teams. The incumbent operates within the Clinical Pharmacist's Scope of Practice.

The incumbent is accountable to the Chief, Pharmacy Service for professional licensure and competency with shared responsibility for continuing education among the incumbent, ADPCS, and Chief, Pharmacy Service.

NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the step at which the candidate will be placed in that specific grade. The salary is based on the grade and step approved for the selected candidate.

Preferred Qualifications :

1. 2-3 years of recent inpatient acute care clinical pharmacy experience;

2. Recent experience providing Acute Care Clinical Pharmacist support during physician rounds at a teaching facility; and

3. Recent experience in interdisciplinary collaborative management of acute care patients to develop, modify, monitor, and document patients' drug therapy to include, but not limited to : pharmacokinetics, anticoagulation, nutrition therapy, ordering and interpreting laboratory data, and assessing response to therapy.

MUST BE a citizen of the United States.
MUST BE a graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree.
NOTE: Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT).
MUST possess a full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16.
NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). Effective November 30, 1999, this is a requirement for employment. This requirement does not apply to licensed pharmacists on VA rolls as of that date, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification.
Exception. Non-licensed pharmacists who otherwise meet the eligibility requirements may be given a temporary appointment at the entry level as a Graduate Pharmacist under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of licensure for a period not to exceed 2 years for a pharmacist that provides care under the supervision of a licensed pharmacist. For grade levels above the GS-11, the candidate must be licensed.
Failure to Obtain License. In all cases, pharmacists must actively pursue meeting state prerequisites for licensure starting from the date of their appointment. At the time of appointment, the supervisor will provide the unlicensed pharmacist with the written requirement to obtain licensure, the date by which the license must be acquired, and the consequences for not becoming licensed by the deadline. Failure to become licensed within 2 years from date of appointment will result in removal from the GS-0660 Pharmacist series and may result in termination of employment.
PHARMACISTS appointed to direct patient care positions must be proficient in spoken and written English in accordance VA regulations.
Creditable Experience
(1) Knowledge of Professional Pharmacy Practices. To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice. Professional practice means paid/non-paid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board.
(2) Residency and Fellowship Training. Residency and fellowship training programs in a specialized area of clinical pharmacy practice may be substituted for creditable experience on a year-for-year basis. The pharmacy residency program must be accredited by the American Society of Health-System Pharmacists (ASHP). A fellowship program that is not accredited by the American College of Clinical Pharmacy (ACCP) will need to have comparable standards for experience to be creditable (Professional Standards Board refers to the Deputy Chief Consultant for Professional Practice for the determination).
(3) Quality of Experience. Qualifying experience must be at a level comparable to pharmacy experience at the next lower level. Experience as a Graduate Pharmacist is creditable provided the candidate was used as a professional pharmacist (under supervision) and subsequently passed the appropriate licensure examination.
(4) Part-time Experience. Part-time experience as a professional pharmacist is credited according to its relationship to the full-time work week. For example, a pharmacist employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time work week of credit for each 2 weeks of service.
Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.
GS-12 Clinical Pharmacist (Full Performance Level)
Experience or Education. In addition to the basic requirements, candidates must meet one of the following:
1. 1 year of experience equivalent to the next lower grade level, or
2. Completion of an ACPE-accredited Pharm.D. program.
Interviews patients upon admission to collect or review patient specific information such as heights, weights, medical history, current medication use, OTC medication use, adverse or allergic drug reactions, and dietary history relevant to drug use.
Monitors patient specific therapeutic drug regimes and communicates relevant findings and/or recommendations to other health care providers; monitors include prospective review and intervention in the following domains:
1. Therapeutic appropriateness of a drug regimen
2. Therapeutic duplication in the drug regimen
3. Appropriateness of the route and method of administration
4. Degree of patient compliance with the prescribed drug regimen
5. Drug/drug, drug/food, drug/laboratory, or drug/disease interactions
6. Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects
7. Physical signs and clinical symptoms relevant to the drug therapy

Documents pharmaceutical plans and care provided in the computerized medical record.
Consults orally or in writing with other health care providers regarding drug therapy selection and management.
Participates in the drug therapy management of medical emergencies.
Develops patient specific drug therapy management plans and therapy endpoints.
Assists with medication administration processes/practices in assigned patient care area(s).
Enters provider inpatient and discharge orders into VISTA or completes such orders entered by providers for medications, carefully screening each order for therapeutic appropriateness and policy compliance.
Monitors lab data of potentially toxic medication such as the aminoglycosides, theophylline, digoxin, and phenytoin and proactively intervenes when necessary.
Identifies discrepancies between inpatient and outpatient medication profiles, including data from other VA facilities.
Reviews medication profiles daily to ensure the appropriateness of drug use; assures that pharmaceutical care is integrated with standard protocols and medication use protocols.
Considers laboratory data, body surface area, and protocols when verifying dose calculations for processing antineoplastic medications.
Monitors lab data and outcomes for patients receiving parenteral nutrition.
Works with the Home Infusion Therapy Team in order processing, patient education, and problem resolution to ensure safe and effective home IV therapy.

References: VA HANBOOK 5005/55, PART II, APPENDIX G15 dated 06/17/2012
PHYSICAL REQUIREMENTS: VA Directive and Handbook 5019.
There may be extremes of temperature, distractions, noise from equipment or patient care activities.
Some lifting (25 lbs), stretching and forward and overhead reaching is involved. walking and standing 8-12 hours; repeated bending 8 hours; both legs required. may have to kneel in order to retrieve product from lower cabinets or the floor.
Must be able to rapidly coordinate mental and muscular duties simultaneously. Computer keyboard activity and computer monitor use is frequently performed.
Fine motor skills (for packaging and counting) and excellent visual acuity (for expiration date and tablet identification and prescription interpretation) are required.
Near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors.
Hearing acuity is required for phone communication, patient counseling and professional communication. (hearing aid use is permitted).
The incumbent may be exposed to infected patients and contaminated materials. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.
The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Works closely with others.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit .

You must provide a complete Application Package which includes:

3. OF 306, Declaration for Federal Employment (Required) (Available

4. If prior military service, include all copies of your DD Forms 214. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at ).
5. If currently employed in the VA system, include latest SF-50, Notification of Personnel Action.
6. Any and all supporting documents submitted will be forwarded to the selecting official (no photos accepted).

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