Clinical
The pharmacist provides appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitoring for efficacy, side effects and clinical outcome; and advises prescribers as appropriate.
Provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendations to other health care providers in charge of the patient both orally and in writing. Monitoring will include prospective review and intervention in:
Therapeutic appropriateness of a patient’s drug regimen
Therapeutic duplication in the patient’s drug regimen
Appropriateness of the route and method of administration
Drug-drug, drug-laboratory, or drug disease interactions
Clinical and pharmacokinetic laboratory data to evaluate the efficacy of drug therapy and to anticipate side effects, toxicity, or adverse effects.
Performs continuous evaluation of prescribed medications to assure optimal drug therapy.
Provides medication counseling to patients.
Completes medication histories including patient interviews.
Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers.
Performs medication reconciliation at all transitions of care, including updating the medication profile to reflect an accurate, active list of VA and non-VA medications. This may include adding non-VA medications or discontinuing duplicate medications or those the patient is not taking.
Assesses drug safety and efficacy, including evaluation of physical symptoms.
Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program.
Recommends formulary alternatives and completes non-formulary consults as assigned.
Participates in medical emergencies including code teams (if BLS or ACLS certified) and emergency preparedness activities.
Provides pharmacokinetic consultation, including dosing vancomycin and aminoglycosides, in accordance with local policy.
Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.
Manages various actions, as appropriate, for medication orders to include: flagging prescriptions, managing view alerts, using the “hold medication” function, and generating unsigned discontinued orders using Service Reject.
Dispensing
(1) Reviews all medication orders for appropriateness, drug selection, dosage, route of administration and the amount, prior to dispensing.
(2) Ensures all medication orders are entered into the electronic patient medical record.
(3) Fills all orders in a timely fashion; review of the patient’s allergy history, drug-drug, drug-nutrient, drug-laboratory and drug-disease state interactions and assessment for clinical relevance should be performed and dealt with appropriately.
(4) Reviews medication profiles and monitors for compliance or potential abuse; problems encountered shall be resolved.
(5) Selects, compounds, dispenses and fills a range of drugs including extemporaneous preparations, special formulations, ophthalmics (subconjunctivals and intravitreal injections), narcotics, investigational drugs, oncolytic agents, etc., in both outpatient and inpatient areas. Adequate quality assurance procedures shall be followed as applicable.
(6) Maintains adequate drug stock, inspects drug storage areas, supervises prepacking and the operation of automated dispensing equipment.
(7) Supervises the activities of support personnel.
(8) Ensures drugs dispensed are completely and correctly labeled and packaged in full compliance with Federal rules and regulations.
Work Schedule: 4:00 a.m. – 12:30 p.m., 6:00 a.m. – 2:30 p.m.,7:00 a.m. – 3:30 p.m., 7:30 a.m. – 4:00 p.m., 8:00 a.m. – 4:30 p.m., 8:30 a.m. – 5:00 p.m., 9:00 a.m. – 5:30 p.m., 9:30 a.m. – 6:00 p.m., 10:00 a.m. – 6:30 p.m., 10:30 a.m. – 7:00 p.m., 11:30 a.m. – 8:00 p.m., 12:30 p.m. – 9:00 p.m., 1:30 p.m. – 10:00 p.m., 2:30 p.m. – 11:00 p.m., 3:30 p.m. – Midnight, Midnight – 8:00 a.m. Weekends and Holidays included per rotation.
Financial Disclosure Report: Not required
Source: Indeed.com
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