The Clinical Pharmacy Specialist (CPS) performs the full range of accepted ethical and professional practices of pharmacy, observing all legal requirements. The CPS has prescribing privileges as outlined in the individual's Scope of Practice (SOP). The primary responsibility of the CPS is the provision of evidence-based pharmaceutical care services through direct care with patients and consultation with other providers on the Hem/Oncology team. PAIN CPS PROVISION OF CARE: The Pain CPS is an advanced practice provider with a high level of autonomy and exercise independent decision making within their Scope of Practice (SOP). Comprehensive medication management (CMM) by the Pain CPS Provider is primarily through direct patient care activities. Core activities outlined in the individual SOP include medication prescriptive authority, assessments, consults, laboratory and test ordering abilities for Pain Care Practice. The Pain CPS SOP does not include diagnosing; collaboration will occur with new and/or changing diagnoses. - The Pain CPS provides CMM for chronic pain management conditions, including but not limited to neuropathic pain, low back pain, fibromyalgia, and osteoarthritis. In addition, the Pain CPS performs risk assessment and mitigation including urine drug screening and interpretation, universal precautions, opioid tapering and monitoring, substance use disorders (SUD) screening and treatment (e.g., tobacco, alcohol, opioid) and appropriate referrals. Enter additional CPS management roles as applicable (e.g. low complexity Mental Health conditions, peri-operative pain management). - The Pain CPS may perform physical assessments necessary to evaluate and monitor for initiation and modification of medication therapy management to ensure appropriate response. Within the basic framework the CPS assumes the following duties and responsibilities: Directly involved in the design, implementation and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. Actively involved in reviewing patient medication regimens for clinical effectiveness, drug selection, dosing, medication reconciliation, 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. Able to apply knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities. Is an expert in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings and medical evidence.. Documents clinical interventions in CPRS in a timely and professional manner as appropriate. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Performs drug use evaluations on behalf of national, VISN and local medical center initiatives as needed. Reviews and verifies medication orders to be administered to patients in primary care, prior to administration, for appropriateness and to reduce potential risk of adverse drug event. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Unique functions requiring the individual to maintain a SOP: Serves as the primary provider to initiate, modify or discontinue patient's medication therapy. Provides patient-specific drug therapy modifications to maximize patient response and minimize drug interactions, adverse drug effects, and polypharmacy while providing cost-effective treatment. The assessments are based on clinical reviews and objective 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) Monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues; documents findings per facility procedures. Promotes and monitors compliance for established drug therapy policies. Works with providers to ensure compliance with national, VISN, and local initiatives. Serves on medical center and/or VISN committees as requested. Performs drug conversions and assists with drug shortages when needed. Participates in professional staff recommendations designed to influence rational and cost-effective drug therapy for Pharmacy Service and Internal Medicine, Surgery, Geriatric, or Critical Care areas. Work Schedule: Monday - Friday, 8am - 430pm Telework: Authorized Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized 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.