The Clinical Pharmacy Specialist (CPS) functions at the highest level of clinical practice, works independently under their individual scope of practice to directly care for patients. This CPS functions as a member of the Primary Care Pain Education and Opioid Monitoring Program (PC-POP), serving as a mid-level provider to initiate, modify or discontinue medication therapy for face-to-face, telehealth, or telephone appointments. Essential Functions: Conduct patient interviews and assess (to include, but not limited to), medication therapy and adherence, adverse drug reactions and drug interactions, and medication reconciliation. Review medications and allergies for accuracy, appropriateness, safety, and interactions. Discontinue medications that are no longer needed, that are an unnecessary duplication of therapy, or that are causing untoward side effects. Communicates changes to the patient's provider appropriately. Order labs for monitoring of medications and side effects, and adjust medications based on treatment guidelines and patient status within scope of practice. Perform laboratory and controlled substance monitoring in accordance with established policies, procedures, and protocols. Educate patients and their family members on NARCAN administration, overdose risk mitigation strategies, chronic non-cancer pain treatment modalities, and adherence to controlled substance medication regimen(s). Provide patients with oral and written counseling and education as appropriate to his/her disease state and drug therapy. Serve as the subject matter expert for long-term opioid therapy & pain management, controlled substance tapers, monitoring results, drug information, and relevant policies, procedures, and protocols. Design and provide effective in-service education on pharmacology and pharmacotherapy for chronic non-cancer pain medications and other medications. Provide medication management services to include, but not limited to, development of treatment goals, assessment and management of symptoms, assessing adherence, and scheduling follow up visits. Collaborate regularly with the veteran's treatment team members concerning the ongoing management of the veteran. Document all patient interactions and assessments in the medical record promptly and accurately. Coordinate and manage PC-POP pharmacy consults promptly, accurately, and according to facility policy. Be responsible for the care of patients as well as the development of effective, professional relationships within the PC-POP team and Whole Health Service. Clinical - Direct Patient Care Activities that require a scope of practice. Core functions include patient encounters for comprehensive medication management of complex patients with chronic diseases including, but not limited to, chronic pain, diabetes, hypertension, hyperlipidemia, smoking cessation, hepatitis C, and osteoporosis. Functions as a mid-level provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. 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 including changes in medication therapy, referral to primary care or specialty provider. Clinical pharmacy specialists will determine if a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions. Physical assessment Follows up via tele-health, e-consults, scan echo and other technical modalities to see patient.s Clinical - Indirect Patient Care Activities Review patient medication regimens for clinical effectiveness, 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. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Monitor and report drug errors, adverse drug reactions, allergies, and patient compliance issues. Documents findings per facility procedures. Actively participates in the VAADERS Adverse Drug Reaction (ADR) reporting program. Apply knowledge of normal laboratory values in the evaluation of patient care, recognizes significant abnormalities, and make dose adjustment recommendations based on objective laboratory findings. Reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable. Assists Pharmacy and Therapeutics committee with medication use evaluations and other safety initiatives. 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, VISN, and local initiatives. Reviews and verifies pending medication orders for appropriateness and to reduce potential risk of adverse drug events. Work Schedule: Monday thru Friday 8:00 am to 4:30 pm 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.