Clinical Pharmacist - Inpatient Evening

The Acute Care Clinical Pharmacists will be responsible for all Veterans receiving care on an inpatient ward, ICU, O.R., day surgery, dialysis unit, x-ray, GI lab, Cardiac Cath. lab, CLC, and the emergency department. The clinical pharmacists may be assigned to specific multidisciplinary teams and/or ward locations depending on the specific tour of duty. A. Customer Service 1) Treats patient, team members, other facility employees and visitors with respect. Responds to the needs of the service in a courteous and timely manner. 2) Demonstrates appropriate and proactive interpersonal skills to achieve the goals of the service. Acts as a team member and is supportive of the group's efforts at all times. B. Clinical 1) The clinical pharmacist provides appropriate recommendations for the selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics; monitoring for efficacy, side effects, toxicity, adverse effects, and clinical outcomes; and advises prescribers as appropriate. 2) Provides consultation for patient-specific therapeutic drug monitoring. Communicates relevant findings and/or recommendations, both orally and in writing, to other pharmacists and health care providers in charge of the patient. Monitoring will include prospective review and intervention in: a) Pharmacokinetic consultation for dosing vancomycin and aminoglycosides b) Management of anticoagulation therapy, including lab monitoring and dosage adjustments based on current medical center policy. c) Therapeutic appropriateness of a patient's overall drug regimen d) Appropriateness of the route and method of administration e) Physical signs and clinical symptoms relevant to the patient's drug therapy 3) Performs continuous evaluation of prescribed medications to assure optimal drug therapy. 4) Completes medication histories including patient interviews. 5) Serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers. 6) Participates in patient care rounds, reviews charts, evaluates pertinent laboratory data, drug-drug and drug-nutrient interactions, monitors for adverse drug effects, and screens for allergies. C. 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, oncologic agents, etc., in both outpatient and inpatient areas. D. Education 1) The pharmacist is responsible for maintaining his/her professional competency by keeping abreast of current medical and pharmaceutical literature, new drugs and therapies, participating in continuing education programs, and applies this knowledge in his/her daily duties. 2) Provides education to health care providers regarding medication use. 3) Assumes an active role in the overall pharmacy-training program consisting of students, externs, interns, residents, and professional and non-professional staff members. 4) Assists in new employee orientation sessions as scheduled. E. Drug Information 1) Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information. 2) Has a good working knowledge of information resources, both written and electronic. 3) Maintains a current knowledge of therapeutics and disease management. 4) 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 and document patient comprehension. F. Program Management 1) Monitors and directs workflow of pharmacists and technicians. Provides feedback and suggestions regarding structure of workload. Composes pharmacist schedule for supervisor review. 2) Assists in the formulation of pharmacy policies and procedures and any hospital policies that involve medication management or pharmacy related programs. Updates and organizes reference material for the workgroup. Works closely with Inpatient Supervisor on implementation procedures and coordinating information flow to all inpatient staff. 3) Is trained and competent as a resource support for all inpatient automation. Works closely with automation technician on any automation issues. 4) Serves as a consultant or as a member on various committees as appropriate. Work Schedule: Compressed evenings 1030-2300 Thursday-Wednesday 7on 7off Telework: Ad-Hoc Virtual: This is not a virtual position. Functional Statement # 55648-A, 55649-A

Created: 2026-04-15