Clinical Pharmacist (Rural Health Pain Management)
Veterans Affairs, Veterans Health Administration
Location: Albuquerque, New Mexico
Internal Number: 622966200
The Clinical Pharmacy Specialist (CPS)/Rural Health Pain Management serves as a mid-level provider, who will initiate, modify, or discontinue medication therapy, and as a consultant for intensive medication therapy management services specializing in drug monitoring and pain management therapy in high risk patients treated with opioids for chronic, non-malignant pain. This CPS serves as a physician extender to manage patients established with select community-based outpatient clinics (CBOCs). Clinical: Core functions include telephone and Clinical Video Telehealth (CVT) encounters with referred patients, as well as management of e-consults, for pain medication management for patients established with select CBOCs. CPS will provide pain-related medication therapy management services and patient/caregiver education. The CPS, functioning as a mid-level provider, will initiate, modify, and/or discontinue a patient's medication therapy (excluding controlled substances) in order to maximize patient response and minimize drug interactions, adverse drug effects, and polypharmacy while providing cost-effective treatment. CPS will coordinate appropriate triage for patient related issues outside their scope of practice. Will determine if a referral to the physician is 2 necessary when disease progression occurs or adverse drug events require treatment interventions. Has advanced skill and knowledge necessary to order, review and analyze 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 implement the necessary changes in the plan of therapy (i.e. changes in medication therapy, monitoring and evaluation, additional testing requirements, referral to primary care or specialty care physician). Perform pertinent physical assessment as needed. Primary provider for other VA providers in CBOC clinics to consult regarding the appropriate VA National Formulary medications to consider for patients that are choosing to transfer their care to VA. Obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider as appropriate. Dispensing/Operations: Evaluates prescriber's medication orders for appropriateness, renal/hepatic dosing, drug interactions, possible allergies/adverse reactions, duplications in therapy, and verifies/finishes pending inpatient orders. Works with CBOC staff to expedite medication delivery when appropriate. Utilizes VISTA and CPRS packages to maintain complete patient medication records. Enters or finishes outpatient prescriptions for dispensing. Adheres to dispensing guidelines for hazardous medications and disposal guidelines for all medications. Drug Information: 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. Has a good working knowledge of information resources, both written and electronic. Maintains a current knowledge of therapeutics and disease management. Provides timely and accurate responses to drug information inquiries from all customers. Education: Participates in the training and in-servicing of pharmacists, pharmacy technicians, student pharmacists, pharmacy residents, medical residents, and other medical center personnel as required. Maintains faculty appointment through the University of New Mexico College of Pharmacy. Effectively instructs patients and family members in the appropriate use of medications and medical devices. Is able to adjust communication based on age and developmental considerations. Is able to accurately assess and document patient comprehension. Is able to refer patients to educational programs provided at the medical center by multidisciplinary teams. Is skilled at using both written and verbal communication techniques in teaching others. Research: Works with other health professionals to develop and participate in the implementation of protocols for clinical and health systems research related to pharmacy. Develops and coordinates clinical research activities and projects to benefit the Pharmacy Service. Submits articles, manuscripts, and research projects for presentation and publication locally and nationally. . Work Schedule: Monday to Friday, 8:00 a.m. - 4:30 p.m. Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Clinical Pharmacist (Rural Health Pain Management)/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.