Total 142 clinical researcher job vacancies in Health / Beauty / Fitness category in Malaysia

PLEASE NOTE: To view the full Job Description and Person Specification, please click the supporting document on the right-hand side. To be an employee of the NHS you need to successfully complete the following: Identity Checks Professional registration and qualification checks Employment history and reference checks Occupational Health clearance Satisfactory Disclosure and Barring Service check Right to work in the UK For further information please visit: https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation We reserve the right to close this advert early. We may be able to offer flexible working. Please discuss at interview. We may be able to offer sponsorship but this is not guaranteed.

Major Duties:

• Serves as Clinical Pharmacist of the outpatient pharmacy program and is responsible for the provision of pharmacy services including all drug distribution services and clinical pharmacy services.
• Provides direct patient care in pharmacy based clinics such as medication refill; anticoagulation, smoking cessation, and anemia prevention using clinical approved guidelines.
• Advises and provides technical expertise/leadership in the areas of medication selection, procurement, storage, ordering, preparing, dispensing, billing, delivery, administration, and monitoring.
• Provides education to patients and their families about medications, common disease states and information on health promotion.

**This position is being announced concurrently under Excepted Service Examining Plan/Merit Promotion Plan (ESEP/MPP) procedures. Please review vacancy announcement number IHS-25-PX-12619378-ESEP/MP; for eligibility requirements. NOTE: Applicants must apply separately for each announcement in order to be considered.**

Starting at $131,761 Per Year (GS 12)

19th November,
About the facility: Large Not-for-Profit Residential Aged Care Facility near Maroochydore, QLD About the role: Full Time - Responsible for the provision and co-ordination of quality care standards, compliance and education programs that meets the individual needs of the residents and management of the clinical care staff team. Looking for a strong Registered Nurse who has had experience in aged care and who is looking for that next step in their career.  Monday to Friday hours however looking for someone that can cover extra shifts during weekends and after hours when needed.  Duties:

Demonstrate comprehensive Clinical knowledge and experience
Coordinate, educate and mentor the clinical staff
Report to Clinical Manager
Knowledge of continuous quality improvement principles and accreditation
Skills and experience:


Current AHPRA Registration as Registered Nurse
Tertiary qualifications in Health, Nursing or Social Sciences


... Click here to view more detail / apply for Clinical Nurse

Job responsibilities Clinical Practice Work as part of a multi-disciplinary team to deliver safe and high quality care. Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Delivery of care in line with NSF, NICE guidelines and evidence-based care The post holder will work within their clinical competencies to provide specialist pharmaceutical support to all practices of the PCN including working with members of the wider healthcare team to improve care and support safe and effective prescribing. Moving between two practices, the role will have a patient facing element either face to face or telephone - including chronic disease management, repeat prescription management and structured medication reviews. This will also include the management and review of patients with polypharmacy. The post holder will need to be proactively involved in quality improvement and audit as well as managing some aspects of the Quality and Outcomes Framework. There will also be the requirement for the post holder to contribute to the provision of out of hours/extended hours/improved access services. The post holder will be supported to help develop the role and work to improve the care and outcomes for the patients across Devizes PCN. To play a pivotal role in the delivery of high quality primary health care within the Devizes PCN Making recommendation for/or prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice. Care Management Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition. Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking. To monitor and meet care outcomes against standards and recommend or initiate changes as necessary. Clinical medication reviews for patients with single or multiple long term conditions where medicines optimisation is required. To contribute to the surgeries on the day offering if requiring pharmacist input. To reconcile medicines following discharge from hospitals or intermediate care and working with patients and community pharmacists to ensure patients receive the medicines they need post-discharge and to reduce risk of readmission. To be involved in multidisciplinary clinical meetings within the PCN where appropriate Contribute to the provision of out of hours/on call/extended services for the practice and the patients. These can include patient facing and telephone consultations, signposting to other services and/or healthcare professionals where appropriate, while working within scope of practice and limits of competency. To provide medication reviews four our patient groups in a variety of mediums including face to face, telephone and virtual. To manage repeat prescription requests, resolving queries where possible within scope of practice. To ensure patients have appropriate monitoring tests in place when required. Implement changes to medicines in line with MHRA alerts, product withdrawal or shortage and other local or national guidance. To maintain full and complete records of all patient contacts using appropriate clinical templates and coding To undertake a proactive role in audit and quality improvement implementing recommendations where appropriate. Participate in review and setting of policies relating to medicines management and prescribing and help ensure practices prescribe in accordance with local guidelines and formulary. To identify areas of clinical risk at network level and make recommendations to support the introduction of new working practices that will optimise the quality of prescribing and make more efficient use of network resources. To monitor network practices prescribing against the local health economy and make recommendations for GPs or amend within scope of practice, based on findings. To maintain own clinical and professional competence and be responsible for own continuous professional development. Work with practices to ensure full compliance with Care Quality Commission standards for safe and effective care. Administration and professional responsibilities Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Participate in the administrative and professional responsibilities of the practice team Accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure clinical systems kept up to date, recording and/or amending accurate details Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Attend and participate in practice and PCN meetings as required Restocking and maintenance of clinical areas and consulting rooms Training and personal development Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level. Training needs will be monitored by yearly appraisal and will be in accordance with the Practices requirements. Personal development will be encouraged and supported by the practice. Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation. Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate. Act as a mentor for junior staff, assessing competence against set standards. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Develop and maintain a Personal Learning Plan. Regularly participate in clinical supervision. Leadership personal and people development Act as a clinical leader in the delivery of primary care network clinical services ensuring that the needs of the patient are a priority Support staff development in order to maximise potential Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice Critically evaluate and review innovations and developments that are relevant to the area of work Work with the network manager to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery Take part in recruitment processes where appropriate. Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives Promote the role of Clinical Pharmacist in general practice. Management responsibilities To assist the practice manager in design and delivery of new patient services In participation with the practice manager, assist with yearly appraisals of practice clinical staff and produce a training programme as appropriate. Develop and maintain network policies and protocols for all new and existing practice services To be the infection control lead for practice activity and ensure all associated staff are aware of current procedures Ensure agreed clinical audits are carried out in collaboration with practices clinical auditor. Ensure the practice manager is aware of any matters arising or problems / potential problems Ensure all patient information produced such as patient leaflets are up to date. For a full job description please see the attached documents on this advert.

Job summary Responsible for supporting the Practice in implementing effective medicine management across the patient demographic, identifying areas for improvement, and initiating and managing change. To do this you will combine patient facing, analytical and administrative elements of work. Primary Responsibilities The following are the core responsibilities of the clinical pharmacist. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: Carry out telephone and face-to-face consultations with patients and/or carers with medication queries ensuring accurate notes of consultations are recorded To provide medication review services via face to face, remotely or by telephone with patients/carers. Work with nursing staff and other community/ Practice pharmacists for medication reviews for patients To provide advice and support for patients with self-limiting conditions Encourage cost-effective prescribing across the Practice Review all safety alerts ensuring the required actions are taken To reconcile medicines following patients discharge from hospital or clinic appointments To discuss with patients, if appropriate, any changes in treatment from discharge or clinic letters Review medications for newly registered patients Work with practice to ensure a robust repeat prescribing system To provide subject matter expertise on medication monitoring, implementing and embedding a system Carry out targeted medication reviews for high-risk patients To re-authorise medication for repeat prescribing within scope of practice Identify patients suitable for repeat prescribing, liaising with the relevant clinicians as required Review and implement safe prescribing systems for vulnerable patients, improving compliance Advise clinicians on any new guidance pertaining to medications Actively signpost patients to the correct healthcare professional Assist with Quality Outcome Framework targets Secondary Responsibilities In addition to the primary responsibilities, the clinical pharmacist may be requested to: Partake in audit as directed by the audit lead Provide assistance with dispensary matters Provide education on medicines for the clinical team Review the latest guidance ensuring the practice conforms to NICE, CQC etc. Act as the practice point of contact for all medicines related matters, establishing positive working relationships Generic Responsibilities Have a duty to perform to the following: Training and personal development There would be an expectation that you will work towards a prescribing qualification if you do not already hold this Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. It is the individuals responsibility to remain up to date with recent developments. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development. If it is necessary to expand the role to include additional responsibilities, full training will be given. Develop and maintain a Personal Learning Plan Liaison There is also the need to establish and maintain good liaison with other surgeries and agencies, including secondary care and commissioners. Meetings It will be necessary to attend and contribute to various practice/Primary Care Network meetings as requested. The only reason for not attending will be annual, study or sick leave. Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & Safety The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include: Using personal security systems within the workplace according to Practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Reporting potential risks identified Equality and Diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality The post-holder will strive to maintain quality within the practice, and will Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Safeguarding Be responsible for and committed to safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm. Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Child Protection and Safeguarding Adults. Recognise the types and signs of abuse and neglect. Ensure the Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people. Communication The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with patients and carers Recognize peoples needs for alternative methods of communication and respond accordingly Contribution to the implementation of services: The post-holder will Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Communicate effectively with other team members

If you would like to find out more information about this role, please see the attached job specification.

19th November,
About the facility: Large national provider (private) Residential Aged Care Facility in Cairns, QLD About the role: Full Time - Responsible for the provision and co-ordination of quality care standards, compliance and education programs that meets the individual needs of the residents and management of the clinical care staff team. Looking for a strong RN with aged care experience.  Looking for RN who is looking to take the next step in their career.   This job is off the floor role (no shift work) but sometimes you might be needed to cover the odd shift after hours and on weekends.  Duties:

Demonstrate comprehensive Clinical knowledge and experience
Coordinate, educate and mentor the clinical staff
Report to Clinical Manager
Knowledge of continuous quality improvement principles and accreditation
Skills and experience:


Current AHPRA Registration as Registered Nurse
Tertiary qualifications

... Click here to view more detail / apply for Clinical Nurse

The Clinical Pharmacist will be based at The Red House Surgery in Cambridge. Primary responsibilities are Medication reviews and medicine optimisation Review the ongoing need for each medicine, and supporting patients, ensuring they get the best use of their medicines Provide long term condition clinics Provide telephone medicines support for patients with questions and concerns about their medication Signpost to other services and/or healthcare professionals where appropriate, while working within a scope of practice and limits of competency Support and answer medicine related enquiries from Gp's and other member of the healthcare team Implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission To reconcile medicines following discharge from hospital and produce a post discharge care plan Manage systems to ensure continuity of medicines supply to high risk groups of patients Provide medicines information and education to the wider practice team Service development - develop and manage new services that are built around new medicines or NICE guidance Medicines Safety - Identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials CQC - provide leadership to the practice team to ensure the practice is compliant with CQC standards where medicines are involved Any other duties as reasonably required

To be the responsible lead pharmacist for clinical trials at the Trust providing management, support and advice as appropriate. To develop and implement policies and procedures to ensure pharmacy meets the required GCP standards for clinical trials To manage clinical trials staff and assist with the supervision and training of pharmacists and technicians To provide professional leadership, advice and support To work as an advanced clinical pharmacist in a defined area of practice To support peers in developing research and innovation ideas The purpose of the job is to lead on and be responsible for all aspects of the provision of Investigational Medicinal Product (IMP) use in Medway NHS Foundation Trust, ensuring that all regulatory, legislative and best practice recommendations are implemented and followed. They will devise and implement a strategic plan for the development of the pharmacy clinical trials service, also being responsible for budget management and expansion of the service.

• Act as relief nurse, triages and screens walk-in patients to assess the severity of the patient's condition and the need for provider intervention.
• Assist health care providers with examinations and procedures.
• Prepare and administers oral, subcutaneous, intra-muscular and intravenous medications.
• Accept consults for the education of patients in the outpatient setting
• Assess post-procedure patients prior to their release from the clinic.
• Recognize and reports abnormal test results, changes in symptoms and the need for follow-up.

Starting at $110,807 Per Year (GS 11)

Communication Develop networks and liaise with other hospital professional groups and agencies as required on behalf of the division. Respond to frequent enquiries from managers, stakeholders, professionals and, less frequently, the general public, offer support and guidance including using written, verbal and face-to-face communication. Using empathy, tact, sensitivity and judgement to deal with all queries in a professional, confidential and sensitive manner, especially where there are barriers to understanding. Manage and dealing with complex, sensitive, confidential and continuous information. Manage and dealing with complex, sensitive, confidential and continuous information. Take accurate telephone messages, collect relevant information, and deal with difficult callers, including members of the media in a confident and friendly manner. Liaise with staff and managers over a range of issues. Uses advanced communication to alleviate the psychological distress experienced in chronic disease patients and their families, including identification of need for onward referral to other agencies as appropriate. Act as a role model, facilitator and educator for nursing and health care professionals within the field of practice. To provide regular verbal and written reports to patients GPs around changes to the recommended management plan of care. To provide a telephone advisory support to patients and their carers within agreed contractual service requirements. To act as the patients advocate. Takes responsibility for ensuring effective communication between all service providers. Acts as a Clinical expert and staff liaison for inpatients with Hepatology requirements. Leads on The Improving Quality in Liver Services (IQILS) accreditation programme. Supporting quality improvement in liver services in the UK. Service Delivery and Improvement Collates and records quantitative and qualitative data to provide evidence of productivity, outcomes and quality, through audit and research. Responsible for leading the service for the relevant site within the trust- ensuring the service is comparable on all sites and follows the same vision/guidelines. Responsible for service delivery and maintaining service within the yearly budget parameters and undertakes monthly finance meetings with senior management team. Supports with the collation of information for service reviews in order to drive service improvement. Actively participates in multi-professional meetings, acting as patient advocate and representing nursing views. Use initiative to prioritise own workload some of which can be of a complex nature, exercising discretion as to the degree of urgency, importance and confidentiality required Multi-task, and plan work for short and medium-term. Plan straightforward, and occasionally complex tasks and activities. Share best practice and document processes. Undertake specific projects and tasks as requested by the Teams. Ensure deadlines are met and take appropriate action to make sure work is completed to given timescales. Utilising service improvement techniques including process mapping, capacity and demand modelling, development of integrated business and service plans and improvement cycles support the teams to provide services in new and innovative ways. Implements policies, proposes changes to practices, procedures for own area Management of specific projects and for supporting divisional projects that contribute to service improvements aimed to ensure that the patient is central to the delivery of high quality patient care. An integral part of the Divisional team that supports the Trust in delivering its strategic direction and objectives surrounding the Patient First programme. Applies advanced knowledge and insight from key stakeholders and experiences of patients to lead services re-design, stimulate innovative practice, implement improvements and ensure services are responsive to patients needs. Demonstrates skills in conflict resolution and competent negotiation skills when dealing with difficult or challenging situations. Leads the development of patient focused education, including training to self-manage on-going consequences of treatment. People Management and Development Actively involved in producing reports relating to governance issues and actively involved in the analysis of clinical and information governance incidents that will contribute to the improvements in clinical and administrative practice. Actively involved in the embedding of risk management processes and support the co- ordination and maintenance of the service and Divisional Risk Register Using initiative and judgement to raise issues with Line Manager or members of the Teams when appropriate. Develops new skills in response to emerging knowledge and techniques. Develop knowledge and expertise to a higher academic standard. Works across professional boundaries using creative reasoning and problem-solving. Instigates and manages change within a complex environment. Promotes patient and public experience feedback through local initiatives to drive innovation and change. Promotes the service and clinical excellence by publishing and presenting innovations, audit and research locally and Nationally. Leads on the implementation and monitoring of adherence to relevant clinical guidelines. Supports and advises towards the development, management and promotion of the service ensuring the delivery of high quality, cost- effective care. Completed or be willing to work towards a qualification in Hepatology. Run existing and new nurse led clinics appropriate to the developing needs of the specialty and service. Perform clinical examination and order appropriate diagnostics. Prescribe medication within the sphere of expertise if applicable and where a prescribing course has been completed. The role will develop and change in response to service and patient needs. Responsibility for maintaining the training of the fibroscan nursing team. Patient Care Delivery To provide an autonomous specialist nursing service to Hepatology patients by reviewing referrals and delivering holistic care to patients. Work in partnership with the patient and their family/carers to promote self-care and independence wherever possible through education and the use of self-management plans. Act as a resource to colleagues across primary and secondary care settings organising and participating in training programmes as appropriate. Provides Hepatology Nursing clinical expertise, specialist advice and support across service boundaries. To actively integrate theory and practice. Make referrals to other professionals and signposts to other agencies as appropriate. Makes clinical judgements based upon experience and knowledge and takes appropriate action. Request diagnostic tests within agreed sphere of competence and make clinical judgements based upon clinical expertise. Assess and manage symptoms, problems related to area of expertise and recognising when appropriate for onward referral is required. To facilitate the assimilation of complex clinical information regarding diagnosis, staging investigations and treatment options in collaboration with specialist consultants. Support and empower patients and carers to influence and participate in often difficult decisions regarding the panning and delivery of care. Promotes self-management, undertaking risk stratification to determine those who can self-manage, following education, those who will need guided support to self-manage and those who will require on-going, face to face support. Assess the special needs of patients referred to the service and facilitate the planning and provision of care, making use of all resources. Undertake clinical supervision of individuals on an individual or group basis. Disseminate information on National guidelines for management of relevant conditions to appropriate multidisciplinary team members. Work within an agreed set of patients management protocols and guidelines including national guidance. Develop and participate in Nurse led clinics according to the needs of the service and within the Scope of professional practice. Participate in and initiate research and audit projects. Participate in service development and implements evidence-based practice. Check clinics daily for capacity and ensure all slots are filled in a timely manner and supporting the setting up of additional clinics as able. Management of specific projects and for supporting divisional projects that contribute to service improvements aimed to ensure that the patient is central to the delivery of high-quality patient care

To undertake comprehensive palliative care nursing assessments, agreeing on an individualised plan of care for patients and families living with life-limiting or life-threatening illnesses that recognises the familys priorities and values. To care for children receiving Cancer treatment, including routine care of their central venous access devices, phlebotomy, and administering intravenous medications and cytotoxic chemotherapy at home. To participate in a 5-day-per-week operational service, including out-of-hours provision when required for end-of-life care. To proactively collaborate with various community and hospital-based health and social care professionals to ensure seamless care across services. To ensure patients/families preferred place of care is discussed and identified and advanced care plans are in place wherever possible. To work alongside colleagues, taking responsibility for a defined group of patients in the community, ensuring the highest possible standards of individualised care. To ensure that the patients dignity is promoted and respected and that equality and diversity are a top priority in the care of patients and families. To provide advice and guidance on symptom management and psychological, social and spiritual needs, referring to appropriate professionals or services accordingly. To support and coordinate the transition of young people with life-limiting illnesses into adult services. To undertake bereavement follow-up in line with the agreed pathway and bereavement risk assessment. To promote the work of the organisation in all settings, encouraging collaborative working and the referral of appropriate patients with all diagnoses. To ensure accurate and contemporaneous records, patient data must be input as required by the organisation. To be aware of ethical issues that can arise within palliative care and seek professional advice in a timely manner to ensure the best possible outcome for the child and family. To empower families to understand their childs illness better and recognise signs of deterioration. To work alongside medical and allied health professionals to optimise child/young person preventative care. To advocate for families to ensure their views are heard. To liaise with GPs, local paediatricians and tertiary services as appropriate for medical advice and prescribing

This an entry level Health Technician (Telehealth Clinic) position. The incumbent performs a full range of duties and is responsible for day-to-day operation of telehealth services at the assigned location and between the assigned location and between the assigned location and remote sites of care.

Duties include but not limited to:

• Preparing the clinical environment, which may include preparing medical and telecommunications equipment to be used for clinical examination and treatment
• Serving as a tele-presenter per scope of practice, during clinical video telehealth (CVT) and VA Video Connect (VVC) including tasks such as establishing and maintaining video conferencing connections, making introductions between patient site and provider site, following instructions of a clinician to facilitate an effective clinical encounter
• Serving as an imager and data manager for store and forward telehealth (SFT) clinical encounters including tasks such as capturing images, collecting data and transmitting them electronically for clinical review in accordance with Veterans Health Administration (VHA) national guidelines
• Taking measures to ensure patient care is delivered safely by following appropriate procedures for the cleaning of clinical equipment and the care environment while following all patient safety guidelines, protocols, and procedures
• Completing standardized clinical questionnaires and templates within scope of training and applicable guidelines
• Ensuring that patient privacy is protected by complying with all information security and patient privacy regulations
• Communicating effectively with clinical and administrative staff at the assigned local site and those located at remote sites of care
• Ensuring assigned telehealth technologies are secured, ready for use, and accounted for by preparing and tracking maintenance work orders, information systems, inventory records, and communicating with National Telehealth Technology Help Desk to facilitate troubleshooting, repair, and coordination of replacement equipment as necessary.

Work Schedule: Monday-Friday, 8:00am-4:30pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 40835F / 40836F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Starting at $39,576 Per Year (GS 5-6)

The post holder will be the Senior member of a Neighbourhood Team of Pharmacists who will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, patient-facing structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription requests, while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN. This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice. The post holder will be responsible for the day-to-day management and development of the pharmacists and technicians and the distribution of the pharmacist and technician resource within a Neighbourhood, liaising with the member practices and the PCN Pharmacy lead. Key areas of Focus Patient-facing medication reviews of patients with polypharmacy especially for older people, people in care homes and those with multiple co- morbidities. Leadership to practices and pharmacy team on quality improvement and clinical audit as well as managing some aspects of the Quality and Outcomes Framework. Working as part of a multi-disciplinary team to manage repeat prescription authorisations and reauthorisation, acute prescription requests, management of medicines on transfer of care and systems for safer prescribing. Providing expertise in clinical medicines management while addressing both the public health and social care needs of patients in the GP practice(s). Day to day management of the PCN pharmacists and technicians in the neighbourhood and agreeing allocation of the resource with member practices. Working across and assisting with both practice and PCN requirements Key duties and responsibilities 1. Patient facing medicines support Hold clinics for patients requiring medication reviews i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Provide a telephone support for patients with questions, queries and concerns about their medicines. 2. Structured Medication Reviews (SMRs) Undertake structured medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. 3. Risk stratification Design, development, and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Responsibility for management of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines optimisation. 4. Longterm condition clinics See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including deprescribing. Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking. 5. Unplanned hospital admissions Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. 6. Care home structured medication reviews Manage own caseload of care home residents. Undertake clinical medication reviews with patients and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. 7. Repeat prescribing Produce and implement a practice repeat prescribing policy. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required. 8. Medicines safety and quality improvement Identify and provide leadership on areas of prescribing requiring improvement. Conduct own audits and improvement projects and work with colleagues. Present results and provide leadership on suggested change. Demonstrate continuous QI activity focused upon prescribing safety as specified in the QOF guidance. This work for example might include the PINCER tool. Contribute to national and local research initiatives 9. Leadership and management Provide leadership and management to clinical pharmacists, pharmacy technicians and pre-reg pharmacists working within assigned neighbourhoods. Responsibility for line managing clinical pharmacists and technicians within assigned neighbourhoods. Operational management of pharmacy team and clinical support. 10. Domiciliary clinical medication review Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. 11. Service development Develop and manage new services that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation). 12. Care Quality Commission Provide leadership to the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved. 13. Population and Public Health To devise and manage population and public health campaigns to run within the network. To provide specialist knowledge on immunisation. 14. Cost saving programmes Make recommendations for, and manage pharmacy technicians to, make changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available 15. Medicine information to practice staff and patients Answers all medicinerelated enquiries from GPs, other practice staff and patients with queries about medicines. Providing follow up for patients to monitor the effect of any changes. 16. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. 17. Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing and other healthcare students where appropriate. 18. Management of medicines at discharge from hospital To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes manage these changes without referral to a GP, perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. 19. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. 20. Medicines safety Horizon scan to identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners.

VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws

Duties may include, but are not limited to:

GS-11 Experience

• The Pharmacist recommends appropriate selection of drug therapy based upon the pharmaceutical principles of pharmacokinetics and pharmacodynamics, monitoring for efficacy, side effects and clinical outcome; and after review with a Clinical Pharmacist, advises prescribers as appropriate.
• In conjunction with Clinical Pharmacist review, provides patient-specific therapeutic drug monitoring and communicates relevant findings and/or recommendation is to other health care providers in charge of the patient both orally and in writing. Monitoring will include prospective review and intervention in:

a) Therapeutic appropriateness of a patient's drug regimen
b) Therapeutic duplication in the patient's drug regimen
c) Appropriateness of the route and method of administration
d) Degree of Patient compliance with the prescribed drug regimen
e) Drug-drug, drug-food, drug-laboratory, or drug disease interactions
f) Clinical and pharmacokinetic laboratory data to evaluate the efficacy of
drug therapy and to anticipate side effects, toxicity, or adverse effects
g) Physical signs and clinical symptoms relevant to the patient's
drug therapy

• Performs continuous evaluation of prescribed medications to assure optimal drug therapy.
• Provides medication counseling to patients.
• In conjunction with a Clinical Pharmacist, serves as a drug information resource by providing up-to-date drug information to prescribers, other health care professionals, patients and caregivers.
• Reports adverse drug events (ADE), near misses, and medication errors in alignment with VA ADERS reporting program.
• Recommends formulary alternatives as appropriate.
• In conjunction with a Clinical Pharmacist, provides pharmacokinetic consultation, including dosing vancomycin and aminoglycosides, in accordance with local policy.
• Participates in quality assurance programs through submission of medication errors.

GS-12 Experience

• Adds drugs and supply items to the drug file as needed.
• Maintain barcoding accuracy for all automation systems.
• Responds to pharmacy and nursing concerns related to BCMA.
• Works with pharmacy staff to trouble shoot automation system errors.
• Works with pharmacy staff to assist with and ensures routine maintenance on automation systems within pharmacy services occurs scheduled or as needed.
• Routinely reviews par levels in automated dispensing cabinets to ensure appropriate stocking and mitigate stock-outs.
• Works with Automation Dispensing Machine Pharmacy Technicians to ensure medications are appropriately stocked in outpatient clinic locations per PBM approvals.
• Assist with medication addition request to automated dispensing machines for inpatient and outpatient use (to include CBOCs). Highlighting in the process if medication request is a high alert medication and ensuring appropriate transportation of high alert medication is followed.
• Takes ownership to ensure contingencies are in place for routine and scheduled power and system outages that impact pharmacy automation equipment to include medication storage refrigerators.
• Assist with monitoring the facility temperature monitoring system, and addressing any temperature excursions per policy.
• Assist with reviewing discrepancy, override, and null transaction reports for automated dispensing machine and addresses issues with area nurse managers and pharmacy supervisors as required by local policy.
• Assist with adding and removing users into the Automated Dispensing Machines per policy.
• Reviews and updates all policies related to Automated System Support as needed and/or before policies are due for recertification to ensure all polices related to automated medication systems stay in date and accurate.
• Ensure high alert medications are labeled and stored appropriately and securely in automated dispensing machines in the pharmacy and throughout the medical facility.
• Assist in High Alert Medication review assessments.
• Collaborates with nursing services to review ongoing needs/request for additional medication/doses to the smart pump library for presentation to the facility PBM committee for review.
• Evaluates on an ongoing basis the need for additional automated dispensing equipment or enhancements to existing automated dispensing machines, refrigerators, printers, scanners or software.

Work Schedule: Rotating schedule To Include but not limited to: 7:00AM-3:30PM, 7:30AM-4:00PM, 8:00AM-4:30PM, 10:00AM-6:30PM, 11:00AM-7:30PM, 1:30PM-10:00PM, 2:30PM-11:00PM. Employees may be required to work days, evenings, nights, weekends, holidays and/or compressed, tours on a rotating schedule. The hours may vary per the needs of the service and will rotate.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 534-5702F
Relocation/Recruitment Incentives: Not Available
Permanent Change of Station (PCS): Not Available

Starting at $115,519 Per Year (GS 00)