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Summary As a Clinical Pharmacist, duties include providing medical care to detainees, performing medical histories, exams, diagnoses, treatment plans, and patient education. They coordinate document patient encounters and ensure compliance with IHSC policies. As a Staff Pharmacist, they fill prescriptions, counsel, manage pharmacy stock, handle non-formulary requests. This position is only open to current USPHS officers. USPHS Call to Active Duty (CAD) candidates are not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: As Clinical Pharmacist: Provides direct medical care services to detainees. Works within Scope of Practice as delineated in their Physician-Clinical Pharmacist Collaborative Practice Agreement and performs functions outlined in the IHSC Pharmaceutical Services Guide. Performs medical histories, physical examinations, makes diagnosis(es), and develops/implements treatment plans. Evaluates and provides care to detainees through scheduled medical appointments, sick call, or as same day walk-in visits. Order special diets and issues special needs for detainees as clinically indicated. Evaluates detainees as frequently as necessary to address medical care needs. Carries out orders authorized by the physician. Provides relevant patient health education to detainees verbally and/or with handouts. Documents all patient encounters using SOAP format, appropriately and thoroughly. Documents medical/psychiatric problems on the Problem List in the detainee's chart. Coordinates health care needs of detainees with other staff members and coordinates referrals to off-site providers as required. Performs record keeping functions in accordance with program policies. Maintains patient confidentiality and confidentiality of medical records. Monitors and optimizes drug therapy regimens Initiates and maintains compliance with IHSC policies for accreditation. Orders and interprets laboratory tests and vital signs monitoring. Orders EKGs to be reviewed by a physician. If a Medical Housing Unit (MHU) is onsite, may admit, discharge, and perform daily rounds on patients and notify the Physician, or Clinical Director of any abnormal findings. Safely handles and properly disposes of all needles/syringes/sharps/biohazard materials. Attends general/medical staff meetings. Participates in QA/QI activities as assigned; completes all training as required/assigned. May serve at other IHSC medical facilities on temporary duty. Staff Pharmacist: Provides pharmacy staffing services when requested, to cover pharmacy vacancies or staff leave. Reads individual prescriptions and determines the name of the drug, strength, and dosage of drugs to be dispensed. Adjusts prescription instructions and drug quantities to correspond to strengths and dosage forms stocked at the medical clinic. Correlates instructions on the prescription with pharmacy policy limitations and notes such on the prescription. Fills prescriptions by obtaining the correct drug stock, counting the correct amount of medication, placing the medication in smaller containers, and affixing the prescription label and all appropriate auxiliary labels. Counsels patients on the appropriate use of medication(s), utilizing the patient's native language if possible, or medication information handouts in the patient's native language if available. Screens all prescriptions upon receipt concerning availability of drug & dosage prescribed. If drug requested is not on formulary, discusses therapeutic options with the provider, suggesting drugs listed in the program formulary where possible. If a non-formulary drug is deemed necessary, assists the provider in filling out a non- formulary request form and obtaining approval where necessary. Answers routine inquiries from doctors, nurses, & other staff on the availability of specific items, e.g., drugs in stock, new drugs on order, & dosage forms available in the pharmacy. Records all prepacking information including lot number, expiration date, manufacturer, current date, and initials. Places orders for supplies from appropriate sources and tracks supply usage to minimize out of stock items or excess inventories. Inspects stock to determine frequency of re-ordering drug items, maintenance of current pricing &proper stock rotation. Withdraws outdated drugs, determines proper disposition (destruction or credit returns) &prepares necessary paperwork to initiate proper action. Is responsible for general orderliness, cleanliness &maintenance of pharmacy equipment. Participates in monthly& annual inventory of pharmacy service as required. Responsible for refilling anymissing pharmacy drug or supply item used during the night. Inspects & logs the temperature of all clinic areas where any type of pharmaceutical is stored. Performs other duties and responsibilities as assigned. Requirements Conditions of Employment Qualifications PHYSICAL DEMANDS: Required to walk unaided at a normal pace for up to 5 minutes and maintain balance. Required to jog/fast walk up to ¼ mile. Required to perform CPR/emergency care standing or kneeling. Must have the ability to assist sick, injured or aging detainees or staff exiting the building (may require lifting, dragging, wheeling or carrying someone who weighs significantly more than oneself). Must be able to see, hear and smell with aids if necessary. Must easily alternate between kneeling and standing. Must be able to lift, push, or carry 30 pounds. Must be able to perform the position duties in a stressful and often austere environment without physical limitations. Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: PharmD degree from a program that is accredited by the American Council on PharmaceuticalEducation. Maintains a full and unrestricted Pharmacist license issued by a State Board of Pharmacy to practice pharmacy in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States that authorizes pharmacist collaborative practice, and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency.). Maintains a current National Board of Pharmaceutical Specialties Board Certification. This position requires performance of clinical activities within the scope of the licensure. Minimum 4 years of experience providing direct patient care OR ASHP-accredited PGY-1 residency with 1 year of experience providing direct patient care, correctional healthcare experience preferred. Expertise in pharmacology, pharmaceutics, pharmacokinetics and allmanagement aspects related to the practice of pharmacy in a clinic/infirmary setting. Maintains current BLS/CPR certification and accrues 12 continuing education hours annually. (NCCHC standard) Expertise in pharmacology, pharmaceutics, pharmacokinetics and allmanagement aspects related to the practice of pharmacy in a clinic/infirmary setting. Possesses knowledge of and is competent in understanding and communicating pharmaceutical nomenclature including generic, chemical &trade names, Latin abbreviations, dosage forms, drug strengths, formulations &English-Metric equivalents. Knowledge of training methods and sufficient interpersonal skills to develop a rapport with patients and co-workers during which instructional and educational information is presented. Possess knowledge of grammar, spelling & punctuation to identify and correct errors to ensure accurate copy. Competent in the application of computer programs to facilitatemanagement operations in a clinicenvironment, including Microsoft Office products. Competent in data entry and ability to work with &analyze numbers, including bookkeeping &basic accounting skills. Competent in the use of office machines including photocopiers, calculators, and personal computers. Possesses ability to work efficiently, accurately& organized in a fast-paced environment. Preferred but not required: Current certification as a Correctional Health Care Professional (CCHP). Knowledge and/or experience with IHSC policies, NCCHC and PBNDS requirements. Proficient in Spanish or secondary language. Additional Information This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the DeputyAssociate Director, Clinical Services/Medical Director. This is a non-supervisory position. The incumbent will report directly to the Health Services Administrator. As a pharmacist, the incumbent is responsible to adhere to policies and procedures as stated in the ICE Health Service Corps (IHSC) Pharmaceutical Services andMedication Management Directives and Guides. The Clinical Pharmacist (CP) is expected to provide direct patient care services to ICE detainees. The CP's practice will focus predominantly on the care of chronic medical conditions. The CP may also be called on to serve as a staff pharmacist in the pharmacy. IHSC has a multi-sector, multidisciplinary workforce of more than 1400 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 23 detention facilities throughout the country and manages the provision of off-site medical care for detainees housed in approximately 240 additional Intergovernmental Service Agreement (IGSA) facilities. The ICE detainee population is approximately 34,000 detainees daily, with an average length of stay of approximately 30 days, and over 400,000 detainees annually. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea. DHS SUPERVISORY CONTROLS: DHS ICE ERO HHS SUPERVISORY CONTROLS: DHHS USPHS CC SUPERVISORY CONTROLS: The Clinical Pharmacist works under the direction of the Health Services Administrator (HSA) with clinical oversight provided by the Clinical Director or designee, and pharmacy supervision provided by the Lead Pharmacist. Accepts supervisory responsibilities in an acting role as assigned by the Lead Pharmacist or designee.