Pharmacy Sterile and Non-Sterile Operations Lead Pharmacist

Company: Nemours Children's Health System
Location: Orlando
Posted on: April 17, 2024

Job Description:

Under the leadership of the Director of Pharmacy and the Pharmacy Operations Manager, this position is responsible for overseeing the pharmacy day-to-day Sterile and Non-Sterile Operations within the Nemours Children’s Hospital (NCH) to ensure that patient pharmaceutical needs are effectively met. This pharmacist is responsible for coordinating, monitoring and maintaining Sterile and Non-Sterile Products pharmacy services while assuring patient safety through providing clinical, pharmaceutical, operational and regulatory knowledge of sterile and non-sterile products. This pharmacist will provide oversight of Sterile Products clean room operations, Non-Sterile products operations, compounding personnel, aseptic technique and sterile product production practices, non-sterile production practices, Pyxis and the CII safe area while maintaining accuracy, safety, and the reduction of waste through the implementation of Standardized Operating Procedures for Sterile and Non-Sterile Products processing. Position Responsibilities

• Supervise the day-to-day Sterile and Non-Sterile Products production and drug distribution system, evaluate alternatives, and follow up on issues and concerns.
• Submit Epic tickets for any issues related to compounding & repackaging records and the order verification of Sterile and Non-Sterile Products including subsequent validation within Epic of resolution.
• Identify and resolve pharmacy Sterile and Non-Sterile Products line service problems.
• Enforce policies and procedures that promote cost effective, appropriate, and safe medication use.
• Coordinate the activities of the Pharmacy Staff completing Sterile and Non-Sterile Products processes to provide optimal pharmaceutical support to patients that is safe, cost effective, and appropriate.
• Coordinate and organize the Sterile and Non-Sterile Products processes by establishing workload requirements and delegating assignments to maintain an appropriate staffing level and ensure that the services and responsibilities of the department are provided in a timely and quality manner.
• Coordinate production schedules based on projected staffing patterns, workload, and utilization in such a way that minimizes stock outs (
• Responsible for and ensure strict control and accountability for Sterile and Non-Sterile medications dispensed to patients or distributed to floor stock. 5 a. Investigate and analyze incident reports focused on Sterile and Non-Sterile Products, Pyxis and CII safe area. 6. Monitor and ensure Sterile and Non-Sterile Products practice conforms to the Pharmacy Standard Operating Procedures and Reliable Methods for the appropriate and efficient preparation and utilization of sterile pharmaceutical products within Nemours Children’s (NCH), including: 6 a. Monitor to ensure that medications are prepared accurately in appropriate containers, labeled in an appropriate manner and stored in the recommended environment (temperature, humidity, lighting, etc.) in a manner that minimizes cost due to wastage. 6 b. Monitor and ensure the physical appearance, functions, safety and staff behavior performance in Sterile and Non-Sterile Products processing conforms to Nemours Children’s (NCH) standards. 6 c. Develop, review, and update Standard Operating Procedures of Sterile and Non-Sterile Products departmental processes to ensure that the procedures reflects changes in operational procedures and/or current standard of practice. 7. Perform other related duties as assigned by authorized personnel to provide departmental flexibility to patient care needs including those for emergency situations such as: 7 a. Acting as a Clinical Staff Pharmacist when necessary 7 b. Providing drug information and functioning as an information resource 8. In coordination and partnership with the Pharmacy Operations Manager, ensure the scheduling of appropriate and competent technician and pharmacist staff for the efficient and effective operation of the Sterile and Non-Sterile Products Production in the Department of Pharmacy. 8 a. Coordinate orientations and educational in-service programs for the Pharmacy staff on the appropriate utilization of Sterile and Non-Sterile Production Pharmacy Services which include non-hazardous and hazardous sterile clean room areas, Pyxis and the CII safe area. 8 b. Monitor and ensure Sterile and Non-Sterile Products orientation, training and education of all new clinical pharmacists, clinical specialists, technicians and students is 100 % completed for their specific staffing responsibilities. This includes Pyxis and the CII safe area. 8 c. Monitor and evaluate work performance of assigned Pharmacy Technicians including providing and documenting formal feedback to personnel when necessary, recommending and initiating personnel action, and providing and documenting employee appraisal processes. 9. Responsible for compliance with Joint Commission and other regulatory standards as they apply to assigned duties and responsibilities. 9 a. Develop Sterile and Non-Sterile Products procedures that ensure the pharmacy department meets all legal, accreditation, and certification requirements posted by the FDA, Board of Pharmacy, Board of Health, DEA, CMS, USP 795, USP 797, USP 800 and Joint Commis sion. Extensive knowledge of USP 795/797/800 regulations. Ability to work with information systems, automated and technical equipment. Ability to manage direct reports and establish and maintain working relationships with various members within and outside the department. Lean Management Principles preferred Knowledge of Improvement, Change management, Quality & Safety Principles for Healthcare preferred. Hospital Regulatory experience in both Sterile IV room areas and Non-sterile Pharmacy areas as well as Management of Direct Reports. 10. Lead and ensure ongoing measurement and improvement of Sterile and Non-Sterile Products pharmacy operations. 10 a. Implement and administrate Sterile and Non-Sterile Products processes that identifies potential system vulnerabilities, establishes medication safety best practices and facilitates medication safety improvement projects. This includes the management of current technology and implementation of new technology. 10 b. Implement and administrate Sterile Product audits and tracers programs and respond to the results to ensure quality of Sterile Products pharmacy services using PDCA methodology. This includes the trending of environmental sampling. 10 c. Promote and use Lean management principles as the department’s primary tool for ensuring a high reliability culture (5S, elimination of waste, JIT, standard work, quality), promote and comply with standardized procedures/work, identify “waste” in Sterile and Non-Sterile Products process and recommend solutions for implementation and correct abnormal conditions. 10 d. Act as a liaison with Nursing and Medical staff concerning Sterile and Non-Sterile Product issues and Pyxis issues. 10 e. Investigate and analyze incident reports focused on Sterile and Non-Sterile Products, Pyxis and CII safe area.

Keywords: Nemours Children's Health System, Pine Hills , Pharmacy Sterile and Non-Sterile Operations Lead Pharmacist, Other , Orlando, Florida