Pharmacist 3 - Sterile Product Services

Essential Functions:
a. Provide direction and guidance to pharmacist and ancillary support including technician staff in following policy and procedure, taking accountability and ownership of job responsibilities, and promoting professional behavior and attitudes. Give feedback to the pharmacy managers/practice managers/medical directors for performance appraisal of other Pharmacy employees. Participates in resolving personnel management issues, when requested by the management staff.
2. Direct and Indirect Patient Care Services
a. Attend and participate in departmental staff meetings, M&M rounds, staff development, journal club review, in-services, and case studies for afternoon pharmacist meetings and continuing education activities.
b. Member of departmental quality improvement committees, programs, and student/resident presentations.
c. Conduct continuing education programs and conferences to keep current with developments in the profession.
d. Maintain pharmaceutical care expertise through membership and participation in professional organizations, continuing education, and contributing to peer-reviewed literature.
3. Quality and Safety
a. Maintain expertise in the departmental policies and procedures.
b. Follow all policies, procedures, laws, and regulations set forth by the Board of Pharmacy and all other applicable regulatory agencies.
c. Ensure compliance with target drug programs, formulary management, medication management initiatives, and adverse drug event monitoring programs.
4. Education, Training, and Professional Development
a. Attend and participate in departmental and change of shift staff meetings, M&M rounds, staff development and continuing education activities.
b. Participate in departmental quality improvement committees, programs, and student/resident presentations.
5. Use of Technology and Automation
a. Utilize area-specific technology, including, but not limited to, robotics, automation, software, equipment, and information systems.
b. Troubleshoot and mitigate short-term issues related to the area specific technology.

Education: Doctor of Pharmacy required

Licenses and Credentials: Pharmacist [NH State License]

Minimum Experience Required
Demonstrate knowledge of principles of growth and development over the life span of the neonate, adolescent, adult, and geriatric patient. Able to assess patient data relative to age specific needs. Provide care as described in the department's policies/procedures. Subject matter expert in their areas of practice at the site and system level. Contributes to system wide initiatives. 5-7 years required

Supervisory Responsibility

1. Supervise the activities of all supportive personnel and all staff pharmacists assigned to a shift.

2. Directly responsible for the operation of a particular service area on an assigned shift.

3. Oversees the work of the IV Lead Technician and collaborates closely to ensure safe, compliant, and efficient sterile compounding practices in accordance with USP 797 and organization standards.

4. Serves as the designated person for USP 797 and USP 795.

Inpatient Pharmacy and Cancer Center Services Responsibility

1. Oversee the preparation, checking, and dispensing of all nonhazardous and hazardous sterile and non-sterile compounds according to department polices, state regulations and federal regulations.

2. Formulate and compound special dosage forms not commercially available when appropriate.

3. Adheres to safety requirements in the handling and preparation of chemotherapy and other hazardous agents according to current guidelines (USP 797, USP 800, ASHP, NIOSH).

4. Participates in multidisciplinary patient review meetings and other organization committees when requested.

5. Works in collaboration with pharmacy and oncology leadership to develop and maintain oncology sterile and nonsterile compounding policies and procedures.

6. Works in collaboration with pharmacy and oncology leadership to develop and maintain master formulation records for batching.

Sterile Product Compounding Responsibility

1. Responsible to oversee, enforce, and implement all regulatory requirements in the New Hampshire Laws and Rules, advisories, policies, and/or regulations promulgated by the Board of Pharmacy (BoP), and all applicable USP chapters including but not limited to chapters <797>, <795> and <800>.

2. Have expertise in compliance standards and regulations promulgated by the relevant agencies including but not limited to: BoP, USP, DPH, TJC, CMS, FDA and DEA.

3. Understand Lean Principles, Project Management, Operational Excellence, and Process Improvement.

4. Responsible and accountable for the performance and operation of the facility cleanrooms and personnel who prepare compounded sterile preparations.

5. Oversight of personnel training and competency for those involved in sterile compounding and handling and preparing compounded sterile products (CSPs).

6. Monitoring and observing sterile compounding activities and taking immediate corrective action if deficient practices are observed.

7. Ensuring standard operating procedures (SOP's) and/or policies are fully implemented, and that follow-up is carried out if problems, deviations, or errors are identified.

8. Establishing, monitoring, and documenting procedures for the handling and storage of CSPs and/or components of CSPs.

9. Reviewing all certification, recertification, and environmental monitoring reports to ensure the cleanrooms meet the minimum USP 797 requirements.

10. Establish beyond-use-dates for compounded sterile and non-sterile products.

11. Create master formulation records (CNRs) in health information system (Epic).

12. Address and document product complaints for compounded sterile preparations.

13. In collaboration with Mass General Brigham, evaluate all 503B vendors.

Additional Skills and Abilities

1. Board certification in sterile compounding (BCSCP) or 3 years of sterile compounding oversight experience is strongly preferred.

2. Ability to develop clear, concise, and compliant policies and standard operating procedures (SOPs) to support regulatory standards and operational excellence.

Nonsterile Product Compounding Responsibility

1. Responsible and accountable for the performance and operation of the facility cleanrooms and personnel who prepare compounded nonsterile preparations.

2. Overall compliance with USP <795>, applicable federal and state laws and regulations and accreditation standards.

3. Responsible for personnel training and evaluations for nonsterile compounding.

4. Establishing beyond-use-dates for nonsterile compounded preparations.

5. Address product complaints for nonsterile compounded preparations.

Medication Safety Responsibility

1. Support quality, safety and risk management in case reviews related to medication safety.

2. Provide feedback for medication safety related meetings as appropriate.

a. Attends Safety/Risk Team Meetings and Case reviews to review safety related patient cases

b. Participates in primary, continuing review, and ancillary reviews of medication related safety reports

3. Responds to questions concerning medication safety as they arise.

4. Communicates directly with nursing, pharmacy, and medical personnel concerning medication safety related initiatives and cases as appropriate.

5. Leads medication safety initiatives to improve medication safety as appropriate.

6. Ensure the proper maintenance of appropriate records for medication safety reports as appropriate.