The incumbent assists pharmacy leadership in the management of all Compounded Sterile Product (CSP) operations for the St. Cloud VA Health Care System (SCVAHCS). This includes management and coordination of all pharmacists, technicians, trainees and other supportive personnel involved in sterile compounding and/or hazardous drug management.Learn more about this agency
ResponsibilitiesAdministrative and Program ManagementWork Schedule: Administrative Days
Directs/coordinates the daily activities of pharmacists, technicians, students and trainees, and other supportive personnel working in the IV room. Responsible for maintaining a smooth work flow of day-to-day activities with the assistance of the Inpatient Pharmacy Supervisor to maintain a lean process. The program manager will assist with assuring quality control of work to those preparing sterile products through audits/inspection upon completion of work. Provides input on performance of staff working within the IV room for evaluation purposes to the Inpatient Pharmacy Supervisor.
Interprets applicable laws, regulations, and standards and develops and implements policies and procedures regarding assigned areas to assure facility compliance, competency of personnel, and appropriate environmental control of the assigned areas. Reviews and revises current guidelines and processes in sterile compounding at a minimum of every 3 years or as needed and recommends updates. Communicates updates and provides training as needed to staff.
Manages assigned drug distribution-associated recordkeeping, e.g., competency assessments, documentation logs, personnel and process testing reporting, USP 795, USP 797, USP 800 report processing and monitoring. Meets all required deadlines and requirements associated with these reports and records. Works with other services (FM, Engineering, etc.) to ensure that all requirements are met regarding USP 795, 797, and 800. This includes ensuring that Primary Engineering Controls (PEC) and Secondary Engineering Controls (SEC) are certified in accordance with USP 797 and USP 800 standards. The CSP Advisory Committee will review the results of the certification report to determine a corrective action plan if needed
Provides education and training of all trainees and employees specific to CSP and Hazardous Drug Management processes. This includes, but is not limited to, operational processes, quality assurance, documentation, performance improvement, observation and all other aspects of CSP and Hazardous Drug Management.
Identifies staff educational and training needs in the area of sterile compounding, and once identified, directs the training of staff in these areas. Coordinates and directs training when current programs are updated and new programs are added, in addition to training new personnel in assigned areas of medication distribution during their orientation.
Will maintain continuing education and present in-services to other pharmacy staff, other health care professionals, and students on IV admixtures/compounding, including but not limited to sterile techniques, special procedures for handling chemotherapy drugs, the computerized IV program, or the therapeutics of intravenous admixtures.
Responsible for the coordination of all clinical and distributive functions of the CSP program, and must work independently and effectively to assure that appropriate and accurate services are provided in a timely manner.
Functions independently in daily clinical and administrative duties associated with the position. In general, uses a high degree of appropriate professional judgement to solve complex problems which routinely arise throughout the work day.
Works closely with the Pharmacy ADPAC on the integration of Pharmacy packages with CPRS, BCMA, and other VistA packages, ensuring proper functioning of all aspects of the CSP program.
The incumbent is active in audits or in quality management monitoring as demonstrated by provision of comprehensive quality assurance monitoring reports. Assumes complete responsibility for quality assurance audits involving the VistA Pharmacy package, and gathers data for or performs drug use evaluations when required for the CSP Advisory Committee and/or P&T committee.
Gathers data for administrative reports pertaining to the CSP program. Upon request, independently prepares special reports or participates in special pharmacy projects. Assists in preparing for special accreditations and reviews (e.g., IG, management briefings, Joint Commission), and meets with reviewing/inspecting officials, Pharmacy Management, etc., as part of the process. Works for successful accreditation from Joint Commission in all aspects of Inpatient care.
Serves as a member of the CSP Advisory Committee.
Collaborates with the Quality Manager and Infection Prevention program to maintain a formal written CSP Quality Assurance Plan in accordance with USP 797 standards.
Financial Disclosure Report: Not required
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This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/550638300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.