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Exemption Status:

Exempt

Schedule Details:

Sunday through Saturday

Scheduled Hours:

Mainly 8 hours on Weekdays during days; but requires some availability on evenings and weekends as needed

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

32

Cost Center:

24050 - 3800 Pharmacy

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Major Responsibilities:

• Performs, tracks, and monitors Personnel Monitoring (PM) in accordance with USP <797> regulations for all assigned pharmacy employees.  Develops recommendations for corrective action plans.  Presents findings and recommended corrective actions to the Pharmacy management team.
• Performs, tracks, and monitors Environmental Monitoring (EM) in accordance with USP <797> and USP <800> regulations for all assigned pharmacy sterile compounding facilities.  Develops recommendations for corrective action plans.  Presents findings and recommended corrective actions to the Pharmacy management team.
• Works with the Pharmacy management team to coordinate and perform IV retraining and Environmental Monitoring remediation based on corrective action plans.
• Develops and plans sterile and non-sterile compounding related training and monitoring activities at assigned pharmacies in collaboration with the Pharmacy management team.
• Serves as the principle trainer and educator for sterile compounding operations at assigned pharmacies.
• Develops and maintains a Quality Assurance Plan for sterile compounding activities to ensure state of control across all assigned sterile compounding facilities.
• Provides sterile compounding PM and EM report outs to the community entity Infection Control Committees at an interval determined by the Pharmacy management team.
• Provides guidance and recommendations for sterile compounding facility design, workflow, policies, procedures and documentation across all assigned pharmacies.
• Tracks compliance with IV room documentation and works with the Pharmacy management team to follow-up on missed or incomplete documentation.
• Builds and validates compounding records for batch documentation as needed.
• Participates in the evaluation and review of Quality Control Reports and Data from established 503B vendors.
• Participates in departmental preparation for sterile compounding related regulatory agency visits and serves as an on-site resource during regulatory agency inspections as needed.
• Provides recommendations to the Pharmacy management team on Nursing education for USP <797> compliance.
• Provides recommendations to the Pharmacy management team on IV room supplies and works with the Pharmacy Purchasing Coordinator to monitor and maintain par levels.
• Communicates sterile compounding procedural changes and best practices to pharmacy staff as needed.

Standard Staffing Level Responsibilities:

• Complies with established departmental policies, procedures, and objectives.
• Attends variety of meetings, conferences, seminars as required or directed.
• Demonstrates use of Quality Improvement in daily operations.
• Complies with all health and safety regulations and requirements.
• Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
• Maintains, regular, reliable, and predictable attendance.
• Performs other similar and related duties as required or directed.

Position Qualifications:

License/Certification/Education:

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